This study was planned to determine the number of origins of the mutat
ion underlying Huntington's disease (HD) in Sweden. Haplotypes were co
nstructed for 23 different HD families, using six different polymorphi
sms [(CCG)(n), GT70, 674, BS1, E2 and 4.2], including two within the g
ene. In addition, extensive genealogical investigations were performed
, and the geographical origin of the haplotypes was studied. Ten diffe
rent haplotypes were observed suggesting multiple origins for the HD m
utation in Sweden. Analysis of the two polymorphic markers within the
HD gene (the CCG repeat and GT70) indicates that there are at least th
ree origins for the HD mutation in Sweden. One of these haplotypes (7/
A) accounts for 89% of the families, suggesting that the majority of t
he Swedish HD families are related through a single HD mutation of anc
ient origin. Furthermore, three of the families that were previously c
onsidered to be unrelated could be traced to a common ancestor in the
15th century, a finding that is consistent with this hypothesis.