Radomir M. Slominski, Chander Raman, Anton M. Jetten, Andrzej T. Slominski
{"title":"Neuro–immuno–endocrinology of the skin: how environment regulates body homeostasis","authors":"Radomir M. Slominski, Chander Raman, Anton M. Jetten, Andrzej T. Slominski","doi":"10.1038/s41574-025-01107-x","DOIUrl":"10.1038/s41574-025-01107-x","url":null,"abstract":"The skin, including the hypodermis, is the largest organ of the body. The epidermis, the uppermost layer, is in direct contact with the environment and is exposed to environmental stressors, including solar radiation and biological, chemical and physical factors. These environmental factors trigger local responses within the skin that modulate homeostasis on both the cutaneous and systemic levels. Using mediators in common with brain pathways, immune and neuroendocrine systems within the skin regulate these responses to activate various signal transduction pathways and influence the systemic endocrine and immune systems in a context-dependent manner. This skin neuro–immuno–endocrine system is compartmentalized through the formation of epidermal, dermal, hypodermal and adnexal regulatory units. These units can act separately or in concert to preserve skin integrity, allow for adaptation to a changing environment and prevent the development of pathological processes. Through activation of peripheral nerve endings, the release of neurotransmitters, hormones, neuropeptides, and cytokines and/or chemokines into the circulation, or by priming circulating and resident immune cells, this system affects central coordinating centres and global homeostasis, thus adjusting the body’s homeostasis and allostasis to optimally respond to the changing environment. The skin is not only a physical barrier between the body and the environment but also contains neural, immune and endocrine factors acting together to respond to external stimuli. This Review discusses the role of the skin as a neuro–immuno–endocrine organ and its influence on whole-body homeostasis and allostasis.","PeriodicalId":18916,"journal":{"name":"Nature Reviews Endocrinology","volume":"21 8","pages":"495-509"},"PeriodicalIF":31.0,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143857822","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":"Potential downsides of calorie restriction","authors":"Anyongqi Wang, John Roger Speakman","doi":"10.1038/s41574-025-01111-1","DOIUrl":"10.1038/s41574-025-01111-1","url":null,"abstract":"Although the potential benefits of calorie restriction on human lifespan remain uncertain, it is currently one of the most extensively researched non-genetic approaches to extending both lifespan and healthspan in animals. Calorie restriction offers numerous health benefits, including a reduced incidence of age-related diseases. However, calorie restriction also produces a range of negative effects, which are not fully documented and require further investigation, particularly in humans. As the viability of calorie restriction in humans will depend on the balance of benefits and detrimental effects, it is crucial to understand the nature of these negative effects and what drives them. In this Review, we summarize the effects of calorie restriction on wound healing, hunger, cold sensitivity, bone health, brain size, cognition, reproductive performance and infection, primarily based on studies of rodents with some data from other species and from humans. Overall, the detrimental effects of calorie restriction seem to stem directly from prioritization of vital functions and downregulation or suppression of energy-demanding processes, which helps preserve survival but can also lead to impaired physiological performance and increased vulnerability to stressors. The exact mechanisms underlying these effects remain unclear. Whether it might be possible to engage in calorie restriction but avoid these negative effects remains uncertain. Calorie restriction extends lifespan in many animal models; however, the effects in humans and the mechanisms of action are not clear. This Review summarizes evidence regarding potential adverse effects of calorie restriction and highlights the complexity of extrapolating findings from animal studies to humans.","PeriodicalId":18916,"journal":{"name":"Nature Reviews Endocrinology","volume":"21 7","pages":"427-440"},"PeriodicalIF":31.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143846498","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}
Domenico Accili, Zhaobing Deng (, ), Qingli Liu (, )
