A higher incidence of chromosomal instability in the infertile population i
s widely recognized. An increased level of micronuclei has been shown to be
a marker of chromosome damage. Therefore, micronuclei frequencies were ass
essed in cytokinesis-blocked lymphocytes of 130 patients (65 couples) with
idiopathic infertility or with two or more spontaneous abortions, and 30 he
althy fertile donors (15 couples). The frequency of micronucleated cells in
the cohort with reproductive failure and healthy controls averaged 14.95 /- 6.04 per 1000 and 10.60 +/- 2.57 per 1000 (P < 0.0001), respectively. Wh
en micronuclei frequency sums in particular couples (male + female) were an
alyzed in the same order, identical statistical significance was reached (P
< 0.0001). We found no effect of age or sex on micronuclei frequency. In s
ummary, the cytokinesis-blocked micronuclei assay revealed increased micron
ucleus frequency in couples with infertility or two or more spontaneous abo
rtions, suggesting a possible role of chromosomal instability in reproducti
ve failure. (C) 2000 Elsevier Science Inc. All rights reserved.