Brain Advance Access published online on March 12, 2007
Brain, doi:10.1093/brain/awm018
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Genetics of essential tremor
Department of Neurology, Baylor College of Medicine, Houston, TX, USA
Correspondence to:
Joseph Jankovic, MD, Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, 6550 Fannin, Suite 1801, Houston, TX 77030, USA E-mail: josephj{at}bcm.tmc.edu
Essential tremor (ET), the cause of which remains poorly understood, is one of the most common neurological disorders. While environmental agents have been proposed to play a role, genetic factors are believed to contribute to its onset. Thus far, three gene loci (ETM1 on 3q13, ETM2 on 2p24.1 and a locus on 6p23) have been identified in patients and families with the disorder. In addition, a Ser9Gly variant in the dopamine D3 receptor gene on 3q13 has been suggested to be a risk factor. Moreover, genetically deficient animal models express a phenotype that overlaps with some clinical characteristics of the human form of the illness. Further analyses of these genetic abnormalities may lead to the identification of causative mutations and a better understanding of the molecular mechanisms in this common movement disorder.
Key Words: essential tremor; genetics; dopamine D3 receptor gene; variant; autosomal dominant; non-Mendelian inheritance
Abbreviations:
ADCA, autosomal dominant cerebellar ataxia; AIS, androgen insensitivity syndrome; AR, androgen receptor gene; CAP2, adenylate cyclase-associated protein 2 gene; CMT, CharcotMarieTooth; CMTX, X-linked CharcotMarieTooth; CYP2D6, cytochrome P450IID6; C6orf79, chromosome 6 open reading frame 79 gene; DRD3, dopamine D3 receptor gene; DTNBP1, dystrobrevin binding protein 1 gene; ERK1, 2, extracellular signal-regulated kinase 1, 2; ET, essential tremor; FMR1, fragile X mental retardation 1 gene; FXTAS, fragile X-associated tremor/ataxia syndrome; Gabra1, gamma-aminobutyric acid A receptor
1; GAT1, GABA transporter subtype 1; GFOD1, glucosefructose oxidoreductase domain containing protein 1 gene; GMPR, guanosine monophosphate reductase gene; HMSN, hereditary motor and sensory neuropathy; HS1BP3, HS1-binding protein 3 gene; JARID2, Jumonji AT rich interactive domain 2 gene; JNK, c-Jun NH2-terminal kinase; LD, linkage disequilibrium; LRRK2, leucine-rich repeat kinase 2 gene; MAPK, mitogen-associated protein kinase; MCR, minimal critical region; MTHFR, methylenetetrahydrofolate reductase gene; MYLIP, myosin regulatory light chain interacting protein gene; NACP, alpha-synuclein gene; NHLRC1, Nhl repeat-containing gene 1; NOL7, nucleolar protein 7 gene; PHACTR1, phosphatase and actin regulator 1 gene; PMP2, peripheral myelin protein-22 gene; RANBP9, RAN binding protein 9 gene; SAPK, stress-activated protein kinase; SCA1, 12, spinocerebellar ataxia gene, type 1, type 12; SIRT5, silent mating-type information regulation-2 homologue 5 gene; SMAX1, X-linked spinal and bulbar muscular atrophy, type 1; TBCID7, TBCI domain family, member 7 gene
Received August 8, 2006. Revised January 6, 2007. Accepted January 8, 2007.
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