Chediak-Higashi syndrome (CHS) is a rare autosomal recessive disorder of hu
man, mouse (beige) and other mammalian species. The same genetic defect was
found to result in the disease in ail species identified, permitting a pos
itional cloning approach using the mouse model beige to identify the respon
sible gene. The CHS gene was cloned and mutations identified in affected sp
ecies. This review discusses the clinical features of CHS contrasting featu
res seen in similar syndromes. The possible functions of the protein encode
d by the CHS/beige gene are discussed, along with the alterations in cellul
ar physiology seen in mutant cells.