PSMB4 overexpression enhances the cell growth and viability of breast cancer cells leading to a poor prognosis

  • Authors:
    • Hua Wang
    • Zhixian He
    • Liuwan Xia
    • Wei Zhang
    • Li Xu
    • Xiaosong Yue
    • Xiaoyan Ru
    • Yanbo Xu
  • View Affiliations

  • Published online on: July 20, 2018     https://doi.org/10.3892/or.2018.6588
  • Pages: 2343-2352
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Abstract

PSMB4, proteasome subunit β4, is a member of the ubiquitin-proteasome family, and is elevated in a variety of malignancies. However, the expression level and related mechanism of PSMB4 in breast cancer remains unclear. Therefore, the present study investigated the expression level of PSMB4 in eight pairs of breast cancer and adjacent normal tissues. In addition, the relationship between the expression of PSMB4 and the clinical data of 92 breast cancer patients was discussed. First, it was found that PSMB4 expression was obviously upregulated in breast cancer tumor tissues and cell lines (MDA-MB-231 and MCF-7), and its level was significantly associated with tumor grade (P=0.005), tumor size (P=0.047), Ki-67 expression (P=0.040) and the poor prognosis of breast cancer. The present results demonstrated that PSMB4 could promote the proliferation of breast cancer cells, and was positively correlated with the expression of PCNA using an in vitro starvation-refeeding experiment. In addition, PSMB4‑siRNA transfection assay suggested that PSMB4 knockdown can decrease NF-κB activity and cell viability, and result in cell cycle arrest at the G1/S phase. These findings revealed that PSMB4 might facilitate breast cancer progression by promoting cell proliferation and viability. In summary, PSMB4 may be recognized as an efficacious prognostic marker and potential therapeutic target for breast cancer.

Introduction

Breast cancer is the second most commonly diagnosed invasive cancer in women with 1.15 million cases diagnosed annually worldwide, and is the main cause of cancer-related mortality worldwide (1). In Western countries, studies have shown that one in eight women is likely to develop breast cancer (2). However, it remains difficult to elucidate the mechanisms of breast carcinogenesis. The diverse biochemistry and clinical background of breast cancer have led researchers to discover more efficacious markers and evaluation strategies for diagnosis and therapy.

A proteasome is an ATP-dependent multi-catalytic proteinase complex (3), which is crucial to the degradation of intracellular targeted proteins and the maintenance of significant biological functions (4,5). Emerging evidence indicates that the proteasome plays a novel role in regulating anti-apoptotic and proliferative signaling pathways in a variety of malignancies, including breast cancer (69). Indeed, proteasome inhibition provides a unique approach to cancer therapy by depressing the function of proteasomes. Thus, proteasome inhibitors, such as carfilzomib and bortezomib, have been proven to be effective against cancers in human trials by target multifarious subunits (10,11). PSMB4, a β4 subunit of the 20S proteasome, is a member of the ubiquitin-proteasome family, and is involved in the cytoplasmic protein catabolic process (12). More and more studies have revealed the correlation between PSMB4 expression and tumor tissues (1318). The association of PSMB4 overexpression with increased NF-κB activity led to an increase in the proliferation ability of multiple myeloma and epithelial ovarian cancer (13,14). In addition, PSMB4 expression is related to increased viability and the malignant progression of gliomas (15). Therefore, PSMB4 may be recognized as an efficacious marker and potential therapeutic target for breast cancer. However, its expression and extensional regulatory mechanism in breast cancer remains virtually unclear.

In the present study, the expression of PSMB4 was detected in breast cancer cell lines and tissues by immunohistochemistry and western blot analysis. In addition, the association of PSMB4 with the clinicopathological characteristics obtained from breast cancer patients was discovered. Next, the functional significance of PSMB4 was explored in cultured breast cancer cells by siRNA gene silencing. These results show that PSMB4 is a novel regulator of breast cancer cell proliferation and a potential therapeutic target in breast cancer.

Materials and methods

Patients and tissue samples

Breast specimens were obtained from 92 patients who underwent excision of breast cancer tumors at the Department of General Surgery, Affiliated Hospital of Nantong University from 2006 to 2012. The present study was approved by the Ethics Committee of the Affiliated Cancer Hospital of Nantong University (Nantong, China). Fresh breast cancer tissues were collected and immediately stored in liquid nitrogen. Lobular carcinoma or other histological types were confirmed at the Department of Pathology, the Affiliated Hospital of Nantong University. The detailed clinical information of patients was obtained by telephone or interview with the patients. All patients provided a written informed consent. For histological analysis, the specimens were fixed in formalin and embedded in paraffin. The protein of 8 tumorous and adjacent non-tumorous tissue samples was analyzed by western blot analysis. After receiving the authorization of the patients, the detailed information of the patients, including age, tumor grade, estrogen receptor (ER) status, progesterone-receptor (PR) status, Her2 status, tumor size, lymph node status, histologic grade and Ki-67, were obtained. The data are presented in Table I.

