{"id":641318,"date":"2023-04-25T10:06:09","date_gmt":"2023-04-25T15:06:09","guid":{"rendered":"https:\/\/news.sellorbuyhomefast.com\/index.php\/2023\/04\/25\/the-first-babies-conceived-with-a-sperm-injecting-robot-have-been-born\/"},"modified":"2023-04-25T10:06:09","modified_gmt":"2023-04-25T15:06:09","slug":"the-first-babies-conceived-with-a-sperm-injecting-robot-have-been-born","status":"publish","type":"post","link":"https:\/\/newsycanuse.com\/index.php\/2023\/04\/25\/the-first-babies-conceived-with-a-sperm-injecting-robot-have-been-born\/","title":{"rendered":"The first babies conceived with a sperm-injecting robot have been born"},"content":{"rendered":"<div id=\"content--body\">\n<div>\n<p>Last spring, engineers in Barcelona packed up the sperm-injecting robot they\u2019d designed and sent it by DHL to New York City. They followed it to a clinic there, called New Hope, where they put the instrument back together, assembling a microscope, a mechanized needle, a tiny petri dish, and a laptop.\u00a0<\/p>\n<p>Then one of the engineers, with no real experience in fertility medicine, used a Sony PlayStation 5 controller to position a robotic needle. Eyeing a human egg through a camera, it then moved forward on its own, penetrating the egg and dropping off a single sperm cell. Altogether, the robot was used to fertilize more than a dozen eggs. <\/p>\n<\/p><\/div>\n<div>\n<p>The result of the procedures, say the researchers, were healthy embryos\u2014and now two baby girls, who they claim are the first people born after fertilization by a \u201crobot.\u201d<\/p>\n<p>\u201cI was calm. In that exact moment, I thought, \u2018It\u2019s just one more experiment,\u2019\u201d says Eduard Alba, the student mechanical engineer who commanded the sperm-injecting device.<\/p>\n<p>The startup company that developed the robot, <a href=\"https:\/\/www.overture.life\/\">Overture Life<\/a>, says its device is an initial step toward automating in vitro fertilization, or IVF, and potentially making the procedure less expensive and far more common than it is today.<\/p>\n<p>Right now, IVF labs are multimillion-dollar affairs staffed by trained embryologists who earn upwards of $125,000 a year to delicately handle sperm and eggs using ultra-thin hollow needles under a microscope.<\/p>\n<p>But some startups say the entire process could be carried out automatically, or nearly so. Overture, for instance, has filed a patent application describing a \u201cbiochip\u201d for an IVF lab in miniature, complete with hidden reservoirs containing growth fluids, and tiny channels for sperm to wiggle through.<\/p>\n<\/p><\/div>\n<div>\n<p>\u201cThink of a box where sperm and eggs go in, and an embryo comes out five days later,\u201d says Santiago Munn\u00e9, the prize-winning geneticist who is chief innovation officer at the Spanish company. He believes that if IVF could be carried out inside a desktop instrument, patients might never need to visit a specialized clinic, where a single attempt at getting pregnant can cost $20,000 in the US. Instead, he says, a patient\u2019s eggs might be fed directly into an automated fertility system at a gynecologist\u2019s office. \u201cIt has to be cheaper. And if any doctor could do it, it would be,\u201d says Munn\u00e9<em>.\u00a0<\/em><\/p>\n<p>MIT Technology Review identified a half-dozen startups with similar aims, with names like <a href=\"https:\/\/www.autoivf.com\/\">AutoIVF<\/a>, <a href=\"https:\/\/www.ivf20.ai\/\">IVF 2.0<\/a>, <a href=\"https:\/\/www.conceivable.life\/\">Conceivable Life Sciences<\/a>, and <a href=\"https:\/\/www.fertil.is\/\">Fertilis.<\/a> Some have roots in university laboratories specializing in miniaturized lab-on-a-chip technology.<\/p>\n<p>So far, Overture has raised the most: about $37 million from investors including Khosla Ventures and Susan Wojcicki, the former CEO of YouTube.\u00a0<\/p>\n<\/p><\/div>\n<div>\n<h3>More babies<\/h3>\n<p>The main goal of automating IVF, say entrepreneurs, is simple: it\u2019s to make a lot more babies. About <a href=\"https:\/\/www.rbmojournal.com\/article\/S1472-6483(18)30598-4\/pdf#:~:\">500,000 <\/a>children are born through IVF globally each year, but most people who need help having kids don\u2019t have access to fertility medicine or can\u2019t pay for it.