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1 pakt/akt relative to saline (fold) control perk/erk relative to saline (fold) p=.6 control db/+ Hsp6 VDAC Hsp6/VDAC (relative to db/+) db/+ C db/+ Hsp6 Hsp6/actin (relative to db/+) p=.7 db/+ D serum leptin (pg/ml) NCD HFD E relative to control STAT5 Ctrl DM Suppl Figure Hsp6 reduction is associated with central insulin resistance (A) Densitometric analysis of AKT and ERK activation after insulin stimulation in the hypothalamus of control and mice (n=-5). () Western blot and densitometric analysis of Hsp6 of isolated mitochondria from hypothalami of db/+ and mice (each n=6). VDAC served as loading control for mitochondrial content. (C) Western blot and densitometric analysis of cytoplasmic Hsp6 of hypothalami from db/+ and mice (each n=6). served as loading control. (D) Serum leptin levels of mice fed a NCD or HFD for 4 weeks (n=4-5). (E) Gene expression analysis of STAT5 of hypothalami from control and type diabetes mellitus patients (n=-4). Displayed values are means ± S.E.M.;, p.5;, p.

2 A Hsp6 KD Hsp6 KD C Citrate Synthase Hsp6 KD Ctrl Hsp6 KD Suppl Figure Hsp6 knockdown causes mitochondrial dysfunction, Electron microscopic pictures of mitochondria from control and Hsp6 KD in two different neuronal cell lines (A) N5/ (Total magnification :4655) and () GT-7 (Total magnification :45) (C) Western blot and densitometric analysis of citrate synthase in control and Hsp6 KD cells (each n=). served as a loading control. Displayed values are means ± S.E.M.;, p.5.

3 Saline Leptin Hsp6 relative to saline (%) Saline Leptin Suppl Figure Hypothalamic Hsp6 expression in C57l/6 mice (A) Western blot and densitometric analysis of Hsp6 of hypothalami from mice treated with saline or leptin for h (each n=-6). served as a loading control. Displayed values are means ± S.E.M.;, p.5.

4 5 5 nm IGF- pirs- Y6 pakt AKT perk ERK Hsp6KD pirs/actin fold stimulation pakt/actin fold stimulation perk/actin fold stimulation p=.6 p=.5 p= time (min) 5 5 time (min) 5 5 basal Vit C basal Vit C Hsp6KD pirs- Ser7 IRS- pirs Ser7/IRS relative to basal control (%) basal Vit C basal Vit C Hsp6KD Suppl Figure 4 Insulin and IGF- resistance in Hsp6 KD cells. (A) Western blot and densitometric analysis of nm IGF- stimulated phosphorylation of IRS-, AKT and ERK in control and Hsp6 KD cells (n=5). () Western blot and densitometric analysis of phosphorylated IRS Ser7 of control and Hsp6 KD cells treated with vitamin C. Displayed values are means ± S.E.M.;, p.5.

5 body weight (g) lood glucose (mg/dl) % of initial A 4 4 C males 5 5 time (weeks) males Hsp6 +/- 5 6 males Hsp6 +/- Hsp6 +/- body weight (g) lood glucose (mg/dl) % of initial time (weeks) Hsp6 +/- 5 6 Hsp6 +/ Hsp6 +/- D E F G Ctrl Hsp6 +/- Ctrl Hsp6 +/- Ctrl Hsp6 +/- Males Females Ctrl Hsp6 +/- Ctrl Hsp6 +/- males blood glucose (mg/dl) Insulin (ng/ml) Insulin (ng/ml) average food intake/day (g) Leptin (ng/ml) Ctrl Hsp6 +/- Suppl Figure 5 Metabolic phenotype of Hsp6 heterozygous mice. (A) ody weight curve of control and Hsp6 +/- male and female mice over the time of weeks (n=-). () Glucose tolerance test of -week old control and Hsp6 +/- male and female mice (n=-). (C) Insulin tolerance test of 6-week old control and Hsp6 +/- male and female mice (n=5-9). (D) Random blood glucose levels of -week old control and Hsp6+/- male and female mice (n=5-8). (E) Serum insulin levels of 6-week old control and Hsp6+/- male and female mice (n=-6). (F) Average food intake of - week old control and Hsp6 +/- male mice (n=5-). (G) Serum leptin levels of 6-week old control and Hsp6+/- male mice (n=).

6 H 5 5 POMC Hsp6 +/- Agrp Hsp6 +/- NPY Hsp6 +/- I CIII-core CIV-I CV-alpha Hsp6 +/- J relative to control C IV- I Hsp6 +/ CV-alpha Hsp6 +/ CIII-core Hsp6 +/- Suppl Figure 5 Metabolic phenotype of Hsp6 heterozygous mice. (H) Hypothalamic expression of anorexigenic and orexigenic neuropeptides in control and Hsp6 +/- mice (n=6-8). (I) Western blot analysis of mitochondrial proteins CV alpha, CIV-I and CIII-core of dissected hypothalami of control and Hsp6 +/- mice (each n=). served as a loading control. (J) Densitometry of western blot analysis. Values are means ± S.E.M.;, p.5.

7 relative to control in % ER stress markers Hsp6KD XP XPs CHOP PDI relative to control in % apoptotic markers ax ak Hsp6KD C cleaved Caspase Caspase Hsp6KD Suppl Figure 6 Acute downregulation of Hsp6 in the hypothalamus does not induce ER stress or apoptosis. (A) Gene expression analysis of ER stress and () pro-apoptotic markers in hypothalamic samples of control and Hsp6 KD mice (n=7-8). (C) Western blot analysis of cleaved and total caspase in hypothalamic samples control and Hsp6 KD mice (n=7-8).

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