Skip to main content
. 2021 May 27;14(6):516. doi: 10.3390/ph14060516

Table 1.

Results of linkage studies in patients with familial essential tremor (ET).

Country Locus Chromosome MIM/
Gene ID
Study Subjects Main Findings/Comments [Ref]
Iceland ETM1 (FET1) 3q13 190300/2111 Genome-wide scan study involving 16 Icelandic families (75 affected individuals) with ET in an autosomal dominant pattern Gene mapped at chromosome 3q13 with a genome-wide significance assuming an autosomal-dominant model (parametrically LOD score = 3.71 and non-parametrically LOD score = 4.70).
The highest single-family LOD score was 1.29
[29]
United States of America ETM1 (FET1) 3q13 190300/2111 Linkage analysis with microsatellite markers for ETM1, ETM2, and chromosome 4p in 38 members of a six-generation family with ET Lack of association with the analyzed loci, including ETM1 and with chromosome 4p [33]
Russia ETM1 (FET1) 3q13 190300/2111 Linkage analysis for ETM1 and ETM2 loci, and for locus DYT1 on chromosome 9q32-34 in a group of Slavonic (11 patients) and Tajik (19 patients) families with ET. Linkage to locus ETM1 in 4 families (maximum pairwise LOD score 2.46, maximum combined multipoint LOD score was 3.35 for marker D3S3720) and a common “mutant” haplotype for markers D3S3620, D3S3576, and D3S3720 in a 2 Cm chromosomal region [34]
Italy ETM1 (FET1) 3q13 190300/2111 Linkage analysis of 3 loci previously associated with ET (ETM1, ETM2, and a locus on 6p23 (ETM3)) in fifth-generation Italian kindred with autosomal-dominant ET (22 clinically evaluated family members, 9 were affected by ET). Lack of association with ETM1 [35]
Italy ETM1 (FET1) 3q13 190300/2111 Linkage analysis for ETM1, ETM2, and ETM3 in a large family with autosomal-dominant ET involving 6 generations Lack of association with ETM1 [36]
United States of America ETM2 2p25-p22 602134/2112 Linkage analysis in a large American-Czech family with “pure” autosomal-dominant ET (138 members, with 18 affected with ET; genetic anticipation over generations) This gene was mapped close to D2S272 at chromosome 2p25-p22 (maximum LOD score = 5.92).
Affected relatives showed a CAG repeat expansion not clearly located in the ETM2 locus.
[30]
United States of America ETM2 2p25-p22 602134/2112 Linkage analysis in the previous large American-Czech family with “pure” autosomal-dominant ET and in 3 additional, unrelated American families using fine mapping results in an “only-affected” model Positive combined pairwise LOD scores (Z) at the ETM2 locus with a Z(max) = 5.94 at a recombination fraction (theta) = 0.00 for locus D2S220.
Haplotype reconstruction places the ETM2 gene in a 9.10 cM interval (D2S224-D2S405)
Multipoint linkage analysis suggested that the ETM2 gene was a the 2.18 cM interval (D2S2150 and D2S220; Z(max) = 8.12).
[37]
United States of America ETM2 2p25-p22 602134/2112 Linkage disequilibrium study involving 45 patients with familial ET and 70 normal controls (n = 70). Identification of 3 unreported dinucleotide polymorphic loci designated as etm1240, etm1231, and etm1234 in the ETM2 gene and haplotype analysis Significant differences in the allele frequencies between ET and controls of etm1231 (p = 0.0419) and etm1234 (p < 0.0001) loci.
Significantly higher frequency of the A haplotype formed by the loci etm1231 and etm1234 in ET patients than in controls (29% vs. 9%)
[38]
United States of America ETM2 2p25-p22 602134/2112 Linkage disequilibrium study involving 52 Singaporean patients with familial ET and 49 Singaporean normal controls (n = 70). Analysis of 6 polymorphic loci (etm1240, etm1231, etm1234, APOB, etm1241, and etm1242) in a 274 kb interval within an ET gene candidate region (ETM2), including haplotype analysis. Significant differences in the allele frequencies between cases and controls for the loci etm1234 (p = 0.0001) and APOB (p = 0.0320).
