Mutations in the dystrophin gene cause the X chromosome-linked, recessive Duchenne and Becker muscular dystrophies. Dystrophin, a large cytoskeletal protein, copurifles with a complex of dystrophin-aclated proteins which serve to anchor dystrophin to the sarcolemma. One of these associated proteins, adhalin, has been implicated as a candidate for severe childhood autosomal recessive muscular dystrophy (SCARMD) due to absence of anti-adhalin sning in muscle biopsy samples taken from SCARMD patients. Furthermore, the Duchenne-like dystrophic phenotype seen in the SCARMD families was shown to be tightly linked to chromosome 13 markers. To determine the genetic mutation responsible for autosomal dystrophy, we characterized the human adhalin gene. Contrary to our expectation, human adhalin was mapped to chromosome 17q21, excluding adhalin as the gene causing chromosome 13-associated SCARMD. Additionaily, a splice form of adhalin message was found that predicts a 35-kDa nontransmembrane adhalin. The expression of both adhalin splice forms is exclusively restricted to striated muscle, unlike other components of the dystrophin-glycoprotein complex.Genetic analyses of patients with Duchenne and Becker muscular dystrophy (DMD/BMD) have demonstrated a correlation between mutations in dystrophin's carboxyl terminus and a more severe clinical course (1). The carboxyl terminus of dystrophin binds a complex of dystrophinassociated proteins (DAPs), and components of this glycoprotein complex are decreased in DMD (2-5). Several DAPs have been identified by virtue of their copurification with dystrophin (6-8). These include the 156-and 43-kDa glycoproteins, together named dystroglycan, that are produced from one transcript encoded by a single gene on chromosome 3p21 (9,10). Three separate genes encode the 59-kDa nonglycosylated members of the complex, called syntrophins (11,12). Three additional proteins (50, 35, and 25 kDa) also participate in dystrophin's membrane interaction (6-8, 13). Using partial peptide sequences generated from proteolytic digestion of the rabbit 50-kDa DAP, Roberds et al. (13) identified a cDNA encoding the rabbit 50-kDa DAP and termed it adhalin. Isoelectric focusing analysis of the smaller components of the glycoprotein complex has suggested that the 35-kDa DAP may be heterogeneous (8).Dystroglycan and the syntrophins are expressed in tissues that lack the full-length dystrophin (10)(11)(12). This has raised speculation that in vivo, dystroglycan and the syntrophins may interact with proteins other than dystrophin. In vitro, syntrophin binds the carboxyl terminus of dystrophin, and dystroglycan has been shown to bind the extracellular matrix component laminin in a gel overlay assay (9,(14)(15)(16) gene (20, 24).In an effort to understand the genetic mutation responsible for SCARMD, we isolated and characterized cDNA and genomic sequences encoding human adhalin. To our surprise, the adhalin gene resides on chromosome 17q21, unlinked to the chromosome 13-encoded SCARMD locus. Additionally, a spli...