c-abl PDGFRα PDGFRβ VEGFR-1 VEGFR-2 FLT-3 c-fms c-kit Ref. 2 (ND) 9.4 (ND) Supplementary Table 2. Chemical structure of the RTKIs used in this study.

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1 SUPPLEMETARY DATA Supplementary Table 1. Upper and lower entries in each cell represent IC50 (nm) values determined by a biochemical kinase assay or cellular tyrosine kinase phosphorylation, respectively. cabl PDGFRα PDGFRβ VEGFR1 VEGFR2 FLT3 cfms ckit Ref. Sunitinib D (D) 8 (410) 2 (D) 9 (4) D (250) D (50) D (110) Pfizer SU9518 D 1680* D D D Pfizer * (23) PF % at 1000 nm (11) 49% at 1000 nm (29) 9.4 (D) 0.68 (0.80) 13 (9.4) Pfizer Supplementary Table 2. Chemical structure of the RTKIs used in this study. ame IUPAC Structure Reference Sunitinib [2(diethylamino)ethyl]5 [(Z)(5fluoro2oxo1indol 3ylidene) methyl]2,4 dimethyl1pyrrole3 carboxamide F (22) C 2 SU9518 3[5{5bromo2oxo1,2 dihydroindol3ylidenemethyl} 2,4dimethyl1pyrrol3 yl]propionic acid Br (23) PF ,2Dimethyl6{[7(2 Morpholin4Ylethoxy)quinolin 4Yl]oxy}1Benzofuran3 Carboxamide (24) 2013 American Diabetes Association. Published online at

2 SUPPLEMETARY DATA Supplementary Figure 1. PF337210mediated reversal of diabetes is not maintained in the absence of treatment and requires viable islet mass (A) Lowdose STZtreated mice (5 daily injections at 50 mg/kg) were treated 23 weeks following onset of diabetes (blood glucose levels >400 mg/dl, n= 3) with PF (10 mg/kg). (B) D mice with long standing diabetes were treated with PF (20 mg/kg). Diabetes duration was at least 3 weeks and blood glucose levels were >560 mg/dl (n= 5 mice). (C), diabetic mice were treated with r84, a humanized antivegfaspecific monoclonal antibody, at 12.5 mg/kg (n=7). Supplementary Figure 2. Pancreatic leukocytes and lymph node cells do not express VEGFR2. (A) Pancreata of newonset D mice were subjected to immunofluorescent staining with anticd45 (red) and antivegfr2 (green) antibodies. Merged images (right panel of A) shows that CD45 + leukocytes do not express VEGFR2. (B) Flow cytometry reveals that CD8 +, naïve CD4 + (CD62L hi and CD44 lo ), activated CD4 + (CD62L lo and CD44 hi ) or CD11b + leukocytes isolated from nondraining (AxL) and draining lymph nodes (PL) do not express VEGFR American Diabetes Association. Published online at

3 SUPPLEMETARY DATA Supplementary Figure 3. Insulinproducing βcells do not express VEGFR2. (A and B) immunofluorescent staining of pancreata from DRagK (A) and diabetic D (B) with antiinsulin antibodies to approximate the insulinproducing islet area (line bordering the white area). Colabeling was performed with antivegfr2 antibodies (C and D) and CD31 (E and F) to visualize VEGFR2 (green) and CD31expressing cells (red). (G and ) merged images reveal that all VEGFR2 cells are CD31 +, indicating that VEGFR2 expression is restricted to the islet endothelium. (I) VEGFR2 (green) is expressed in the vessels within the remaining islet mass. (J) CK19 + duct cells (red) are found adjacently to the islet and throughout the acinar tissue. (K) the overlay of image I and J reveals that CK19 + duct cells do not express VEGFR2. DAPI was used to visualize nuclei (blue). Areas of dense nuclear staining reflect immune cells surrounding or infiltrating the islet (insulitis). The white line in IK delineates the approximated remaining islet mass American Diabetes Association. Published online at

4 SUPPLEMETARY DATA 2013 American Diabetes Association. Published online at

5 SUPPLEMETARY DATA Supplementary Figure 4. PF treatment impairs the trafficking of activated BDC2.5 T cells in the spleen. PF reduced spleen mass (A), splenocyte numbers (B) and the total number of Thy1.1 + transferred BDC2.5 T cells (C). owever, the total number of peripheral blood mononuclear cells (D) nor blood Thy1.1 + cells (E) differed between MC and PFtreated mice. = 3 per group. Supplementary Figure 5. PF does not influence T cell activation following adoptive transfer. The expression levels of CD44 (A and B), CD62L (C and D) and CD69 (E and F) in blood and spleen Thy1.1 + cells were measured by flow cytometry 48 hr posttransfer. The histograms are representatives of 3 mice used per group American Diabetes Association. Published online at

6 SUPPLEMETARY DATA Supplementary Figure 6. VEGFR2 inhibition does not influence insulin sensitivity. (A) an IPITT revealed do difference in glucose clearance rates following an insulin bolus between MC and PFtreated mice. (B) The levels of phosphorylated AKT in muscle homogenates prepared after a 5 minute insulin bolus or at a basal state ( insulin) did not differ between MC and PFtreated mice. The mean daily food consumption (C) over a 3 week dosing period nor the mean body weight (D) at the end of the 3 week treatment period differed between MC and PFtreated mice. = 4 per group American Diabetes Association. Published online at

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