The present invention relates to a motile cell sorting device.
Increasingly, couples are tending to wait until they are older before they begin trying to start a family. The longer a couple wait, however, the lower the chances of successfully conceiving. Thus, assisted reproduction treatments are becoming ever-more important (both from personal view and on a wider, societal level) since they can help increase the chances of conceiving.
Assisted reproduction treatments generally fall into two categories.
Intrauterine insemination (IUI) is a process whereby a prepared sperm sample is introduced into the (female) uterus using a catheter and fertilisation takes place in the uterus. This approach can be used to treat both male-factor and female-factor fertility problems. Although it is generally less invasive than other comparable treatments, it is being used less often due to lower success rates.
In vitro fertilisation (IVF) is a process involving combining a prepared sperm sample with an oocyte (egg) to create embryos in a laboratory setting. IVF can be divided further into two distinct treatment procedures, namely conventional IVF involving combining oocytes with a prepared sperm sample (typically 50,000 to 100,000 sperm cells) in a laboratory dish, where fertilisation takes place and IVF with intracytoplasmic sperm injection (ICSI) involving selecting a single sperm cell from a prepared sperm sample and injecting it directly into the oocyte. If successful, the outcome of either IVF procedure is a fertilised egg which is allowed to develop into an embryo for three to five days in a special culture medium in a controlled environment, before being transferred to the uterus for potential implantation and embryo development.
Assisted reproduction generally employ a sperm preparation or “sperm washing” step. The objectives of this step include isolating the sperm cells from the seminal fluid, which can contain undesirable contaminants (including cellular debris, bacteria, immune cells, mucus and other chemicals which could adversely affect the chance of successful fertilisation), removing any cryopreservative chemicals (if the sperm sample has been frozen) and selecting only motile sperm cells and preferably the most motile sperm cells from a sample.
Generally, there are three ways of performing sperm separation.
Simple washing involves a suspending sperm in an appropriate sperm-washing medium, then performing centrifugation to collect the sperm cells. Although this approach successfully dilutes chemical contaminants, it tends not to remove dead cells or cellular debris and does not separate out living cells from dead cells.
In density gradient centrifugation (DGC), samples are centrifuged in a test tube containing fluids of varying density. The fluids are calibrated in such a way that only cells of the correct density are collected, and cellular debris or heavily damaged cells are left behind. Intact and swimming cells normally have a slightly higher density and so this approach can be used to separate cells based on the density difference, but not directly on motility characteristics.
In so-called “swim-up”, a sample of appropriate sperm washing medium is carefully floated on top of a semen sample which has been gently pelleted by centrifugation. The motile cells swim up into the washing medium and the non-motile cells remain in the pellet.
The current washing methods tend to suffer one or more problems.
First, they tend to involve at least one centrifugation step, which is thought to cause DNA damage to the cells. Secondly, swim-up is not selective for progressive motility and so can result in lower quality of the selected spermatozoa. Thirdly, while DGC can separate out motile cells with some degree of specificity, the efficiency of the process is variable and depends on a number of factors including, for example, how many different fluids are used, the densities of those fluids, the centrifuge speed, and the skill of the technician. It has also been shown that DGC can increases DNA damage, which can further affect embryo survival rate.
A number of alternatives to the washing methods are emerging.
One approach is to use microfluidic separation. Examples of sperm separation devices include the ZyMōt™ Multi and ZyMōt™ ICSI available from ZyMōt Fertility (Gaithersburg, Md. USA). These devices function either by using wall reflection of sperm cells along a narrow channel or by using a thin membrane to assist swim up.
Another approach involves rheotactic separation involving exposing cells to a gentle fluid flow along which sperm cells orient themselves resulting in them swimming into a collection chamber.
Yet another approach, electrophoresis, uses an electric field to separate out cells based on their dielectric constant. Magnetic separation can also be used, although this approach relies primarily on binding magnetic particles to specific cells and subsequently separating the cells.
A method of separating motile sperm is described in WO 2016/035799 A1.
Reference is also made to WO 2017/127775 A1.
According to a first aspect of the present invention there is provided a motile cell sorting device. Motile cells may be spermatozoa and may be human, equine, bovine, porcine or avian. The device comprises a chamber, an inlet and an outlet in fluid communication with the chamber, and a plurality of discrete barriers disposed in the chamber. Each discrete barrier comprises at least one wall and at least one acute edge orientated towards the outlet.
This can allow not only the most motile cells, but also the progressively motile cells to be isolated and concentrated while minimising or even avoiding chemical, electrical, thermal and/or gravitational gradients and so help to reduce the risk of cell damage; these types of cells tend to be closely correlated with pregnancy success rates and lower miscarriage rates. This can also help with preferentially separating out cells deemed to have acceptable morphology and structure.
