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In another experiment, where the middle femur of rats was sawed off by a wire saw, catalpol upregulates the expression of bone morphogenetic protein 2 (BMP-2), activates the Wnt/-catenin signaling pathway, and promotes femoral fracture healing in rats ( 2 O 2 by downregulating forkhead box O3 (FoxO3), activating the Wnt/-catenin signaling pathway, thereby improving cell viability, osteogenic differentiation, and inhibiting apoptosis (Duan et al., 2024)

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