Nail-patella syndrome (NPS), or onychoosteodysplasia, is an autosomal
dominant, pleiotropic disorder characterized by nail dysplasia, absent
or hypoplastic patellae, iliac horns, and nephropathy. Previous studi
es have demonstrated linkage of the nail-patella locus to the ABO and
adenylate kinase loci on human chromosome 9q34. As a first step toward
isolating the NPS gene, we present linkage analysis with 13 polymorph
ic markers in five families with a total of 69 affected persons. Two-p
oint linkage analysis with the program MLINK showed tight linkage of N
PS and the anonymous markers D9S112 (LOD = 27.0; theta = .00) and D9S3
15 (LOD = 22.0; theta = .00). Informative recombination events place t
he NPS locus within a 1-2-cM interval between D9S60 and the adenylate
kinase gene (AK1).