Central core disease (CCD) is a morphologically distinct, autosomal do
minant myopathy with variable clinical features. A close association w
ith malignant hypertheria (MH) has been identified. Since MH and CCD g
enes have been linked to the skeletal muscle ryanodine receptor (RYR1)
gene, cDNA sequence analysis was used to search for a causal RYR1 mut
ation in a CCD individual. The only amino acid substitution found was
an Arg2434His mutation, resulting from the substitution of A for G7301
. This mutation was linked to CCD with a lod score of 4.8 at a recombi
nant fraction of 0.0 in 16 informative meioses in a 130 member family,
suggesting a causal relationship to CCD.