Tumor-suppressive role of HACE1 in hepatocellular carcinoma and its clinical significance

  • Authors:
    • Zeng-Fa Gao
    • Yong-Na Wu
    • Zhong-Tian Bai
    • Lei Zhang
    • Qi Zhou
    • Xun Li
  • View Affiliations

  • Published online on: October 26, 2016     https://doi.org/10.3892/or.2016.5205
  • Pages: 3427-3435
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Abstract

An increasing body of evidence suggests that downregulation or deletion of HECT domain and ankyrin repeat containing E3 ubiquitin protein ligase 1 (HACE1) gene plays an important role in the occurrence, invasion and metastasis process in many human malignancies and is closely related to prognosis. However, sparse evidence exists concerning the precise function and clinical significance of HACE1 in hepatocellular carcinoma (HCC). In the present study, we investigated the expression pattern of HACE1 in HCC tissues and cell lines, and determined the potential functions of HACE1 in HCC cell lines and evaluated the relationships between HACE1 expression and clinicopathological characteristics. Protein and mRNA expression levels of HACE1 in human HCC tissues and cell lines were examined by western blot analysis, quantitative real‑time polymerase chain reaction and immunohistochemical (IHC) analyses. IHC was used to analyze the correlations between HACE1 expression and clinicopathological features. HACE1 was upregulated in SMCC7721 cells by transfection with pcDNA3.1-HACE1 and Huh7 cells were transfected with siRNA targeting HACE1 for downregulation. Cell Counting Κit-8, Transwell and wound healing assays were performed to investigate the effects of the overexpression and knockdown of HACE1 on cellular proliferation and migration. The results revealed that HACE1 expression was lower in the HCC tissues and cell lines at the mRNA and protein levels compared to levels noted in the matched non‑tumor tissues and the normal liver cell line L02. Knockdown of HACE1 in Huh7 cells accelerated cell proliferation and migration (P<0.05), and overexpression of HACE1 in SMCC7721 cells was found to decrease the capacity for proliferation and migration (P<0.01). The results of IHC suggested that the HACE1 expression level was closely related to the serum AFP level, tumor differentiation and vascular invasion (P<0.05). Patients with low HACE1 expression levels exhibited poorer overall survival and HACE1 was found to be an independent prognostic factor for survival. In conclusion, as a tumor suppressor, HACE1 may be a valuable prognostic biomarker and potential therapeutic target for HCC treatment.

Introduction

Hepatocellular carcinoma (HCC) is one of the most common malignant tumors worldwide, and is a serious threat to human life. HCC has the second highest cancer mortality rate, next to lung cancer. Approximately 782,500 new liver cancer cases and 745,500 deaths occured worldwide in 2012, and most primary liver cancers occurring worldwide are HCC. China is a country with a high incidence of HCC, accounting for about 50% of the total number of cancer cases and deaths (1). Surgical and liver transplantation are still the best treatment option for suitable patients (24). However, most HCC cases are diagnosed at the advanced or unresectable stage. Given the poor prognosis of HCC, new therapeutic strategies and novel therapeutic targets are needed, respectively. But current research on the main pathogenic genes and molecular mechanisms of HCC remain unclear. In addition, coupled with the existence of an ageing population and pollution of the environment, we are faced with the increasingly serious situation of HCC. Therefore, the research for pathogenic genes and molecular mechanisms of HCC play a key role in the prevention and treatment of HCC.

HECT domain and ankyrin repeat containing E3 ubiquitin protein ligase 1 (HACE1) is located on chromosome 6q21 which is one site of frequent mutation of malignant tumors (58). HACE1 is an important tumor-suppressor gene, which plays an important role in tumor inhibition by mediating cell autophagy, Rac1 ubiquitination and other mechanisms. It is also involved in a variety of biological functions including heart protection, anti-oxidative stress and cellular dynamics (913). HACE1 gene was firstly discovered as closely related to the occurrence of Wilms' tumor (5). Futhermore, more evidence demonstrated that lower expression or mutations of HACE1 are associated with a variety of human malignant tumors, including breast cancer, colorectal cancer and lymphomas (1416). However, there have been few available data concerning the precise function of the HACE1 gene in HCC.

