Familial cylindromatosis is an autosomal dominant genetic predisposition to
multiple tumours of the skin appendages. The susceptibility gene (CYLD) ha
s previously been localized to chromosome 16q and has the genetic attribute
s of a tumour-suppressor gene (recessive oncogene). Here we have identified
CYLD by detecting germline mutations in 21 cylindromatosis families and so
matic mutations in 1 sporadic and 5 familial cylindromas. All mutations pre
dict truncation or absence of the encoded protein. CYLD encodes three cytos
keletal-associated-protein-glycine-conserved (CAP-GLY) domains, which are f
ound in proteins that coordinate the attachment of organelles to microtubul
es. CYLD also has sequence homology to the catalytic domain of ubiquitin ca
rboxy-terminal hydrolases (UCH).