Table I.

Correlation between PSMB4 expression and the clinicopathological factors of the breast cancer cases.

Table I.

Correlation between PSMB4 expression and the clinicopathological factors of the breast cancer cases.

PSMB4 expression

Patient characteristicsTotalLowHigh P-valueaχ2
Age (years)
  ≤504819290.2970.586
  >50441529
Tumor grade
  I8  7  10.005b10.578
  II431627
  III411130
ER status
  Negative4014260.7330.116
  Positive522032
PR status
  Negative6925440.8030.062
  Positive23  914
Her2 status
  Negative6827410.3580.846
  Positive24717
Tumor size (cm)
  ≤2.53417170.047b3.938
  >2.5581741
Lymph node status
  Negative3415190.2761.187
  Positive581939
Histology
  Ductal7628480.9600.002
  Others16  610
Ki-67
  Low4421230.040b4.199
  High481335

a Statistical analyses were performed using the Pearson χ2 test

b P<0.05 is considered statistically significant. ER, estrogen receptor; PR, progesterone-receptor.

Immunohistochemistry (IHC)

The specimens (4-µm thick) were mounted on glass slides embedded in paraffin and coated with 10% formalin. Next, the tissue sections were deparaffinized with xylene and rehydrated with graded alcohol washes. Then, the antigen was retrieved using citrate buffer (pH 6.0) by heating to 120°C for 3 min. After douching in phosphate-buffered saline (PBS) (pH 7.2), the sections were incubated with rabbit anti-PSMB4 antibody (1:1,000; cat. no. 11029-1-AP; ProteinTech Group, Inc., Chicago, IL, USA) and rabbit anti-Ki-67 antibody (1:1,000; Santa Cruz Biotechnology, Inc., Dallas, TX, USA) at 4°C overnight. The slides were washed three times with PBS, and were incubated using a 2-step Plus Poly-HRP anti-mouse/rabbit IgG detection system (ZSGB-Bio; OriGene Technologies, Inc., Beijing, China) at room temperature for 30 min. Next, each section was washed with PBS and the sections were incubated with 3,3′-diaminobenzidine (DAB). After washing in water, the sections were counterstained with hematoxylin to visualize normal nuclei, dehydrated in a series of graded alcohol, and cover-slipped on microslide glass. The observers who evaluated the sections were blinded to the characteristics of the patients.

Cell culture and siRNA transfection

MDA-MB-231 and MCF-7 cells were the human breast cancer cell lines used (Department of Oncology, the Affiliated Cancer Hospital of Fudan University). MCF-7 was obtained and cultured in RPMI-1640 medium, while MDA-MB-231 cells were cultured in L15 medium (both from Gibco-BRL, Grand Island, NY, USA) at 37°C in an incubator with 5% CO2. Both types of mediums were supplemented with 10% heat inactivated fetal bovine serum (FBS). The PSMB4-specific siRNAs were synthesized by Shanghai GeneChem Co., Ltd., (Shanghai, China). The siRNA target sequence of PSMB4 included the following: PSMB4-siRNA#1, 5-GCUAUAGUCCUAGAGCUAU-3 and PSMB4-siRNA#2, 5-GCUAUUCAUU CAUGGCUGA-3. According to the manufacturer's instructions, when 80% confluency was reached, MDA-MB-231 and MCF-7 cells were transfected with the PSMB4-siRNA or control siRNA, and were harvested for follow-up experiments after transfection for 48 h. Cell transfection was performed with Lipofectamine 2000 (Invitrogen; Thermo Fisher Scientific, Inc., Waltham, MA, USA), according to the manufacturer's instructions.

