Dentinogenesis imperfecta type III (DGI-III) is an autosomal-dominant disor
der of dentin formation which appears in a tri-racial southern Maryland pop
ulation known as the "Brandywine isolate". This disease has suggestive evid
ence of linkage to the long arm of human chromosome 4 (LOD score of 2.0) in
a family presenting with both juvenile periodontitis and DGI-III. The purp
ose of this study was to screen a family presenting with only DGI-III to de
termine if this locus was indeed on chromosome 4q. Furthermore, we wanted t
o determine if DGI-III co-localized with dentinogenesis imperfecta type II
(DGI-II), which has been localized to 4q21-q23. Therefore, a large kindred
from the Brandywine isolate was identified, oral examination performed, and
blood samples collected from 21 family members. DNA from this family was g
enotyped with 6 highly polymorphic markers that span the DGI-II critical re
gion of chromosome 4q. Analysis of the data yielded a maximum two-point LOD
score of 4.87 with a marker for the dentin matrix protein 1 (DMPI) locus,
a gene contained in the critical region for DGI-II. Our results demonstrate
d that the DGI-III locus is on human chromosome 4q21 within a 6.6 cM region
that overlaps the DGI-II critical region. These results are consistent wit
h the hypothesis that DGI-II is either an allelic variant of DGI-III or the
result of mutations in two tightly linked genes.