Optimized sperm selection: a highly efficient device for the isolation of progressive motile sperm with low DNA fragmentation index.
J Assist Reprod Genet
; 41(8): 2201-2209, 2024 Aug.
Article
en En
| MEDLINE
| ID: mdl-38890266
ABSTRACT
PURPOSE:
To identify the sperm preparation procedure that selects the best sperm population for medically assisted reproduction.METHODS:
Prospective observational study comparing the effect of four different sperm selection procedures on various semen parameters. Unused raw semen after routine diagnostic analysis was split in four fractions and processed by four differentmethods:
(1) density gradient centrifugation (DGC), (2) sperm wash (SW), (3) DGC followed by magnetic activated cell sorting (MACS), and (4) using a sperm separation device (SSD). Each fraction was analyzed for progressive motility, morphology, acrosome index (AI), and DNA fragmentation index (DFI).RESULTS:
With DGC as standard of care in intraclass correlation coefficient analysis, only SSD was in strong disagreement regarding progressive motility and DFI [0.26, 95%CI (- 0.2, 0.58), and 0.17, 95%CI (- 0.19, 0.45), respectively]. When controlling for abstinence duration, DFI was significantly lower after both MACS and SSD compared to DGC [- 0.27%, 95%CI (- 0.47, - 0.06), p = 0.01, and - 0.6%, 95%CI (- 0.80, - 0.41), p < 0.001, respectively]. Further comparisons between SSD and MACS indicate significantly less apoptotic cells [Median (IQR) 4 (5), 95%CI (4.1, - 6.8) vs Median (IQR) 5 (8), 95%CI (4.9, - 9.2), p < 0.001, respectively] and dead cells [Median (IQR) 9.5 (23.3), 95%CI (13.2, - 22.4) vs Median (IQR) 22 (28), 95%CI (23.1, - 36.8), p < 0.001, respectively] in the SSD group.CONCLUSION:
The selection of a population of highly motile spermatozoa with less damaged DNA from unprocessed semen is ideally performed with SSD. Question remains whether this method improves the embryological outcomes in the IVF laboratory.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Motilidad Espermática
/
Espermatozoides
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Separación Celular
/
Centrifugación por Gradiente de Densidad
/
Fragmentación del ADN
/
Análisis de Semen
Límite:
Adult
/
Humans
/
Male
Idioma:
En
Revista:
J Assist Reprod Genet
/
J. assist. reprod. genet
/
Journal of assisted reproduction and genetics
Asunto de la revista:
GENETICA
/
MEDICINA REPRODUTIVA
Año:
2024
Tipo del documento:
Article
País de afiliación:
Bélgica