\u00a0\u00a0<\/p>\n<p>\u201cHow do we go from half a million babies a year to 30 million?\u2019\u201d wonders David Sable, a former fertility doctor who now runs an investment fund. \u201cYou can\u2019t if you run each lab like a bespoke, artisanal kitchen, and that is the challenge facing IVF. It\u2019s been 40 years of outstanding science and really mediocre systems engineering.\u201d\u00a0<\/p>\n<p>While an all-in-one fertility machine doesn\u2019t yet exist, even automating parts of the process, like injecting sperm, freezing eggs, or nurturing embryos, could make IVF less expensive and eventually support more radical innovations, like gene editing or even artificial wombs.<\/p>\n<p>But it won\u2019t be easy to fully automate IVF. Just imagine trying to make a robot dentist. Test-tube conception involves a dozen procedures, and Overture\u2019s robot so far performs only one of them, and only partially.\u00a0<\/p>\n<figure><video controls src=\"https:\/\/wp.technologyreview.com\/wp-content\/uploads\/2023\/04\/robot-procedure-notext.mp4\"><\/video><figcaption>An video showing &#8220;robotic&#8221; fertilization of an egg at Overture Life Sciences. A vibrating needle pierces the egg, depositing a single sperm cell. <\/figcaption><p>OVERTURE<\/p>\n<\/figure>\n<p>\u201cThe concept is extraordinary, but this is a baby step,\u201d says Gianpiero Palermo, a fertility doctor at Weill Cornell Medical Center who is credited with developing the fertilization procedure known as intracytoplasmic sperm injection, or ICSI, in the 1990s. Palermo notes that Overture\u2019s researchers still relied on some manual assistance for tasks like loading a sperm cell into the injector needle. \u201cThis is not yet robotic ICSI, in my opinion,\u201d he says.<\/p>\n<p>Other doctors are skeptical that robots can, or should, replace embryologists anytime soon. \u201cYou pick up a sperm, put it in an egg with minimal trauma, as delicately as possible,\u201d says Zev Williams, director of Columbia University&#8217;s fertility clinic. For now, \u201chumans are far better than a machine,\u201d he says.<\/p>\n<p>His center did develop a robot, but it has a more limited aim: dispensing tiny droplets of growth medium for embryos to grow in. \u201cIt\u2019s not good for the embryos if the drop size differs,\u201d says Williams. \u201cCreating the same drops over and over again\u2014that is where the robot can shine.\u201d He calls it a \u201clow risk\u201d way to introduce automation to the lab.\u00a0<\/p>\n<h3>Micro cradles<\/h3>\n<p>One obstacle to automating conception is that so-called microfluidics\u2014another name for lab-on-a-chip technology\u2014hasn\u2019t lived up to its hype.\u00a0<\/p>\n<\/p><\/div>\n<div>\n<p>Jeremy Thompson, an embryologist based in Adelaide, Australia, says he\u2019s spent his career figuring out \u201chow to make the lives of embryos better\u201d as they grow in laboratories. But until recently, he says, his tinkering with microfluidic systems yielded an unambiguous result: \u201cBollocks. It didn\u2019t work.\u201d Thompson says IVF remains a manual process in part because no one wants to trust an embryo\u2014a potential person\u2014to a microdevice where it could get trapped or harmed by something as tiny as an air bubble.<\/p>\n<div>\n<figure><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/wp.technologyreview.com\/wp-content\/uploads\/2023\/04\/Fertilis1.jpeg?w=2016\" alt=\"cradle component for IVF automated procedure on a padded container with fingers for scale\" width=\"1008\" height=\"756\"><figcaption>A 3D-printed micro-cradle developed by Fertilis is designed to carry a single human egg.<\/figcaption><p>FERTILIS<\/p>\n<\/figure><\/div>\n<p>A few years ago, though, Thompson saw images of a minuscule Eiffel Tower, just one millimeter tall. It had been made using a new type of additive 3D printing, in which light beams are aimed to harden liquid polymers. He decided this was the needed breakthrough, because it would let him build \u201ca box or a cage around an embryo.