Hereditary multiple exostoses (EXT) is a genetically heterogeneous bon
e disorder caused by genes segregating on human chromosomes 8, 11, and
19 and designated EXT1, EXT2 and EXT3, respectively. Recently, the EX
T1 gene has been isolated and partially characterized and appears to e
ncode a tumor suppressor gene. We have identified six mutations in the
human EXT1 gene from six unrelated multiple exostoses families segreg
ating for the EXT gene on chromosome 8. One of the mutations we detect
ed is the same l-bp deletion in exon 6 that was previously reported in
two independent EXT families. The other five mutations, in exons 1, 6
, 9, and the splice junction at the 3' end of exon 2, are novel. In ea
ch case, the mutation is likely to result in a truncated or nonfunctio
nal EXT1 protein. These results corroborate and extend the previous re
port of mutations in this gene in two EXT families, and provide additi
onal support for the EXT1 gene as the cause of hereditary multiple exo
stoses in families showing linkage to chromosome 8.