Abstract

Linkage analysis studies in Icelandic and North American families have identified three genetic loci where the causative essential tremor (ET) gene could be located: chromosome 3q13 (ETM1), 2p22-p25 (ETM2), and 6p23.1–3 The A265G variant in the HS1-BP3 gene has been shown to associate with familial ET.4 ETM2 has previously been linked to ET in our population.5 Though the HS1-BP3 variant was not found in our patients with ET,4 the possible association with other variants of HS1-BP3 or other genes has not been excluded. The dopamine D3 receptor ( DRD3 ) gene is located near the ETM1 locus. Recently, a functional DRD3 variant (Ser9Gly) was found to be associated with risk and age at onset of ET in American and French populations.6 The Gly-9 (G) allele cosegregated with ET in 23 families and Gly-9 homozygotes appeared to have more severe ET symptoms.6 Furthermore, in vitro studies showed that dopamine-mediated cAMP response was increased and mitogen-associated protein kinase (MAPK) was prolonged with the G allele.6 The biologic plausibility of the DRD3 Ser9Gly variant, the concordance of the clinical …

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