The acromesomelic dysplasias (AMDs) are a group of genetic disorders that p
rimarily affect the middle and distal segments of the extremities. A form o
f AMD is present on the isolated island of St Helena in the South Atlantic,
which has a population of approximately 5500 derived from a number of foun
der individuals. DNA from four affected individuals and 11 first-degree rel
atives in four related nuclear families segregating an AMD was collected fo
r gene mapping studies. Six consecutive markers on chromosome 9, spanning a
n approximately 5 cM region, showed identical homozygosity in. all affected
individuals, thus identifying a region of homozygosity by descent. Multipo
int analysis generated a maximum lod score of Z = 2.85. These data localize
the gene for this dysplasia to the pericentromeric region of chromosome 9
where the gene for the Maroteaux form of AMD is situated. The identificatio
n of the gene responsible for this disorder may shed further light on the c
omplex processes involved in limb morphogenesis.