Williams syndrome (WS) is a developmental disorder affecting connectiv
e tissue and the central nervous system. A common feature of WS, supra
valvular aortic stenosis, is also a distinct autosomal dominant disord
er caused by mutations in the elastin gene. In this study, we identifi
ed hemizygosity at the elastin locus using genetic analyses in four fa
milial and five sporadic cases of WS. Fluorescent in situ hybridizatio
n and quantitative Southern analyses confirmed these findings, demonst
rating inherited and de novo deletions of the elastin gene. These data
indicate that deletions involving one elastin allele cause WS and imp
licate elastin hemizygosity in the pathogenesis of the disease.