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Related Experiment Videos

Normal growth despite GH, IGF-I and IGF-II deficiency.

E H Hathout1, D J Baylink, S Mohan

  • 1Loma Linda University Children's Hospital and School of Medicine and Jerry L Pettis VA Medical Center, Loma Linda, CA, USA.

Growth Hormone & IGF Research : Official Journal of the Growth Hormone Research Society and the International IGF Research Society
|October 8, 1999
PubMed
Summary

This study presents a case of normal growth in a child with panhypopituitarism and a deficient growth hormone (GH)/insulin-like growth factor (IGF) axis, suggesting an unknown growth mechanism. Further research is needed to understand GH-independent growth.

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Area of Science:

  • Pediatric Endocrinology
  • Growth Hormone Deficiency
  • Insulin-like Growth Factor Axis

Background:

  • Presents a rare case of a 6.5-year-old male with septo-optic dysplasia and panhypopituitarism, exhibiting normal linear growth despite a deficient growth hormone (GH) and insulin-like growth factor (IGF) axis.
  • Investigates the roles of various growth factors and binding proteins, including IGF-I, IGF-II, IGFBP-3, IGFBP-1, -2, -4, -5, and leptin, in a patient with GH deficiency.

Observation:

  • The patient displayed undetectable GH levels, elevated GH binding protein (GHBP), and low serum IGF-I, IGF-II, IGFBP-3, and IGFBP-5.
  • Serum IGF-II exhibited normal molecular size, indicating normal bioavailability.
  • Markedly elevated leptin levels were observed, but leptin did not stimulate osteoblast proliferation.

Findings:

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  • Normal linear growth and osteoblast cell proliferation occurred despite the absence of significant GH, IGFs, insulin, or leptin-mediated activity.
  • Human osteosarcoma cell proliferation assays showed serum growth-promoting activity comparable to normal controls.
  • The study excludes IGF-II and leptin as mediators of GH-independent growth in this specific case.
  • Implications:

    • Suggests the existence of an unidentified growth factor or alternative mechanism responsible for normal growth in the absence of a functional GH/IGF axis.
    • Highlights the utility of osteoblast cell proliferation assays for assessing serum growth-promoting activity in complex growth disorders.
    • Underscores the incomplete understanding of the intricate mechanisms governing human growth, particularly in cases of GH-independent growth.