In the present study, we investigated the expression of HACE1 in human HCC tissues and cell lines compared with matched adjacted non-tumor HCC tissues and the normal liver cell line L02. Immunohistochemistry (IHC) was performed to analyze the correlation of HACE1 expression with the clinicopathological features of patients. In addition, Cell Counting Kit-8 (CCK-8), Transwell and wound healing assays were applied to ascertain the role of HACE1 in the proliferation and migration of the HCC cell lines SMCC7721 and Huh7.

Materials and methods

Patient tissue samples

A total of 40 paired tumor and their adjacted non-tumor tissues were collected from HCC patients who underwent routine surgical resection at The First Hospital of Lanzhou University from 2007 to 2010. The fresh tissues were instantly frozen in liquid nitrogen and subsequently stored at −80°C until RNA and protein extraction for reverse-transcription quantitative polymerase chain reaction. In order to determine the relationships between HACE1 and the clinicopathological characteristics of HCC, an additional 102 paraffin-embedded archived specimens from patients who had undergone surgical resection were incorporated into the study for IHC. These patients included 82 males and 20 females, aged between 30 and 78 years, and the median patient age was 49 years. Histology of the tumor tissues was evaluated by two independent pathologists who were blinded to our examination. The clinicopathological information of all patients were collected for analysis, including age, gender, serum AFP, ALT level, tumor size, tumor number, vascular invasion, HBsAg, tumor differentiation, Child-Pugh and liver cirrhosis. The present study was approved by the Ethics Committee of The First Hospital of Lanzhou University prior to the initiation of the study.

Cell lines and culture

The human HCC cell lines Huh7, MHCC97H, HepG2, MHCC97L, HCCLM3, SMCC7721 and liver cell line L02 were obtained from the Cell Bank of the Chinese Academy of Sciences (Shanghai, China). All cell lines were cultured in Dulbecco's modified Eagle's medium (DMEM), supplemented with 10% fetal bovine serum (FBS) and 100 U/ml penicillin and 100 mg/ml streptomycin (all from Gibco, Shanghai, China). The cells were grown at 37°C in a humidified atmosphere of 5% CO2. The medium was changed every 2–3 days. Before further experiments, the protein and mRNA expression levels of HACE1 in the human HCC cell lines were examined by western blot analysis and quantitative real-time polymerase chain reaction (qRT-PCR), respectively. According to the experimental results, we chose the SMCC7721 and Huh7 cell lines for subsequent experiments.

Cell infection

The Huh7 cells were cultured to 50–60% confluency in 6-well plates and were transiently transfected with siRNA of HACE1 or negative control (NC) siRNA (GeneChem, Shanghai, China) using Lipofectamine 2000 (Invitrogen, Carlsbad, CA, USA) in accordance with the manufacturer's instructions for HACE1 knockdown. HACE1 siRNAs were: GGGCUACAAUGGGAAUAAAdTdT (si-HACE1-1), GCCCGAGGAUAAUGAAACUdTdT (si-HACE1-2), GCCA GUACCUAAAGAUUCUdTdT (si-HACE1-3). The SMCC7721 cells were transfected with pcDNA3.1-HACE1 or mock plasmid (GeneChem) using Lipofectamine 2000 transfection reagent according to the manufacturer's instructions for HACE1 overexpression. The transfection efficiency of both Huh7 and SMCC7721 cells was evaluated using qRT-PCR and western blot analysis. After 36 h of incubation, the cells were harvested for further analysis. All transfections were performed in triplicates.

qRT-PCR

Total RNA from tissues and all 7 cell lines were extracted using TRIzol reagent (Takara, Dalian, China), according to the manufacturer's instructions. The RNA concentration was detected by NanoDrop 1000 (Thermo Fisher Scientific, Wilmington, DE, USA) and complementary DNA was synthesized utilizing a PrimeScript RT reagent kit (Takara) using 2 µg RNA. SYBR-Green dye (Takara) and Corbet Rotor-Gene 3000 thermocycler were used to perform the qRT-PCR reaction, according to the supplied protocol. The primers used were as follows: HACE1 forward, 5′-TCCTTGAATGTCCTGAGTTGA-3′ and reverse, 5′-AATCTGGCTGTCCTGAATGC-3′; and GAPDH forward, 5′-GGCATCCTGGGCTACACTGA-3′ and reverse, 5′-GTGGTCGTTGAGGGCAATG-3′. The amplification conditions of qRT-PCR were set as follows: 95°C for 30 sec, 95°C for 5 sec, 60°C for 34 sec, 95°C for 15 sec and a total of 40 cycles. The experiments were repeated in triplicate. Relative expression levels of HACE1 were normalized to GAPDH expression in each sample, and the data were analyzed according to the comparative threshold cycle (2−ΔΔCt) method.

Protein extraction and western blot analysis

Total protein of human HCC tissues and cells were extracted using ice-cold lysis buffer (50 mM Tris, pH 7.4, 150 mM NaCl, 1% SDS, 1 mM EDTA, 1% NP-40) containing 1 mM protein inhibitor and 1 mM PMSF, for 30 min on ice. The lysates were centrifuged at 12,000 rpm at 4°C for 15 min and the supernatants were collected. Protein concentration was determinated using the BCA protein assay (Beyotime, Shanghai, China). Protein samples (50 µg/lane) were separated by electrophoresis on 10% sodium dodecyl sulphate-polyacrylamide gel electrophoresis (SDS-PAGE) and then transferred onto polyvinylidene difluoride (PVDF) membrane filters (Millipore Corp., Billerica, MA, USA) in a wet transfer system (Bio-Rad, Berkeley, CA, USA). PVDF membranes were blocked with 2% BSA for 1 h at room temperature. Membranes were incubated with anti-human HACE1 antibody (1:2,000 dilution; Abcam, Cambridge, UK) overnight at 4°C. The membranes were then incubated with the corresponding secondary antibody (1:5,000) for 1 h at room temperature. The immunoreactive bands were visualized using enhanced chemiluminescence (ECL) reagent (Thermo Fisher Scientific, Israel), and the relative protein expression of the membranes was then normalized to the β-actin levels.

Cell proliferation assay

The CCK-8 assay (Dojindo Laboratories, Kunamoto, Japan) was used to reflect the proliferation of the cells. For the CCK-8 assay, ~5,000 viable cells were placed into 96-well plates at a final volume of 100 µl for each well. Every 24 h, 10 µl of CCK-8 solution was added to each well, and the plate was further incubated for 2 h at 37°C. The absorbance at 450 nm was quantitated with a microplate reader. The experiment was performed in 6 replicates.

Cell migration assay

Transwell and wound healing assays were used to evaluate the cell migration capability. The Transwell and migration assays were performed using a 24-well plate, and a Transwell chamber with a polycarbonate filter membrane (Corning Inc., Corning, NY, USA) was placed in the 24-well plate, and the pore size of the filter membrane size was 8 µm. Firstly, digested cells (5×103/chamber) with 200 µl serum-free media were added to the upper compartment, and 400 µl DMEM containing 10% FBS was added to the lower compartment, and further incubated for 24 h at 37°C. After incubation, the cells in the upper chamber migrated to the lower surface of the membrane. The cells on the upper membrane were removed carefully with a cotton tip and the penetrated polycarbonic membrane was fixed with 95% methanol and stained with 0.1% crystal violet. The number of migrated cells was counted in 6 randomly selected fields under an inverted microscope. Independent experiments were performed in triplicate. For the wound healing assay, tumor cells were seeded in a 6-well plate at a density and incubated to 70–80% confluency as a monolayer. A cell-free straight line was scratched in the center of the well with a sterile 200-µl pipette tip. Similarly, a second straight line was created perpendicular to the first line to produce a cross-shaped cellular gap in each well. The cells were subsequently washed twice with phosphate-buffered saline (PBS) and refreshed with medium containing 5% FBS. The cells were grown for an additional 72 h. Digital images of the cell gap were captured at different time points using a microscope. The gap distance was quantitatively assessed using software.

Immunohistochemistry

The relationships between HACE1 expression and clinicopathological characteristics of the HCC patients was analyzed using 4-µm paraffin-embedded specimens by IHC. After incubation at 60°C for 30 min, all tissue sections were deparaffinized in xylene, and then rehydrated by graded ethanol solutions before sodium citrate buffer (pH 6.0) was used as an antigen retrieval solution. Endogenous peroxidase activity was blocked with 0.3% hydrogen peroxide in a humidified chamber for 15 min. After washing for three times, the specimens were incubated with rabbit monoclonal antibody against human HACE1 (1:200, ab18056; Abcam) at 4°C overnight. Following washing with PBS for three times, the tissue sections were incubated with a horseradish peroxidase-labeled secondary antibody for 1 h at room temperature. The specimens were incubated with 3,3′-diaminobenzidine (DAB) solution for 3 min. Finally, the sections were counterstained with hematoxylin. The primary antibody was replaced by PBS as a NC. Tissue specimens were assessed separately by two pathologists who were blinded to any information about the patient background or clinical status. The percentage of positive staining was scored as follows: 1 point (0–25%, weakly stained); 2 points, (>25–50%, moderately stained); and 3 points (>50%, strongly stained). The HACE1 immunostaining score was calculated from the product of the percent positivity score × the staining intensity score which ranged from 0 to 9. Low HACE1 expression level was defined as a total score of <5, and high HACE1 expression was defined as a total score of ≥5.

Statistical analysis

All statistical analysis was performed using SPSS 21.0 software. The relationships between HACE1 expression and clinicopathological characteristics were analyzed using the χ2 test. Student's t-test was used to compare the statistical significance in the various groups. Survival curves were calculated using the Kaplan-Meier method and the result was compared using the log-rank test. Cox's proportional hazard analysis was used to explore univariate and multivariate survival. A difference was considered statistically significant at P<0.05.

Results

Expression of HACE1 protein and mRNA in HCC and paired adjacent non-tumor tissues

The expression of HACE1 was markedly lower in the HCC tissues compared to that noted in the matched adjacent non-tumor tissues at both the protein and mRNA levels. The HACE1 protein and mRNA expression in 40 HCC specimens and their adjacent non-tumor tissues were evaluated by western blot analysis and qRT-PCR. HACE1 mRNA expression level of HACE1 was lower in 32 of the 40 HCC samples (80%) than in the adjacent non-tumor tissues (P<0.01; Fig. 1A). The protein expression of HACE1 was decreased in 30 of the 40 HCC samples (75%), compared with the matched adjacent non-tumor tissues (P<0.001; Fig. 1B and C).

Expression of HACE1 protein and mRNA in HCC cell lines

We assessed the HACE1 gene expression in HCC cell lines by western blot analysis and qRT-PCR. Western blot analysis and qRT-PCR determined that HACE1 mRNA (Fig. 2A) and protein expression (Fig. 2B) were significantly decreased in the 6 HCC cell lines compared with the expression levels in the normal liver cell line L02. As shown in Fig. 2, the highest expression of the HACE1 gene was detected in Huh7 cells, and the lowest was detected in the SMCC7721 cells among all HCC cell lines. Therefore, to verify the role of HACE1 in the HCC cell lines, we upregulated HACE1 by transfection of pcDNA3.1-HACE1 into the SMCC7721 cells and Huh7 cells were transfected with siRNA targeting HACE1 for downregulation.

Knockdown and overexpression efficiency as determined by western blot analysis and qRT-PCR

To explore the role of HACE1, we knocked down the HACE1 gene in the human HCC Huh7 cell line and overexpressed HACE1 in the HCC SMCC7721 cell line, respectively. As shown in Fig. 3A and B, by day 2 post infection, HACE1 protein and mRNA levels of HACE1-siRNA-infected Huh7 cells were significantly lower compared to levels in the cultures infected with the NC siRNA by western blot analysis and qRT-PCR. The highest knockdown efficiency of HACE1 siRNA was siRNA-3 and thus siRNA-3 was used in the subsequent experiment (P<0.001). Similarly, HACE1 mRNA and protein levels of pcDNA3.1-HACE1-infected SMCC7721 cell line were significantly higher compared to levels in the cultures infected with the mock plamid as a control (P<0.01; Fig. 3C and D).

Effect of the knockdown and overexpression of HACE1 on cellular proliferation and migration in the Huh7 and SMCC7721 cell lines

To evaluate the role of HACE1 in HCC proliferation and migration, two different types of cells were examined by CCK-8, Transwell and wound healing assays. The results indicated that downregulation of HACE1 expression significantly inhibited the proliferation and migration of the Huh7 cells (P<0.05; Fig. 4A-C), and upregulation of HACE1 expression obviously promoted the proliferation and migration of the SMCC7721 cells (P<0.05; Fig. 4D-F).

Figure 4.

Effects of the knockdown of HACE1 on cell proliferation and migration in the Huh7 cell line. (A) The CCK-8 assay was performed following HACE1 siRNA3 infection, and cell proliferation of Huh7 cells was measured. (B) The migration of Huh7 cells was assessed by Transwell assay, (magnification, ×100) and the number of migratory cells of six random fields was counted. (C) Wound healing assays of Huh7 cells. HACE1 knockdown had a measurable inhibitory effect on cell migration. Magnification, ×100. Knockdown of HACE1 promoted the proliferation and migration of Huh7 cells (*P<0.05, **P<0.01). The histograms depict the quantification of triplicate results with mean ± SD. HACE1, HECT domain and ankyrin repeat containing E3 ubiquitin protein ligase 1. Effect of the overexpression of HACE1 on cell proliferation and migration in the SMCC7721 cell line. (D) The CCK-8 assay was performed following pcDNA3.1-HACE1 infection, and cell proliferation of the SMCC7721 cells was measured. (E) The migration of SMCC7721 cells was assessed by Transwell assay and the number of migratory cells for six random fields was counted. (F) Wound healing assays. HACE1 overexpression had a measurable promoting effect on the cell migration of the SMCC7721 cells. Magnification, ×100. Overexpression of HACE1 inhibited the proliferation and migration of SMCC7721 cells (**P<0.01, ***P<0.001). The histograms depict the quantification of triplicate results with mean ± SD. HACE1, HECT domain and ankyrin repeat containing E3 ubiquitin protein ligase 1.

Correlation between HACE1 expression and clinicopathological characteristics

We explored the correlation of HACE1 expression and the clinicopathological characteristics of the 102 HCC patients based on IHC analysis (Fig. 5) and the results are summarized in Table I. From the results, we found that 75 samples (73.52%) had low HACE1 expression, and 27 samples (26.48%) had high HACE1 expression. According to the level of HACE1 expression in the tumor tissues, we demonstrated that a low level of HACE1 expression was significantly associated with serum AFP level (P<0.001), tumor differentiation (P<0.05) and vascular invasion (P<0.05). Overall survival was significantly decreased in the patients with low HACE1 expression compared to patients with high HACE1 expression (Fig. 6). In addition, univariate and multivariate Cox regression analyses demonstrated that AFP level, tumor differentiation, Child-Pugh and HACE1 level were significantly associated with overall survival and were significant prognostic factors for HCC patients (Table II).

Table I.

Correlation between HACE1 expression and clinicopathological characteristics of the HCC cases (n=102).

Table I.

Correlation between HACE1 expression and clinicopathological characteristics of the HCC cases (n=102).

HACE1

Clinicopathological indicesLowHighχ2P-value
Age (years)
  ≤5038120.3080.580
  >503715
Gender
  Female1550.0280.868
  Male6022
AFP (ng/ml)
  ≤20272011.583 <0.001a
  >20487
ALT (U/l)
  ≤7531140.8910.345
  >754413
Tumor size (cm)
  ≤546160.0360.850
  >52911
Tumor number
  156200.0040.952
  >1197
Vascular invasion
  No41214.4490.035a
  Yes346
HBsAg
  Positive59172.5780.108
  Negative1610
Tumor differentiation
  I/II42225.5150.019a
  III/IV335
Child-Pugh score
  A27142.0750.150
  B4813
Liver cirrhosis
  Positive60173.1150.078
  Negative1510

a Statistically significant (P<0.05). HACE1, HECT domain and ankyrin repeat containing E3 ubiquitin protein ligase 1; HCC, hepatocellular carcinoma.

Table II.

Univariate and multivariate analyses of the overall survival of 102 patients with HCC.

Table II.

Univariate and multivariate analyses of the overall survival of 102 patients with HCC.

Univariate analysis Multivariate analysis


VariablesHR95% CIP-valueHR95% CIP-value
Age (years)0.9760.542–1.5720.784
Gender0.6240.338–1.3340.337
AFP (ng/ml)3.0281.760–6.075 <0.001a3.4321.831–6.433 <0.001a
ALT (U/l)0.9510.531–1.5430.762
Tumor size (cm)1.2950.881–2.0180.575
Tumor number1.0580.610–1.8230.658
Vascular invasion1.0320.595–1.8180.779
HBsAg1.1350.635–1.9430.643
Tumor differentiation2.1261.350–3.5860.011a1.8921.214–2.7210.039a
Child-Pugh score2.0511.319–2.9740.013a1.9871.285–3.7680.027a
Liver cirrhosis1.2590.796–1.9860.581
HACE1 level2.4321.486–4.5710.009a2.1741.385–4.0900.013a

a Statistically significant (P<0.05). HCC, hepatocellular carcinoma.

