LAUSR

Capsule Microfluidic sorting of unprocessed semen allows for the selection of clinically usable sperm with lower DNA fragmentation than standard processing. Objective To determine if microfluidic sorting improves the selection of sperm with lower DNA fragmentation over standard density-gradient centrifugation. Design Blinded, controlled laboratory study. Setting Academic medical center. Specimens Consecutively collected routine semen analysis samples (n=70). Intervention(s) For each sample, the unprocessed semen was tested for DNA fragmentation and split for processing by density-gradient centrifugation and sorting by a microfluidic chip. DNA fragmentation was assessed in unprocessed and processed samples by Sperm Chromatin Dispersion (SCD) test. Outcome Measure DNA Fragmentation Index (DFI) was calculated as number of cells with fragmented DNA divided by the number of cells counted per slide. Results The median DFI in unprocessed samples was 21% (IQR 14-30). In paired analyses of all samples, those processed by the microfluidic chip demonstrated significantly decreased DFI compared to those processed by density-gradient centrifugation and unprocessed samples. The median DFI for chip specimens was 0% (IQR 0–2.4) while those processed by density gradient centrifugation had a median DFI of 6% (IQR 2-11). Unprocessed samples in the highest DFI quartile (DFI range 31–40%) had median DFI of 15% (IQR 11–19%) after density-gradient centrifugation and DFI 0% (IQR 0–1.9%) after processing with the microfluidic chip (p = 0.02). Conclusion Microfluidic sorting of unprocessed semen allows for the selection of clinically usable, highly motile sperm with nearly undetectable levels of DNA fragmentation. Future studies will be expending the sample size, and validate if the use of chip can be translated into difference in pregnancy rates. Conflict of Interest Disclosures Utkan Demirci, Ph.D. is the Co-founder and Scientific Advisor for DxNow Inc., LevitasBio Inc., and Koek Biotech. Mitchell Rosen, M.D. is a member of the Clinical Advisory Board for DxNow Inc. Funding None.