Skip to main content
Log in

A homozygous nonsense mutation of the human growth hormone receptor gene in a Sardinian boy with Laron-type dwarfism

  • Case Report
  • Published:
Journal of Endocrinological Investigation Aims and scope Submit manuscript

Abstract

Laron-type dwarfism (LTD) is an autosomal recessive disorder due to mutations in the GH receptor (GHR) gene. We report the case of a Sardinian boy affected by LTD in which we found by direct genomic sequencing a nonsense mutation in the fourth exon of the GHR gene (R43X) that determines a premature termination in the protein translation process. As the result of the absence of the extracellular portion of the GHR this patient had undetectable GH binding protein. This molecular defect is identical to that observed in other patients with LTD of mediterranean origin.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Laron Z., Pertzelan A., Mannheimer S. Genetic pituitary dwarfism with high serum concentration of growth hormone — A new inborn error of metabolism? Isr. J. Med. Sei. 2: 152, 1966.

    CAS  Google Scholar 

  2. Rosenfeld R.G., Rosenbloom A.R., Guevara-Aguirre J. Growth Hormone (GH) insensitivity due to primary GH receptor deficiency. Endocr. Rev. 15: 369, 1994.

    Article  PubMed  CAS  Google Scholar 

  3. Guevara Aguirre J., Vasconez O., Martinez V., Martinez A.L., Rosenbloom A.L., Diamond F.B., Gargoski S.E., Nonoshita L, Rosenfeld R.G. A randomized, double blind, placebo-controlled trial on safety and efficacy of recombinant human insulin-like growth factor-l in children with growth hormone receptor deficiency. J. Clin. Endocrinol. Metab. 80: 1393, 1995

    PubMed  CAS  Google Scholar 

  4. Pintor C, Loche S., Cella S.G., Müller E.E., Baumann G. A child with phenotypic Laron dwarfism and normal somatomedin levels. N. Engl. J. Med. 320: 376, 1989

    Article  PubMed  CAS  Google Scholar 

  5. Leung D.W., Spencer S.A., Cachianes G., Hammonds R.G., Collins C, Henzel W.J., Barnard R., Waters M.J., Wood W.l. Growth hormone receptor and serum binding protein: purification, cloning and expression. Nature 330: 537, 1987

    Article  PubMed  CAS  Google Scholar 

  6. Kou K., Lajara R., Rotwein P. Aminoacid substitution in the intracellular part of the growth hormone receptor in a patient with Laron syndrome. J. Clin. Endocrinol. Metab. 76: 54, 1993

    PubMed  CAS  Google Scholar 

  7. Woods K.A., Fraser NC, Postel-Vinay M.C., Savage MA, Clark A.J.L. 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. 81: 1686, 1996

    PubMed  CAS  Google Scholar 

  8. Amselem S., Sobrier M.L, Duquesnoy P., Rappaport R., Postel-Vinay M.C., Gourmelen M., Dallapiccola B., Goossens M. Recurrent nonsense mutations in the growth hormone receptor from patients with Laron dwarfism. J. Clin. Invest. 87: 1098, 1991

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  9. Baumann G., Shaw M.A., Winter R.J. Absence of the plasma growth hormone binding protein in Laron-type dwarfism. J. Clin. Endocrinol. Metab. 65: 814, 1987

    Article  PubMed  CAS  Google Scholar 

  10. Amselem S., Duquesnoy P., Duriez B., Dastot F., Sobrier M.I., Valleix S. Spectrum of growth hormone receptor mutations and associated haplotypes in Laron syndrome. Hum. Mol. Genet. 4: 355, 1993

    Article  Google Scholar 

  11. Berg M.A., Argente J., Chernausek S., Gracia R., Guevara-Aguirre J., Hopp M., Pérez-Jurado L., Rosembloom A., Toledo S.P.A., Francke U. Diverse growth hormone receptor gene mutations in Laron syndrome. Am. J. Hum. Genet. 52: 998, 1993

    PubMed Central  PubMed  CAS  Google Scholar 

  12. Rosembloom A.L., Berg M.A., Kasatkina E.P., Volkova T.N., Skorobogatova VF, Sodolovskaya V.N., Francke U. Severe growth hormone insensitivity (Laron syndrome) due to nonsense mutation of the GH receptor in brothers from Russia. J. Pediatr. Endocrinol. Metab. 8: 159, 1995

    Google Scholar 

  13. Cavalli-Sforza L.L, Piazza A., Menozzi P., Mountain J. Reconstruction of human evolution: bringing together genetic, archeological, and linguistic data. Proc. Natl. Acad. Sei. USA 85: 6002, 1988

    Article  CAS  Google Scholar 

  14. Contu L., Arras M., Carcassi C, La Nasa G., Mulargia M. HLA structure of the Sardinian population: a haplotype study of 551 families. Tissue Antig. 40: 165, 1992

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

This work was supported by grants from: Assessorato Igiene e Sanità Regione Sardegna, L.R. n. 11 30/04/1990; Campagna di Prevenzione delle Malattie Genetiche nella Popolazione Sarda, DGR 41/112 9/11/93; MURST (60% e 40% to A.C.); CNR — Progetto Finalizzato “Ingegneria Genetica”, Sottoprogetto “Diagnosi Molecolare della Talassemia Intermedia”, contratto n. 94.00018 pf 99.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Putzolu, M., Meloni, A., Loche, S. et al. A homozygous nonsense mutation of the human growth hormone receptor gene in a Sardinian boy with Laron-type dwarfism. J Endocrinol Invest 20, 286–288 (1997). https://doi.org/10.1007/BF03350302

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03350302

Key-words

Navigation