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[拉伦型家族性侏儒症;遗传性原发性生长介素缺乏症]

[Laron type familial dwarfism; genetic primary somatomedin deficiency].

作者信息

Pierson M, Malaprade D, Fortier G, Belleville F, Lasbennes A, Wuilbereq L

出版信息

Arch Fr Pediatr. 1978 Feb;35(2):151-64.

PMID:637670
Abstract

Five children from 3 different families presented with severe dwarfism and the morphological and biological features described by Laron: familial occurrence, small stature, peculiar facies, high levels of plasma HGH and resistance to treatment by GH. This therapeutic inefficiency is expressed by an absence of physical growth and unchanged nitrogen balance, during a prolonged treatment. The plasma levels of somatomedine were very low (K. Hall's biological method) and not influenced by administration of exogenous HGH. These findings suggest that the fundamental disorder is not an abnormal structure of the molecules of GH. This hypothesis seems further confirmed by the structural analysis of plasma HGH, which gave the same results as those of the reference GH.

摘要

来自3个不同家庭的5名儿童表现出严重侏儒症以及拉伦所描述的形态学和生物学特征:家族性发病、身材矮小、特殊面容、血浆生长激素水平高以及对生长激素治疗有抵抗性。这种治疗无效表现为在长期治疗期间身体没有生长且氮平衡未改变。生长调节素的血浆水平非常低(K. 霍尔的生物学方法),并且不受外源性生长激素给药的影响。这些发现表明根本障碍并非生长激素分子结构异常。血浆生长激素的结构分析结果与参考生长激素相同,这一假说似乎进一步得到了证实。

相似文献

1
[Laron type familial dwarfism; genetic primary somatomedin deficiency].[拉伦型家族性侏儒症;遗传性原发性生长介素缺乏症]
Arch Fr Pediatr. 1978 Feb;35(2):151-64.
2
[Nanism with high values of GH and no generation of somatomedin after hGH (Laron's syndrome). Clinico-biochemical study of 8 cases].[生长激素水平高但生长激素释放激素(hGH)后未产生生长调节素的侏儒症(拉伦综合征)。8例临床生化研究]
An Esp Pediatr. 1985 Feb;22(2):113-22.
3
[Activity of blood somatomedin during childhood in normal subjects and in delayed growth].
Ann Biol Clin (Paris). 1976;34(1):11-8.
4
Growth failure with normal serum RIA-GH and low somatomedin activity: somatomedin restoration and growth acceleration after exogenous GH.血清放射免疫测定生长激素(RIA-GH)正常但生长介素活性降低的生长障碍:外源性生长激素后生长介素恢复及生长加速
J Clin Endocrinol Metab. 1978 Aug;47(2):461-4. doi: 10.1210/jcem-47-2-461.
5
[Severe dwarfism with high plasma hGH levels and no somatomedin acitvity: Laron's syndrome (author's transl)].严重侏儒症伴高血浆人生长激素水平且无生长调节素活性:拉龙综合征(作者译)
Sem Hop. 1980;56(43-44):1853-6.
6
A child with phenotypic Laron dwarfism and normal somatomedin levels.
N Engl J Med. 1989 Feb 9;320(6):376-9. doi: 10.1056/NEJM198902093200607.
7
Growth hormone resistance.生长激素抵抗
Ann Clin Res. 1980 Oct;12(5):269-77.
8
Early paradoxical decrease in serum somatomedin activity following injection of growth hormone.注射生长激素后血清生长调节素活性早期出现反常性降低。
J Clin Endocrinol Metab. 1978 Jan;46(1):173-6. doi: 10.1210/jcem-46-1-173.
9
Absence of serum growth hormone binding protein in patients with growth hormone receptor deficiency (Laron dwarfism).生长激素受体缺乏症(拉伦侏儒症)患者血清生长激素结合蛋白缺失。
Proc Natl Acad Sci U S A. 1987 Jul;84(13):4636-40. doi: 10.1073/pnas.84.13.4636.
10
Growth hormone therapy in short children without classical growth hormone deficiency.非典型生长激素缺乏的矮小儿童的生长激素治疗
J Endocrinol Invest. 1989;12(8 Suppl 3):25-33.

引用本文的文献

1
Laron syndrome - A historical perspective.拉隆综合征——历史视角。
Rev Endocr Metab Disord. 2021 Mar;22(1):31-41. doi: 10.1007/s11154-020-09595-0. Epub 2020 Sep 22.
2
Radiographic abnormalities in Laron dwarfism.拉伦侏儒症的影像学异常。
Pediatr Radiol. 1994;24(4):260-2. doi: 10.1007/BF02015450.
3
Intrauterine growth retardation. A report of two cases with bird-headed appearance, skeletal changes and peripheral GH resistance.宫内生长迟缓。两例具有鸟头外观、骨骼改变及外周生长激素抵抗病例报告。
Eur J Pediatr. 1981 Oct;137(2):237-42. doi: 10.1007/BF00441325.
4
Inhibitory action of serum from a Laron dwarf on normal cellular function.
Experientia. 1983 Jun 15;39(6):606-8. doi: 10.1007/BF01971120.