Rafael Pérez-Escamilla, Sonia Hernández-Cordero, Bianca Franco-Lares, Vania Lara-Mejía
{"title":"Food insecurity in the development of metabolic diseases.","authors":"Rafael Pérez-Escamilla, Sonia Hernández-Cordero, Bianca Franco-Lares, Vania Lara-Mejía","doi":"10.1038/s41574-026-01314-0","DOIUrl":"https://doi.org/10.1038/s41574-026-01314-0","url":null,"abstract":"<p><p>This Review discusses the current evidence on the relationship between food insecurity, obesity, metabolic syndrome and type 2 diabetes mellitus (T2DM), and identifies potential interventions to mitigate the effect of food insecurity on these conditions. Studies in adults (mainly cross-sectional) have consistently found associations between food insecurity and several cardiometabolic diseases, including obesity (mainly among women), hyperlipidaemia, metabolic syndrome, hypertension, cardiovascular disease and T2DM. These associations represent plausible causal relationships given that food insecurity can be a powerful psycho-emotional stressor that can cause distress, anxiety and depressive symptoms across the life course; poor dietary quality can increase the risk of metabolic syndrome and T2DM through increased visceral adiposity and insulin resistance, inflammation and an unhealthy microbiome; and food insecurity can cause healthcare behavioural trade-offs such as prioritizing purchasing food over medications for T2DM prevention or management. Community-based, healthy lifestyle promotion, early-life nutrition and Food as Medicine programmes could mitigate the negative effect of food insecurity on T2DM risk and metabolic health. There is a need to rigorously evaluate the results of promising large-scale interventions on food insecurity and cardiometabolic health outcomes.</p>","PeriodicalId":18916,"journal":{"name":"Nature Reviews Endocrinology","volume":" ","pages":""},"PeriodicalIF":39.1,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149228341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A new role in lipid metabolism for an orphan transporter.","authors":"Senegal Carty","doi":"10.1038/s41574-026-01319-9","DOIUrl":"https://doi.org/10.1038/s41574-026-01319-9","url":null,"abstract":"","PeriodicalId":18916,"journal":{"name":"Nature Reviews Endocrinology","volume":" ","pages":""},"PeriodicalIF":39.1,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Decio L Eizirik, Eugenia Martin-Vazquez, Arturo Roca-Rivada, Xiaoyan Yi
{"title":"The β-cells in type 1 diabetes mellitus: findings from human pancreas studies.","authors":"Decio L Eizirik, Eugenia Martin-Vazquez, Arturo Roca-Rivada, Xiaoyan Yi","doi":"10.1038/s41574-026-01312-2","DOIUrl":"https://doi.org/10.1038/s41574-026-01312-2","url":null,"abstract":"<p><p>Type 1 diabetes mellitus (T1DM) is a chronic autoimmune disease characterized by long-term and dynamic interactions between the immune system and pancreatic β-cells, ultimately leading to severe insulin deficiency. A paradigm shift in T1DM research has occurred in the past few years, with research now focusing on the human disease because of access to human pancreatic tissue and pancreas-draining lymph nodes. Advances in high-resolution imaging, single-cell and spatial multi-omics, and histopathology based on artificial intelligence have profoundly reshaped our understanding of disease initiation and progression. These studies revealed that β-cell loss and/or dysfunction might begin earlier than previously appreciated, preferentially affecting small β-cell-rich islets and insulin-positive cell clusters, with larger islets showing transient resistance. Substantial β-cell mass often persists at diagnosis, accompanied by functional impairment rather than immediate cell death. Across disease stages, β-cells exhibit conserved molecular signatures dominated by interferon signalling, enhanced antigen presentation and adaptive immune-evasion programmes, with evidence of heterogeneity linked to age, disease duration and immune context. Parallel analyses of pancreatic lymph nodes show early immune dysregulation, including altered regulatory T cell signatures and expansion of stem-like cytotoxic T cell populations, even before overt hyperglycaemia. Together, these findings support an integrated model of T1DM progression that enables alignment of clinical staging with evolving β-cell and immune phenotypes.</p>","PeriodicalId":18916,"journal":{"name":"Nature Reviews Endocrinology","volume":" ","pages":""},"PeriodicalIF":39.1,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149207260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ann Marie Schmidt,Alexander Shekhtman,Ravichandran Ramasamy
{"title":"Glycation and receptors: coming of AGE in the midst of danger","authors":"Ann Marie Schmidt,Alexander Shekhtman,Ravichandran Ramasamy","doi":"10.1038/s41574-026-01309-x","DOIUrl":"https://doi.org/10.1038/s41574-026-01309-x","url":null,"abstract":"","PeriodicalId":18916,"journal":{"name":"Nature Reviews Endocrinology","volume":"404 1","pages":""},"PeriodicalIF":40.5,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149089117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of weight cycling in the presence and absence of obesity","authors":"Faidon Magkos,Norbert Stefan","doi":"10.1038/s41574-026-01311-3","DOIUrl":"https://doi.org/10.1038/s41574-026-01311-3","url":null,"abstract":"","PeriodicalId":18916,"journal":{"name":"Nature Reviews Endocrinology","volume":"18 1","pages":""},"PeriodicalIF":40.5,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149089118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}