Chester porphyria is a distinct type of acute porphyria, which shows a
biochemical overlap with acute intermittent and variegate porphyrias
and has a dual enzyme deficiency of porphobilinogen deaminase (PBGD) a
nd protoporphyrinogen oxidase. Linkage analysis in an extensive family
with Chester porphyria was undertaken using multiple polymorphic mark
ers. A maximum two point Lod score of 5.25 at 0.07 recombination (conf
idence interval 0.01 to 0.14) was observed with D11S351, which has bee
n localised to 11q23.1. Multipoint linkage analysis confirmed the two
point results and gave a maximum Lod score of 7.33 at a distance less
than 1 cM proximal to D11S351. PBGD also maps to 11q but four recombin
ants could be identified from ten informative meioses in this family u
sing a PBGD DNA polymorphism. Thus, a separate locus on 11q appears to
be the basis of Chester porphyria.