Hereditary inclusion body myopathies are a clinically heterogeneous gr
oup of disorders characterized by adult-onset, slowly progressive musc
le weakness and typical histopathology: rimmed vacuoles and filamentou
s inclusions. The disorders are usually inherited as an autosomal rece
ssive trait. The gene responsible for the disease found in Iranian Jew
s, who present with quadriceps-sparing myopathy, maps to chromosome 9p
1-q1. We address the question of whether hereditary inclusion myopathi
es are genetically as well as clinically heterogeneous disorders. We m
apped the disease gene segregating in two families of Afghani-Jewish a
nd one family of Iraqi-Jemish descent to the chromosome 9 locus. Simil
arly, the disease gene segregating in a non-Jewish family from India m
apped to the same locus. By contrast, the disease gene segregating in
a French-Canadian family in which affected individuals had central ner
vous system involvement as well as hereditary inclusion body myopathy,
did not map to this locus, We conclude that many but not all forms of
autosomal recessive hereditary inclusion body myopathy are caused by
a gene defect that maps to chromosome 9p1-q1.