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1

Protein Extraction and Western Blot Analysis

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Whole cells were extracted in radioimmunoprecipitation assay buffer containing
protease and phosphatase inhibitors (Sigma-Aldrich, USA). The protein concentration
was measured with a bicinchoninic acid protein assay kit following the manufacturer's
instructions. The proteins were resolved by SDS-PAGE, transferred to a polyvinylidene
fluoride membrane and incubated overnight at 4°C with primary antibodies against
phospho (P)-SMAD 1/5/8 (Cell Signaling, USA), SMAD 1/5/8 (Abcam, USA), NFKB1 (Cell
Signaling), c-Fos (Cell Signaling), p-P38 (Cell Signaling), p-JNK and p-IkB (Anbobio,
China). The same membranes were probed with anti-β-actin antibodies (Sigma) to
normalize protein loading in each lane. Subsequently, the blots were washed in
Tris-buffered saline with Tween (10 mM Tris-HCl, 50 mM NaCl, and 0.25% Tween-20) and
incubated with the secondary antibody. Immunoreactive bands were visualized using an
ECL Plus substrate (GE Healthcare Life Sciences, China).
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2

Protein Expression Analysis in Cell Culture

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Total cellular protein was extracted in RIPA lysis buffer (Solarbio) and obtained by centrifugation at 4°C for 15 min at 12,000 rpm, and protein concentrations were quantified by a BCA kit (Solarbio). The samples were separated by 10% SDS‐PAGE (Solarbio) and transferred to a PVDF membrane. After being blocked with 5% skimmed milk in PBS for 2 h, the membrane was incubated separately overnight with the following rabbit antibodies at 4°C: acetylated α‐tubulin, γ‐tubulin, α‐tubulin, collagen type 1 (COL‐1), osterix (OSX), BMP‐2, RUNX‐2, BMPRII, BMPRIA, BMPRIB, p‐Smad1/5/8, Smad1/5/8, IFT88 or GAPDH (all from Abcam, 1:1000). After probing with a secondary antibody (goat anti‐rabbit HRP‐conjugated IgG at 1:1000, Abcam), immunoreaction signals were visualized with the ECL chemiluminescence reagent (Solarbio).
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3

Western Blot Analysis of hBMSCs Proteins

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Isolated total protein of hBMSCs from each group by Radio Immunoprecipitation Assay (RIPA) buffer with a concentration of 1 mM phenylmethanesulfonylfluoride fluoride and measured protein concentration by Bicinchoninic Acid (BCA) protein assay kit from Beyotime (Shanghai, China). Then, separated proteins by sodium dodecyl sulfate-polyacrylamide gel electrophoresis and transferred to a polyvinylidene difluoride membranes (Bio-Rad, USA). After blocking with 5% nonfat milk, the membranes were incubated with primary antibodies as GAPDH (1:1,000), extracellular regulated protein kinases 1/2 (ERK 1/2) (1:1,000) (Cell Signaling Technology/CST, USA), and Smad1/5/8 (1:1,000) (Abcam, the UK) at 4 °C overnight. The respective secondary antibodies were applied after incubation. The selected bands were cut and then detected with electrochemiluminescence plus reagent (Invitrogen, the USA).
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4

Immunofluorescent Characterization of Cilia

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ROBs were grown on coverslips and were fixed in 4% paraformaldehyde and then permeabilized with 0.2% Triton X‐100 (PBST) for 10 min. After a brief wash, they were incubated for 1 h in 1% bovine serum albumin in PBS. Immunofluorescent staining was carried out overnight at 4°C with primary antibodies against acetylated α‐tubulin, γ‐tubulin, BMP‐2, BMP receptors (BMPRII, BMPRIA and BMPRIB), Smad1/5/8 or phosphorylated (p)‐Smad1/5/8 (1:500, all from Abcam). After washes, the cells were probed with secondary antibodies conjugated with Alexa 594 or Alexa 488 (1:1000; Abcam) for 1 h at 37°C. Cellular nuclear DNA was stained with 4′‐6‐diamidino‐2‐phenylindole (DAPI) (1:800; Solarbio). The cells were imaged under Delta Vision Imaging System (Delta Vision Ultra; Cytiva). The lengths of primary cilia were measured with Image‐Pro Plus 6.0 software (Media Cybernetics). The average length of each group was calculated from at least 40 primary cilia (n = 40). The percentage of ciliated cells was obtained by counting the number of ciliated cells and the total number of cells in 10 different fields of view.
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