Department of Public Health, Semmelweis University, Budapest, Hungary.
Department of Epidemiology and Public Health, University College London, London, UK.
Geroscience. 2022 Oct;44(5):2527-2539. doi: 10.1007/s11357-022-00680-7. Epub 2022 Nov 5.
In laboratory mice, pituitary dwarfism caused by genetic reduction or elimination of the activity of growth hormone (GH) significantly extends lifespan. The effects of congenital pituitary dwarfism on human longevity are not well documented. To analyse the effects of untreated pituitary dwarfism on human lifespan, the longevity of a diverse group of widely known little people, the 124 adults who played "Munchkins" in the 1939 movie The Wizard of Oz was investigated. Survival of "Munchkin" actors with those of controls defined as cast members of The Wizard of Oz and those of other contemporary Academy Award winning Hollywood movies was compared. According to the Kaplan-Meier survival curves, survival of female and male "Munchkin" actors was shorter than cast controls and Hollywood controls of respective sexes. Cox regression analyses showed that female "Munchkin" actors had significantly higher risk ratios compared to both female cast controls (RR, 1.70; 95% CI, 1.05 to 2.77) and female Hollywood controls (RR, 1.52; 95% CI, 1.03 to 2.24). Similar trends were also discernible for men, albeit point estimates were not significant. The lack of lifespan extension in "Munchkin" actors does not support the hypothesis that hereditary GH deficiency regulates longevity in humans.
在实验鼠中,由于生长激素 (GH) 的活性减少或消除而导致的垂体侏儒症显著延长了寿命。先天性垂体侏儒症对人类长寿的影响尚未得到很好的记录。为了分析未治疗的垂体侏儒症对人类寿命的影响,研究了一组多样化的著名小矮人,即 1939 年电影《绿野仙踪》中扮演“芒奇金人”的 124 名成年人的寿命。将“芒奇金人”演员的存活率与《绿野仙踪》和其他当代奥斯卡获奖好莱坞电影的演员进行了比较。根据 Kaplan-Meier 生存曲线,女性和男性“芒奇金人”演员的存活率均短于各自性别的演员对照组和好莱坞对照组。Cox 回归分析显示,与女性演员对照组(RR,1.70;95%CI,1.05 至 2.77)和女性好莱坞对照组(RR,1.52;95%CI,1.03 至 2.24)相比,女性“芒奇金人”演员的风险比显著更高。对于男性,也存在类似的趋势,尽管点估计值不显著。“芒奇金人”演员的寿命没有延长,这并不支持遗传性 GH 缺乏症调节人类长寿的假说。