Protein extraction and western blot analysis

Cells were washed with ice-cold PBS for three times and resuspended in lysis buffer (50 mM of Tris-HCl, 120 mM of NaCl, 0.5% of Nonidet P-40, 100 mM of NaF, 200 µM of Na3VO4, and a protease inhibitor mixture). Next, the sample was centrifuged at 12,000 rpm for 30 min at 4°C to obtain the supernatant. Then, the protein concentration was detected using the BioRad protein assay (Bio-Rad Laboratories, Hercules, CA, USA). Next, the protein samples were denatured in water at 100°C for 3 min. Then, the proteins were separated using sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and transferred onto polyvinylidene difluoride filter (PVDF) membranes (EMD Millipore Corp., Billerica, MA, USA). After blocking the membranes with 5% dried skim milk in Tris-buffered saline Tween-20 (TBST) for 2 h, these were incubated with antibodies overnight at 4°C and washed with TBST for three times for 5 min each time. Then, the membranes were incubated with horseradish peroxidase-linked IgG for 2 h. Finally, the bands were detected using the ECL detection system (Pierce, Rockford, IL, USA). The densities of bands were compared using ImageJ (NIH, Bethesda, MD, USA).

Flow cytometric analyses of cell cycle distribution and cell apoptosis

After serum deprivation for 72 h, the cells were incubated with complete medium for 4, 8, 12 and 24 h. Then, the cells were strictly collected at every time-point. The MDA-MB-231 and MCF-7 cells were transfected with PSMB4-siRNA, according to manufacturer's instructions. The MDA-MB-231 and MCF-7 cells were harvested and fixed with 70% ice-cold ethanol for at least 24 h. Then, DNA-staining solution [25 µg/ml of propidium iodide (PI), 100 µg/ml of RNase A, and 0.5% Nonidet P-40 in PBS] was added to stain the cells at room temperature for 20 min. Next, the DNA content was analyzed from 1×104 cells using the Muse™ cell analyzer (EMD Millipore Corp.). Each experiment was performed in triplicate.

In order to analyze apoptosis, the cells were double-stained using an Annexin V-FITC/PI apoptosis detection kit (BBI), and analyzed using the FACSCalibur flow cytometer.

Plate colony formation assay

The MDA-MB-231 and MCF-7 cells transfected with PSMB4-siRNA#1 were seeded in 2 ml of L15 or RPMI-1640 supplemented with 10% FBS in 6-well plates at 5×103 per well. After 2 weeks, each well was washed with PBS. Next, the colonies were fixed with 4% paraformaldehyde for 20 min. Finally, the colonies were stained with 0.4% crystal violet for 30 min at room temperature. The efficiency of the assay was the following: Clone forming efficiency = number of colonies/number of inoculated cells ×100%.

Immunohistochemical evaluation

Two independent investigators randomly examined every section in a blinded manner using a Leica fluorescence microscope (Leica Microsystems GmbH, Wetzlar, Germany). Five fields were chosen from each slide, counting >1,000 cells on each view at high magnification. In order to objectively make an assessment of the immunoreaction of PSMB4, the staining intensity was divided into scores 0–3 (0, negative staining; 1, weak staining; 2, moderate staining; 3, strong staining). Based on the proportion of PSMB4 expression and positive tumor cells, patients were categorized into four groups: Negative (<10%, 1), low (10–35%, 2), moderate (36–50%, 3), and high (>50%, 4). The immunostaining score was calculated as the staining intensity score × the positive cell percentage score. As a result, if the total value was >6, the sample was assigned a high grade, and if the value was <6, the sample was assigned a low grade.

Antibodies

The antibodies applied for the immunohistochemistry and western blot analysis in the present study were as follows: Rabbit anti-PSMB4 monoclonal antibody (1:1,000; cat. no. 11029-1-AP; ProteinTech Group, Inc., Chicago, IL, USA), mouse anti-human Ki-67 monoclonal antibody (1:1,000; cat. no. sc-23900), mouse anti-human cyclin D1 polyclonal antibody (1:1,000; cat. no. sc-8396) (both from Santa Cruz Biotechnology, Inc., Santa Cruz, CA, USA), rabbit anti-P-P65 monoclonal antibody (1:800; cat. no. 3033), rabbit anti-Iκβα monoclonal antibody (1:1,000; cat. no. 76041) (both from Cell Signaling Technology, Danvers, MA, USA), rabbit anti-Bax monoclonal antibody (1:1,000; cat. no. sc-493), mouse anti-human Bcl-2 monoclonal antibody (1:1,000; cat. no. sc-509), mouse anti-human PCNA monoclonal antibody (1:1,000; cat. no. sc-25280) (all from Santa Cruz Biotechnology, Inc.), mouse anti-human PARP monoclonal antibody (1:800; cat. no. sc-136208; Cell Signaling Technology) and rabbit anti-human GAPDH polyclonal antibody (1:5,000; cat. no. 10494-1-AP; ProteinTech Group, Inc.).

