Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Article
  • Published:

Homozygous deletion of the human insulin receptor gene results in leprechaunism

Abstract

Homozygous inactivation of a gene, as is frequently performed to generate mouse models, provides an opportunity to elucidate the role that the gene plays in normal physiology. However, studies of human disease provide direct insight into the effect of inactivating mutations in man. In this investigation, we have identified a one year–old boy from a consanguineous pedigree who is homozygous for deletion of the insulin receptor gene resulting in leprechaunism. Contrary to previous predictions, the complete deletion of the insulin receptor gene is compatible with life.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  1. Rifkin, H. Clinical impact of insulin. Diabetes 12, 31–37 (1963).

    Article  CAS  Google Scholar 

  2. Denton, R.M., Brownsey, R.W. & Belsham, G.J. A partial view of the mechanism of insulin action. Diabetologia 21, 347–362 (1981).

    Article  CAS  Google Scholar 

  3. Rosen, O.M. After insulin binds. Science 237, 1452–1458 (1987).

    Article  CAS  Google Scholar 

  4. Czech, M.P., Klarlund, J.K., Yagaloff, K.A., Bradford, A.P. & Lewis, R.E. Insulin receptor signaling. Activation of multiple serine kinases. J. biol. Chem. 263, 11017–11020 (1988).

    CAS  PubMed  Google Scholar 

  5. Taylor, S.I. et al. Mutations in the insulin receptor gene. End. Rev. 13, 566–595 (1992).

    Article  CAS  Google Scholar 

  6. Taylor, S.I. Lilly Lecture: molecular mechanisms of insulin resistance. Lessons from patients with mutations in the insulin-receptor gene. Diabetes 41, 1473–1490 (1992).

    Article  CAS  Google Scholar 

  7. Yang-Feng, T.L., Franke, U. & Ullrich, A. Gene for human insulin receptor: localization to site on chromosome 19 involved in pre-B-cell leukemia. Science 228, 728–731 (1985).

    Article  CAS  Google Scholar 

  8. Seino, S., Seino, M., Nishi, S. & Bell, G.I. Structure of the human insulin receptor gene and characterization of its promoter. Proc. natn. Acad. Sci. U.S.A. 86, 114–118 (1989).

    Article  CAS  Google Scholar 

  9. Soriano, P. et al. Targeted diruption of the c-src proto-oncogene leads to osteoporosis in mice. Cell 64, 693–702 (1992).

    Article  Google Scholar 

  10. Rudnicki, M.A., Braun, T., Hinuma, S. & Jaenisch, R. Inactivation of MyoD in mice leads to up-regulation of the myogenic HUH gene Myf-5 and results in apparently normal muscle development. Cell 71, 383–390 (1992).

    Article  CAS  Google Scholar 

  11. Schorle, H., Holtschke, T., Hunig, T., Schimpl, A. & Horak, I. Development and function of T cells in mice rendered interleukin-2 deficient by gene targeting. Nature 352, 621–624 (1991).

    Article  CAS  Google Scholar 

  12. Schumacher, R. et al. Insulin and insulin-like growth factor-1 binding specificity is determined by distinct regions of their cognate receptors. J. biol. Chem. 266, 19288–19295 (1991).

    CAS  PubMed  Google Scholar 

  13. Rechler, M.M. & Nissley, S.P. Insulin-like growth factors. in Handbook of Experimental Pharmacology, Vol. 95/1 Peptide Growth Factors and Their Receptors (eds Sporn, M.B. & Roberts, A.B.) 263–367 (Springer-Verlag, Berlin Heidelberg, 1991).

    Chapter  Google Scholar 

  14. Liu, S.J., Perkins, A., Roberstson, E.J. & Efstradiatis, A. Targeted disruption of mouse gene encoding the IQF-I type I receptor. in Abstracts of Papers Presented in 1992 Meeting on Mouse Molecular Genetics, p. 265 (Cold Spring Harbor Laboratory Press, New York, 1992).

    Google Scholar 

  15. Snouwaert, J.N. et al. An animal model for cystic fibrosis made by gene targeting. Science 257, 1083–1088 (1992).

    Article  CAS  Google Scholar 

  16. Dorin, J.R. et al. Cystic fibrosis in the mouse by targeted insertional mutagenesis. Nature 359, 211–215 (1992).

    Article  CAS  Google Scholar 

  17. Ratcliff, R. et al. Production of a severe cystic fibrosis mutation in mice by gene targeting. Nature Genet. 4, 35–41 (1993).

    Article  CAS  Google Scholar 

  18. Barbetti, F. et al. Detection of mutations in insulin receptor gene by denaturing gradient gel electrophoresis. Diabetes 41, 408–415 (1992).

    Article  CAS  Google Scholar 

  19. Tewari, D.S., Cook, D.M. & Taub, R.J. Characterization of the promoter region and 3′ end of the human insulin receptor gene. J. biol. Chem. 264, 16238–16245 (1989).

    CAS  PubMed  Google Scholar 

  20. Ullrich, A. et al. Human insulin receptor and its relationship to the tyrosine kinase family of oncogenes. Nature 313, 756–761 (1985).

    Article  CAS  Google Scholar 

  21. Sharma, P.M., Reddy, G.R., Vora, S., Babior, B.M. & McLachlan, A. Cloning and expression of a human muscle phosphofructokinase cDNA. Gene 77, 177–183 (1989).

    Article  CAS  Google Scholar 

  22. Cleveland, D.W. et al. Number and evolutionary conservation of alpha- and beta-tubulin and cytoplasmic beta- and gamma-actin genes using specific cloned cDNA probes. Cell 20, 95–105 (1980).

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Wertheimer, E., Lu, SP., Backeljauw, P. et al. Homozygous deletion of the human insulin receptor gene results in leprechaunism. Nat Genet 5, 71–73 (1993). https://doi.org/10.1038/ng0993-71

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1038/ng0993-71

This article is cited by

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing