A, Growth assay of 4T1 cells cultured with control DMEM (NT) or DMEM with exogenously added 20 ng/mL PSAP (PSAP) for 4 days. n = 9 samples in 3 experiments. B, Growth assay of 4T1 cells cultured with conditioned media from EGFP- or YAP-MSCs for 4 days. n = 12 samples in 4 experiments. C, Western blot of phosphorylated Akt at T308 (pAkt-T308) and total-Akt (Akt) in 4T1 cells cultured with DMEM (NT) or DMEM with PSAP (PSAP) for 15 min. n = 4 experiments. D, Western blot of phosphorylated Akt at S473 (pAkt-S473) and Akt in 4T1 cells cultured with DMEM (NT), DMEM with PSAP (PSAP), or RPMI with 10% FBS (FBS) for 15 min. E, Fluorescence images of nuclei and phosphorylated histone-H3 at S10 (p-histone-H3) in 4T1 cells cultured with DMEM exogenously added with DMSO (NT-DMSO), DMEM with PSAP+DMSO (PSAP−DMSO), or DMEM with PSAP+LY294002 (PSAP−LY) for 1 day. F, Relative ratio of phosphorylated histone-H3 at S10 positive (p-histone-H3+) 4T1 cells in e. n = 3 experiments. G, Survival assay of 4T1 cells. n = 9 samples in 3 experiments. H, Volume of tumors 7 days after injection. COL mice were injected with 4T1 cells with shNS-MSCs, shPSAP1-MSCs, or shPSAP2-MSCs. n = 6 tumors in 3 mice (upper panel), n = 8 tumors in 4 mice (lower panel, shNS-MSCs), or n = 4 tumors in 2 mice (lower panel, shPSAP2-MSCs). I, Number of metastatic lung lesions 21 days after injection. n = 3 mice (upper panel), n = 4 mice (lower panel, shNS-MSCs), or n = 2 mice (lower panel, shPSAP2-MSCs). J, Kaplan-Meier curves of relapse free survival in relation to the gene expression of PSAP in grade 1 breast cancer patients. Statistical significance was determined as . Mean±S.E. are shown. MSCs were established from BALBc mice. Bar = 100 µm.