Hereditary multiple exostoses is an autosomal dominant disorder that i
s characterized by short stature and multiple, benign bone tumours. In
a majority of families, the genetic defect (EXT1) is linked to the La
nger-Giedion syndrome chromosomal region in 8q24.1. From this region w
e have cloned and characterized a cDNA which spans chromosomal breakpo
ints previously identified in two multiple exostoses patients. Further
more, the gene harbours frameshift mutations in affected members of tw
o EXT1 families. The cDNA has a coding region of 2,238 bp with no appa
rent homology to other known gene sequences and thus its function rema
ins elusive. However, recent studies in sporadic and exostosis-derived
chondrosarcomas suggest that the 8q24.1-encoded EXT1 gene may have tu
mour suppressor function.