Chinese Medical E-ournals Database

Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition) ›› 2016, Vol. 12 ›› Issue (01): 92 -95. doi: 10.3877/cma.j.issn.1673-5250.2016.01.017

Special Issue:

Review

Development of mutation of insulin-like growth factor Ⅰ receptor and intrauterine growth restriction

Mei Tang1, Fan Yang1()   

  1. 1. Department of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
  • Received:2015-08-28 Revised:2015-10-15 Published:2016-02-01
  • Corresponding author: Fan Yang
  • About author:
    Corresponding author: Yang Fan, Email:

In recently years, the amount of researches about relationship between insulin-like growth factor(IGF) family and intrauterine growth restriction(IUGR) was increasing.IUGR which caused by insulin-like growth factor-Ⅰ receptor(IGF-ⅠR) mutation usually can lead to mental retardation, such as microcephaly abnormal development in motor and language besides physical growth backwardness.The mechanism of IUGR is still not clear. Now many researches focus on different point heterozygous mutation of IGF-ⅠR which leads to IUGR, and this review will make a summary of the different point mutations.

表1 IGF-ⅠR基因突变所致IUGR的临床病例
编号 文献来源(作者,年) 病例者 突变 出生体重(SDS) 身长(SDS) 头围(SDS) 生长发育情况
1 Abuzzahab等[12],2003 先证者 R108Q, K115N -3.5 -4.8(14岁) 言语智商为134,操作智商为89,精神异常
    母亲 K115N -2.0 -1.6(终身高)
    父亲 R108Q -2.0 -2.8(终身高)
2 Kiess等[13], 2005 先证者 R59stop -3.5 -5.8(出生) -4.6(出生) 言语障碍,精神运动发育迟滞,头小畸形
    母亲 R59stop -2.4 -2.6(终身高)
3 Kawashima等[14],2005 先证者 R709Q -1.5 -2.1(6岁) 智商为60,身高为-2.1 SDS(6岁),骨龄为3.9岁(6岁)
    母亲 R709Q -1.6 -2.9(终身高) 正常
4 Walenkamp等[15],2006 母亲 E1050K -2.1 -0.3(出生)    
          -4.0(终身高) -3.0(35岁) 言语智商为110,操作智商为112
    女儿 E1050K -3.3 -4.2(出生) -5.6(2个月) 精神运动发育迟滞
5 Inagaki等[16],2007 先证者 R481Q -4.9 -3.1(出生)    
          -5.0(13.6岁) 体重为-2.5 SDS(13.6岁)
    母亲的姐妹 R481Q -6.1(终身高)
    母亲 R481Q -5.7(终身高)
6 Fang等[17], 2009 先证者 19Dup withinexon 18 -3.1(12岁)
    母亲 19Dup withinexon 18 -4.6(终身高) 上下身比例正常
7 Wietske等[18],2009 病例1 del(15)(q26.2) -1.28 -2.21(出生)    
          -3.46(2.3岁) -0.82(2.3岁) 髋关节发育不良,精神运动发育迟滞,听力障碍
    病例2 del(15)(q26.3) -1.91 -2.21(出生)    
          -3.84(3岁) 骨龄落后,听力障碍,体重为-2.65 SDS(3岁)
8 Kruis等[19], 2010 先证者 G3464C -1.84 -1.82(出生)    
          -3.35(7岁) -3.69(0.17岁) 头小畸形
          -2.52(6.9岁)    
    弟弟 G3464C -1.93 -2.36(9.5岁) -1.52(9.5岁) 骨龄落后、指畸形
    母亲 G3464C -3.93(终身高)
9 Wallborn等[20],2010 先证者 V599E -2.26 -1.82(出生) 头小畸形,认知发育迟缓
10 Choi等[21], 2011 先证者 c.420del(p.A110fsX20) -2.1 -3.56(6.8岁) 精神运动发育正常
    哥哥 c.420del(p.A110fsX20) -1.96 -3.47(9.5岁) 骨龄落后,体重为-2.38 SDS(9.5岁)
11 Kawashima等[22],2012 先证者 R431L -1.8 -3.2(出生)-2.9(3岁) -2.1(3岁) 智力、精神发育正常,骨龄落后
    母亲 R431L -1.7 -1.2(终身高)    
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