Skip to main content
Log in

Live motile sperm sorting device for enhanced sperm-fertilization competency: comparative analysis with density-gradient centrifugation and microfluidic sperm sorting

  • Gamete Biology
  • Published:
Journal of Assisted Reproduction and Genetics Aims and scope Submit manuscript

Abstract

Purpose

A live motile sperm sorting device (LensHooke® CA0) developed to prevent the deleterious effects of centrifugation was evaluated comparatively with conventional density-gradient centrifugation (DGC) and microfluidic-based device (Zymot) in sperm selection.

Methods

Semen samples from 239 men were collected. CA0 under different incubation intervals (5, 10, 30, and 60 min) and temperatures (20, 25, and 37℃) was conducted. The sperm quality in CA0-, DGC-, and Zymot-processed samples was then comparatively evaluated. Semen parameters included concentration, motility, morphology, motion kinematics, DNA fragmentation index (DFI), and the rate of acrosome-reacted sperm (AR).

Results

Total motility and motile sperm concentration increased in a time- and temperature-dependent manner and the total motility peaked for 30 min at 37℃. In paired analysis, CA0 showed significantly higher total motility (94.0%), progressive motility (90.8%), rapid progressive motility (83.6%), normal morphology (10.3%), and lower DFI (2.4%) and AR (4.7%) than the other two methods in normozoospermic samples (all p < 0.05). For non-normozoospermic samples, CA0 had significantly better results than the other two methods (total motility 89.2%, progressive motility 80.4%, rapid progressive motility 74.2%, normal morphology 8.5%, DFI 4.0%, and AR 4.0%; all p < 0.05).

Conclusion

CA0 yielded spermatozoa with enhanced sperm fertilization potentials; DFI was minimized in samples processed by CA0. CA0 was effective for both normal and abnormal semen samples due to its consistent selection efficiency.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

Data availability

The data underlying this article will be shared on reasonable request made to the corresponding author.

References

  1. Choy JT, Eisenberg ML. Male infertility as a window to health. Fertil Steril. 2018;110(5):810–4. https://doi.org/10.1016/j.fertnstert.2018.08.015.

    Article  PubMed  Google Scholar 

  2. Boivin J, Bunting L, Collins JA, Nygren KG. International estimates of infertility prevalence and treatment-seeking: potential need and demand for infertility medical care. Hum Reprod. 2007;22(6):1506–12. https://doi.org/10.1093/humrep/dem046.

    Article  PubMed  Google Scholar 

  3. Collins J. An international survey of the health economics of IVF and ICSI. Hum Reprod Update. 2002;8(3):265–77. https://doi.org/10.1093/humupd/8.3.265.

    Article  PubMed  Google Scholar 

  4. Cooper TG, Noonan E, von Eckardstein S, Auger J, Baker HW, Behre HM, Haugen TB, Kruger T, Wang C, Mbizvo MT, Vogelsong KM. World Health Organization reference values for human semen characteristics. Hum Reprod Update. 2010;16(3):231–45. https://doi.org/10.1093/humupd/dmp048.

    Article  PubMed  Google Scholar 

  5. Rao M, Tang L, Wang L, Chen M, Yan G, Zhao S. Cumulative live birth rates after IVF/ICSI cycles with sperm prepared by density gradient centrifugation vs. swim-up: a retrospective study using a propensity score-matching analysis. Reprod Biol Endocrinol. 2022;20(1):60. https://doi.org/10.1186/s12958-022-00933-2.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Takeshima T, Yumura Y, Kuroda S, Kawahara T, Uemura H, Iwasaki A. Effect of density gradient centrifugation on reactive oxygen species in human semen. Syst Biol Reprod Med. 2017;63(3):192–8. https://doi.org/10.1080/19396368.2017.1294214.

    Article  CAS  PubMed  Google Scholar 

  7. Muratori M, Tarozzi N, Cambi M, Boni L, Iorio AL, Passaro C, Luppino B, Nadalini M, Marchiani S, Tamburrino L, Forti G, Maggi M, Baldi E, Borini A. Variation of DNA fragmentation levels during density gradient sperm selection for assisted reproduction techniques: a possible new male predictive parameter of pregnancy? Medicine (Baltimore). 2016;95(20):e3624. https://doi.org/10.1097/md.0000000000003624.

    Article  CAS  PubMed Central  Google Scholar 

  8. Muratori M, Tarozzi N, Carpentiero F, Danti S, Perrone FM, Cambi M, Casini A, Azzari C, Boni L, Maggi M, Borini A, Baldi E. Sperm selection with density gradient centrifugation and swim up: effect on DNA fragmentation in viable spermatozoa. Sci Rep. 2019;9(1):7492.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Said TM, Grunewald S, Paasch U, Rasch M, Agarwal A, Glander HJ. Effects of magnetic-activated cell sorting on sperm motility and cryosurvival rates. Fertil Steril. 2005;83(5):1442–6. https://doi.org/10.1016/j.fertnstert.2004.11.052.

    Article  PubMed  Google Scholar 

  10. Ye H, Huang GN, Gao Y, Liu DY. Relationship between human sperm-hyaluronan binding assay and fertilization rate in conventional in vitro fertilization. Hum Reprod. 2006;21(6):1545–50. https://doi.org/10.1093/humrep/del008.

    Article  CAS  PubMed  Google Scholar 

  11. Parmegiani L, Cognigni GE, Bernardi S, Troilo E, Ciampaglia W, Filicori M. “Physiologic ICSI”: hyaluronic acid (HA) favors selection of spermatozoa without DNA fragmentation and with normal nucleus, resulting in improvement of embryo quality. Fertil Steril. 2010;93(2):598–604. https://doi.org/10.1016/j.fertnstert.2009.03.033.

    Article  PubMed  Google Scholar 

  12. Eliasson R. Semen analysis with regard to sperm number, sperm morphology and functional aspects. Asian J Androl. 2010;12(1):26–32. https://doi.org/10.1038/aja.2008.58.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Berkovitz A, Eltes F, Ellenbogen A, Peer S, Feldberg D, Bartoov B. Does the presence of nuclear vacuoles in human sperm selected for ICSI affect pregnancy outcome? Hum Reprod. 2006;21(7):1787–90. https://doi.org/10.1093/humrep/del049.

    Article  PubMed  Google Scholar 

  14. Komiya A, Watanabe A, Kawauchi Y, Fuse H. Sperm with large nuclear vacuoles and semen quality in the evaluation of male infertility. Syst Biol Reprod Med. 2013;59(1):13–20. https://doi.org/10.3109/19396368.2012.729174.

    Article  PubMed  Google Scholar 

  15. Kishi K. Frequency of sperm DNA fragmentation according to selection method: comparison and relevance of a microfluidic device and a swim-up procedure. J Clin Diagn Res. 2015. https://doi.org/10.7860/jcdr/2015/10332.6811.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Seiringer MMM, Shebl O, Dreier K, Tews G, Ziehr S, Schappacher-Tilp G, Petek E, Ebner T. Efficacy of a sperm-selection chamber in terms of morphology, aneuploidy and DNA packaging. Reprod Biomed Online. 2013;27(1):81–8. https://doi.org/10.1016/j.rbmo.2013.03.013.

    Article  CAS  PubMed  Google Scholar 

  17. Ebner T, Shebl O, Moser M, Mayer RB, Arzt W, Tews G. Easy sperm processing technique allowing exclusive accumulation and later usage of DNA-strandbreak-free spermatozoa. Reprod Biomed Online. 2011;22(1):37–43. https://doi.org/10.1016/j.rbmo.2010.09.004.

    Article  CAS  PubMed  Google Scholar 

  18. Meitei HY, Uppangala S, Sharan K, et al. A simple, centrifugation-free, sperm-sorting device eliminates the risks of centrifugation in the swim-up method while maintaining functional competence and DNA integrity of selected spermatozoa. Reprod Sci. 2021;28(1):134–43. https://doi.org/10.1007/s43032-020-00269-5.

    Article  CAS  PubMed  Google Scholar 

  19. Quinn MM, Jalalian L, Ribeiro S, Ona K, Demirci U, Cedars MI, Rosen MP. Microfluidic sorting selects sperm for clinical use with reduced DNA damage compared to density gradient centrifugation with swim-up in split semen samples. Hum Reprod. 2018;33(8):1388–93. https://doi.org/10.1093/humrep/dey239.

    Article  CAS  PubMed  Google Scholar 

  20. Parrella A, Keating D, Cheung S, Xie P, Stewart JD, Rosenwaks Z, Palermo GD. A treatment approach for couples with disrupted sperm DNA integrity and recurrent ART failure. J Assist Reprod Genet. 2019;36(10):2057–66. https://doi.org/10.1007/s10815-019-01543-5.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Yetkinel S, Kilicdag EB, Aytac PC, Haydardedeoglu B, Simsek E, Cok T. Effects of the microfluidic chip technique in sperm selection for intracytoplasmic sperm injection for unexplained infertility: a prospective, randomized controlled trial. J Assist Reprod Genet. 2019;36(3):403–9. https://doi.org/10.1007/s10815-018-1375-2.

    Article  PubMed  Google Scholar 

  22. WHO laboratory manual for the examination and processing of human semen. 5th ed. Geneva: World Health Organization; 2010.

  23. Quinn PK, John F, Warnes GM. Improved pregnancy rate in human in vitro fertilization with the use of a medium based on the composition of human tubal fluid. Fertil Steril. 1985;44(4):493–8. https://doi.org/10.1016/s0015-0282(16)48918-1.

    Article  CAS  PubMed  Google Scholar 

  24. Lin HTWM, Wu WL, Tsai LC, Chen YY, Hung KH, Wu PH, Chen TS, Ou HT, Cheng YS. Incorporating sperm DNA fragmentation index with computer-assisted semen morphokinematic parameters as a better window to male fertility. Chin J Physiol May-Jun. 2022;65(3):143–50. https://doi.org/10.4103/CJP.CJP_12_22.

