Cherubism is a rare familial disease of childhood characterized by prolifer
ative lesions within the mandible and maxilla that lead to prominence of th
e lower face and an appearance reminiscent of the cherubs portrayed in Rena
issance art. Resolution of these bony abnormalities is often observed after
puberty. Many cases are inherited in an autosomal dominant fashion, althou
gh several cases without a family history have been reported. Using two fam
ilies with clinically, radiologically, and/or histologically proved cherubi
sm, we have performed a genomewide linkage search and have localized the ge
ne to chromosome 4p16.3, with a maximum multipoint LOD score of 5.64. Both
families showed evidence of linkage to this locus. Critical meiotic recombi
nants place the gene in a 3-cM interval between D4S127 and 4p-telomere. Wit
hin this region a strong candidate is the gene for fibroblast growth factor
receptor 3 (FGFR3); mutations in this gene have been implicated in a diver
se set of disorders of bone development.