Summary Fifty retinoblastoma families have been studied. In 41 it has been possible to determine the esterase-D phenotypes in all family members. Seven families were informative for the enzyme polymorphism and in all cases cosegregation of the retinoblastoma gene and esterase-D alleles was demonstrated, giving a lod score of 2.61. When combined with other published reports the cumulative lod score is 13.69 with no recombination in 45 meioses. In 10-15% of retinoblastoma families therefore, it is possible to offer prenatal diagnosis using the ESD protein polymorphism. The application of this test to the retinoblastoma population in the UK is limited by the low frequency of the rarer allele (0.116) and, as a result of genetic counselling, the smaller families generally associated with retinoblastoma.Retinoblastoma (Rb) is an intraocular tumour of children which occurs in both sporadic and hereditary forms (Sparkes, 1985;Cowell, 1985). The inheritance follows an autosomal dominant pattern with greater than 90% penetrance. Approximately 1:20 Rb patients carries a constitutional deletion on the long arm of chromosome 13 (Cowell et al., 1986a). The extent of the deletion varies from patient to patient but in all cases part of chromosome band 13ql4 is missing. It was suggested by several authors that the frequently deleted region was the proximal part of 13ql4 (Yunis & Ramsay 1978;Ward et al., 1984, Sparkes et al., 1984 and in some cases the deletion is confined to that region (Yunis & Ramsay, 1978). Other reports suggest a more distal location of the critical region in 13q14 (Cowell et al., 1986b, c). These observations suggest that, located in region 13ql4, there is genetic information important in determining predisposition to tumour formation.Analysis of chromosome deletions from Rb patients has also allowed Sparkes et al. (1980) to localise the esterase-D gene (ESD) in band 13ql4, although sufficiently distant from the Rb predisposition locus to allow separation by chromosome translocation breakpoints (Sparkes et al., 1984;Cowell et al., 1986c). The close physical proximity of the ESD and Rb loci raised the possibility that the naturally occurring electrophoretic variants of the ESD protein described by Hopkinson et al. (1973) could be used to track the inheritance of the predisposition through families (see Cowell, 1985 for discussion) and permit antenatal diagnosis. Sparkes et al. (1983) were able to show close linkage between the two loci in an analysis of three families thus locating the hereditary non-deletion form of the tumour to the same region of chromosome 13. The relatively rare occurrence of the familial form of Rb together with the low frequency of heterozygotes at the ESD locus have made it difficult to assess the exact recombination distance between the two loci. In this report we present data from 50 Rb families from the UK. By combining these data with other reports. Our aim was to obtain a more accurate estimate of the linkage between ESD and Rb. ESD phenotyping Phenotypes were determined by e...