“…It has been well established that p38 can be activated by osteonectin in the studies of heat shock proteins in malignant tumors (Alam, Schultz, Golembieski, Poisson, & Rempel, ; McClung et al, ); although the mechanisms in mineralization has not been reported, previous research works have presented plausible methods for osteonectin to activate p38. Osteonectin regulates the extracellular matrix assembly, activates matrix metalloproteinases, and is related to the signal conduction of the integrins (Arnold & Brekken, ; Funk & Sage, ; Tremble, Lane, Sage, & Werb, ), metalloproteinases and integrins have been demonstrated to play a critical role in mechanical stress‐induced p38 MAPK activation (Aikawa et al, ; Kasper et al, ; Yi, Liu, Fong, Zhang, & Yang, ); furthermore osteonectin can alter the configuration of collagen, which contains receptors such as discoidin receptor 2 that can activate P38 (Ge et al, ); in addition, MKK3 and MKK6 are the upstream protein kinases responsible for p38 activation (Dérijard et al, ; Remy et al, ), the MKK3/6‐p38 pathway has been suggested as the main mediator of TGF‐b‐activated kinase 1 in osteoblasts (Greenblatt et al, ), while osteonectin also has a reciprocal regulatory feedback loop with TGFβ (Francki et al, ; Kang, Oh, Kang, & Rhee, ). Multiple proteins and signaling pathways have cross‐influences, the precise mechanism of these signaling events triggered by osteonectin needs to be examined further.…”