FAME3 MARCHF6

Disease ID
FAME3
Gene ID
MARCHF6
Updated
Nov 6, 2025
v2.13.0
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Disease

Name
Familial adult myoclonic epilepsy type 3
Inheritance
Autosomal dominant
Description
Cortical tremor, seizures with generalised motor (tonic-clonic) onset1 ; Adult-onset cortical tremor with epilepsy2 .
Prevalence
Overall FAME prevalence is < 1/35,000; MARCHF6-caused much smaller. Most cases have European ancestry1 .
Age of OnsetYears10  50
Age of Onset Details
Typical: 24-41 based on one 76 member pedigree3 ; Range: 104 - 505 .

Locus

Details
Healthy controls do not have pathogenic allele (TTTCA), but do have 9-20 benign motifs (TTTTA)6 . Total allele size in probands spanned from 650-1035 repeats; an inverse relationship between allele size and age of onset was noted . In one study it was proposed that pathogenicity only occurs when TTTCA is expanded7 .
Mechanism
Unknown
Noted as unknown in literature4 .
Year
20198
Location in Gene
Intron 1
Gene Strand

Alleles

Ref. Motif
TTTTA
Pathogenic (ref.)
TTTCA
Pathogenic (gene)
ATTTC
Unknown (ref.)
ATGTT, TAGTT, TTTTG, TTTTT
Unknown (gene)
ATGTT, AGTTT, GTTTT, TTTTT
PathogenicUnits650  1,035

gnomAD

References

Direct supporting references for info on this page.

1
Neurological disorders caused by novel non-coding repeat expansions: clinical features and differential diagnosis.
Elisa,Vegezzi, Hiroyuki,Ishiura, D Cristopher,Bragg, David,Pellerin, Francesca,Magrinelli, Riccardo,Currò, Stefano,Facchini, Arianna,Tucci, John,Hardy, Nutan,Sharma, Matt C,Danzi, Stephan,Zuchner, Bernard,Brais, Mary M,Reilly, Shoji,Tsuji, Henry,Houlden, Andrea,Cortese
The Lancet. Neurology · 2024-07-01
pmid:38876750
2
Repeat expansion disorders.
Zhongbo,Chen, Huw R,Morris, James,Polke, Nicholas W,Wood, Sonia,Gandhi, Mina,Ryten, Henry,Houlden, Arianna,Tucci
Practical neurology · 2025-05-15
pmid:39349043
3
Familial cortical myoclonic tremor with epilepsy (FCMTE): Clinical characteristics and exclusion of linkages to 8q and 2p in a large French family.
E,Magnin, M,Vidailhet, C,Depienne, C,Saint-Martin, D,Bouteiller, E,LeGuern, E,Apartis, L,Rumbach, P,Labauge
Revue neurologique · 2009-07-18
pmid:19616813
5
First clinical diagnosis of FAME3 via commercial Long-Read sequencing reveals mosaic repeat expansion in MARCHF6 gene.
B Lakshitha A,Perera, Russell,Stewart, Yutaka,Furuta, Kimberly M,Ezell, Lynette,Rives, Bethany,Nunley, Ashley,McMinn, Alyson,Krokosky, Serena,Neumann, Mary E,Koziura, Rizwan,Hamid, Joy D,Cogan, Thomas A,Cassini, Eric R,Gamazon, John A,Phillips Iii, Rory J,Tinker
Neurogenetics · 2025-08-11
pmid:40788430
6
Resources for Genetics Professionals — Genetic Disorders Caused by Nucleotide Repeat Expansions and Contractions
Stephanie E.,Wallace, Lora JH,Bean
GeneReviews® [Internet] · 2022-10-20
genereviews:NBK535148
7
First clinical diagnosis of FAME3 via commercial Long-Read sequencing reveals mosaic repeat expansion in MARCHF6 gene.
B Lakshitha A,Perera, Russell,Stewart, Yutaka,Furuta, Kimberly M,Ezell, Lynette,Rives, Bethany,Nunley, Ashley,McMinn, Alyson,Krokosky, Serena,Neumann, Mary E,Koziura, Rizwan,Hamid, Joy D,Cogan, Thomas A,Cassini, Eric R,Gamazon, John A,Phillips Iii, Rory J,Tinker
Neurogenetics · 2025-08-11
pmid: 40788430
8
Unstable TTTTA/TTTCA expansions in MARCH6 are associated with Familial Adult Myoclonic Epilepsy type 3.
Rahel T,Florian, Florian,Kraft, Elsa,Leitão, Sabine,Kaya, Stephan,Klebe, Eloi,Magnin, Anne-Fleur,van Rootselaar, Julien,Buratti, Theresa,Kühnel, Christopher,Schröder, Sebastian,Giesselmann, Nikolai,Tschernoster, Janine,Altmueller, Anaide,Lamiral, Boris,Keren, Caroline,Nava, Delphine,Bouteiller, Sylvie,Forlani, Ludmila,Jornea, Regina,Kubica, Tao,Ye, Damien,Plassard, Bernard,Jost, Vincent,Meyer, Jean-François,Deleuze, Yannick,Delpu, Mario D M,Avarello, Lisanne S,Vijfhuizen, Gabrielle,Rudolf, Edouard,Hirsch, Thessa,Kroes, Philipp S,Reif, Felix,Rosenow, Christos,Ganos, Marie,Vidailhet, Lionel,Thivard, Alexandre,Mathieu, Thomas,Bourgeron, Ingo,Kurth, Haloom,Rafehi, Laura,Steenpass, Bernhard,Horsthemke, Eric,LeGuern, Karl Martin,Klein, Pierre,Labauge, Mark F,Bennett, Melanie,Bahlo, Jozef,Gecz, Mark A,Corbett, Marina A J,Tijssen, Arn M J M,van den Maagdenberg, Christel,Depienne
Nature communications · 2019-10-29
pmid:31664039

