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Novel genetic findings allow to more reliably elucidate the aetiology and pathogenesis of overgrowth syndromes in children and in adults. The relatively prevalent overgrowth syndromes in foetuses and neonates include Beckwith-Wiedemann (BWS) and Sotos syndromes; in addition, several rare conditions may occur e.g. Simpson-Golabi-Behmel and Weaver syndromes. These syndromes are not connected with overproduction of growth hormone. Their carriers are at risk of hypoglycaemia (in BWS), of congenital malformations and of childhood tumours. Targeted oncologic screening may improve the outcomes. Despite rapid growth even postnatally, the final height is mostly normal. In childhood and adolescence, the increased growth velocity results from hormonal overproduction - of precocious production of sexual hormones, hyperthyroidism, or of growth hormone overproduction due to pituitary adenoma that may lead to gigantism or acrogigantism and may be familiar (familiar isolated pituitary adenoma; FIPA). In 15-25 % of affected families, FIPA is caused by autosomal dominantly inherited mutations of AIP gene encoding a tumour suppressor protein named AIP (aryl hydrocarbon receptor-interacting protein). X-linked acrogigantism (X-LAG) is due to GPR101 gene mutations or microduplications of Xq26 chromosomal region. GPR101 encodes G-protein coupled receptor with unknown ligand. X-LAG is associated with recurrent and highly-penetrant pituitary macroadenomas. Mutations of additional at least 10 genes may lead to pituitary tumour with growth hormone overproduction. Gigantism in adults results from untreated or insufficiently treated pituitary adenoma in childhood. Some of the well-known current or past giants were found to carry pathogenic genetic variants of GPR101 or AIP.

Gigantism of insects and other arthropods was rather common in Late Paleozoic. Hypothesis of the oxygen limitation is one the probable explanations caused the phenomenon. Carboniferous insect gigantism was probably directly caused by the higher level of atmospheric oxygen due to direct effectiveness on the tracheal system. Therefore the possibility to grow to large sizes is clearly dependent on the amount of available oxygen. Another fact supporting the hypothesis is the extinction or the change of the giant insect forms at the end of the Permian, when the level of atmospheric oxygen suddenly decreased. This thesis also describes the ecological relationships of the Late Paleozoic arthropods, which is clearly connected to the evolution of giant forms. Gigantism during this period was thus developed by the interplay of several factors related to the global elements cycles. Another part covers major groups and representatives of Palaeozoic gigantic insects and other arthropods. The final part is devoted to describing the physiological experiments related to this topic.