It is difficult to identify genes that predispose to prostate cancer due to
late age at diagnosis, presence of phenocopies within high-risk pedigrees
and genetic complexity. A genome-wide scan of large, high-risk pedigrees fr
om Utah has provided evidence for linkage to a locus on chromosome 17p. We
carried out positional cloning and mutation screening within the refined in
terval, identifying a gene, ELAC2, harboring mutations (including a framesh
ift and a nonconservative missense change) that segregate with prostate can
cer in two pedigrees. In addition, two common missense variants in the gene
are associated with the occurrence of prostate cancer. ELAC2 is a member o
f an uncharacterized gene family predicted to encode a metal-dependent hydr
olase domain that is conserved among eukaryotes, archaebacteria and eubacte
ria. The gene product bears amino acid sequence similarity to two better un
derstood protein families, namely the PSO2 (SNM1) DNA interstrand crosslink
repair proteins and the 73-kD subunit of mRNA 3' end cleavage and polyaden
ylation specificity factor (CPSF73).