» Articles » PMID: 31093866

Use of Microfluidic Sperm Extraction Chips As an Alternative Method in Patients with Recurrent in Vitro Fertilisation Failure

Overview
Publisher Springer
Date 2019 May 17
PMID 31093866
Citations 9
Authors
Affiliations
Soon will be listed here.
Abstract

Purpose: It is known that sperm preparation techniques in in vitro fertilisation (IVF) are intended to select the best-quality sperm. The aim of this study is to compare sperm the density gradient method and microfluidic chip (Fertile Plus) method in infertile patients by analysing fertilisation rates, pregnancy rates, and sperm morphology and DNA fragmentation rates posed by these two methods.

Methods: Using semen samples obtained from the patients, sperms were prepared with gradient (n = 312) and microfluidic chip methods (n = 116). Fertilisation and pregnancy rates were compared in the first time and in the recurrent IVF trial patients. In addition, the morphology and DNA fragmentation comparison of sperm samples were evaluated by Toluidine blue in situ chemical staining method.

Results: There was no statistically significant difference between fertilisation and pregnancy rates when compared with study groups in first-time IVF treatment patients. However, in recurrent IVF failure patients, there was a significant difference in fertilisation rates but no statistically significant difference was found in pregnancy rates. The microfluidic chip method significantly decreased sperm DNA fragmentation index according to density gradient method.

Conclusions: Microfluidic chip method may be recommended in patients with recurrent unsuccessful in vitro trials. The sperm DNA fragmentation test prior to the treatment will be helpful in selecting the appropriate sperm-washing method.

Citing Articles

Embryology outcomes of a device-based sperm separation technique compared to density gradient centrifugation using thawed spermatozoa-a sibling donor oocyte study.

Gavriil E, Desli A, Geladaris V, Kachpani E, Neofytou E, Tatsi P J Assist Reprod Genet. 2024; 42(1):97-105.

PMID: 39614958 PMC: 11805725. DOI: 10.1007/s10815-024-03336-x.


Optimized sperm selection: a highly efficient device for the isolation of progressive motile sperm with low DNA fragmentation index.

Mateizel I, Racca A, Aligianni E, Distasi E, Baert Y, Segers I J Assist Reprod Genet. 2024; 41(8):2201-2209.

PMID: 38890266 PMC: 11339219. DOI: 10.1007/s10815-024-03168-9.


Sperm Preparation with Microfluidic Sperm Sorting Chip May Improve Intracytoplasmic Sperm Injection Outcomes Compared to Density Gradient Centrifugation.

Banti M, Van Zyl E, Kafetzis D Reprod Sci. 2024; 31(6):1695-1704.

PMID: 38393626 PMC: 11111481. DOI: 10.1007/s43032-024-01483-1.


Does microfluidic sperm selection improve clinical pregnancy and miscarriage outcomes in assisted reproductive treatments? A systematic review and meta-analysis.

Aderaldo J, da Silva Maranhao K, Lanza D PLoS One. 2023; 18(11):e0292891.

PMID: 37983267 PMC: 10659219. DOI: 10.1371/journal.pone.0292891.


Sperm DNA Damage and Its Relevance in Fertility Treatment: A Review of Recent Literature and Current Practice Guidelines.

Marinaro J, Schlegel P Int J Mol Sci. 2023; 24(2).

PMID: 36674957 PMC: 9860847. DOI: 10.3390/ijms24021446.


References
1.
Schieve L, Peterson H, Meikle S, Jeng G, Danel I, Burnett N . Live-birth rates and multiple-birth risk using in vitro fertilization. JAMA. 1999; 282(19):1832-8. DOI: 10.1001/jama.282.19.1832. View

2.
Zini A, Nam R, Mak V, Phang D, Jarvi K . Influence of initial semen quality on the integrity of human sperm DNA following semen processing. Fertil Steril. 2000; 74(4):824-7. DOI: 10.1016/s0015-0282(00)01495-3. View

3.
Zini A, Finelli A, Phang D, Jarvi K . Influence of semen processing technique on human sperm DNA integrity. Urology. 2000; 56(6):1081-4. DOI: 10.1016/s0090-4295(00)00770-6. View

4.
Tomlinson M, Moffatt O, Manicardi G, Bizzaro D, Afnan M, Sakkas D . Interrelationships between seminal parameters and sperm nuclear DNA damage before and after density gradient centrifugation: implications for assisted conception. Hum Reprod. 2001; 16(10):2160-5. DOI: 10.1093/humrep/16.10.2160. View

5.
Erenpreiss J, Jepson K, Giwercman A, Tsarev I, Erenpreisa J, Spano M . Toluidine blue cytometry test for sperm DNA conformation: comparison with the flow cytometric sperm chromatin structure and TUNEL assays. Hum Reprod. 2004; 19(10):2277-82. DOI: 10.1093/humrep/deh417. View