NCIt definition : Reduced serum concentration of the acid-labile subunit (ALS, a protein encoded by
the IGFALS gene) of the complex usually comprised of IGF-I, IGFBP-3 and ALS.;
Alternative definition : NICHD: Growth hormone insensitivity/resistance caused by loss-of-function mutation(s)
in the IGFALS gene, encoding insulin-like growth factor-binding protein complex acid
labile subunit protein (ALS). ALS forms a ternary complex with insulin-like growth
factor I (IGF-I) and insulin-like growth factor-binding protein 3 (IGFBP-3), which
prolongs the half life of both IGF-I and IGFBP-3 in the circulation. This condition
is characterized by mild growth impairment, variable presence of pubertal delay in
boys, and insulin insensitivity due to markedly reduced concentrations of free and
total serum IGF-I and IGFBP-3.;