Additional Literature

Additional literature related to this locus.

Raw PubMed search results
(All PubMed results returned by searching for this gene, tandem repeats, and disease, in medline format)

A genome-wide approach for the discovery of novel repeat expansion disorders in the Undiagnosed Diseases Network cohort.
Sarah,Fazal, Harriet,Dashnow, Maike F,Dohrn, Jacquelyn,Raposo, Laurel,Hiatt, Matt C,Danzi, Isaac R L,Xu, Camilo,Toro, David R,Adams, Karen,Usdin, Bruce,Hayward, Shilpa Nadimpalli,Kobren, Shamil R,Sunyaev, Rebecca C,Spillmann, Vandana,Shashi, Adriana,Rebelo, Guney,Bademci, Mustafa,Tekin, Aaron R,Quinlan, Stephan,Zuchner
Genetics in medicine : official journal of the American College of Medical Genetics · 2025-05-22
pmid:40417743
Repeat Expansions with Small TTTCA Insertions in MARCHF6 Cause Familial Myoclonus without Epilepsy.
Theresa,Kühnel, Elsa,Leitão, Renate,Lunzer, Fabian,Kilpert, Sabine,Kaya, Claudia,Del Gamba, Kelly,Astudillo, Steven,Frucht, Marion,Simonetta-Moreau, Eric,Bieth, Iris,Unterberger, Giulietta Maria,Riboldi, Christel,Depienne
Movement disorders : official journal of the Movement Disorder Society · 2025-04-09
pmid:40200849
DNA analysis of benign adult familial myoclonic epilepsy reveals associations between the pathogenic TTTCA repeat insertion in SAMD12 and the nonpathogenic TTTTA repeat expansion in TNRC6A.
Akane,Terasaki, Masayuki,Nakamura, Yuka,Urata, Hanae,Hiwatashi, Izumi,Yokoyama, Takeshi,Yasuda, Teiichi,Onuma, Kazumaru,Wada, Sunao,Kaneko, Rumiko,Kan, Shin-Ichi,Niwa, Ohiko,Hashimoto, Osamu,Komure, Yu-Ichi,Goto, Yuko,Yamagishi, Misa,Nakano, Yoshihiko,Furusawa, Akira,Sano
Journal of human genetics · 2020-10-10
pmid:33040085