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Updated: Jun 22, 2026

Comparative Analysis of Human Growth Hormone in Serum Using SPRi, Nano-SPRi and ELISA Assays
Published on: January 7, 2016
The shortness of Pygmies is associated with severe under-expression of the growth hormone receptor
Mauro Bozzola1, Paola Travaglino, Nicola Marziliano
1Pediatric Department, University of Pavia, Pavia, Italy.
Insights
African Pygmies exhibit idiopathic short stature (ISS) due to significantly reduced growth hormone receptor (GHR) gene expression. This finding in Pygmies may help understand ISS mechanisms in other populations.
Area of Science:
- Endocrinology and Genetics
- Human Growth and Development
Background:
- Idiopathic short stature (ISS) is a complex trait influenced by genetics and environment.
- African Pygmies are a model for non-disease-related ISS, sharing endocrine profiles with Caucasian ISS individuals.
- Adult Pygmies have normal growth hormone (GH) but low GH-binding protein (GHBP) and insulin-like growth factor-I (IGF-I), suggesting impaired GH response.
Purpose of the Study:
- To investigate gene expression profiles of GH and GH receptor (GHR) in African Pygmies.
- To determine if reduced gene expression contributes to idiopathic short stature (ISS) in Pygmies.
- To explore potential mechanisms of ISS by comparing Pygmies with normal-stature Bantu populations.
Main Methods:
- Quantitative gene expression analysis of GH and GHR genes.
- Comparison of gene expression levels between adult Pygmies and adult Bantu individuals.
- Sequencing of the GHR gene to rule out sequence variants as the cause of reduced expression.
Main Results:
- GH gene expression was 1.8-fold reduced in adult Pygmies compared to Bantu.
- GHR gene expression was markedly reduced (8-fold) in adult Pygmies versus Bantu.
- Reduced GHR expression correlated with lower serum IGF-I and GHBP levels and was not due to GHR gene sequence variants.
Conclusions:
- Markedly reduced GHR gene expression is a key feature of adult African Pygmies with idiopathic short stature (ISS).
- This downregulation of GHR expression, not sequence variants, likely underlies the impaired GH action and short stature.
- Findings offer insights into the molecular mechanisms of ISS, potentially applicable to Caucasoid populations.
Abstract:
The stature is a highly heritable trait controlled by genetic and environmental factors. The African Pygmies represent a paradigmatic example of non-disease-related idiopathic short stature (ISS), showing a similar endocrine profile of Caucasian individuals with ISS. Pygmy children show normal anthropometric and endocrine parameters until puberty, while adult Pygmies show normal baseline and post-stimulation serum growth hormone (GH) levels but low values of baseline serum GH-binding protein (GHBP) and insulin-like growth factor-I (IGF-I). This discrepancy suggests a defective response to GH occurring in adulthood since Pygmies lack both the pubertal serum IGF-I surge and the growth spurt. However, sequencing of the key genes of the GH-IGF-I axis failed to identify Pygmy specific variants or haplotypes. We therefore aimed at assessing whether the quantitative gene expression profile of two key genes of the GH-IGF-I axis, GH and GHR, was also similar in low-stature and normal stature populations. We showed that the GH gene expression is 1.8-fold reduced and the GH receptor (GHR) gene expression is 8-fold reduced in adult Pygmies in comparison with sympatric adult Bantu, and that this reduction is not associated with sequence variants of the GHR gene. The marked decrease of the GHR expression in Pygmies is associated with reduced serum levels of the IGF-I and GHBP. Our results, documenting a markedly reduced GHR gene expression in adult Pygmies, could contribute to elucidate the mechanisms involved in ISS in Caucasoid subjects.
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