Expression of growth hormone receptor isoform exon-3-excluding and exon-3-retaining messenger RNAs in peripheral lymphocytes from normal and acromegalic subjects.

Aim: To determine the expression of two isoforms of the growth hormone (GH) receptor (GHR), which differ by the presence (GHR3+) or absence (GHR3-) of exon 3, and their correlation with circulating GH and insulin-like growth factor I (IGF-I) in normal subjects and in acromegalic patients.

Methods: The expression of GHR isoforms was determined by reverse-transcriptase polymerase chain reaction in lymphocytes from 12 normal subjects and from 11 patients with acromegaly. The levels of GHR mRNA were normalized to those of beta-actin, and ratios were calculated to assess the relative levels of expression.

Results: All samples showed expression of both GHR isoforms, but the expression of GHR3+ and GHR3- was similar in acromegalic patients (6.0+/-1.7 vs. 8.3+/-2.0%, mean +/- SE). In contrast, in healthy subjects, GHR3- was the predominant isoform (11.8+/-3.0 vs. 5.1+/-0.68%; p<0.05), and the levels of expression of GHR3- correlated significantly with IGF-I.

Conclusions: These data demonstrate coexpression of both GHR isoforms under normal and pathological conditions; however, GHR3- is the predominant form in normal subjects and shows a negative correlation with IGF-I levels.