\u201d<\/p>\n<p>Since then, a startup he founded, Fertilis, has raised a couple of million dollars to print what it calls see-through \u201cpods\u201d or \u201cmicro-cradles.\u201d The idea is that once an egg is plopped into one, it can be handled more easily and connected to other devices, such as pumps to add solutions in minute quantities.<\/p>\n<p>Inside one of Fertilis\u2019s pods, an egg sits in a chamber no larger than a bead of mist, but the container itself is large enough to pick up with small tongs. Fertilis has published papers showing it can flash-freeze eggs inside the cradles and fertilize them there, too, by pushing in a sperm with a needle.<\/p>\n<p>A human egg is about 0.1 millimeters across, at the limit of what a human eye can see unaided. Right now, to move one, an embryologist will slurp it up into a hollow needle and squirt it out again. But Thompson says that once inside the company\u2019s cradles, eggs can be fertilized and grow into embryos, moving through the stations of a robotic lab as if on a conveyor belt. \u201cOur whole story is minimizing stress to embryos and eggs,\u201d he says.<\/p>\n<p>Thompson hopes someday, when doctors collect eggs from a woman\u2019s ovaries, they\u2019ll be deposited directly into a micro-cradle and, from there, be nannied by robots until they\u2019re healthy embryos. \u201cThat\u2019s my vision,\u201d he says.<\/p>\n<figure><video controls muted src=\"https:\/\/wp.technologyreview.com\/wp-content\/uploads\/2023\/04\/better-injection.mp4\"><\/video><figcaption>A video taken through a microscope shows a microneedle penetrating eggs held in 3D-printed pods, or cradles. An egg is about 0.1 mm across.<\/figcaption><p>FERTILIS<\/p>\n<\/figure>\n<p>MIT Technology Review found one company, AutoIVF, a spinout from a Massachusetts General Hospital\u2013Harvard University<a href=\"https:\/\/www.massgeneral.org\/surgery\/cems\/research-thrusts\/biomems-and-nanoscale-engineering\"> microfluidics lab<\/a>, that has won more than $4 million in federal grants to develop such an egg-collecting system. It calls the technology \u201cOvaReady.\u201d<\/p>\n<p>Egg collection happens after a patient is treated with fertility hormones. Then a doctor uses a vacuum-powered probe to hoover up eggs that have ripened in the ovaries. Since they\u2019re floating in liquid debris and encased in protective tissue, an embryologist needs to manually find each one and \u201cdenude\u201d it by gently cleaning it with a glass straw.<\/p>\n<\/p><\/div>\n<div>\n<p>An AutoIVF executive, Emre Ozkumur, declined to discuss the project\u2014the company wants to \u201cstay under the radar a little bit longer,\u201d he says\u2014but its grant and patent documents suggest it is testing a device that can spot and isolate eggs and then automatically strip them of surrounding tissue, perhaps by swishing them through something that resembles a microscopic cheese grater.<\/p>\n<h3><strong>Sperm tracker<\/strong><\/h3>\n<p>Once an egg is in hand, doctors need to match it with a sperm cell. To help them pick the right one, Alejandro Chavez-Badiola, a fertility doctor based in Mexico, started a company, IVF 2.0, that developed software to rank and analyze sperm swimming in a dish. It\u2019s similar to computer-vision programs that track sports players as they run, collide, and switch directions on a pitch.<\/p>\n<p>The job is to identify healthy sperm by assessing their shape and seeing how well they swim. \u201cMotility,\u201d says Chavez-Badiola, \u201cis the ultimate expression of sperm health and normality.\u201d\u00a0 While a person can only keep an eye on a few sperm at one time, a computer doesn\u2019t face that limit. \u201cWe humans are good at channeling our attention to a single point. We can assess five or 10 sperm, but you can\u2019t do 50,\u201d says Chavez-Badiola.\u00a0<\/p>\n<p>His IVF clinic is running a head-to-head study of human- and computer-picked sperm, to see which lead to more babies. So far, the computer holds a small edge.<\/p>\n<p>\u201cWe don\u2019t claim it\u2019s better than a human, but we do claim it\u2019s just as good. And it never gets tired. A human has to be good at 8 a.m., after coffee, after having an argument on the phone,\u201d he says.