Phairatana Tonghathai, Prateepchaikul Thanaporn, Navakanittworakul Raphatphorn, Choksuchat Chainarong
Department of Biomedical Sciences and Biomedical Engineering, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
Department of Obstetrics and Gynecology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
J Reprod Infertil. 2023 Apr-Jun;24(2):85-93. doi: 10.18502/jri.v24i2.12492.
Sperm DNA fragmentation can affect reproductive outcomes in assisted reproductive techniques (ART), and it is a concern in density gradient centrifugation (DGC). By contrast, microfluidic approaches allow the selection of highly motile sperm with low DNA fragmentation index (DFI). The purpose of current study, was to compare the efficacy of a microfluidic device designed in-house in comparison with DGC.
Nineteen healthy men with normal semen profiles were included in the study. Semen samples were individually aliquoted for three sperm preparation analyses (crude and processed with to either DGC or the microfluidic method). Sperm parameters of the samples were evaluated along with DNA fragmentation using the terminal deoxynucleotidyl transferase dUTP nick-end labeling (TUNEL) method.
Sperm processed using the microfluidic method showed a significantly lower DFI than those obtained using DGC and in crude semen, with DFI of 1.1%, 3.5%, and 4.9%, respectively. Although the microfluidic method yielded significantly lower sperm concentrations than DGC, no significant differences were observed in total motility, progressive motility, curvilinear velocity, straight-line velocity, or normal morphology.
Using the in-house microfluidic device, sperm with lower DFI was effectively isolated when compared with DGC. The motility and normal morphology rates were comparable among the samples.
精子DNA碎片化会影响辅助生殖技术(ART)的生殖结局,并且在密度梯度离心(DGC)中也是一个问题。相比之下,微流控方法能够筛选出DNA碎片化指数(DFI)低的高活力精子。本研究的目的是比较自行设计的微流控装置与DGC的效果。
19名精液参数正常的健康男性纳入研究。精液样本分别进行三份精子制备分析(原始样本以及分别用DGC或微流控方法处理后的样本)。使用末端脱氧核苷酸转移酶dUTP缺口末端标记(TUNEL)法评估样本的精子参数以及DNA碎片化情况。
使用微流控方法处理的精子DFI显著低于使用DGC处理的精子以及原始精液中的精子,DFI分别为1.1%、3.5%和4.9%。尽管微流控方法产生的精子浓度显著低于DGC,但在总活力、前向运动力、曲线速度、直线速度或正常形态方面未观察到显著差异。
与DGC相比,使用自行设计的微流控装置能够有效分离出DFI较低的精子。样本之间的活力和正常形态率相当。