The Van der Woude syndrome (VWS) is a dominantly inherited developmental di
sorder characterized by pits and/or sinuses of the lower lip, cleft lip and
/or cleft palate. It is the most common cleft syndrome. VWS has shown remar
kable genetic homogeneity in all populations, and so far, all families repo
rted have been linked to 1q32-q41. A large Finnish pedigree with VWS was re
cently found to be unlinked to 1q32-q41. In order to map the disease locus
in this family, a genome wide linkage scan was performed. A maximum lod sco
re of 3.18 was obtained with the marker D1S2797, thus assigning the disease
locus to chromosomal region 1 p34. By analyses of meiotic recombinants an
similar to 30 cM region of shared haplotypes was identified. The results co
nfirm the heterogeneity of the VWS syndrome, and they place the second dise
ase locus in 1p34. This finding has a special interest because the phenotyp
e in VWS closely resembles the phenotype in non-syndromic forms of cleft li
p and palate.