Unverricht-Lundborg disease is a clinically recognizable form of progr
essive myoclonus epilepsy. Recently, in several families of both Finni
sh and Mediterranean extraction segregating Unverricht-Lundborg diseas
e, the gene for this disease was linked to the same region of the long
arm of chromosome 21. We performed linkage analysis in eight families
, including four of neither Baltic nor Mediterranean origin, using a p
olymorphic (CA)n repeat marker for the human liver-type 6 phosphofruct
okinase (PFKL) gene, previously mapped to 21q22.3. No recombinations w
ere observed between the disease phenotype and the PFKL marker and a m
aximum lod score of 5.63 was obtained. These findings confirm tight li
nkage between PFKL and the gene for Unverricht-Lundborg disease and st
rongly suggest a lack of nonallelic genetic heterogeneity of the disea
se.