“…Evidently, this would require a reorientation of healthcare systems to meet the challenge set forth by OP, ensuring adequate care, health promotion, and treatment equity and avoiding the fragmentation of the clinical route. Over time, different biomarkers have been proposed for OP, among which those most discussed are specific multifunctional proteins (e.g., Annexin A2 and prolyl 4-hydroxylase) and circulating miRNAs (e.g., miR-223-3p, miR-148a-3p, miR-125b-5p, and miR-124-3p) [ 16 , 54 , 55 ]. However, the information related to these biomarkers during OP are still limited due to the different types of samples (serum, circulating monocytes, bone marrow, and bone tissue) obtained from patients of different sexes and different ethnic groups with low BMD or bone fractures and compared with healthy or osteoarthritis patients [ 48 , 49 ].…”