Abstract
Many previously uncharacterized cases of poor growth in children, i.e. idiopathic short stature, are now attributable to genetic defects in the GH-IGF-1 axis. This paper will provide an overview of the clinical findings of patients identified with various genetic defects of the GH/IGF-1 axis with an emphasis on the more recently described syndromes.
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Abbreviations
- AR:
-
Autosomal recessive
- AD:
-
Autosomal dominant
- GHD:
-
Growth hormone deficiency
- GHR:
-
Growth hormone receptor
- GHRH:
-
Growth hormone releasing hormone
- GHBP:
-
Growth hormone binding protein
- HESX1:
-
paired-like homeobox gene expressed in embryonic stem cells
- JAK2:
-
Janus kinase 2
- LHX-3,4:
-
LIM-type homeodomain protein
- PROP1:
-
prophet of pit 1
- POUF1:
-
Pit-1, Oct-1; Oct-2; Unc-86
- STAT:
-
Signal transducer and activator of transcription
References
Sperling M.Pediatric Endocrinology. 2nd edn. Philadelphia; Saunders. xvii 2002: 796.
Rosenfeld MGet al. Multistep signaling and transcriptional requirements for pituitary organogenesis in vivo.Recent Prog Horm Res 2000; 55: 1–13
Dattani MTet al. Mutations in the homeobox gene HESX1/Hesx1 associated with septo-optic dysplasia in human and mouse.Nat Genet 1998; 19(2): 125–133.
Thomas PQet al. Heterozygous HESX1 mutations associated with isolated congenital pituitary hypoplasia and septo-optic dysplasia.Hum Mol Genet 2001; 10(1): 39–45.
Cohen RNet al. Enhanced repression by HESX1 as a cause of hypopituitarism and septooptic dysplasia.J Clin Endocrinol Metab 2003; 88(10): 4832–4839.
Wu Wet al. Mutations in PROP1 cause familial combined pituitary hormone deficiency.Nat Genet 1998; 18(2): 147–149.
Deladoey Jet al. Hot spot' in the PROP1 gene responsible for combined pituitary hormone deficiency.J Clin Endocrinol Metab 1999; 84 (5): 1645–50.
Hendriks-Stegeman BIet al. Coombined pituitary hormone deficiency caused by compound heterozygosity for two novel mutations in the POU domain of the Pit1/POU1F1 gene.J Clin Endocrinol Metab 2001; 86(4): 1545–1550.
Machinis Ket al. Syndromic short stature in patients with a germline mutation in the LIM homeobox LHX4.Am J Hum Genet 2001; 69(5): 961–968.
Sadeghi-Nejad A. and B. Senior, Autosomal dominant transmission of isolated growth hormone deficiency in irisdental dysplasia (Rieger's syndrome).J Pediatr 1974; 85(5): 644–648.
Wajnrajch MPet al. Nonsense mutation in the human growth hormone-releasing hormone receptor causes growth failure analogous to the little (lit) mouse.Nat Genet 1996; 12(1): 88–90.
Netchineet al. Extensive phenotypic analysis of a family with growth hormone (GH) deficiency caused by a mutation in the GH-releasing hormone receptor gene.J Clin Endocrinol Metab, 1998; 83(2): 432–436.
Salvatori Ret al. Familial dwarfism due to a novel mutation of the growth hormone-releasing hormone receptor gene.J Clin Endocrinol Metab 1999; 84(3): 917–923.
Baumann, G. and H. Maheshwari, The Dwarfs of Sindh: severe growth hormone (GH) deficiency caused by a mutation in the GH-releasing hormone receptor gene.Acta Pediatr Suppl 1997. 423: 33–38.
Cogan JD, Phillips JA. 3rd. Growth disorders caused by genetic defects in the growth hormone pathway.Adv Pediatr 1998; 45: 337–361.
Wagner JKet al. Prevalence of human GH-1 gene alterations in patients with isolated growth hormone deficiency.Pediatr Res 1998; 43(1): 105–110.
Lopez-Bermejo A, Buckway CK, Rosenfeld, RG, Genetic defects of the growth hormone-insulin-like growth factor axis.Trends Endocrinol Metab 2000; 11(2): 39–49.
Fleisher TAet al. X-linked hypogammaglobulinemia and isolated growth hormone deficiency.N Engl J Med 1980; 302(26): 1429–1434
Duquesnoy Pet al. A single amino acid substitution in the exoplasmic domain of the human growth hormone (GH) receptor confers familial GH resistance (Laron syndrome) with positive GH-binding activity by abolishing receptor homodimerization.Embo J 1994; 13(6): 1386–1395.
Woods KAet al. A homozygous splice site mutation affecting the intracellular domain of the growth hormone (GH) receptor resulting in Laron syndrome with elevated GH-binding protein.J Clin Endocrinol Metab 1996; 81(5): 1686–1690.
Kofoed EMet al. Growth hormone insensitivity associated with a STAT5b mutation.N Engl J Med 2003;349(12): p. 1139–47.
Camacho-Hubner Cet al. Effects of recombinant human insulin-like growth factor I (IGF-I) therapy on the growth hormone-IGF system of a patient with a partial IGF-I gene deletion.J Clin Endocrinol Metab 1999; 84(5): 1611–1616.
Abuzzahab MJet al. IGF-I receptor mutations resulting in intrauterine and postnatal growth retardation.N Engl J Med 2003; 349(23): 2211–2222.
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Lee, J., Menon, R.K. Molecular defects in the growth hormone-IGF axis. Indian J Pediatr 72, 145–148 (2005). https://doi.org/10.1007/BF02760700
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DOI: https://doi.org/10.1007/BF02760700