“…Thus, promotion of bone healing by MEL could be related with one or more of the following possible mechanisms: the promotion of the osteoblast differentiation and/or activity, an increased expression of the osteoprotegerin by osteoblasts, resulting with a decreased differentiation of osteoclasts, and increased scavenging of free radicals which were generated by osteoclasts [31]. Further, and more specifically, it has been speculated that MEL interferes with bone healing in several ways: through modulation of oxidative stres [27,28,32], collagen fibril formation [19], differentiation of osteoblasts via PDGF/AKT signaling pathway [9,25,26,35,43], or activity of osteoblasts and osteoclasts via MEL-MT2 receptor pathway [9,34,41] or RANK/NF-κB signaling pathway [14,26] or Wnt/β-catenin signaling pathway [40,25,16,40]. Moreover, MEL has also been found to stimulate gene expression of BSP and other bone marker proteins including alkaline phosphate, secreted protein, osteocalcin and osteopontin [30].…”