A new gene associated with a high risk of breast cancer, termed BRCAX, may
exist on chromosome 13q. Tumours from multicase Nordic breast cancer famili
es, in which mutations in BRCA1 and BRCA2 had been excluded, were analyzed
using comparative genomic hybridization in order to identify a region of in
terest, which was apparently confirmed and refined using linkage analysis o
n an independent sample. The present commentary discusses this work. It als
o asks why there should exist genetic variants associated with susceptibili
ty to breast cancer other than mutations in BRCA1 and BRCA2, and what might
be their modes of inheritance, allele frequencies and risks. Replication s
tudies will be needed to clarify whether there really is a tumour suppresso
r gene other than BRCA2 on chromosome 13q.