SIRT1 and insulin resistance
Fengxia Liang,
Shinji Kume
&
Daisuke Koya
p367 | doi:10.1038/nrendo.2009.101
SIRT1, a mammalian sirtuin that is known to be involved in the regulation of lifespan, DNA damage response and carcinogenesis, is also likely to influence insulin action. Moreover, increasing evidence suggests that decreased SIRT1 expression or activity might contribute to the pathogenesis of insulin-resistance-related diseases. This review explores the effects of SIRT1 on adiponectin and inflammation, the role of SIRT1 in insulin signaling, and the relationship between SIRT1 and mitochondrial function, which is a potential link with insulin resistance.
Stress and disorders of the stress system
George P. Chrousos
p374 | doi:10.1038/nrendo.2009.106
Physical or emotional effects that potentially threaten homeostasis activate various compensatory mechanisms coordinated by the stress system. This article provides an overview of the conceptual evolution and current understanding of homeostasis and stress, the main effectors and targets of the stress response and the effects of stress on the organism.
Peptide-receptor radionuclide therapy for endocrine tumors
Martijn van Essen,
Eric P. Krenning,
Boen L. R. Kam,
Marion de Jong,
Roelf Valkema
&
Dik J. Kwekkeboom
p382 | doi:10.1038/nrendo.2009.105
Peptide-receptor radionuclide therapy (PRRT) with radiolabeled somatostatin analogs, such as octreotide, is a promising option for the treatment of somatostatin-receptor-positive endocrine tumors. Here, van Essen et al. evaluate data from preliminary studies of PRRT, and discuss the pros and cons of this approach. The authors propose that PRRT might soon become the treatment of choice for patients with metastatic or inoperable endocrine tumors.
Noninvasive imaging of pancreatic
cells
Willy J. Malaisse,
Karim Louchami
&
Abdullah Sener
p394 | doi:10.1038/nrendo.2009.103
Nonvasive imaging of insulin-producing
cells, although not currently used in clinical practice, is a useful tool that can complement information gained by other methods to assess the insulin secretory response in patients with diabetes mellitus and in people at high risk of developing this condition. This Review discusses the currently available methods for noninvasive imaging and quantification of insulin-producing
cells.

Epigenetic mechanisms that underpin metabolic and cardiovascular diseases
Peter D. Gluckman,
Mark A. Hanson,
Tatjana Buklijas,
Felicia M. Low
&
Alan S. Beedle
p401 | doi:10.1038/nrendo.2009.102
An organism's ability to adjust its phenotypic development to the environment is partly determined by epigenetic changes that are established in early life and modulate gene expression during development and maturity. A mismatch between the inducing and the mature environment may result in inappropriate patterns of epigenetic marks and of gene expression that increase the organism's susceptibility to chronic noncommunicable disease. The authors review the relationships between environmental influences during mammalian development, epigenetic changes and metabolic and cardiovascular diseases, and discuss the implications for prevention and treatment.