Table 1.
Elevated GH | GH deficiency (GHD) | GH insensitivity | |||||||
---|---|---|---|---|---|---|---|---|---|
Clinical | Mouse | Clinical | Mouse | Mouse | Mouse | Clinical | Mouse | Mouse | |
Acromegaly Gigantism | bGH | GHD * | GHA ** | AOiGHD | Ames | Laron | aGHRKO **** | GHR-/- | |
GH defect | Hypersecretion of GH commonly due to pituitary adenoma | Transgenic for bovine GH | Many variations depending on age and etiology | Transgenic for GHR antagonist gene | Ablation of somatotrophs with an inducible system | Mutation in Prop1 | Hereditary conditions usually caused by GHR receptor defects | Knockdown of Ghr gene via an inducible system | Disruption of Ghr gene |
GH action | ↑↑ with onset of adenoma | ↑↑ from birth | ↓ onset varies based on etiology | ↓ throughout life due to GH antagonism | ↓ beginning at time of induction (10–12 weeks) |
GH deficiency (as well as prolactin and TSH) | Absent from birth | ↓ beginning at time of induction (6 weeks) |
Absent GHR from birth |
GH | ↑↑ | ↑↑ | ↓ | ↑ | ↓ | ↑ | ↑ | ↑ | |
IGF-1 | ↑↑ | ↑↑ | ↓ | ↓ | ↓↓ | ↓↓ | ↓ | ↓↓ | |
Growth and body weight | ↑↑ * | ↑↑ | ↓ ↔ * | ↓ | ↔ | ↓↓ | ↓↓ | ↓ | ↓↓ |
Insulin sensitivity | ↓ | ↓ | ↑ | ↑ | ↓↔ | ↑ | ↑↓ *** | ↓ | ↑ |
Lifespan | ↓ | ↓ | ↔ | No data | ↔ | ↑↑ | ↔ | ↔ male; ↑ female |
↑ |
↑ increase, ↔ no change, ↓ decrease; * depends on the age of onset; ** while technically not GH deficient, this mouse line is unique in that it produces a GHR antagonist that blocks endogenous GH, resulting in mice with a dramatic reduction in GH action from birth; *** depends on Israeli or Ecuadorian cohort; Israeli cohort tends to have higher insulin levels [63]; **** GHR disruption is not equivalent in all tissues. Adapted with permission from [38]. Copyright 2017 John Wiley & Son.