Homozygous inactivation of a gene, as is frequently performed to gener
ate mouse models, provides an opportunity to elucidate the role that t
he gene plays in normal physiology. However, studies of human disease
provide direct insight into the effect of inactivating mutations in ma
n. 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 predic
tions, the complete deletion of the insulin receptor gene is compatibl
e with life.