Statistical analysis

The expression of PSMB4 and its correlation with clinicopathological features of breast cancer were investigated using the Chi-square (χ2) test. In order to investigate the survival data, Kaplan-Meier survival plots and a log rank test were used. In addition, the association between PSMB4 mRNA expression and relapse-free survival (RFS) was evaluated with the online database Kaplan-Meier Plotter (www.kmplot.com). Briefly, ‘202244_at’ (PSMB4 probe number) was entered into the breast cancer-specific area of the database to obtain the Kaplan-Meier survival curves. Hazard ratios (HR) with 95% confidence intervals (CI) and P-values were displayed on the webpage. In addition, the multivariate analysis was performed with the Cox's proportional hazards model. Statistical significance was set at P<0.05. All statistical analyses were performed using SPSS 17.0 (SPSS, Inc., Chicago, IL, USA) and SigmaPlot 12 statistical (Systat Software, Inc., San Jose, CA, USA) software programs. The data are presented as mean ± standard deviation (SD). All experiments were conducted for at least three replicates.

Results

PSMB4 expression in human breast cancer

In order to further elaborate the function of PSMB4 in the development of breast cancer, PSMB4 protein expression was detected by western blot analysis. As shown in Fig. 1, PSMB4 was highly expressed in the 8 tumors, compared with that noted in the adjacent normal tissues. Taken together, PSMB4 may function as a cancerogenic factor in breast cancer.

PSMB4 expression and patient survival

The distribution and expression level of PSMB4 and Ki-67 in 92 breast cancer tissue sections were examined using immunohistochemistry. As shown in Fig. 2A, compared with the adjacent normal tissues, PSMB4 was highly stained mainly in the cytoplasm and nuclei in poorly differentiated specimens. We next investigated the association between PSMB4 protein level and common clinical parameters of the breast cancer cases. As presented in Table I, positive correlations were found between the expression level of PSMB4 and Ki-67 (P=0.040), tumor grade (P=0.005), and tumor size (P=0.047). This was compared with the clinicopathological features listed in Table II. Furthermore, the univariate survival analysis revealed that tumor grade (P=0.036), tumor size (P=0.019), PSMB4 expression (P=0.029), and Ki-67 expression (P=0.040) were prognostic factors for overall survival (Table II). The multivariate analysis using Cox's proportional hazards model revealed that grade (P=0.010), tumor size (P=0.005), PSMB4 expression (P=0.001), and Ki-67 expression (P=0.008) were prognostic indicators for overall survival (Table III). The present results revealed that there was a positive correlation between PSMB4 and Ki-67 (Pearson's correlation coefficient: r=0.47, P<0.01) (Fig. 2B). Subsequently, the relationship between PSMB4 protein level and the survival condition of the 92 patients were examined. As shown in the Kaplan-Meier survival curves, patients with high expression of PSMB4 exhibited poor prognosis (Fig. 2C). Then, the prognostic value of PSMB4 expression was examined by using Kaplan-Meier Plotter database (Fig. 2D). These results were consistent with the two data methods.

Table II.

Univariate analysis of the overall survival of the breast cancer patients.

Table II.

Univariate analysis of the overall survival of the breast cancer patients.

Survival status

Patient characteristicsTotalDeceasedAlive P-valuea
Age (years)
  ≤504817310.894
  >50441529
Tumor grade
  I  8  5  30.036b
  II431825
  III41  932
ER status
  Negative4013270.687
  Positive521933
PR status
  Negative6927420.129
  Positive23518
Her2 status
  Negative6825430.502
  Positive24  717
Tumor size (cm)
  ≤2.53417170.019b
  >2.5581543
Lymph node status
  Negative34  9250.200
  Positive582335
Histology
  Ductal16  5110.744
  Others762749
Ki-67
  Low4420240.040b
  High481236
PSMB4
  Low34  7270.029b
  High582533

a Statistical analyses were performed by the Pearson χ2 test

b P<0.05 is considered statistically significant. ER, estrogen receptor; PR, progesterone-receptor.

Table III.

Multivariate analysis of overall survival.

Table III.

Multivariate analysis of overall survival.

