Epidemiological data suggest the presence of a susceptibility gene for
testicular cancer in some families. Families with multiple cases of t
esticular cancer are rare and almost all those reported have only two
affected members. We have performed a sib-pair analysis on 35 families
in which there are either two or three affected brothers. These famil
ies have been typed for 220 autosomal microsatellite markers spaced 10
-20 cM throughout the genome, Six regions which gave a LOD score of mo
re than 1.0 on formal linkage analysis or a P value of 0.05 or less us
ing a non-parametric approach are considered as candidate regions for
a susceptibility gene, Of particular interest is one region on chromos
ome 4. Two neighbouring probes in this region both scored positively w
ith LOD score of 2.60 on multipoint analysis. An International Testis
Cancer Linkage Consortium has been formed to pool resources and will i
nvestigate these findings further with the world-wide collection of fa
milies.