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Histology · Cell nucleus. Cell division

Sex chromatin

Sex chromatin (or Barr body) is a specific accumulation of facultative heterochromatin in the nucleus of somatic cells in females. It is a tightly condensed and genetically inactive second X chromosome, the detection of which is of utmost diagnostic significance.

Genetic natureFacultative heterochromatin (inactivated X chromosome)
Blood smearVisualized in neutrophils as a "drumstick"
Object of studySomatic cells (oral epithelium, leukocytes)
Practical applicationForensic medical examination for sex determination
3 min readFor medical studentsUpdated 09/24/2026
Material prepared by WhiteCoat Pro editorial team based on platform study guidesReviewed by medical editor: Aulov A. A., general practitioner · 09/24/2026

Genetic fundamentals of formation

The state of sex chromosomes in somatic cell nuclei directly depends on an individual's sex. This difference is driven by genetic compensation mechanisms.

  • In males (XY karyotype): Both sex chromosomes — X and Y — are in an active, functioning state. In the nucleus, they are represented as euchromatin, meaning their structure is decondensed (uncoiled), which allows genetic information to be read. Sex chromatin is not normally formed.
  • In females (XX karyotype): The situation is fundamentally different. For normal cell functioning, only one X chromosome must remain active — it is decondensed and represented as euchromatin. Meanwhile, the second X chromosome undergoes strong compaction. It transitions into an inactive state and becomes facultative heterochromatin.

It is this second, tightly condensed (inactivated) X chromosome in the somatic cell nuclei of females that is called sex chromatin, or the Barr body. This is not permanent (constitutive) heterochromatin, but specifically facultative, as its formation is associated with the need to "turn off" the extra chromosome.

Detection methods and objects of study

Since the Barr body is a compact and dense formation, it can be easily visualized using standard microscopic methods. In laboratory practice, two main types of somatic cells are traditionally used to search for sex chromatin.

  1. Neutrophilic leukocytes. A standard blood smear is prepared for this. In neutrophils, sex chromatin acquires a very characteristic shape: it appears as a small appendage extending from one of the segments of the multilobed nucleus. Because of its shape, this appendage is called a "drumstick" (referred to as drumstick in English-language literature).
  2. Oral mucosa epithelium. This is an excellent alternative object for study. Epithelial cells are easily obtained using a light scraping from the inner surface of the cheek. In the nuclei of these squamous cells, the Barr body is also clearly visible as a compact accumulation of chromatin, usually adjacent to the nuclear envelope.
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Diagnostic value

The determination of sex chromatin is not only a fundamental biological phenomenon but also an important diagnostic tool. Its main area of application is forensic medicine.

Testing for the presence of Barr bodies (or leukocyte "drumsticks") makes it possible to establish with high precision the biological sex of left-over biomaterial. For example, experts can thus reliably distinguish blood stains belonging to a female from those of a male, which often plays a key role in criminal investigations.

Briefly: answers to topical questions

How many Barr bodies are detected in somatic cells in patients with Klinefelter syndrome (47, XXY karyotype)?

Patients with Klinefelter syndrome (47, XXY karyotype) reveal one Barr body. The source indicates that the majority of affected individuals show sex chromatin (Barr body) characteristics typical of females.

How to memorize

Females have two X chromosomes: one "works" (euchromatin), while the second "sleeps", coiled into a tight little lump — the Barr body. Males have only one X chromosome; it has no time to sleep, so they have no sex chromatin.

Class and exam questions

Can a Barr body be found in the somatic cells of a healthy male?

No. In males with an XY karyotype, the single X chromosome and the Y chromosome are in a decondensed state (as euchromatin). They lack an additional X chromosome that could condense.

What does sex chromatin look like in a blood smear?

In a blood smear when examining neutrophil leukocytes, sex chromatin is identified as a nuclear appendage shaped like a "drumstick".

What type of chromatin forms the Barr body?

The Barr body is a specific type of facultative heterochromatin. This means that the chromosome condenses and inactivates depending on conditions (in this case, to compensate for gene dosage in females) rather than being an initially non-coding region (constitutive heterochromatin).

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What else to study on this topic

  • Chromatin organization: euchromatin and heterochromatin
  • Differences between facultative and constitutive heterochromatin
  • Morphology and functions of neutrophilic leukocytes
  • Structure of the oral mucosa epithelium

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