VariablesHR95.0% CIP-value
Age0.6000.275–1.3100.200
Tumor grade0.3180.158–0.6400.001a
ER1.4260.628–3.2390.397
PR0.4720.170–1.3080.149
Her20.4800.202–1.1390.096
Tumor size0.3100.136–0.7040.005a
Axillary lymph node1.8550.760–4.5280.175
Histology1.1540.410–3.2470.787
Ki-670.3300.145–0.7490.008a
PSMB49.6703.291–28.4100.001a

{ label (or @symbol) needed for fn[@id='tfn5-or-40-04-2343'] } HR, hazard ratio; CI, confidence interval, ER estrogen receptor; PR, progesterone receptor.

a P<0.05.

PSMB4 expression in different phases of the cell cycle

Next, the expression of PSMB4 in several common breast cancer cell lines was detected by western blot analysis. Among these cell lines, it was found that PSMB4 was highly expressed in the MDA-MB-231 and MCF-7 cells (Fig. 3A and B). As shown in the Table I, high levels of PSMB4 expression were related to Ki-67, which is used to assess cell proliferation. Therefore, this suggests that the expression of PSMB4 is correlated with cell proliferation. In order to test this hypothesis, the change in PSMB4 expression during serum starvation and the re-feeding process was analyzed. After serum deprivation for 72 h, PSMB4 expression was lowest in the cells. With the release of serum, the expression of PSMB4 gradually increased, which was similar to the cell proliferation marker PCNA (Fig. 3C-F). These results revealed that PSMB4 plays an integral role in the regulation of cell growth. In order to further verify the exact function of PSMB4 in the cell cycle, the level of PSMB4 was detected in the process of serum starvation and refeeding. Most MDA-MB-231 and MCF-7 cells were arrested in the G1 phase after the process of serum deprivation for 72 h. Remarkably, within 24 h after the release of serum, the number of cells blocked in the G1 phase gradually decreased from ~90 to 50%, while the expression of PSMB4 gradually increased, which was similar to PCNA (Fig. 3G and H).

PSMB4 knockdown promotes cell cycle arrest and inhibits cell proliferation through the NF-κB pathway

MDA-MB-231 and MCF-7 cells were transfected with PSMB4 siRNA#1 and control, and the expression of PSMB4 was detected in the transfected cells by western blot analysis. Consequently, we determined the effect of PSMB4 knockdown on cell proliferation (Fig. 4A and B). After the transfection of these cells, it was found that the percentage of cells in the G1 phase was significantly higher than that in the control group (Fig. 4C-F). PSMB4 has been previously reported to modulate the proliferation of ovarian cancer and multiple myeloma cells via the NF-κB pathway. Therefore, we investigated whether the NF-κB pathway is involved in the process of tumor proliferation mediated by PSMB4. Then, a number of molecules related to the cell cycle was detected, and it was found that the expression of PCNA, cyclin D1 and p-p65 were significantly reduced, compared with the control group, while Iκβα was increased (Fig. 4G and H). The colony formation analysis also validated our conjecture (Fig. 4I and J). Taken together, it was found that PSMB4 can promote the proliferation of breast cancer cells through the NF-κB pathway.

PSMB4 silencing results in the suppression of cell viability

It has been reported that as a survival gene, PSMB4 knockdown can cause a marked decrease in glioma cell viability. It was hypothesized that PSMB4 could also maintain the viability of breast cancer MDA-MB-231 and MCF-7 cells. Therefore, the apoptosis of breast cancer cells transfected with PSMB4-siRNA#1 or controls was analyzed by flow cytometry (Fig. 5A and B). The results revealed that compared with the control group, the percentage of apoptotic cells was higher in the PSMB4-siRNA#1 group. Next, a series of molecular markers for cellular apoptosis were analyzed, and it was found that the expression levels of Bcl-2 and PARP were significantly decreased, while the level of the apoptotic marker Bax was increased in the cells transfected with PSMB4-siRNA#1 (Fig. 5C and D). Thus, it is clear that as a survival gene, PSMB4 can maintain the viability of breast cancer cells.

Discussion

Breast cancer is the second leading cause of cancer-related mortality worldwide. Notwithstanding the utilization of comprehensive diagnostic and therapeutic approaches, the recurrence and metastasis of breast cancer are commonly observed (19,20). Although factors including ER, PR and HER-2 are clinical predictive markers for breast cancer, patients with diverse molecular subtypes have distinct efficacies. Therefore, they cannot fully reflect the molecular mechanisms of breast cancer therapy (21,22). Hence, it is important to identify a molecule that can reveal the mechanism of breast cancer progression.

