Autism is characterized by impairments in reciprocal communication and soci
al interaction and by repetitive and stereotyped patterns of activities and
interests. Evidence for a strong underlying genetic predisposition comes f
rom twin and family studies, although susceptibility genes have not yet bee
n identified. A whole-genome screen for linkage, using 83 sib pairs with au
tism, has been completed, and 119 markers have been genotyped in 13 candida
te regions in a further 69 sib pairs. The addition of new families and mark
ers provides further support for previous reports of linkages on chromosome
s 7q and 16p. Two new regions of linkage have also been identified on chrom
osomes 2q and 17q. The most significant finding was a multipoint maximum LO
D score (MLS) of 3.74 at marker D2S2188 on chromosome 2; this MLS increased
to 4.80 when only sib pairs fulfilling strict diagnostic criteria were inc
luded. The susceptibility region on chromosome 7 was the next most signific
ant, generating a multipoint MLS of 3.20 at marker D7S477. Chromosome 16 ge
nerated a multipoint MLS of 2.93 at D16S3102, whereas chromosome 17 generat
ed a multipoint MLS of 2.34 at HTTINT2. With the addition of new families,
there was no increased allele sharing at a number of other loci originally
showing some evidence of linkage. These results support the continuing coll
ection of multiplex sib-pair families to identify autism-susceptibility gen
es.