Evidence map›Paper›PMID 37587136›Full record

ArticleBone research2023

Metformin accelerates bone fracture healing by promoting type H vessel formation through inhibition of YAP1/TAZ expression.

Zhe Ruan, Hao Yin, Teng-Fei Wan, Zhi-Rou Lin, Shu-Shan Zhao, Hai-Tao Long, Cheng Long, Zhao-Hui Li, Yu-Qi Liu, Hao Luo and 19 more

Open access · goldAbstract read
In one paragraph

Article in Bone research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
9.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 47 citations in OpenAlex.

  1. Review
  2. Bone organoids and mitochondrial reprogramming.Journal of orthopaedic translation · 2026
    Review
  3. Article
  4. Review
  5. Article
  6. Repurposing Metformin to Promote Fracture Callus Maturation via AMPK-Driven Metabolic Activation.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026
    Article
  7. Article
  8. Article
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  12. Article
  13. Article
  14. Article
  15. Metformin-loaded J-AuPPS for infected diabetic wound treatment.Frontiers in bioengineering and biotechnology · 2026
    Article
  16. Article
  17. Optimizing type H vessels formationBioactive materials · 2025
    Article
  18. Article
  19. Article
  20. The Interplay of Angiogenesis and Osteogenesis in Non-Stabilized Incomplete Tibial Fractures: A Temporal Study in Rats.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

29 authors at 2 institutions in 1 country.

Zhe Ruan *Department of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Hao Yin *Department of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Teng-Fei WanDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Zhi-Rou LinThe First Affiliated Hospital, Department of Metabolism and Endocrinology, Hengyang Medical School, University of South China, Hengyang, Hunan, 421001, China.
Shu-Shan ZhaoDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Hai-Tao LongDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Cheng LongDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Zhao-Hui LiDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Yu-Qi LiuDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.ORCID http://orcid.org/0000-0003-1360-8165
Hao LuoDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Liang ChengDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Can ChenDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Min ZengDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Zhang-Yuan LinDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Rui-Bo ZhaoDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Chun-Yuan ChenDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Zhen-Xing WangDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.ORCID http://orcid.org/0000-0003-1575-1459
Zheng-Zhao LiuDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.ORCID http://orcid.org/0000-0003-0659-2775
Jia CaoDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Yi-Yi WangDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Ling JinDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Yi-Wei LiuDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Guo-Qiang ZhuDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Jing-Tao ZouDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Jiang-Shan GongDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Yi LuoDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Yin HuThe First Affiliated Hospital, Department of Metabolism and Endocrinology, Hengyang Medical School, University of South China, Hengyang, Hunan, 421001, China.
Yong ZhuDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China. doczhu2003@aliyun.com.ORCID http://orcid.org/0000-0002-4069-2481
Hui XieDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China. huixie@csu.edu.cn.ORCID http://orcid.org/0000-0002-8526-2637
Central South University · CNUniversity of South China · CN

Funding

National Natural Science Foundation of China (National Science Foundation of China) 81871822National Natural Science Foundation of China (National Science Foundation of China) 81874006National Natural Science Foundation of China (National Science Foundation of China) 81902222National Natural Science Foundation of China (National Science Foundation of China) 81902277National Natural Science Foundation of China (National Science Foundation of China) 82000845National Natural Science Foundation of China (National Science Foundation of China) 82072504National Natural Science Foundation of China (National Science Foundation of China) 82125023National Natural Science Foundation of China (National Science Foundation of China) 82172399Natural Science Foundation of Hunan Province (Hunan Provincial Natural Science Foundation) 2020JJ4928Natural Science Foundation of Hunan Province (Hunan Provincial Natural Science Foundation) 2021JJ30038Natural Science Foundation of Hunan Province (Hunan Provincial Natural Science Foundation) 2021JJ40492
6 · The paper itself

Abstract

Due to increasing morbidity worldwide, fractures are becoming an emerging public health concern. This study aimed to investigate the effect of metformin on the healing of osteoporotic as well as normal fractures. Type H vessels have recently been identified as a bone-specific vascular subtype that supports osteogenesis. Here, we show that metformin accelerated fracture healing in both osteoporotic and normal mice. Moreover, metformin promoted angiogenesis in vitro under hypoxia as well as type H vessel formation throughout fracture healing. Mechanistically, metformin increased the expression of HIF-1α, an important positive regulator of type H vessel formation, by inhibiting the expression of YAP1/TAZ in calluses and hypoxia-cultured human microvascular endothelial cells (HMECs). The results of HIF-1α or YAP1/TAZ interference in hypoxia-cultured HMECs using siRNA further suggested that the enhancement of HIF-1α and its target genes by metformin is primarily through YAP1/TAZ inhibition. Finally, overexpression of YAP1/TAZ partially counteracted the effect of metformin in promoting type H vessel-induced angiogenesis-osteogenesis coupling during fracture repair. In summary, our findings suggest that metformin has the potential to be a therapeutic agent for fractures by promoting type H vessel formation through YAP1/TAZ inhibition.

Identifiers

PMID37587136
PMCPMC10432554
OpenAlexW4385875388

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.