IN Western Europe and the United States approximately 1 in 12 women de
velop breast cancer. A small proportion of breast cancer cases, in par
ticular those arising at a young age, are attributable to a highly pen
etrant, autosomal dominant predisposition to the disease. The breast c
ancer susceptibility gene, BRCA2, was recently localized to chromosome
13q12-q13. Here we report the identification of a gene in which we ha
ve detected six different germline mutations in breast cancer families
that are likely to be due to BRCA2. Each mutation causes serious disr
uption to the open reading frame of the transcriptional unit. The resu
lts indicate that this is the BRCA2 gene.