Abstract |
Severe combined immunodeficiency (SCID) is a heterogeneous group of disorders characterized by a severe defect of both T- and B-cell immunity, which generally require allogeneic bone marrow transplantation (BMT) within the first years of life. We previously reported a patient affected with an X-linked SCID due to L183S hemizygous missense gamma chain mutation, whose severe short stature was due to a peripheral growth hormone (GH) hyporesponsiveness associated to abnormal GH receptor (GH-R) signal transduction. In this study, we report the effect of BMT on the GH-R/ insulin-like growth factor I ( IGF-I) axis. After BMT, the patient showed a significant improvement in linear growth and normalization of basal- and GH-stimulated IGF-I values, which paralleled a fully competent immunological reconstitution. This suggests that cells derived from the hematopoietic stem cell may exert an unexpectedly significant role in producing IGF-I. This may also suggest that stem cell-based therapies may be useful for the correction of non-hematopoietic inherited disorders, such as those of GH-R/ IGF-I axis.
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Authors | M Salerno, R Busiello, V Esposito, E Cosentini, M Adriani, C Selleri, B Rotoli, C Pignata |
Journal | Bone marrow transplantation
(Bone Marrow Transplant)
Vol. 33
Issue 7
Pg. 773-5
(Apr 2004)
ISSN: 0268-3369 [Print] England |
PMID | 14767497
(Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Immunoglobulin gamma-Chains
- Receptors, Somatotropin
- Insulin-Like Growth Factor I
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Topics |
- Bone Marrow Transplantation
- Graft Survival
- Growth
- Humans
- Immune System
(physiology)
- Immunoglobulin gamma-Chains
(genetics)
- Infant
- Insulin-Like Growth Factor I
(biosynthesis, deficiency)
- Male
- Receptors, Somatotropin
- Regeneration
- Severe Combined Immunodeficiency
(therapy)
- Signal Transduction
- Transplantation, Homologous
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