Abstract
Background: Sperm selection, a key step in assisted reproductive technology (ART), has long been restrained at the preliminary physical level (morphology or motility); however, subsequent fertilization and embryogenesis are complicated biochemical processes. Such an enormous “gap” poses tough problems for couples dealing with infertility, especially patients with severe/total asthenozoospermia.
Methods: We developed a biochemical-level, automatic-screening/separation, smart droplet-TO-hydrogel chip (BLASTO-chip) for sperm selection. The droplet can sense the pH change caused by sperm's respiration products and then transforms into a hydrogel to be selected out.
Findings: The BLASTO-chip system can select biochemically active sperm with an accuracy of over 90%, and its selection efficiency can be flexibly tuned by nearly 10-fold. All the substances in the system were proven to be biosafe via evaluating mice fertilization and offspring health. Live sperm down to 1% could be enriched by over 76-fold to 76%. For clinical application to patients with severe/total asthenozoospermia, the BLASTO-chip could select live sperm from human semen samples containing 10% live but 100% immotile sperm. The rates of fertilization, cleavage, early embryos, and blastocysts were drastically elevated from 15% to 70.83%, 10% to 62.5%, 5% to 37.5%, and 0% to 16.67%, respectively.
Conclusions: The BLASTO-chip represents a real biochemical-level technology for sperm selection that is completely independent of sperm's motility. It can be a powerful tool in ART, especially for patients with severe/total asthenozoospermia.
Funding: This work was funded by the Ministry of Science and Technology of China, the Ministry of Education of China, and the Shenzhen-Hong Kong Hetao Cooperation Zone.
© 2024 The Author(s). Published by Elsevier Inc.
| Original language | English |
|---|---|
| Pages (from-to) | 603-621, e1-e7 |
| Journal | Med |
| Volume | 5 |
| Issue number | 6 |
| Online published | 11 Apr 2024 |
| DOIs | |
| Publication status | Published - 14 Jun 2024 |
Funding
We thank all members of Changsha Maternal and Child Health Hospital for providing human oocytes and sperm samples. We thank Z.S. Yin from Huazhong Agricultural University for technical assistance in the animal experiment. All figures in this study were created with BioRender.com. X.X. was supported by the National Key Research and Development Program (nos. 2023YFE0210200 and 2021YFC2701402) and the interdisciplinary research program of HUST Science Park. M.Y. was supported by the Hong Kong Innovation and Technology Fund, the Mainland-Hong Kong Joint Funding Scheme (Platform) (no. MHP/240/23), the Hetao Shenzhen-Hong Kong Science and Technology Innovation Cooperation Zone Shenzhen Park Project (no. HZQB-KCZYZ-2021017), and the National Key Research and Development Program of China (no. 2018YFA0901104). X.Z. was supported by the central government-guided special funds for local scientific and technological development (no. 226Z2603G). Z.M. was supported by the Hunan Province Assisted Reproduction and Regenerative Medicine Clinical Demonstration Center Funded Project (no. 2020SK4019), the Research Plan Project of Hunan Provincial Health Commission (no. 202205033867), the General Project of Hunan Natural Science Foundation (no. 2022JJ30628), and the Hunan Provincial Science and Technology Innovation Plan Project (no. 2021SK53207). L.L. was supported by the open research fund of the Hunan Provincial Key Laboratory of Regional Hereditary Birth Defects Prevention and Control (no. HPKL2023019) and the Natural Science Foundation of Hubei Province of China (no. 2023AFB402). X.X. conceived the idea of this work. Y.M. X.Z. and L.L. designed the research strategy, contributed to data collection, and developed the methodology. X.X. M.Y. and Z.M. administered the project. Y.W. X.L. X.W. L.Z. B.Y. W.Z. K.D. H.H. Y.L. and Z.Y. conducted related experiments and investigations. Y.M. X.Z. and L.L. performed and oversaw statistical analyses. Y.M. and X.X. had unrestricted access to all data. Y.M. X.Z. L.L. X.X. M.Y. and Z.M. drafted the original manuscript and contributed to its review and editing. All authors approved the final manuscript and take full responsibility for its content, including data accuracy and adherence to the registered protocol and statistical analysis. The authors declare no competing interests. We thank all members of Changsha Maternal and Child Health Hospital for providing human oocytes and sperm samples. We thank Z.S. Yin from Huazhong Agricultural University for technical assistance in the animal experiment. All figures in this study were created with BioRender.com. X.X. was supported by the National Key Research and Development Program (nos. 2023YFE0210200 and 2021YFC2701402 ) and the interdisciplinary research program of HUST Science Park . Y.M. was supported by the Hong Kong Innovation and Technology Fund , the Mainland-Hong Kong Joint Funding Scheme (Platform) (no. MHP/240/23 ), the Hetao Shenzhen-Hong Kong Science and Technology Innovation Cooperation Zone Shenzhen Park Project (no. HZQB-KCZYZ-2021017 ), and the National Key Research and Development Program of China (no. 2018YFA0901104 ). X.Z. was supported by the central government-guided special funds for local scientific and technological development (no. 226Z2603G). Z.M. was supported by the Hunan Province Assisted Reproduction and Regenerative Medicine Clinical Demonstration Center Funded Project (no. 2020SK4019 ), the Research Plan Project of Hunan Provincial Health Commission (no. 202205033867 ), the General Project of Hunan Natural Science Foundation (no. 2022JJ30628 ), and the Hunan Provincial Science and Technology Innovation Plan Project (no. 2021SK53207 ). L.L. was supported by the open research fund of the Hunan Provincial Key Laboratory of Regional Hereditary Birth Defects Prevention and Control (no. HPKL2023019 ) and the Natural Science Foundation of Hubei Province of China (no. 2023AFB402 ).
Research Keywords
- asthenozoospermia
- biochemical level
- Foundational research
- microfluidic
- sperm selection
Publisher's Copyright Statement
- This full text is made available under CC-BY-NC-ND 4.0. https://creativecommons.org/licenses/by-nc-nd/4.0/
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