    Article  CAS  Google Scholar 

  25. Hsu CT, Lee CI, Huang CC, et al. Development and integration of LensHooke® R10 for automatic and standardized diagnosis for sperm DNA fragmentation. Andrology. Mar 3 2023. https://doi.org/10.1111/andr.13419.

  26. Eamer LVM, Nosrati R, San Gabriel MC, Zeidan K, Zini A, Sinton D. Turning the corner in fertility: high DNA integrity of boundary-following sperm. Lab Chip. 2016;16(13):2418–22. https://doi.org/10.1039/c6lc00490c.

    Article  CAS  PubMed  Google Scholar 

  27. Tasoglu SSH, Zhang X, Kingsley JL, Catalano PN, Gurkan UA, Nureddin A, Kayaalp E, Anchan RM, Maas RL, Tüzel E, Demirci U. Exhaustion of racing sperm in nature-mimicking microfluidic channels during sorting. Small. 2013;9(20):3374–84. https://doi.org/10.1002/smll.201300020.

    Article  CAS  PubMed  Google Scholar 

  28. Marín-Briggiler CITJ, Miranda PV, Vazquez-Levin MH. Effect of incubating human sperm at room temperature on capacitation-related events. Fertil Steril. 2002;77(2):252–9. https://doi.org/10.1016/s0015-0282(01)02982-x.

    Article  PubMed  Google Scholar 

  29. Zini A, Finelli A, Phang D, Jarvi K. Influence of semen processing technique on human sperm DNA integrity. Urology. 2000;56(6):1081–4. https://doi.org/10.1016/s0090-4295(00)00770-6.

    Article  CAS  PubMed  Google Scholar 

  30. Dai XWY, Cao F, Yu C, Gao T, Xia X, Wu J, Chen L. Sperm enrichment from poor semen samples by double density gradient centrifugation in combination with swim-up for IVF cycles. Sci Rep. 2020;10(1):2286. https://doi.org/10.1038/s41598-020-59347-y.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Yamanaka M, Tomita K, Hashimoto S, et al. Combination of density gradient centrifugation and swim-up methods effectively decreases morphologically abnormal sperms. J Reprod Dev. 2016;62(6):599–606. https://doi.org/10.1262/jrd.2016-112.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Hernández-Silva G, López-Torres AS, Maldonado-Rosas I, Mata-Martínez E, Larrea F, Torres-Flores V, Treviño CL, Chirinos M. Effects of semen processing on sperm function: differences between swim-up and density gradient centrifugation. World J Mens Health. 2021;39(4):740–9. https://doi.org/10.5534/wjmh.200115.

    Article  PubMed  Google Scholar 

  33. Wang J, Tang H, Zou Q, et al. Patient with CATSPER3 mutations-related failure of sperm acrosome reaction with successful pregnancy outcome from intracytoplasmic sperm injection (ICSI). Mol Genet Genomic Med. 2021;9(2):e1579. https://doi.org/10.1002/mgg3.1579.

    Article  CAS  PubMed  Google Scholar 

  34. Liu DY, Baker HW. Disordered zona pellucida-induced acrosome reaction and failure of in vitro fertilization in patients with unexplained infertility. Fertil Steril. 2003;79(1):74–80. https://doi.org/10.1016/s0015-0282(02)04555-7.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Contributions

C.T.H., C.I.L., M.S.L., and A.A. conceptualized the study and designed all the experiments. C.C.H. and H.M.T. collected samples and curated data. F.S.L., F.Z.W., and H.C.C. conducted all the experiments and statistical analyses. T.E.W. drafted and revised the manuscript.

Corresponding author

Correspondence to Ashok Agarwal.

Ethics declarations

Ethical approval

This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the local Ethics Committee of Chung Shan Medical University (No. CS2-22039).

Consent to participate

Informed consent was obtained from all individual participants included in the study.

Conflict of interest

This study was supported by Bonraybio Co., Ltd. C.T.H. is the owner of Bonraybio Co., Ltd. and F.S.L., F.Z.W., H.C.C., and T.E.W. are employees of Bonraybio Co., Ltd. The employer (C.I.L., C.C.H., and H.M.T.) of Lee Women’s Hospital has collaborated with Bonraybio Co., Ltd. with regard to the IRB approval for providing human samples to complete this collaborative project. A.A. reports no financial support from Bonraybio Co., Ltd. Bonraybio Co., Ltd. reports patent applications “Sperm sorting device and method” licensed in Taiwan (application number: 111110406; 111209204), China (application number: 202210427414.7; 202220949418.7; 202222325590.8), the USA (application no: 17/815,484), and Europe (application no: 22188408.3). The remaining authors have no conflicts of interest to disclose.

Additional information

Publisher's note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary Information

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hsu, CT., Lee, CI., Lin, FS. et al. Live motile sperm sorting device for enhanced sperm-fertilization competency: comparative analysis with density-gradient centrifugation and microfluidic sperm sorting. J Assist Reprod Genet 40, 1855–1864 (2023). https://doi.org/10.1007/s10815-023-02838-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10815-023-02838-4

Keywords

Navigation