The gene for X chromosome-linked severe combined immunodeficiency (SCID), a disease characterized by a block in early T-cell differentiation, has been mapped to the region Xqll-ql3 by linkage analysis with restriction fragment length polymorphisms. High logarithm of odds (lod) scores were obtained with the marker 19.2 (DXS3) (z = 5.51 at a recombination fraction 0 = 0.11) and with the marker cpX73 (DXS159) that showed complete cosegregation with the disease locus in the informative families analyzed (z = 5.27 at 0 = 0.00). Other significant linkages were obtained with several markers from Xqll to q22. With the help of a recently developed genetic map of the region, it was possible to perform multipoint linkage analysis, and the most likely genetic order is DXS1-(SCID, DXS159)-DXYS1-DXYS12-DXS3, with a maximulm multipoint logarithm of odds score of 11.0. Our results demonstrate that the SCID locus (gene symbol IMD4) is not closely linked to the locus of Bruton's agammaglobulinemia (a defect in B-cell maturation). They also provide a way for a better estimation of risk for carrier and antenatal diagnosis.Severe combined immunodeficiency (SCID) is a syndrome in which affected infants lack both cellular and humoral immunity and die in early life from overwhelming infection if bone marrow transplantation is not performed. X chromosomelinked severe combined immunodeficiency (McKusick no. 30040, also designated IMW4 in the nomenclature of Human Gene Mapping Workshops) is characterized by a complete absence of mature T lymphocytes, suggesting that the disease results from a block in early T-cell differentiation (1). In autosomal recessively transmitted SCID, an absence of both T and B lymphocytes is most often found, although cases of female SCID patients with a complete absence of T cells and normal B-cell numbers have been described (2). Obligatory carrier females of X-linked SCID are immunologically normal, and this impairs genetic counseling. The gene has not previously been localized on the X chromosome. Many restriction fragment length polymorphisms (RFLPs) have been detected on the human X chromosome, and they are increasingly used to establish a genetic map that includes disease genes (3). We have performed a genetic linkage analysis in nine families with clear-cut X-linked SCID by using several RFLP markers, and this has allowed us to map the IMD4 gene to the region Xqll-ql13. This should be an important step toward carrier and prenatal diagnosis and toward isolation of the gene itself.