Epidemiological and genetic linkage studies have indicated a strong genetic basis for development of inflammatory bowel disease (IBD) which was recently supported by discovery of the Crohn's disease (CD) susceptibility gene termed NOD2/CARD15. We carried out a genome-wide linkage study in Finnish IBD families, providing a particular advantage to map susceptibility genes for ulcerative colitis (UC) within a genetic isolate. Initially, 92 IBD families with 138 affected sib-pairs (ASPs), were genotyped for 429 markers spaced at approximately 10 cM intervals. Next, the loci on chromosomes 2p13-11, 11p12-q13, and 12p13-12 were high-density mapped in the extended family cohort of 130 families with 173 ASPs. In this study, the most significant lod scores were observed for the UC families on chromosome 2p11 (D2S2333), in the vicinity of the REG gene cluster which is strikingly overexpressed in the IBD mucosa. The maximum two-point lod score was 3.34 (dominant model), and the corresponding NPL score 2.61. For UC, the second highest two-point NPL score of 2.00 was observed at proximal 12p13, where also some evidence for linkage disequilibrium emerged (P=0.07 and P=0.007 for the basic and extended IBD cohorts, respectively). The highest two-point NPL score for the CD families was 2.34 at D12S78 (12q23) with significant evidence for linkage disequilibrium (P=0.004), and for the mixed (MX) families 2.07 at D4S406 near the linkage peak reported previously. This study confirmed several of the IBD loci that have previously been reported and gives evidence for new IBD loci on chromosomes 2p11, 11p12-q13, 12p13-12, 12q23, and 19q13. European Journal of Human Genetics (2002) 11, 112 -120. doi:10.1038/sj.ejhg.5200936 Keywords: inflammatory bowel disease; genome-wide scan; genetic linkage Ulcerative colitis (UC) and Crohn's disease (CD) are chronic idiopathic, inflammatory disorders of the gastrointestinal tract, and are thought to arise from the interplay of genetic and environmental factors. Many features suggest a significant familial component to pathogenesis of these chronic inflammatory disorders. There is an increased risk among the first-degree relatives of IBD patients, with 5 -10% of the patients having an affected first degree-relative, and there is a higher concordance rate for monozygotic than dizygotic twins for the same disorder. 1 The concordance rate is two to three times higher in CD than in UC, suggesting that CD would be determined to a higher extent by genetic factors than UC. The assumption is, however, that CD and UC would also share at least some of the susceptibility genes, since many of the genetic loci are clearly contributed by both disorders and there are families segre-