Significantly higher frequency of a haplotype formed by the loci etm1231, etm1234, and APOB in ET patients than in controls (31% vs. 1.8%, p = 0.0005).
[39]
United States of America ETM2 2p25-p22 602134/2112 Assembling of a physical map of the region between D2S224 and D2S2221 in the ETM2 locus by using high-throughput non-isotopic screening of bacterial artificial chromosomes (BACs), and construction of a complementary integrated physical map of the human ETM2 identifying GenBank contigs that contained seven BAC DNA sequences and common STSs. Identification of 33 transcripts including five known genes (MATN3, LAPTM4A, SDC1, PUM2, and APOB) in this minimal critical region. [40]
United States of America ETM2 2p25-p22 602134/2112 Linkage analysis with microsatellite markers for ETM1, ETM2, and chromosome 4p in 38 members of a six-generation family with ET Lack of association with ETM2 and with chromosome 4p [33]
Russia ETM2 2p25-p22 602134/2112 Linkage analysis for ETM1 and ETM2 loci, and for locus DYT1 on chromosome 9q32-34 in a group of Slavonic (11 patients) and Tajik (19 patients) families with ET. Lack of association with DYT1 and ETM2 loci. [34]
Korea ETM2 2p25-p22 602134/2112 Genetic association with 3 polymorphic loci (STS-etm1240, STS-etm1231, and STS-etm1234) located in a region of the ETM2, in 30 ET patients and 30 controls. Detection of 8 different sequence variants (5 at etm1234, 2 at etm1240, and 1 at etm1231) in 7 patients (only in patients with “classic ET”).
Decrease in the number of short tandem repeats within etm1234 locus more frequently in ET patients than in controls.
[41]
Italy ETM2 2p25-p22 602134/2112 Linkage analysis for ETM1, ETM2, and ETM3 in a fifth-generation Italian kindred with autosomal-dominant ET (22 clinically evaluated family members, 9 were affected by ET). Lack of association with ETM2 locus [35]
Italy ETM2 2p25-p22 602134/2112 Linkage analysis for ETM1, ETM2, and ETM3 in a large family with autosomal-dominant ET involving 6 generations Lack of association with ETM2 locus [36]
Czech Republic ETM2 2p25-p22 602134/2112 Genetic analysis of 3 polymorphic loci (etm1231, etm1234, and etm1240), located within the ETM2 locus, in 61 Czech patients with familial ET and 68 healthy controls. Lack of association with ETM2 locus [42]
United States of America ETM3 6p23 611456/101027378 Genome-wide linkage screening and fine mapping in seven large North American families (325 individuals, 65 of them with definite ET). Linkage to a locus on chromosome 6p23 in a family.
A second family showed linkage to the same 6p23 region with a maximal NPL score 2.125 (p = 0.0075) and LOD score 1.265.
Haplotype analysis led to the identification of a 600 kb interval shared by both families.
Sequencing of 15 candidate genes located within this region did not find any sequence variants with pathogenic significance
[31]
Italy ETM3 6p23 611456/101027378 Linkage analysis for ETM1, ETM2, and ETM3 in a fifth-generation Italian kindred with autosomal-dominant ET (22 clinically evaluated family members, 9 were affected by ET). Lack of association with ETM3 [35]
Italy ETM3 6p23 611456/101027378 Linkage analysis for ETM1, ETM2, and ETM3 in a large family with autosomal-dominant ET involving 6 generations Lack of association with ETM3 [36]
United States of America No specific name 5q35 - Linkage analysis using an affected-only dominant model involving 48 ET patients who belonged to 5 large ET pedigrees. Identification of genome segments followed by exome sequencing in pedigrees showing evidence of linkage. One family showed genome-wide significant linkage to ET in chromosomes 5 and 18, but shared segment analysis reduced the 5q35 region by 1 Mb, and excluded the 18p11 candidate region.
No causative variants in the 5q35 region were identified after exome sequencing.
[32]