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1 Sbarrato_Supplementary_Fig1 Supplementary Figure 1. Translatome analysis of CLL patients based on IGVH mutational status ) Profile for the translatome of unmutated IGVH CLL versus mutated IGVH CLL pa9ents. Processed translatome data (log2 ra9os for each gene averaged across pa9ents) were ploed for mutated IGVH CLL pa9ents (x axis) versus unmutated IGVH CLL pa9ents. Grey, red and blue dots represent gene values for unchanging, upregula9on and dowregula9on respec9vely. Red and blue doed line represent the limit for fold change equal to 2 and 0.5 respec9vely. Contour plot was superimposed to highlight general shape of translatome (dark lines). ) 4- way Venn Diagram represen9ng the overlap of significantly iden9fied genes for deregula9on between unmutated and mutated IGVH CLL pa9ents in the four different sta9s9cal tests used: RankProd, Limma- eayes, SM and est.

2 Sbarrato_Supplementary_Fig2 C Supplementary Figure 2. Translatome analysis of CLL patients versus CTRL cells. 4- way Venn Diagram represen9ng the overlap of significantly iden9fied genes for deregula9on between CLL pa9ents and CTRL cells in the four different sta9s9cal tests used: RankProd, Limma- eayes, SM and est. ) Network analysis for GO term Ribosome among the significant genes iden9fied in at least 3 out of four sta9s9cal tests. Colour gradient represents the expression level of the translatome for each gene. C) Enrichment of GO Terms Ribosome, Protein iosynthesis and Nucleolus among the significant genes iden9fied in at least 3 out of four sta9s9cal tests. Genes were ranked and ploed by fold change between CLL pa9ents and CTRL cells.

3 Sbarrato_Supplementary_Fig3 Supplementary Figure 3. Transcriptome analysis of two published datasets for CLL patients versus CD19+ or CD5+ cells Controls. ) GO term analysis of CLL Transcriptome for GO Terms Ribosome and Protein iosynthesis among all genes from published dataset Haslinger between CLL pa9ents and CD19+ CTRL cells 32. Genes were ranked and ploed by fold change between CLL pa9ents and CD19+ CTRL cells. ) GO term analysis of CLL Transcriptome for GO Terms Ribosome and Protein iosynthesis among all genes from published dataset Seifert between CLL pa9ents and CD5+ CTRL cells 57. Genes were ranked and ploed by fold change between CLL pa9ents and CD5+ CTRL cells.

4 Sbarrato_Supplementary_Fig4 M523D M598 C M604E D U635C E U668 F time course 1 1 Expression n=5 No sign difference Supplementary figure 4: expression in IgM stimulated CLL cells. CLL cells from five different pa9ents were incubated in the presence of coupled Dynabeads or an9bodies for the indicated 9me. Western blots were performed to show expression of ader 3, 6, 16, 24 and s (- E). expression was quan9fied and normalized to before expression was made rela9ve to bead incuba9on for each 9me point. (F) Graph represents expression following CR s9mula9on with bead expression for each 9me point set to 1, bars (±SEM) represent the mean expression, n=5 no significant difference.

5 Sbarrato_Supplementary_Fig5 PFS High Low time (days) Supplementary Figure 5. Correlation between dyskerin expression and progression free survival. Pa9ents were divided into two groups based on dyskerin expression (low dyskerin vs high dyskerin) as in Figure 6. Impact of dyskerin expression on progression free survival was generated using Kaplan Meyer approxima9on and significance was es9mated by Log- Rank p value.

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