“…In contrast, EdU staining revealed that Ti particles markedly inhibited BMSC proliferation, which was restored by the addition of irisin (Figure S9f–g). Previous studies have reported that wear particles upregulate the expression of apoptosis-related genes such as caspase-1, caspase-3, bax, and P53, leading to apoptosis in preosteoblasts. , These compelling results suggest that irisin not only counteracts the inhibition of BMSC osteogenic differentiation caused by Ti particles but also enhances cell proliferation and reduces apoptosis, consistent with findings from other studies. − Subsequently, to further elucidate the regulatory mechanism of irisin on osteogenic differentiation, the expression levels of integrin αV, the Wnt/β-catenin signaling pathway, and genes associated with osteogenic differentiation were assessed using rt-PCR and immunofluorescence staining. As shown in Figure S10b, after 21 days of osteogenic differentiation, Ti particles suppressed the expression of osteogenic differentiation-related genes ( alp , runx2 , ocn , and sp - 7) and Wnt/β-catenin signaling pathway-related genes (β -catenin , lef- 1, and tcf- 4).…”