The barriers are (in plan view) preferably crescent-shaped or arrowhead-shaped. However, the barriers may be teardrop-shaped, semi-circular or chevron-shaped.
The at least one wall may comprise first and second walls and the at least one acute edge may comprise a first acute edge between the first and second walls. The first wall may be convex, straight or concave. The second wall may be concave or straight. The at least one acute edge may further comprise a second acute edge. The second acute edge may between the first wall and the second wall, for example, forming a crescent-shaped barrier. The at least one wall may comprise a third wall and the second acute edge may be between the second and third walls.
An acute edge is defined by two walls (or two portions of a wall) meeting at an angle of greater than 0° and less than 90°. Preferably, the angle is less than 30°. The curvature of each acute edge may be greater than 0 μm and less than or equal to 50 μm 0 and preferably less than 20 μM.
The diameter of the device may be between 2.5 cm and 3.5 cm.
The channel 4 of the device may be less than 100 μm.
The chamber may comprise a channel running between the inlet and the outlet provided at first and second ends respectively and comprising first and second chamber walls. The chamber may be disk-shaped having a periphery and a centre and wherein the inlet is annular and arranged around the periphery of the chamber and the outlet is arranged at the centre. The chamber preferably has a height which is between 50 to 300 μm. Preferably, the chamber height is greater than 100 μm.
The inlet and/or outlet may be between 1 and 8 mm in diameter. The inlet may be 3 mm in diameter. The inlet may be 5 mm in diameter. The outlet may be 5 mm in diameter.
Each discrete barrier preferably has a width of between 10 and 500 μm, or between 100 and 150 μm. Each discrete barrier may have a width of 125 μm. Each discrete barrier preferably has a length of between 10 and 1000 μor between 100 and 250 μm. Each discrete barrier may have a length of 175 μm. Each discrete barrier preferably is separated from neighbours in a first direction (e.g., in a row) by a first gap of between 20 to 500 μm, and or between 100 to 500 μm. Each discrete barrier preferably is separated from neighbours in a second different direction (e.g., in a line or column) by a second gap of between 20 to 500 μm, or between 100 to 500 μm. The discrete barriers may project into the chamber from a floor or a ceiling. The discrete barriers may be identically-shaped. The discrete barriers may be arranged in a periodic array, which may be rectangular or hexagonal array.
According to a second aspect of the present invention there is provided an intrauterine insemination kit comprising the device of the first aspect.
According to a third aspect of the present invention there is provided a method of using the device of the first aspect, the method comprising supplying a sample comprising motile cells to the inlet, waiting for a period of time of at least 1 minute and, after waiting for the period of time, collecting a refined sample from the outlet.
The period of time may be at least 5 minutes and is preferably at least 10 minutes. The period of time may be between 10 to 200 minutes or 10 to 120 minutes or between 10 and 60 minutes. The method may further comprise causing the device to be heated to a temperature for incubation. The temperature for incubation may be 37° C.
The sample and/or device may be purged and/or washed with one or more buffers.
The sample may be washed with buffers to reduce the probability of the spermatozoa cells sticking to each other.
Certain embodiments of the present invention will now be described, by way of example, with reference to the accompanying drawings, in which:
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The device 1 includes a chamber 4, for example in the form of a low-height channel or disc, an inlet 5, and an outlet 6 in fluid communication with the channel 4. The chamber 4 has a height which is less than, preferably much less than (at least by a factor 10 or even 100) its lateral dimensions, such a length and width. The chamber 4 has a height, h, which is preferably between 50 to 300 μm. The chamber 4, inlet 5 and outlet 6 are arranged such that when a sample 3 containing motile cells 2 is supplied to the inlet 5, motile cells 2 swim through the chamber 4 towards the outlet 6. As they swim through the chamber 4, the motile cells 2 are sorted and separated on the basis of motility such that less motile cells 2 (e.g., immotile cells) tend to be retained in the chamber 4, while more motile cells 2 tend to progress along the chamber 4.
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Each barrier 8 is generally asymmetrical having differently-shaped first and second faces 13, 14 orientated towards and away from the first port 5 respectively. The first face 13 includes at least one wall 15 and the second face 14 preferably includes at least one wall 16. Herein, the walls 15, 16 may be referred to as “side walls”. The walls 15, 16 or opposite ends of the wall 15 meet at one or more acute edges 17 (herein referred to as “discontinuities”). The angle between the walls 15, 16 is greater than 0° and less than 90° and is preferably less than 30°. The curvature of the edge 17 is greater than 0 μm and less than or equal to 50 μm, micron and is preferably less than 20 μm.
The chamber 4, inlet 5, outlet 6 and barriers 8 are configured such that motile cells 2 take a time, t, of between 10 to 60 minutes, preferably about 20 minutes, to swim from the inlet 5 through the chamber 4.
