We have determined the molecular basis for Usher syndrome type 1F (USH1F) i
n two families segregating for this type of syndromic deafness. By fluoresc
ence in situ hybridization, we placed the human homolog of the mouse protoc
adherin Pcdh15 in the linkage interval defined by the USH1F locus. We deter
mined the genomic structure of this novel protocadherin, and found a single
-base deletion in exon 10 in one USH1F family and a nonsense mutation in ex
on 2 in the second. Consistent with the phenotypes observed in these famili
es, we demonstrated expression of PCDH15 in the retina and cochlea by RT-PC
R and immunohistochemistry. This report shows that protocadherins are essen
tial for maintenance of normal retinal and cochlear function.