The proteasome is a family of the multi-catalytic proteinase complex (3), which is crucial to the degradation of preternatural proteins, and involves almost all cellular processes (4,5). Increasing studies have found that the proteasome plays a key role in regulating cell proliferation and migration signaling pathways in various malignant tumors. In the future, proteasome inhibitors are expected to be effective drug targets for the treatment of breast cancer. PSMB4, a β4 subunit of the 20S proteasome, is a member of the ubiquitin-proteasome family, and is involved in the cytoplasmic protein catabolic process (12,13). More and more studies elaborate the correlation between PSMB4 expression and tumor tissues, including ovarian cancer and hepatocellular carcinoma. PSMB4 silencing was found to suppress the viability of cell lines, including glioma and non-glioma cell lines (MCF7 and A549). PSMB4 siRNA led to decreased protein levels of other members of the proteasome subunit (PSMB1, PSMB2 and PSMB5) (15). Furthermore, it has been reported that the subunit of proteasomes stabilizes other subunits during assembly, and decreases the protein level of other members due to the destabilization of the β-ring assembly pathway, leading to decreased viability (23). Moreover, the cytotoxic effect of proteasome inhibitors on various cell types has been reported, and the PARP decrease was obvious in glioma cells transfected with PSMB4 siRNA (2426). Therefore, it was demonstrated that PSMB4 knockdown also caused a decrease in PARP. During tumor development, proliferation is an important process that involves many classic pathways, such as the JAK-STAT, NF-κB, PI3K and mTOR signaling pathways (2729). As a transcriptional factor (30,31), NF-κB can regulate cell proliferation and cell death. Generally speaking, the inhibitor of NF-κB can be regulated by the proteasome, and proteasome inhibition can induce depressed NF-κB activation and increase cell viability (3236). Previous studies (13,14) have suggested that PSMB4 can promote the proliferation of ovarian cancer and multiple myeloma through the NF-κB signaling pathway. The present study found that PSMB4 knockdown inhibited the activation of the NF-κB signaling pathway in breast cancer. Consistent with our hypothesis, it was also verified that there is a PSMB4/NF-κB signaling pathway in breast cancer. Indeed, these results suggest that PSMB4 can promote proliferation and inhibit apoptosis through the NF-κB pathway, thereby enhancing breast cancer patient survival.

In summary, it was found that PSMB4 is overexpressed in breast cancer, and its interference can inhibit the proliferation and viability of breast cancer cells. Therefore, it is expected to be an effective target for the treatment of breast cancer.

Acknowledgements

Not applicable.

Funding

The present study was supported in part by a grant from the Jiangsu Province Maternal and Child Health Research Project (no. F201682).

Availability of data and materials

The datasets used during the present study are available from the corresponding author upon reasonable request.

Authors' contributions

HW and ZH conceived and designed the study. LX, WZ, LX and XY performed the experiments. LX and WZ wrote the manuscript. LX, YX and XR reviewed and edited the manuscript. All authors read and approved the manuscript and agree to be accountable for all aspects of the research in ensuring that the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Ethics approval and consent to participate

The present study was approved by the Ethics Committee of the Affiliated Cancer Hospital of Nantong University (Nantong, China). All patients provided written informed consent.

Patient consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

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October-2018
Volume 40 Issue 4

Print ISSN: 1021-335X
Online ISSN:1791-2431

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Spandidos Publications style
Wang H, He Z, Xia L, Zhang W, Xu L, Yue X, Ru X and Xu Y: PSMB4 overexpression enhances the cell growth and viability of breast cancer cells leading to a poor prognosis. Oncol Rep 40: 2343-2352, 2018
APA
Wang, H., He, Z., Xia, L., Zhang, W., Xu, L., Yue, X. ... Xu, Y. (2018). PSMB4 overexpression enhances the cell growth and viability of breast cancer cells leading to a poor prognosis. Oncology Reports, 40, 2343-2352. https://doi.org/10.3892/or.2018.6588
MLA
Wang, H., He, Z., Xia, L., Zhang, W., Xu, L., Yue, X., Ru, X., Xu, Y."PSMB4 overexpression enhances the cell growth and viability of breast cancer cells leading to a poor prognosis". Oncology Reports 40.4 (2018): 2343-2352.
Chicago
Wang, H., He, Z., Xia, L., Zhang, W., Xu, L., Yue, X., Ru, X., Xu, Y."PSMB4 overexpression enhances the cell growth and viability of breast cancer cells leading to a poor prognosis". Oncology Reports 40, no. 4 (2018): 2343-2352. https://doi.org/10.3892/or.2018.6588