Hereditary haemochromatosis (HFE) is a recessive genetic disease of ir
on overload which has been shown by linkage analysis to reside on the
short arm of chromosome 6, close to the major histocompatibility compl
ex (MHC). Positional cloning of the putative HFE locus has been hamper
ed, in part, by the lack of a structural alteration on Gp. In this rep
ort, we describe a pedigree with HFE which carries a balanced paracent
ric inversion of chromosome 6, inv(6)(p21.1p23), a rarely reported chr
omosomal rearrangement in this region. We have determined the inherita
nce of the chromosome harbouring the inversion, which segregates as an
HFE chromosome. Because the HFE locus has been mapped distal to the H
LA-F class I locus at 6p21.3, the breakpoints associated with this chr
omosomal rearrangement may provide a significant genomic landmark for
positional cloning of the HFE gene.