Researchers seem to be closer to pinpointing the causes of essential tremor. This recent (2024) huge genome-wide association study https://www.nature.com/articles/s42003-024-06207-4 implicates CA3 and CPLX1, supports GABA dysregulation theories, and highlights differences in Rho GTPase cycle.
Since Rho GTPases are involved in axon "growth, guidance, and branching" https://pmc.ncbi.nlm.nih.gov/articles/PMC2828272/, the last point helps explain the pathophysiology in ET: degeneration and swelling (formation of "torpedoes") of the axons, and dendrite loss/reduction in complexity of branching https://pmc.ncbi.nlm.nih.gov/articles/PMC10461794/
https://pmc.ncbi.nlm.nih.gov/articles/PMC4240305/
Axon guidance processes were also implicated in this 2019 RNA-seq and GSEA study https://pmc.ncbi.nlm.nih.gov/articles/PMC7593093/, along with "microtubule motor activity," "endoplasmic reticulum (ER) to Golgi transport" and "calcium signaling/synaptic transmission."
Both the big GWAS study and this preprint published around the same time last year https://www.biorxiv.org/content/10.1101/2024.05.22.595233v1 found an association with BACE2, but the latter explains how that brings oligodendrocytes into the picture. The Rho GTPase PMC paper above has a section called "Other Guidance Cues" that describes how oligodendrocytes are involved in axon guidance.
This is clearly a complex network of processes, and that might explain why ET has so many different inheritance patterns: studies of smaller groups of related people often show different significant genes. Different changes at different key nodes in the network can cause similar cascading failures. Also, the common pathways might help explain what's happening in acquired ET, where pathology can be induced by things like lead and harmane https://pmc.ncbi.nlm.nih.gov/articles/PMC3073713/ (and other papers from the Elan Louis lab https://labs.utsouthwestern.edu/louis-lab/research#230548828-2207731419)
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GWAS meta-analysis reveals key risk loci in essential tremor pathogenesis - Communications Biology
GWAS meta-analysis associates 12 sequence variants with essential tremor, identifies seven candidate causal genes including CA3 with multiomics-based analysis, and reveals key roles of dopaminergic and GABAergic neurons in the pathogenesis.