The tricho-rhino-phalangeal syndrome type II (TRPS II, or Langer-Giedion sy
ndrome) is an example of contiguous gene syndromes, as it comprises the cli
nical features of two autosomal dominant diseases, TRPS I and a form of mul
tiple cartilaginous exostoses caused by mutations in the EXT1 gene. We have
constructed a contig of cosmid, lambda-phage, PAC, and YAC clones, which c
overs the entire TRPS I critical region. Using these clones we identified a
novel submicroscopic deletion in a TRPS I patient and refined the proximal
border of the minimal TRPS1 gene region by precisely mapping the inversion
breakpoint of another patient. As a first step towards a complete inventor
y of genes in the Langer-Giedion syndrome chromosome region (LGCR) with the
ultimate aim to identify the TRPS1 gene, we analyzed 23 human expressed se
quence tags (ESTs) and four genes (EIF3S3, RAD21, OPG, CXIV) which had been
assigned to human 8q24.1. Our analyses indicate that the LGCR is gene-poor
, because none of the ESTs and genes map to the minimal TRPS1 gene region a
nd only two of these genes, RAD21 and EIF3S3, are located within the shorte
st region of deletion overlap of TRPS II patients. Two genes, OPG and CXIV,
which are deleted only in some patients with TRPS II may contribute to the
clinical variability of this syndrome.