The device 1 may operate at ambient temperature, i.e., room temperature. However, the device 1 may be provided with a heater (not shown), for example in the form of hot plate, oven or water bath, to elevate the operating temperature of the device to a suitable temperature for incubation, for example, about 37° C.
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The barriers 8 utilize surface entrainment, whereby motile cells 2 tend to swim along a surface, to sort the motile cells. The barriers 8 have curved surfaces 15, 16 with sharp discontinuities to redirect swimming cells along the desired movement orientation.
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The first barrier 81 is defined by half the intersection of first and second intersecting virtual circles 181, 182 having a cut out defined by a third circle 183. The convex walls 151,1, 151,2 are defined by intercepted arcs of the first and second overlapping virtual circles 181, 182 each having a first radius r1. The concave wall 161 is defined by the intercepted arc of a third virtual circle 183 having a second radius r2. In this case, r2<r1. The first barrier 81, has a width w1 of between 10 and 500 μm and a length l1 of between 10 and 1,000 μm. In this example, r1=450 μm, r2=82 μm, w1=150 μm and l1=177 μm.
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The second barrier 82 is defined by third and fourth overlapping virtual circles 183, 184. The convex and concave walls 152, 162 are defined by fourth and fifth arcs of the third and fourth circles 183, 184 having a third radius r3 and a fourth radius r4 respectively. The first barrier 81, has a width w2 of between 10 and 500 μm and a length l2 of between 10 and 1,000 μm. In this example, r3=125 μm, r4=137 μm, w2=250 μm and the two circles are offset by 39 μm.
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The 5*3 device can yield better results as fewer undesirable cells and other debris are removed at the extraction stage, however, it can be more difficult to extract a sample from the 5*3 device than from the 5*5 device. The 5*5 device can yield a lower quality sample than the 5*5 device, but the sample can be easier to extract from the device.
The inlet 5 diameter di and the outlet diameter d0 may be between 1 and 8 mm. The diameter d of the device may be between 1 and 10 cm. The sizes of the inlets and outlets can be optimized for the quality and/or type of each sample.
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The 3*5 device 1 was used to isolate high quality spermatozoa in semen with normal quality spermatozoa using semen samples of 60 μl, and the 5*5 device was used to isolate high quality spermatozoa in semen with normal and poor quality spermatozoa using semen samples of 100 μl.
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Sperm were recovered from 14 ejaculates. Ejaculates were divided into normal and abnormal groups based on sperm progressive motility (PR) by World Health Organisation criteria. Sperm concentration, progressive motility, total motility, morphology and DNA fragmentation (using Terminal deoxynucleotidyl transferase TdT dUTP Nick End Labeling (TUNEL) assay) were measured in the sperm selected by all methods and in the semen sample.
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Alternative processes may be used in a working device. The steps in the processes outlined above may be modified or removed, for example, step S3, may be removed altogether. Additional steps may also be added, for example, additional washing or purging of a sample and/or device with additional buffers. The timings, temperatures and volumes of sample associated with steps in the processes may be optimized for particular samples, species, or aim of the process, for example the incubation time may be longer or shorter in step S7, depending on the sample type, size, and speed of sperm. The volumes extracted from the device at the end of the process may be higher or lower depending on the types and volumes of samples used and the types and volumes of buffers added to the sample. In a high throughput system, step S6 may also be removed, or combined with step S8, where the observation of the sample is performed at the beginning of step S8.
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Modifications
It will be appreciated that various modifications may be made to the embodiments hereinbefore described. Such modifications may involve equivalent and other features which are already known in the design, manufacture and use of motile cell sorting devices and component parts thereof and which may be used instead of or in addition to features already described herein. Features of one embodiment may be replaced or supplemented by features of another embodiment.
Concave or convex surfaces need not be defined by arcs of circle. For example, a surface may be defined by an arc of an ellipse, a hyperbola or other suitable curve. The curvature may vary along the surface.
Although claims have been formulated in this application to particular combinations of features, it should be understood that the scope of the disclosure of the present invention also includes any novel features or any novel combination of features disclosed herein either explicitly or implicitly or any generalization thereof, whether or not it relates to the same invention as presently claimed in any claim and whether or not it mitigates any or all of the same technical problems as does the present invention. The applicants hereby give notice that new claims may be formulated to such features and/or combinations of such features during the prosecution of the present application or of any further application derived therefrom.
Number | Date | Country | Kind |
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1905373.5 | Apr 2019 | GB | national |
2000314.1 | Jan 2020 | GB | national |
Filing Document | Filing Date | Country | Kind |
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PCT/GB2020/050955 | 4/15/2020 | WO | 00 |