A screening method based on multiplexed automated fragment length anal
ysis of polymerase chain reaction products was used to identify germli
ne mutations in the RB1 gene. By screening 106 unrelated patients with
hereditary retinoblastoma, 20 small deletions (1 -18 bp) and seven in
sertions (1-5 bp) were identified, When collating our data with report
ed mutations, recurrence of small length mutations was observed at nin
e sites within the RB1 gene. Most of these contained monotonic runs or
direct-repeats embedded in homocopolymer tracts, While the majority o
f mutations resulted in premature truncation, two mutations caused an
in-frame loss of F755 and 0540 to E545, respectively. A genotype - phe
notype comparison of patients carrying different small length mutation
s did not reveal any consistent relation. Particularly, the two patien
ts with in-frame mutations showed a high number of tumours consistent
with regular-penetrance retinoblastoma.