The nuclei of human neutrophils typically consist of a linear array of thre
e or four lobes joined by DNA-containing filaments. Terminal lobes are conn
ected to internal lobes via a single filament, while internal lobes have tw
o filaments, each to an adjacent lobe. Some lobes also have appendages of v
arious shapes and sizes. In particular, up to 17% of neutrophil nuclei of h
ealthy women exhibit a drumstick-shaped appendage that contains the inactiv
e X chromosome. This report provides a detailed analysis of the relationshi
p between nuclear morphology and the location of the X and Y chromosomes in
human neutrophils. Fluorescent in situ hybridization analysis revealed tha
t the X and the Y chromosomes of male neutrophil nuclei are randomly distri
buted among nuclear lobes. Similarly, in female neutrophil nuclei with a dr
umstick appendage, the active X chromosome is also randomly distributed amo
ng lobes. In contrast, the inactive X chromosome is preferentially located
in a terminal lobe in over 90% nuclei with drumsticks. Within the terminal
lobe of nuclei with drumsticks, the inactive X chromosome lies distal to th
e point of filament attachment in 80% of the nuclei. The inactive X chromos
ome also exhibits a specific orientation within the drumstick appendage, wi
th over 95% of nuclei having the X centromere located toward the tip of the
appendage. Female nuclei without a drumstick appendage also have one of th
e X chromosomes (presumably the inactive chromosome) preferentially situate
d in a terminal lobe. Nonrandom distribution of the inactive X chromosome i
s discussed in the context of a model that considers chromosomes as determi
nants of neutrophil nuclear morphology.