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1 Supplementary Figure 1. (A) Representative confocal analysis of cardiac mesenchymal cells from nondiabetic (ND-CMSC) and diabetic (D-CMSC) immunostained with anti-h3k9ac and anti-h3k27me3 antibodies. Analysis was performed after 7 days of culture in growth medium, (n=3). (B) Representative confocal analysis of HL-1 cells immunostained with anti-h3k9ac antibodies. Cells were cultured in basal condition (U) or in the presence of high glucose (G) or Mannitol (M) (25mM). The far-right pictures (upper and lower) show the effect of Glucose (G) withdrawal and culture in the presence of growth medium (GM) for 48 hours (G+48h GM).

2 Supplementary Figure 2. (A) Cell proliferation evaluated in HUVEC with Glucose or Mannitol (25 mm) for 6 days.(b) Representative pictures of capillary like structure formation assay evaluated after 7 hours from plating HUVEC on Cultrex. Cell were cultured for 6 days in normal condition (N) or in the presence or Glucose (G) or Mannitol (M) (25 μm). The graph bar shows average microtubules length mesuared after after 7 hours from plating, (n=3, *P 0.05).

3 Supplementary Figure 3. (A) The upper panel shows a representative result of western blotting analysis performed to evaluate H3K9Ac levels in HUVEC kept in normal condition (N) or grown in the presence or absence of Glucose (G) or Mannitol (M) (25 μm). The relative band density is shown in the lower graph panel.the same filter was immunostained with anti β-actin, to show equal total protein loading, (n=3, *P 0.05).(B) Confocal immunofluorescence analysis to evaulate H3K9Ac levels in HUVEC treated with Glucose and Mannitol. Hoechst (H) was used to stain DNA in the cell nuclei.(c) Total HAT and (D) HDAC activity measured in HUVEC exposed to Glucose or Mannitol for 7 days (25 μm) (n=3, P* 0.05).

4 Supplementary Figure 4. (A) Western blotting analysis of HUVEC total extracts. The expression of H3K9Ac has been determined in normal condition (N) or in cells treated with Glucose (G) and Mannitol (M) in the presence or absence of SPV106 (1 or 10 μm) (n=3, *P 0.05). (B) Representative pictures obtaine by confocal microscopy performed in HUVEC stained with H3K9Ac antibodies before and after after treatment with SPV106 (10 μm) (C) Total HAT activity determined in HUVEC in the presence or absence of Mannitol or Glucose (25μM) with or withour SPV106 (10 μm),,(n=3, P* 0.05). (D) Proliferation assay performed at day 0 and 6 of cell culture in HUVEC grown in the presence of Mannitol or Glucose (25 mm). (E) Capillary like structure formation evaluated in HUVEC cultured in the presence or absence of with SPV106 (10μM). The bar graph represent the average value determined in cells exposed to normal growth condition or cultured in the presence of Mannitol or Glucose (25 μm) with or without SPV106 (10μM); (n=3, *P 0.05).

5 Supplementary Figure 5. Metabolic profile of normoglycaemic (ND-CMSC), type-2 diabetic (D- CMSC) and SPV106-treated type-2 diabetic CMSCs (D-CMSC + SPV106). (A) : Schematic description of oxygen consumption rate (OCR) and (B) extracellular acidification rate (ECAR) determination by the Seahorse Bioscience XF e 96 Analyzer. (C) Determination of OCR by injecting oligomycin (ATP coupler; proton leak and ATP production) at rate 5, FCCP (ETC accelerator; max. respiration) at rate 10 and antimycine A and rotenone (mito inhibitor A and B) at rate 15 in ND-CMSC, D-CMSC and SPV106 treated D-CMSC.(D)Area under curve (AUC) of basal and (E)maximal respiration in ND-CMSC, D- CMSC and SPV106 treated D-CMSC. (F) Determination of ECAR) by injecting glucose (glycolysis substrate) at rate 5, oligomycin (ATP Coupler; max. glycolytic capacity) at rate 10 and 2-DG (glycolysis inhibitor) at rate 15 in ND-CMSC, D-CMSC and SPV106 treated D-CMSC. (G) Area under curve (AUC) of basal and(h) maximal glycolysis in ND-CMSC, D-CMSC and SPV106 treated D-CMSC. Data presented as mean + SEM of 5 ND-CMSC, and 4 D-CMSC; p 0.05, determined by students t- test.(i)evaluation of ATP content in ND-CMSC and D-CMSC. The graph shows the relative luminescence (RLU) determined by ATP content. Data are represented as mean±sd. *P 0.05; #=not significant.

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7 Supplementary Table 1. List of patients enrolled in the study and relevant clinical features. Patients were divided in two groups according to the presence or absence of diabetes. Patients 1, 3, 4, 5 and 9 suffered of T2-diabetes since 10, 13, 5, 6 and 16 years respectively. The mean glycaemia value for non-diabetic individuals was ± 17.6; Diabetic patients ± 56.3; p 0,005. Intervention Patie Clinical conditions nts # Age Gender Diabetes Dislipidemya Hypertension AMI CABG VAO VMI Aneurysm 1 75 M M M F M M M M M F F M M M M F M F M M F F AMI: Acute Myocardial Infarction; CABG: Coronary Artery By;pass Graft; VAO: Aortic Valve Replacement; VMI: Mitral Valve Replacement; +: present, -: not present

8 Supplementary Table 2. Therapies Anti-diabetic drugs β- ACE Angiotens. II # blockers Statins Ca- 2+ -ant. inhib. ant. Diuretics 1 GLICLAZIDE GLICLAZIDE METFORMIN, GLICLAZIDE HUMAN INSULIN METFORMIN, GLICLAZIDE ND METFORMIN INSULIN GLARGINE, GLIMEPIRIDE, METFORMIN GLICLAZIDE REPAGLINIDE GLICLAZIDE METFORMIN N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A: not applicable; ND: not determined. +=treated; -= not treated

9 Supplementary Table 3. Antibody Manufacturer Dilution rabbit anti human pcaf Abcam 1:250 rabbit anti human MeCP-2 Abcam 1:300 mouse anti human GCN5a Abcam 1:250 rabbit anti human HP-1 Abcam 1:300 mouse anti human -Actin Abcam 1:1000 rabbit anti human c-kit DAKO 1:500 rabbit anti human VEGFR2 Abcam 1:500 mouse anti human MDR-1 Sigma Aldrich 1:500 goat ant human Nucleostemin Cell Signaling 1:500 rabbit anti human H3K9Ac Abcam 1:1000 rabbit anti human H3K9Me Abcam 1:500 rabbit anti human H3K9Me2 Abcam 1:1000 rabbit anti human H3K9Me3 Abcam 1:500 rabbit anti human H3K14Ac Abcam 1:1000 rabbit anti human H3K27Me3 Abcam 1:500 rabbit anti human H3S10P Abcam 1:1000 rabbit anti human H4K16Ac Abcam 1:1000 rabbit anti human H3K4Me Abcam 1:1000 rabbit anti human H3K4Me2 Abcam 1:500 rabbit anti human H3K4Me3 Abcam 1:500 rabbit anti human H4K20Me Abcam 1:500 rabbit anti human H4K20Me3 Abcam 1:500 rabbit anti human H3.3 Abcam 1:500 rabbit anti human pan H3 Ac Active Motif 1:300 rabbit anti human H3 Total Abcam 1:1000 rabbit anti human H4 Total Abcam 1:1000

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