Meckel syndrome (MKS) is a lethal, autosomal recessive condition chara
cterised by an occipital meningo encephalocele, enlarged kidneys with
multicystic dysplasia, fibrotic changes of the liver in the portal are
a with ductal proliferation, and postaxial polydactyly. Recently, a MK
S gene has been mapped to chromosome 17q21-q24 in Finnish families, wi
th no evidence of locus heterogeneity in this population. Here, we rep
ort the exclusion of chromosome 17q21-q24 in eight typical MKS familie
s of North African and Middle Eastern ancestry and provide evidence fo
r genetic heterogeneity of this condition.