Table 1 Hormonal phenotypes of the patients including siblings of case 4

From: Combined pituitary hormone deficiency due to gross deletions in the POU1F1 (PIT-1) and PROP1 genes

 

Case 1

Case 2

Case 3

Family 4

    

(IV/1)

(IV/5)

(IV/6)

(IV/12) a

Age (yrs)

11.5

40

3.5

14

34

31

17

Sex (m/f)

m

m

m

f

m

m

m

Gene mutated

POU1F1

PROP1

PROP1

PROP1

PROP1

PROP1

PROP1

GH, basal (μg l−1)

NA

<0.05

NA

<0.05

<0.05

0.40

0.40

GH, stim. (μg l−1)

<0.20

0.21

<1.00

NA

NA

NA

NA

TSH (mIU l−1)

<0.50b

0.38

0.94b

1.15 (0.3–2.5)

0.01 (0.3–2.5)

<0.005 (0.3–2.5)

0.39 (0.3–2.5)

0.01 (0.3–2.5)

T4

 Total T4 (nmol l−1)

<10 (60–150)

NA

NA

NA

NA

NA

NA

 Free T4 (pmol l−1)

NA

2.19 (12–25)

5.57 (10–23)

NA

NA

NA

NA

LH (IU l−1)

0.30 (0.5–5.3)

<0.10b (>3.0)

<0.07 (<0.5)

0.89 (0.5–9.0)

0.70 (1.5–9.3)

0.10 (1.5–9.3)

0.10 (0.5–5.3)

FSH (IU l−1)

1.30 (0.4–6.6)

0.20b (>4.9)

<0.07 (<2.2)

0.10 (1.4–9.2)

0.20 (0.3–8.5)

4.45 (0.3–8.5)

0.10 (1.4–9.2)

ACTH (pmol l−1)

6.82 (1.6–14.2)

3.06 (1.6–13.9)

NA

2.21 (1.6–14.2)

8.43 (1.6–14.2)

6.21 (1.6–14.2)

4.71 (1.6–14.2)

Cortisol (nmol l−1)

500.0b (>500)

537.6b (>500)

766b (>500)

NA

NA

NA

NA

PRL (mIU l−1)

2.1 (85.6–322.2)

42.4 (84.0–315.0)

74.2 (25.44–634.5)

92.4 (63.6–305.3)

106.6 (85.6–322.2)

122.9 (85.6–322.2)

25.4 (85.6–322.2)

MRI, anterior pituitary

Hypoplastic

Hypoplastic

Hypoplastic

Near normal

NA

Enlarged

Near normal

  1. Abbreviations: ACTH, adrenocorticotrope hormone; FSH, follicle-stimulating hormone; GH, growth hormone, LH, luteinizing hormone; MRI, magnetic resonance imaging; NA, not available; PRL, prolactin; TSH, thyroid-stimulating hormone.
  2. aIndex patient.
  3. bStimulated. Laboratory measurements were performed using different assays. Reference values (in parenthesis) are just given for overall guidance.