The X chromosome-linked dystonia-parkinsonism syndrome (XDP) is a severe movement disorder, characterized by both dystonia and parkinsonism. XDP is a genetically homogeneous disorder. Known ancestry of all patients has been traced back to Panay, Philippines, where the disease probably originated from a single mutation (founder effect). The gene locus, DYT3, has been previously assigned to the proximal long arm of the X chromosome (Xql2-q21.1). Using four dinucleotide tandem repeat (DNTR) sequences from Xql3-derived yeast artificial chromosomes (YACs), we further delineate DYT3 within Xql3. Observation of a recombination event between DYT3 and DNTR locus 4548-7, derived from a YAC encompassing locus DXS56, establishes 4548-7 as a distal flanking marker. Assignment of DYT3 to a region in Xql3, flanked by loci 4548-7 and DXS159, is further supported by highly significant allelic association between DYT3 and a total of four DNTR loci-PY2-31, PY5-10, 4548-1, and 4548-7-located in a region defied by PGKI and DXS56. 1k1 and JAl values were 0.82/0.35, 0.78/0.42, 0.65/0.34, and 0.88/0.58 for PY2-31 , PY5-10, 4548-1, and 4548-7 atP < 10-2, P < 10-4, P < 10-3, and P < 10-6.The X chromosome-linked dystonia-parkinsonism syndrome (XDP) is a severe movement disorder most likely caused by a malfunction of the basal ganglia (1-3). XDP is characterized by dystonia-i.e., "involuntary, sustained muscle contractions resulting in twisting and repetitive movements, or abnormal postures" (4), and concurrent parkinsonian symptoms in a significant percentage of patients (2, 5). The mean age of onset of XDP is 35 ± 8 years (range, 12-50 years) with an age-dependent penetrance apparently complete by the end of the 5th decade (2). The prevalence of XDP is highest in the Philippine island of Panay, where it probably originated from a single mutation (founder effect). Known ancestry of patients, including those diagnosed in North America, has been traced back to Panay, Philippines. XDP thus appears to be a genetically homogeneous disorder.Idiopathic parkinsonism, clinically characterized by a combination of the symptoms bradykinesia, rigidity, tremor, and loss of postural reflexes, affects ==1% of all Americans older than 50 years (6). The major neuropathologic findings are loss of dopaminergic neurons, notably in the substantia nigra and related nuclei (7). The cause of this degeneration is unclear. Unlike XDP, idiopathic parkinsonism is usually not inherited as a Mendelian trait, and both environmental and genetic factors are implicated in its etiology. The genetic component of the disorder is presently not amenable to analysis.Knowledge of genes involved in pathogenesis of basal ganglia dysfunction may greatly contribute to a better understanding ofboth dystonia and parkinsonism. One approach to identify such genes is the investigation of rare genetic disorders, which are inherited as Mendelian traits. Due to its genetic homogeneity and X chromosome-linked recessive mode of inheritance, XDP is well suited for such analysis.In an ef...