0 9 Mutations mutation NNS 10 12 in in IN 13 16 the the DT 17 22 Pit-1 pit-1 NN 23 27 gene gene NN 28 30 in in IN 31 39 children child NNS 40 44 with with IN 45 53 combined combined JJ 54 63 pituitary pituitary JJ 64 71 hormone hormone NN 72 82 deficiency deficiency NN 82 83 . . . 85 90 Pit-1 Pit-1 NNP 91 93 is be VBZ 94 95 a a DT 96 114 pituitary-specific pituitary-specific JJ 115 128 transcription transcription NN 129 135 factor factor NN 136 140 that that WDT 141 146 binds bind VBZ 147 149 to to TO 150 153 and and CC 154 168 transactivates transactivate VBZ 169 178 promoters promoter NNS 179 181 of of IN 182 188 growth growth NN 189 196 hormone hormone NN 197 200 and and CC 201 210 prolactin prolactin NN 211 216 genes gene NNS 216 217 . . . 218 220 In in IN 221 226 three three CD 227 236 unrelated unrelated JJ 237 245 Japanese japanese JJ 246 254 children child NNS 255 259 with with IN 260 268 combined combined JJ 269 278 pituitary pituitary JJ 279 286 hormone hormone NN 287 297 deficiency deficiency NN 297 298 , , , 299 301 we we PRP 302 312 identified identify VBD 313 318 three three CD 319 324 point point NN 325 334 mutations mutation NNS 335 337 in in IN 338 341 the the DT 342 347 Pit-1 pit-1 NN 348 352 gene gene NN 352 353 , , , 354 362 Pro24Leu Pro24Leu NNP 362 363 , , , 364 373 Arg143Gln Arg143Gln NNP 373 374 , , , 375 378 and and CC 379 388 Arg271Trp Arg271Trp NNP 388 389 , , , 390 397 located located JJ 398 400 on on IN 401 404 the the DT 405 410 major major JJ 411 426 transactivation transactivation NN 427 433 region region NN 433 434 , , , 435 447 POU-specific pou-specific JJ 448 454 domain domain NN 454 455 , , , 456 459 and and CC 460 475 POU-homeodomain POU-homeodomain NNP 475 476 , , , 477 489 respectively respectively RB 489 490 . . .