A four-generation Swedish family with a new type of X-linked mental re
tardation syndrome was recently reported by Gustavson et al. The compl
ex syndrome includes microcephaly, severe mental retardation, optical
atrophy with decreased vision or blindness, severe hearing defect, cha
racteristic facial features, spasticity, seizures, and restricted join
t motility. The patients die during infancy or early in childhood. Twe
nty-one family members, including two affected males, were available f
or study. Linkage analysis was conducted in the family by using 11 RFL
P markers and 10 VNTR markers spread along the X chromosome. A hyperva
riable short tandem repeat of DXS294 at Xq26 showed a peak two-point l
od score of 3.35 at zero recombination fraction. Calculations using th
e same markers revealed a multipoint peak lod score of 3.65 at DXS294.
Crossover events with the centromeric marker DXS424 and the telomeric
marker DXS297 delimit a probable region for the gene localization. It
is noteworthy that the disease loci of two other syndromes with overl
apping clinical manifestations recently were shown by Turner et al. an
d Pettigrew et al. to be linked to markers at Xq26.