Table of contents
December 2005 Volume 1 No 2
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Editorial
Viewpoints
Do all patients with RET mutations associated with multiple endocrine neoplasia type 2 require surgery?
60Screening for mutations in the RET proto-oncogene has revolutionized management of multiple endocrine neoplasia type 2 (MEN2), although controversy still exists regarding the timing and extent of surgical intervention. This Viewpoint discusses the relationship between genotype and phenotype in MEN2 and describes strategies to determine the appropriate age for patients to undergo thyroidectomy.
Management of patients with glucocorticoid deficiency
62At present, patients with hypoadrenalism are treated with hydrocortisone replacement regimens which aim to mimic the natural circadian rhythms of glucocorticoid secretion. As current knowledge regarding glucocorticoid biology increases, however, it is becoming clear that replacement therapies are nonphysiologic and could affect patients' quality of life.
Research Highlights
Co-administration of gut hormones suppresses appetite
64Continuous subcutaneous insulin infusion improves glycemic control and quality of life in type 1 diabetes
64Decreased risk of diabetes in coffee and tea drinkers
64Ghrelin and food intake in obese and lean individuals
65Decreased late luminal loss associated with sirolimus-eluting versus paclitaxel-eluting stents
65A single infusion of zoledronic acid is safe and effective for the treatment of Paget's disease
66Long-term impact of subclinical postpartum thyroiditis
67Leptin levels predict features of the metabolic syndrome
67ED-71: a promising new candidate for the treatment of osteoporosis?
67Arterial structure and endothelial function in Turner syndrome
68Testosterone patch increases sexual activity in women with hypoactive sexual desire disorder
68Depot medroxyprogesterone acetate for contraception causes weight and fat gain in women
69Practice Points
Does exenatide provide a meaningful new treatment option for patients with type 2 diabetes?
70Can drospirenone with 17-
estradiol safely reduce blood pressure in hypertensive postmenopausal women?
72Is alendronate therapy cost-effective for postmenopausal osteopenia?
74Does pregnancy-induced hypertension increase the risk of developing metabolic syndrome?
76Is pamidronate effective in preventing chemotherapy-induced bone loss?
78Reviews
Long-term risks for thyroid cancer and other neoplasms after exposure to radiation
82Radiation is still used to treat childhood malignancies, and many individuals have in the past been exposed to external radiation. The various risk factors, incidence rates and characteristics of thyroid cancer and other neoplasms after exposure to low-dose radiation are becoming clearer, as are screening and treatment strategies.
doi:10.1038/ncpendmet0022 | Full Text | PDF (157K)
Mechanisms of Disease: selective inhibition of 11
-hydroxysteroid dehydrogenase type 1 as a novel treatment for the metabolic syndrome
92Isoenzymes of 11[beta]-hydroxysteroid dehydrogenase affect the tissue-specific interconversion of cortisone and cortisol. In rodents, selective inhibitors of these enzymes improve insulin sensitivity, and we await clinical trials to test whether such drugs can be "magic bullets" to treat type 2 diabetes and the metabolic syndrome.
doi:10.1038/ncpendmet0023 | Full Text | PDF (241K)
Mechanisms of Disease: pathway-selective insulin resistance and microvascular complications of diabetes
100Diabetes and obesity are associated with pathway-selective insulin resistance in the phosphatidylinositol 3-kinase and CBL E3 ubiquitin protein ligase–(CBL)/CBL E3 ubiquitin protein ligase associated protein (CAP) signaling pathways, while insulin signaling via extracellular signal-regulated kinase (ERK) is comparatively unaffected, tipping the balance of insulin's actions so that they favor abnormal vasoreactivity, angiogenesis, and other pathways implicated in the development and progression of microvascular disease.
doi:10.1038/ncpendmet0046 | Full Text | PDF (326K)
Case Study

Diagnosis of adenomatous primary aldosteronism in a patient with severe hypertension
111doi:10.1038/ncpendmet0047 | Full Text | PDF (274K)