<\/p>\n<p>Chavez-Badiola says such software will be \u201cthe brains to command future automated labs.\u201d This year, he sold the rights to use his sperm-tracking program to Conceivable Life Sciences, another IVF automation startup being formed in New York where Chavez-Badiola will act as chief product officer. Also joining the company is Jacques Cohen, a celebrated embryologist who once worked at the British clinic where the first IVF baby was born in 1978.<\/p>\n<figure><video controls src=\"https:\/\/wp.technologyreview.com\/wp-content\/uploads\/2023\/04\/Conceivable-720.mp4\"><\/video><figcaption>A computer system developed by IVF 2.0 tracks and grades sperm as they swim, using image-recognition software.<\/figcaption><p>CONCEIVABLE<\/p>\n<\/figure>\n<p>Conceivable plans to create an \u201cautonomous\u201d robotic workstation that can fertilize eggs and cultivate embryos, and it hopes to demonstrate all the key steps this year. But Cohen allows that automation could take a while to become reality. \u201cIt will happen step by step,\u201d he says. \u201cEven things that seem obvious take 10 years to catch on, and 20 to become routine.\u201d<\/p>\n<p>The investors behind Conceivable think they can cash in by expanding the use of IVF. It\u2019s nearly certain that the IVF industry could grow to five or 10 times its current size. In the US, fewer than 2% of kids are born this way, but in Denmark, where the procedure is free and encouraged, the figure<a href=\"https:\/\/www.bbc.com\/news\/world-europe-45512312\"> is near 10%<\/a>.<\/p>\n<\/div>\n<div>\n<p>\u201cThat is the true demand,\u201d says <a href=\"https:\/\/www.linkedin.com\/in\/alanleroymurray\">Alan Murray<\/a>, an entrepreneur with a background in software and co-working spaces who cofounded Conceivable with his business partner, Joshua Abram. \u201cThe challenge is that these wonderful rich and eccentric countries can do it, but the rest of the world cannot. But they have demonstrated the true human need,\u201d he says. \u201cWhat they have done with money, we need to do with technology.\u201d<\/p>\n<p>Murray estimates the average IVF baby in the US costs $83,000 if you include failed attempts, which are common. He says his company\u2019s objective is to lower the cost by 70%, something he says can happen if success rates increase.<\/p>\n<p>But it\u2019s not a given that robots will reduce the cost of IVF or that any savings will be passed on to patients. Rita Vassena, an advisor to Conceivable and chief science officer at Fecundis, a fertility science company, says the field has a history of introducing innovations without appreciably increasing pregnancy rates. \u201cThe trend [is] toward piling up tests and technologies \u2026 rather than a true effort to lower access barriers,\u201d she says.<\/p>\n<h3><strong>Future worlds<\/strong><\/h3>\n<p>Last fall, the researchers at Overture and doctors at New Hope published <a href=\"https:\/\/papers.ssrn.com\/sol3\/papers.cfm?abstract_id=4207908\">a description<\/a> of their work with the robot, claiming that two patients had become pregnant. Both those children have now been born, says Jenny Lu, the egg donation coordinator at New Hope. MIT Technology Review was able to speak to the father of one of the children. <\/p>\n<p>\u201cIt\u2019s wild, isn\u2019t it,\u201d said the father, who asked to remain anonymous. \u201cThey said up until now it had always been done manually.\u201d<\/p>\n<p>He said he and his partner had tried IVF several times before, without success. Both cases of robot injection involved donor eggs, which were provided to the patients for free (they can cost $15,000 otherwise). In each case, after being fertilized and grown into embryos, they were implanted in the uterus of the patient. <\/p>\n<p>Donor eggs are most often used when a patient is older, in her 40s, and can\u2019t get pregnant otherwise.<\/p>\n<p>Since automation won\u2019t directly solve the problem of aging eggs, an IVF lab-in-a-box won\u2019t fix this intractable reason that fertility treatments fail. However, automation could let doctors begin precisely measuring what they do, allowing them to fine-tune their procedures. Even a small increase in success rates could mean tens of thousands of extra babies every year.