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Sperm Selection Using Micro Swim-Up: Improvement of Chromatin Integrity Compared to Density Gradient Centrifugation
Simone Palini1, Serena Benedetti2, Silvia De Stefani3
1IVF Unit, Department of Reproductive Biology, Cervesi Hospital, Cattolica, Rimini, Italy.
Andrology
|July 29, 2026
Summary
Micro swim-up (MSU) offers superior sperm selection for assisted reproductive technologies compared to density gradient centrifugation (DGC). MSU significantly improves sperm nuclear integrity, reducing DNA fragmentation and enhancing chromatin maturation for better ART outcomes.
Area of Science:
- Reproductive Biology
- Spermatozoa Analysis
- Assisted Reproductive Technologies
Background:
- Sperm selection is critical for assisted reproductive technologies (ART).
- Conventional density gradient centrifugation (DGC) may induce sperm DNA damage due to centrifugation stress.
- Micro swim-up (MSU) is a centrifugation-free sperm selection method.
Purpose of the Study:
- To compare the efficacy of micro swim-up (MSU) and density gradient centrifugation (DGC) in selecting spermatozoa with optimal nuclear integrity.
- To evaluate sperm DNA fragmentation, nuclear immaturity, and chromatin decondensation after selection using MSU versus DGC.
Main Methods:
- Semen samples (n=90) were analyzed before and after sperm selection.
- Evaluated parameters included rapid progressive motility, sperm DNA fragmentation (SCD test), nuclear immaturity (aniline blue staining), and chromatin decondensation (chromomycin A3 staining).
- Compared outcomes between MSU and DGC sperm selection techniques.
Main Results:
- Both MSU and DGC improved sperm motility and nuclear parameters compared to unselected samples.
- MSU demonstrated significantly better results than DGC across all nuclear integrity markers.
- MSU markedly reduced sperm DNA fragmentation (1% vs 9.25%), nuclear immaturity (5% vs 15%), and chromatin decondensation (5.5% vs 13.5%) compared to DGC.
Conclusions:
- Micro swim-up (MSU) selects spermatozoa with superior nuclear integrity compared to density gradient centrifugation (DGC).
- MSU significantly reduces sperm DNA fragmentation and improves chromatin maturation.
- MSU presents a promising alternative to centrifugation-based methods for clinical ART applications.

