Adrenoleukodystrophy (ALD) is an X-linked disease, characterised by an
alteration of the peroxisomal beta-oxidation of the very long chain f
atty acids. The ALD gene has been identified and mutations have been d
etected in ALD patients. We report here a new missense mutation in the
ALD gene of a male patient, predicting a tyrosine to serine substitut
ion at codon 174 (mutation Y174S). The mother of the ALD patient does
not have the Y174S mutation in her leukocyte DNA, indicating that Y174
S arose de novo in the patient. Y174S is the first reported de novo mu
tation in the ALD gene.