Sitagliptin's effects on bone tissue and osseointegration in diabetic rats.

Abstract:

OBJECTIVE:To investigate the effects of sitagliptin, a dipeptidyl peptidase 4 inhibitor used to treat type II diabetes, on bone tissue and on implant osseointegration in diabetic rats. DESIGN:Thirty-two male rats were divided into four groups: 1) Diabetic animals (GD); 2) Diabetic animals that received sitagliptin (GDS); 3) Normoglycemic animals (GN); and 4) Normoglycemic animals that received sitagliptin (GNS). All animals received titanium implants in the right tibia. Sitagliptin or water were administered for 4 weeks. Glycemia, HOMA-IR, insulinemia, microtomographic parameters of the left tibia and implant bone area fraction occupancy (BAFO) of the right tibia were evaluated. RESULTS:The model used to induce diabetes led to hyperglycemia. However, HOMA-IR results showed no insulin resistance, and insulinemia was lower in diabetic animals, demonstrating the development of type I diabetes. Sitagliptin administration did not influence glycemic control. The diabetic animals showed a lower BAFO and bone volume fraction, as well as a lower trabecular number and thickness, revealing the deleterious effect of diabetes on bone metabolism and osseointegration. CONCLUSION:In this model, sitagliptin administration did not reverse the negative effects of type I diabetes on bone, suggesting that sitagliptin has no direct action on bone tissue and has no protective bone action in decompensated diabetic animals.

journal_name

Arch Oral Biol

journal_title

Archives of oral biology

authors

Bautista CRG,Santos IVD,Moraes RM,Chiba FY,Sumida DH,Moraes MB,Vasconcellos LMR,Anbinder AL

doi

10.1016/j.archoralbio.2019.04.018

subject

Has Abstract

pub_date

2019-06-01 00:00:00

pages

238-243

eissn

0003-9969

issn

1879-1506

pii

S0003-9969(18)30940-3

journal_volume

102

pub_type

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