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Effects of C-Peptide Replacement Therapy on Bone Microarchitecture Parameters in Streptozotocin-Diabetic Rats

C-peptide therapy protects against diabetic micro- and macrovascular damages and neuropatic complications. However, to date, the role of C-peptide in preventing diabetes-related bone loss has not been investigated. Our aim was to evaluate if C-peptide infusion improves bone quality in diabetic rats....

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Published in:Calcified tissue international 2020-09, Vol.107 (3), p.266-280
Main Authors: Maurotti, Samantha, Russo, Cristina, Musolino, Vincenzo, Nucera, Saverio, Gliozzi, Micaela, Scicchitano, Miriam, Bosco, Francesca, Morittu, Valeria Maria, Ragusa, Monica, Mazza, Elisa, Pujia, Roberta, Gazzaruso, Carmine, Britti, Domenico, Valenti, Maria Teresa, Deiana, Michela, Romeo, Stefano, Giannini, Sandro, Dalle Carbonare, Luca, Mollace, Vincenzo, Pujia, Arturo, Montalcini, Tiziana
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Language:English
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Summary:C-peptide therapy protects against diabetic micro- and macrovascular damages and neuropatic complications. However, to date, the role of C-peptide in preventing diabetes-related bone loss has not been investigated. Our aim was to evaluate if C-peptide infusion improves bone quality in diabetic rats. Twenty-three male Wistar rats were randomly divided into three groups: normal control group; sham diabetic control group; diabetic plus C-peptide group. Diabetes was induced by streptozotocin injection and C-peptide was delivered subcutaneously for 6 weeks. We performed micro-CT and histological testing to assess several trabecular microarchitectural parameters. At the end, diabetic plus C-peptide rats had a higher serum C-peptide ( p  = 0.02) and calcium ( p  = 0.04) levels and tibia weight ( p  = 0.02) than the diabetic control group. The diabetic plus C-peptide group showed a higher trabecular thickness and cross-sectional thickness than the diabetic control group ( p  = 0.01 and p  = 0.03). Both the normal control and diabetic plus C-peptide groups had more Runx-2 and PLIN1 positive cells in comparison with the diabetic control group ( p  = 0.045 and p  = 0.034). Diabetic rats receiving C-peptide had higher quality of trabecular bone than diabetic rats not receiving this treatment. If confirmed, C-peptide could have a role in improving bone quality in diabetes.
ISSN:0171-967X
1432-0827
1432-0827
DOI:10.1007/s00223-020-00716-0