“…Osteogenic differentiation and mineralization of osteoblasts are also impaired on exposure to wear particles. These effects are evidenced by the reduced gene expression of early boneformation-associated genes [e.g., ALP, runx 2, osterix (Dean et al, 1999a;Lohmann et al, 2000;Shen et al, 2014;Gu et al, 2017)] and late osteogenic markers (e.g., osteocalcin) (Nam et al, 2017), whilst simultaneously losing their capacity to synthesize type I collagen (Allen et al, 1997;Yao et al, 1997;Vermes et al, 2000Vermes et al, , 2001Lochner et al, 2011;Schulze et al, 2013) and mediate mineralization (Gu et al, 2017). Additionally, similar trends were observed in the expression of osteoblastogenesisrelated transcription factors such as osteopontin (OPN), TGF-β1, sp7, bgalp, Fra-2 (fos related antigen-2), Dlx5, and Dkk1 (dickkopf-related protein 1), even though some of these trends were not statistically significant (Chiu et al, 2010;Ma et al, 2010;Shen et al, 2014;Sun et al, 2015;Deng et al, 2017b;Gu et al, 2017).…”