B. Soderlund et K. Lundin, The use of silane-coated silica particles for density gradient centrifugation in in-vitro fertilization, HUM REPR, 15(4), 2000, pp. 857-860
Silane-coated silica particles (PureSperm(R)) were evaluated as an alternat
ive to Percoll for gradient separation of spermatozoa, for use in assisted
reproduction. Recovery of motile and morphologically normal spermatozoa aft
er using a four-layer Percoll and a two- and four-layer PureSperm(R) gradie
nt respectively was recorded. In-vitro fertilization (IVF) results after us
ing PureSperm(R) for the sperm preparation were also evaluated. No differen
ce in sperm recovery or sperm motility was found when comparing the use of
Percoll and the four-layer gradient of PureSperm(R). When using a two-layer
PureSperm(R) gradient, motility was significantly decreased (P < 0.05) com
pared to Percoll. Normal sperm morphology increased from 8-17.2% after usin
g Percoll and to 12.7% and 11.4% after using a four-layer and a two-layer P
ureSperm(R) gradient respectively. All gradient preparations showed a signi
ficant decrease in the teratozoospermia index compared to the ejaculate (P
< 0.01). No significant differences in IVF results regarding fertilization
and pregnancy rates were found when PureSperm(R) or the swim-up technique w
ere used for the sperm preparation. PureSperm(R) seems to be an acceptable
alternative to Percoll but although the percentage of sperm recovery was hi
gher after PureSperm(R) we still recommend the swim-up technique to be the
first choice, as a higher percentage of progressive motile spermatozoa is o
btained without using other chemicals than IVF culture medium.