A variety of mtDNA mutations responsible for human diseases have been assoc
iated with molecular defects in the OXPHOS system. It has been proposed tha
t mtDNA genetic alterations can also be responsible for sperm dysfunction.
In addition, it was suggested that if sperm dysfunction is the main phenoty
pic consequence, these mutations could be fixed as stable mtDNA variants, b
ecause mtDNA is maternally inherited. To test this possibility, we have per
formed an extensive analysis of the distribution of mtDNA haplogroups in wh
ite men having fertility problems. We have found that asthenozoospermia, bu
t not oligozoospermia, is associated with mtDNA haplogroups in whites. Thus
, haplogroups H and T are significantly more abundant in nonasthenozoosperm
ic and asthenozoospermic populations, respectively, and show significant di
fferences in their OXPHOS performance.