A motion transmission apparatus with a chain, wherein the chain comprises a plurality of spacers and links for connecting the spacers together, each of the spacers is provided at both sides thereof in an axial direction of an elongated shaft with a plurality of holding protrusions and inclined at an angle from a center of each of the spacers toward a peripheral edge thereof in such a manner that a distance between outer ends of two opposite holding surfaces on two neighboring spacers is smaller than a diameter of the rolling elements, the holding protrusions of the chain are annularly arranged in 120 degree intervals in such a manner that the holding protrusions on the same side of each spacer are alternatively arranged in a direction which is vertical to the links, and two of the holding protrusions are arranged in a line parallel to a direction of the links.