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Short stature due to growth hormone qualitative anomaly is characterized by growth retardation and short stature (despite the presence of normal or slightly elevated levels of immunoreactive growth hormone, GH), low concentrations of insulin-like growth factor-I (IGF-I) and a significant increase in growth rate following recombinant GH therapy. Prevalence is unknown but only a few cases have been reported in the literature. The syndrome is caused by various mutations in the GH1 gene (17q22-q24) that result in structural GH anomalies and a biologically inactive molecule. Transmission is autosomal recessive.
Features include: Delayed skeletal maturation, Pituitary dwarfism, Abnormality of metabolism/homeostasis, and Growth delay.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Growth and development | 2 | Pituitary dwarfism, Growth delay |
Bones and joints |
GH1 encodes growth hormone 1 (217 aa). Plays an important role in growth control. Its major role in stimulating body growth is to stimulate the liver and other tissues to secrete IGF1. Highest expression in Pituitary (53,059 TPM) and Brain Cerebellum (5.3 TPM).
Short stature due to growth hormone qualitative anomaly is associated with mutations in the GH1 gene on chromosome 17.
GH1 is classified as a druggable target (Druggable Genome, Growth Factor, and Hormone Activity categories) with score 8.7.
Genetic testing for GH1 is available. Testing is considered confirmatory for diagnosis.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for short stature due to growth hormone qualitative anomaly.
1 publication has been identified in PubMed for short stature due to growth hormone qualitative anomaly. Research spans Review / Meta-Analysis (100%).
Paltoglou G (2024). [PMID: 39062241](https://pubmed.ncbi.nlm.nih.gov/39062241/). *Children (Basel)*. [Review / Meta-Analysis]
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 1:17 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
1 |
Delayed skeletal maturation |
Hormones | 1 | Pituitary dwarfism |
Metabolism | 1 | Abnormality of metabolism/homeostasis |