NDUFB9 and breast carcinoma: In addition, it had been shown that highly metastatic breast cancer cells have reduced expression of nuclear-encoded NDUFB9 subunit and the knockdown of this subunit generates high levels of mitochondrial ROS, a slight decrease of NAD+/NADH ratio and a metabolic disturbance dependent on Akt/mTOR/p70S6K signaling accompanied with increased expression of mesenchymal markers (vimentin and fibronectin) and SMAD3, an upstream regulator of EMT (19).