\u00a0\u00a0<\/p>\n<\/p><\/div>\n<div>\n<p>Kathleen Miller, chief scientist of Innovation Fertility, a chain of clinics in the southern US, says her centers are now using computer-vision systems to study time-lapse videos of growing embryos and trying to see if any data explain why some become babies and others don\u2019t. \u201cWe\u2019re putting it into models, and the question is \u2018Tell me something I don\u2019t know,\u2019\u201d she says.<\/p>\n<p>\u201cWe\u2019re going to see an evolution of what an embryologist is,\u201d Miller predicts. \u201cRight now, they are technicians, but they\u2019re going to be data scientists.\u201d<\/p>\n<p>For some proponents of IVF automation, an even wilder future awaits. By giving over conception to machines, automation could speed the introduction of still-controversial techniques such as genome editing, or advanced methods of creating eggs from stem cells.<\/p>\n<p>Although Munn\u00e9 says Overture Life has no plans to modify the genetic makeup of children, he allows it would be a simple matter to use the sperm-injecting robot for that purpose, since it could dispense precise amounts of gene-editing chemicals into an egg. \u201cIt should be very easy to add to the machine,\u201d he says.<\/p>\n<p>Even more speculative technology is on the horizon. Fertility machines could gradually evolve into artificial wombs, with children gestated in scientific centers until birth. \u201cI do believe we are going to get there,\u201d says Thompson. \u201cThere is credible evidence that what we thought was impossible is not so impossible.\u201d\u00a0<\/p>\n<p>Others imagine that robots could eventually be shot into outer space, stocked with eggs and sperm held in a glassy state of stasis. After a thousand-year journey to a distant planet, such machines might boot up and create a new society of humans.<\/p>\n<p>It&#8217;s all part of the goal of creating more people, and not just here on Earth. \u201cThere are people thinking that humankind should be an interplanetary species, and human lifetimes are not going to be enough to reach out to these worlds,\u201d says Chavez-Badiola. \u201cPart of the job of a scientist is to keep dreaming.\u201d<svg viewBox=\"0 0 1091.84 1091.84\"><polygon fill=\"#6d6e71\" points=\"363.95 0 363.95 1091.84 727.89 1091.84 727.89 363.95 363.95 0\" \/><polygon fill=\"#939598\" points=\"363.95 0 728.24 365.18 1091.84 364.13 1091.84 0 363.95 0\" \/><polygon fill=\"#414042\" points=\"0 0 0 0.03 0 363.95 363.95 363.95 363.95 0 0 0\" \/><\/svg> <\/p>\n<\/div>\n<\/div>\n<p><a href=\"https:\/\/www.technologyreview.com\/2023\/04\/25\/1071933\/first-babies-conceived-sperm-injecting-robot-ivf-automation-icsi-overture\/\" class=\"button purchase\" rel=\"nofollow noopener\" target=\"_blank\">Read More<\/a><br \/>\n Antonio Regalado<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Last spring, engineers in Barcelona packed up the sperm-injecting robot they\u2019d designed and sent it by DHL to New York City. They followed it to a clinic there, called New Hope, where they put the instrument back together, assembling a microscope, a mechanized needle, a tiny petri dish, and a laptop.\u00a0 Then one of the<\/p>\n","protected":false},"author":1,"featured_media":641319,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4490,673,46],"tags":[],"class_list":{"0":"post-641318","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-babies","8":"category-first","9":"category-technology"},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/posts\/641318","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/comments?post=641318"}],"version-history":[{"count":0,"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/posts\/641318\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/media\/641319"}],"wp:attachment":[{"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/media?parent=641318"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/categories?post=641318"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/tags?post=641318"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}