A biomimetic sperm selection device for routine sperm selection

IF 3.7 2区 医学 Q1 OBSTETRICS & GYNECOLOGY Reproductive biomedicine online Pub Date : 2025-02-01 DOI:10.1016/j.rbmo.2024.104433
Steven A. Vasilescu , Dale M. Goss , Kathryn H. Gurner , Rebecca L. Kelley , Maria Mazi , Fabrice K. De Bond , Jennifer Lorimer , Fabrizzio Horta , Farin Y. Parast , David K. Gardner , Reza Nosrati , Majid E. Warkiani
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Abstract

Research question

Can a biomimetic microfluidic sperm sorter isolate motile sperm while minimizing DNA damage in comparison with density gradient centrifugation (DGC)?

Design

This was a two-phase study of 61 men, consisting of a proof-of-concept study with 21 donated semen samples in a university research laboratory, followed by a diagnostic andrology study with 40 consenting patients who presented at a fertility clinic for semen diagnostics. Each sample was split to perform DGC and microfluidic sperm selection (one-step sperm selection with 15 min of incubation) side-by-side. Outcomes evaluated included concentration, progressive motility, and DNA fragmentation index (DFI) of raw semen, and sperm isolated using DGC and the microfluidic device. Results were analysed using Friedman's test for non-parametric data (significant when P < 0.05). DFI values were assessed by sperm chromatin dispersion assay.

Results

Sperm isolated using DGC and the microfluidic device showed improved DFI values and motility compared with the raw semen sample in both cohorts. However, the microfluidic device was significantly better than DGC at reducing DFI values in both the proof-of-concept study (P = 0.012) and the diagnostic andrology study (P < 0.001). Progressive motility was significantly higher for sperm isolated using the microfluidic device in the proof-of-concept study (P = 0.0061) but not the diagnostic andrology study. Sperm concentration was significantly lower for samples isolated using the microfluidic device compared with DGC for both cohorts (P < 0.001).

Conclusions

Channel-based biomimetic sperm selection can passively select motile sperm with low DNA fragmentation. When compared with DGC, this method isolates fewer sperm but with a higher proportion of progressively motile cells and greater DNA integrity.
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一种用于常规精子选择的仿生精子选择装置。
研究问题:与密度梯度离心(DGC)相比,仿生微流控精子分选器能否在分离运动精子的同时最大限度地减少DNA损伤?设计:这是一项涉及61名男性的两阶段研究,包括在大学研究实验室中使用21份捐赠精液样本的概念验证研究,以及在生育诊所接受精液诊断的40名同意患者的诊断男科研究。每个样本被分开,同时进行DGC和微流体精子选择(一步精子选择,孵育15分钟)。评估的结果包括浓度、进行性和原始精液的DNA碎片指数(DFI),以及使用DGC和微流控装置分离的精子。结果采用非参数数据的Friedman检验进行分析(P < 0.05显著)。采用精子染色质分散试验评估DFI值。结果:使用DGC和微流控装置分离的精子与原始精液样本相比,在两个队列中均显示出更高的DFI值和运动性。然而,在概念验证研究(P = 0.012)和诊断性男科研究(P < 0.001)中,微流控装置在降低DFI值方面都明显优于DGC。在概念验证研究中,使用微流控装置分离的精子的进行性运动能力显著提高(P = 0.0061),但在诊断性男科研究中则不然。在两个队列中,使用微流体装置分离的样本的精子浓度显著低于使用DGC分离的样本(P < 0.001)。结论:基于通道的仿生精子选择可以被动选择DNA碎片化程度低的活动精子。与DGC相比,该方法分离的精子较少,但逐渐运动的细胞比例更高,DNA完整性更高。
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来源期刊
Reproductive biomedicine online
Reproductive biomedicine online 医学-妇产科学
CiteScore
7.20
自引率
7.50%
发文量
391
审稿时长
50 days
期刊介绍: Reproductive BioMedicine Online covers the formation, growth and differentiation of the human embryo. It is intended to bring to public attention new research on biological and clinical research on human reproduction and the human embryo including relevant studies on animals. It is published by a group of scientists and clinicians working in these fields of study. Its audience comprises researchers, clinicians, practitioners, academics and patients. Context: The period of human embryonic growth covered is between the formation of the primordial germ cells in the fetus until mid-pregnancy. High quality research on lower animals is included if it helps to clarify the human situation. Studies progressing to birth and later are published if they have a direct bearing on events in the earlier stages of pregnancy.
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