Discussion

Genomic losses or low expression in relation to human chromosome 6q21 have been described for a wide spectrum of tumor types including lung or breast cancer, as well as ovarian and gastric cancers (6,17,18), suggesting that this region encompasses one or more major tumor-suppressor genes. The HACE1 gene encodes a 103-kDa protein containing six N-terminal ankyrin repeats connected via a linker region to a C-terminal HECT domain (19). The expression of the 6q21 HACE1 gene is downregulated in multiple human tumor types involving Wilms' tumor, breast cancer and lung carcinoma (2023). Findings of previous studies have demonstrated that HACE1 lower expression or deletion, as caused by HACE1 ubiquitination or methylation, is related to the occurrence and invasion in different types of carcinomas (10,24,25). It was revealed that HACE1 is a new type of candidate anti-oncogene and perhaps a therapeutic target for several types of human cancers. However, to the best of our knowledge, the expression of HACE1 and its possible role in the anticancer effects on hepatocellular carcinoma have not been discussed to date.

In the present study, we firstly found that the HACE1 expression level was downregulated at both the mRNA and protein levels in HCC tissues and HCC cell lines when compared with these levels in adjacent non-tumor tissues and a normal cell line L02 as analyzed by qRT-PCR and western blot analysis. Thus, we assumed that HACE1 plays an important role in tumor proliferation and migration. To explore this issue, CCK-8, Transwell and wound healing assays were performed. The result demonstrated that overexpression of HACE1 by transfection with pcDNA3.1-HACE1 in SMCC7721 cells led to lower proliferation and migration ability compared to the control group. In addition siRNA-mediated HACE1 knockdown in Huh7 cells significantly accelerated cell proliferation and migration. The downregulation of HACE1 expression correlated with the serum AFP level, tumor differentiation and vascular invasion in HCC patients. Survival analyses exhibited that patients with a low HACE1 expression showed poorer overall survival than those with a high HACE1 expression, and the status of HACE1 expression was an independent prognostic factor.

In conclusion, we provided strong evidence that HACE1 was significantly downregulated in HCC cell lines and HCC tissues. Moreover, the expression of HACE1 in HCC tissues was associated with the development, progression and metastasis of HCC or prognosis of the patients by regulating the proliferation and migration of HCC cells. IHC analysis suggested that the expression of HACE1 in HCC tissues was associated with serum AFP level, tumor differentiation and vascular invasion. Survival analyses demonstrated that patients with low HACE1 expression exhibited poorer overall survival than those with high HACE1 expression, and the level of HACE1 expression was an independent prognostic factor.

In addition, in vitro studies showed that overexpression of HACE1 decreased the proliferation and migration ability in the human HCC cell line SMCC7721. On the contrary, HACE1 knockdown in human cell line Huh7 facilitated the proliferation and migration ability. Yet, further exploration is required to elucidate the signaling pathways and molecular mechanism of HACE1 in HCC, which may be useful in acquiring better understanding of the molecular pathogenesis of these tumors. Taken together, the results suggest that, as a tumor-suppressor, HACE1 can be used to develop more effective targeted therapeutic strategies and may be a potential therapeutic target for HCC treatment.

Acknowledgements

This study was supported by grants from the National Natural Science Foundation of China (grant nos. 31270543 and 81101818) and Fundamental Research Funds for the Central Universities (lzujbky-2013-k21).

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Gao Z, Wu Y, Bai Z, Zhang L, Zhou Q and Li X: Tumor-suppressive role of HACE1 in hepatocellular carcinoma and its clinical significance. Oncol Rep 36: 3427-3435, 2016.
APA
Gao, Z., Wu, Y., Bai, Z., Zhang, L., Zhou, Q., & Li, X. (2016). Tumor-suppressive role of HACE1 in hepatocellular carcinoma and its clinical significance. Oncology Reports, 36, 3427-3435. https://doi.org/10.3892/or.2016.5205
MLA
Gao, Z., Wu, Y., Bai, Z., Zhang, L., Zhou, Q., Li, X."Tumor-suppressive role of HACE1 in hepatocellular carcinoma and its clinical significance". Oncology Reports 36.6 (2016): 3427-3435.
Chicago
Gao, Z., Wu, Y., Bai, Z., Zhang, L., Zhou, Q., Li, X."Tumor-suppressive role of HACE1 in hepatocellular carcinoma and its clinical significance". Oncology Reports 36, no. 6 (2016): 3427-3435. https://doi.org/10.3892/or.2016.5205