Recent reports have shown an association between cytochrome P450IID6 (
CYP2D6) polymorphism and Parkinson's disease. We investigated the asso
ciation between this polymorphism and the risk for developing essentia
l tremor (ET). Leukocytic DNA from 91 unrelated ET patients and a cont
rol group of 258 unrelated healthy individuals was studied for the occ
urrence of eight different CYP2D6 allelic variants by using allele-spe
cific PCR amplification XbaI and EcoRI-RFLP's analyses. The prevalence
for these allelic variants in the ET and control groups were, respect
ively: CYP2D61 76.9 and 78.7%, CYP2D6*2 0.5 and 0.2%, CYP2D6*3 0 and
1%, CYP2D64 12.1 and 12.2%, CYP2D6*5 1.6 and 1.7%, CYP2D6*9 4.4 and 2
.9%, CYP2D62x2 4.4 and 3.2%. The prevalence of subjects with absent C
YP2D6 activity (those carrying two defect genes) was 1.1 and 3.1% in E
T and control groups, respectively. Both groups studied were in Hardy-
Weinberg equilibrium. These results indicate that mutations at the CYP
2D6 gene do not seem to be a major factor in determining susceptibilit
y to ET, and reinforces the view that ET and parkinsonism are distinct
conditions.