{"title":"Insulin resistance in type 2 diabetes mellitus","authors":"Domenico Accili, Zhaobing Deng \u0000 (, ), Qingli Liu \u0000 (, )","doi":"10.1038/s41574-025-01114-y","DOIUrl":"10.1038/s41574-025-01114-y","url":null,"abstract":"Insulin resistance is an integral pathophysiological feature of type 2 diabetes mellitus. Here, we review established and emerging cellular mechanisms of insulin resistance, their complex integrative features and their relevance to disease progression. While recognizing the heterogeneity of the elusive fundamental disruptions that cause insulin resistance, we endorse the view that effector mechanisms impinge on insulin receptor signalling and its relationship with plasma levels of insulin. We focus on hyperinsulinaemia and its consequences: acutely impaired but persistent insulin action, with reduced ability to lower glucose levels but preserved lipid synthesis and lipoprotein secretion. We emphasize the role of insulin sensitization as a therapeutic goal in type 2 diabetes mellitus. This Review covers the mechanistic relationship between hyperinsulinaemia and insulin resistance in type 2 diabetes mellitus. The article discusses how changes in insulin signalling affect metabolism and disease progression in various organs and cell types.","PeriodicalId":18916,"journal":{"name":"Nature Reviews Endocrinology","volume":"21 7","pages":"413-426"},"PeriodicalIF":31.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143841263","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":"Older people with type 1 diabetes mellitus: a call for a new management approach","authors":"Giuseppe Maltese, Alan J. Sinclair","doi":"10.1038/s41574-025-01118-8","DOIUrl":"10.1038/s41574-025-01118-8","url":null,"abstract":"The growing population of older adults with type 1 diabetes mellitus presents unique challenges, including frailty, comorbidities and polypharmacy. A holistic multidisciplinary approach is crucial to address this population’s complex needs, improve care delivery, and ensure their independence and quality of life amid the realities of ageing with this lifelong condition.","PeriodicalId":18916,"journal":{"name":"Nature Reviews Endocrinology","volume":"21 7","pages":"391-392"},"PeriodicalIF":31.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143827189","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}
Yulan Chu, Jordan Setayesh, Typhanie Dumontet, Lauren Krumeich, Johanna Werner, Isabele F. Moretti, Kelly De Sousa, Christopher Kennedy, Christopher La Pensee, Antonio M. Lerario, Gary D. Hammer
{"title":"Author Correction: Adrenocortical stem cells in health and disease","authors":"Yulan Chu, Jordan Setayesh, Typhanie Dumontet, Lauren Krumeich, Johanna Werner, Isabele F. Moretti, Kelly De Sousa, Christopher Kennedy, Christopher La Pensee, Antonio M. Lerario, Gary D. Hammer","doi":"10.1038/s41574-025-01108-w","DOIUrl":"10.1038/s41574-025-01108-w","url":null,"abstract":"","PeriodicalId":18916,"journal":{"name":"Nature Reviews Endocrinology","volume":"21 8","pages":"513-513"},"PeriodicalIF":31.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41574-025-01108-w.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143822630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"mTORC1 is the central regulator in pancreatic β-cells","authors":"Pei Xu","doi":"10.1038/s41574-025-01116-w","DOIUrl":"10.1038/s41574-025-01116-w","url":null,"abstract":"","PeriodicalId":18916,"journal":{"name":"Nature Reviews Endocrinology","volume":"21 6","pages":"330-330"},"PeriodicalIF":31.0,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143805719","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}
Nils J. Færgeman, Tore S. B. Christiansen, Gretchen Repasky
{"title":"Empowering early career researchers: academy-driven pathways to excellence","authors":"Nils J. Færgeman, Tore S. B. Christiansen, Gretchen Repasky","doi":"10.1038/s41574-025-01110-2","DOIUrl":"10.1038/s41574-025-01110-2","url":null,"abstract":"Over the past decade, academies have emerged as transformative platforms, bridging traditional PhD programmes and professional development. By supporting PhD students and postdoctoral researchers, they foster interdisciplinary collaborations, build resilient research communities and sustain global scientific talent to address complex challenges in endocrinology, metabolism, neurology, data science and beyond.","PeriodicalId":18916,"journal":{"name":"Nature Reviews Endocrinology","volume":"21 6","pages":"325-326"},"PeriodicalIF":31.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789943","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}