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From the Day Neuromuscular Research Laboratory (Drs. Bejaoui, Hosler, O’Neill, and Brown, and D. McKenna-Yasek), Massachusetts General Hospital, Boston, MA; the Deater Foundation (E. Burns-Deater and L.M. Deater), White Deer, PA; and the Program in Human Genetics (Dr. Haines), Vanderbilt University Medical Center, Nashville, TN.
Address correspondence and reprint requests to Dr. R.H. Brown, Jr., Day Neuromuscular Research Laboratory, Massachusetts General Hospital-East, Building 149, 13th Street, Navy Yard, Charlestown, MA 02129.
OBJECTIVES: 1) To confirm linkage of hereditary sensory neuropathy type 1 (HSN-I) to human chromosome 9q22 in a large American family of German origin. 2) To construct a yeast artificial chromosome (YAC) contig spanning the HSN-I candidate interval. 3) To investigate the HSN-I contig for potential candidate genes.
BACKGROUND: HSN-I is a rare peripheral neuropathy characterized by loss of temperature sensation, ulceration and osteomyelitis of the digits, and subtle distal weakness. A gene for HSN-I has previously been mapped to human chromosome 9q22.1-q22.3 between markers D9S318 and D9S176 in an 8-cM interval in four Australian families.
METHODS: In a large German-American family with HSN-I, genome-wide linkage analysis was performed on 68 family members extending over five generations and including 17 affected members. Genotyping was performed with PCR, and the resulting genotypes were analyzed with two-point linkage analysis with Fastlink. A YAC contig was constructed based on the Whitehead Institute YAC contig WC9.3.
RESULTS: Two-point linkage analysis resulted in a maximum lod score of 8.2 at 
= 0 for marker D9S1815. Haplotype analysis locates the HSN-I gene between markers D9S1797 and D9S197. Using YAC clones from the Centre d’Etude du Polymorphism Humain YAC Library, we constructed a YAC contig spanning these markers. Based on the radiation hybrid map of the human genome, we estimate that the size of this interval is less than 2,500 kb.
CONCLUSIONS: Our study confirms linkage of a putative HSN-I gene to chromosome 9q22, considerably narrows the HSN-I locus, and provides a basis for identification of the HSN-I gene.
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