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Purpose: Although Metformin has been studied, the comparative or synergistic effect with GLP-1 agonists like Liraglutide on fracture healing remains poorly characterized. This study aimed to evaluate the impact of metformin, liraglutide, and their combination on fracture healing in a rat model of partially insulinopenic diabetes mellitus (DM). Methods: Sixty male Wistar rats (10–14 weeks old, 350 ± 50g) were divided into five groups of twelve rats each: Control, DM, Met (Metformin), L (Liraglutide), and Met+L. Partially insulinopenic DM was induced in all experimental rats except the control group using streptozotocin (STZ) and nicotinamide (NA) combination. A femoral fracture was created, and a Kirschner wire was inserted retrogradely into the femoral canal. Liraglutide was injected subcutaneously at a daily dose of 0.6 mg/kg into the rats in the L and Met+L groups, and oral metformin was administered to the rats in the Met and Met+L groups daily at a dose of 180 mg/kg. On the 15th, 30th, and 45th days, four rats from each group were selected randomly and euthanized, and the femurs were examined radiographically, biomechanically, and histopathologically. Results: The baseline characteristics of the rats before the study showed no significant differences between the groups (p>0.05). Biomechanical test results showed a significant main effect of group (p<0.001), indicating that overall Newton values varied across groups. Additionally, a significant main effect of experimental day was found (p<0.001), suggesting that Newton values changed across days regardless of group. Histopathological scores showed a statistically significant difference between the groups on the 15th day, with the L group having 75% scoring 7 (p=0.047), and on the 45th day, with the L and Met+L groups both having 75% scoring 9 (p=0.036). Conversely, no significant difference was found in radiological scores between the groups on the 15th day (p=0.934), 30th day (p=0.649), and 45th day (p=0.502) of the experiment. Conclusion: Both metformin and liraglutide improve fracture healing in a partially insulinopenic diabetic rat model, and these findings suggest that liraglutide may offer a superior therapeutic advantage over metformin in accelerating fracture repair in patients with diabetes.
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Kaynak: FRONTIERS IN ENDOCRINOLOGY
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Scimago Dergi Bilgisi
Otomatik ISSN Eşleştirmesi
2025 yılı verileri
Frontiers in Endocrinology
Q1
SJR Quartile
1,566
SJR Skoru
162
H-Index
🔓
Açık Erişim
Kategoriler: Endocrinology, Diabetes and Metabolism (Q1)
Alanlar: Medicine
Ülke: Switzerland
· Frontiers Media SA
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Anahtar Kelimeler
WoS |
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Makale Bilgileri
Dergi
Frontiers in endocrinology
ISSN
1664-2392
Yıl
2025
/ 1. ay
Cilt / Sayı
16
Makale Türü
Özgün Makale
Hakemlik
Hakemli
Endeks
SCI-Expanded
JCR Quartile
Q1
Yayın Dili
Türkçe
Kapsam
Uluslararası
Toplam Yazar
8 kişi
Erişim Türü
Basılı+Elektronik
Alan
Sağlık Bilimleri Temel Alanı
Ortopedi ve Travmatoloji
YÖKSİS Yazar Kaydı
Yazar Adı
TURHAN BANU,SAĞLAM SÖNMEZ,YÜCEL MÜCAHİD OSMAN,DALASLAN RAŞİT EMİN,SUNGUR MEHMET ALİ,DEMİR FATİH,KARADUMAN ZEKERİYA OKAN,ARICAN MEHMET
YÖKSİS ID
9257475