ABSTRACT

Technological advances made in molecular biology in the last 10-20 years have profoundly influenced the manner in which the etiology o f disease is investigated. Nowhere is this more apparent than in the study of the genetic basis o f human disease. To date, genes (or mutations) influencing a number of diseases whose biochemical defects were unknown at one time have been either physically isolated or localized to a small region in the human genome (i.e., the collective genetic material possessed by each o f us) by taking advantage o f modem laboratory methods (1,2). Although the molecular tools that paved the way for the localization, or “mapping,” o f these genes were unthinkable only some 25 years ago, their development does not tell the whole story. Equally important to the development o f any technology is its proper application or implementation. In this review, we describe contem­ porary and successful strategies for the detection and localization o f genes that depend on modem molecular genetic technologies. We want to empha­ size that this review focuses not on the technologies themselves, but rather on the ways in which one can exploit them to map genes influencing a disease or phenotype o f interest. In addition, we do not review strategies one might use to determine whether a disease or phenotype is under genet­ ic control (i.e., heritability or segregation assessment). With this in mind, the primary question to be addressed in this review is not “how can one determine if a disease is genetic?” but “how can one find the genes in-

fluencing a disease known to have a genetic component?” Since an under­ standing o f a few basic concepts in genetics is required for this purpose, we offer a brief summary o f some necessary terms. We also offer tables listing studies that make use o f the strategies described. For readers interested not only in the application o f modem gene mapping methods, but also in the details o f the requisite laboratory methods, we suggest any of the contem­ porary textbooks describing the biological basis o f modem recombinant DNA methods (3-5).