We have found a novel mutation in intron 4 of the GH-1 gene in a Bedouin ki
ndred with isolated growth hormone deficiency type IB (IGHD IB), RFLP analy
sis suggested linkage between the GH-1 gene and IGHD. Nested PCR amplificat
ion followed by single stranded conformation polymorphism (SSCP) analysis i
ndicated sequence variation between introns 2 and 4, Sequencing showed a G-
->C transversion at the fifth base in the splice donor region of intron 4,
Affected individuals were homozygous for the mutation, which creates a new
Mae III restriction site. Reverse transcription and PCR of GH-1 transcripts
in EBV transformed lymphocytes indicated predominance of a species lacking
73 bp of exon 4. Amplification with a bridging primer showed that the same
mRNA species is present in lymphocytes from normal individuals. The first
102 amino acids of the predicted protein are identical to wild-type GH, but
the next 94 amino acids are completely divergent.