Novel chemoimmunotherapeutic strategy for hepatocellular carcinoma based on a genomewide
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1 Novel chemoimmunotherapeutic strategy for hepatocellular carcinoma based on a genomewide association study Running title: GWAS-based HCC chemoimmunotherapy Kaku Goto, Ph.D., Dorcas A. Annan, M.D., Tomoko Morita, Ph.D., Wenwen Li, M.D., Ph.D., Ryosuke Muroyama, M.D., Ph.D., Yasuo Matsubara, M.D., Ph.D., Sayaka Ito, Ryo Nakagawa, M.D., Yasushi Tanoue, M.D., Ph.D., Masahisa Jinushi, M.D., Ph.D., Naoya Kato, M.D., Ph.D. Supplementary Information
2 Supplementary Figure S
3 Supplementary Figure S
4 A B. NKGD/GAPDH. NKGD... VOR (µm) C Relative cell viability..... VOR (µm) Supplementary Figure S
5 Day Day Day Anti-NKGD VOR VOR/Anti-NKGD Anti-NKGD VOR VOR/Anti-NKGD Anti-NKGD VOR VOR/Anti-NKGD Day Day Day Anti-NKGD VOR/Anti-NKGD 8 Anti-NKGD VOR/Anti-NKGD 9 8 Anti-NKGD VOR/Anti-NKGD Day 9 8 Anti-NKGD VOR VOR/Anti-NKGD Supplementary Figure S
6 A B prb/gapdh PTEN/GAPDH MICA/GAPDH 8 9 VOR (µm) VOR (µm) DL-NaL (mm) C MICA/GAPDH VOR (-) VOR (+) BMS- (µm) Supplementary Figure S
7 Supplementary figure legends Supplementary Figure S. CoA metabolisms. The relative levels of detected metabolites are mapped in the indicated metabolic pathways as line graphs at,, 8, and h post-treatment with VOR as in Figure. N.D., not detected. Supplementary Figure S. The metabolism of branched-chain and aromatic amino acids. The relative levels of detected metabolites are mapped in the indicated metabolic pathways as line graphs at,, 8, and h post-treatment with VOR as in Figure. N.D., not detected. Supplementary Figure S. Effects of VOR on NK cells. (A) NK9MI cells treated with VOR (,, and µm in blue, purple, and red, respectively) for h were immunolabeled with anti- MICA antibody and fluorescent signals were detected by flow cytometry analysis, with the isotype controls shown as gray histograms. Likewise MICA mrna level (B) and relative cell viability (C) were measured in NK9MI cells treated with VOR at the indicated concentrations for h. Supplementary Figure S. Tumor growth levels in vivo over the treatment. The median relative tumor growth levels in vivo were demonstrated by box plots at Day,,,,,, and. Supplementary Figure S. Correlation between metabolism and HDACi-mediated MICA induction. (A) PLC/PRF/ cells were treated with µm VOR for 8 h and relative prb and
8 PTEN mrna levels were quantified by qrt-pcr with normalization to GAPDH. (B) PLC/PRF/ cells were treated with DL-NaL at the indicated concentrations for days and relative MICA mrna levels were quantified by qrt-pcr with normalization to GAPDH. (C) PLC/PRF/ cells were treated with BMS- at the indicated concentrations in the absence or presence of. µm VOR for h and relative MICA mrna levels were quantified by qrt- PCR with normalization to GAPDH.
9 Supplementary Table Supplementary Table S. Transcription factors for MICA expression. Name Cell line Reference Extracellular signal-regulated kinase ARK Glycogen synthase kinase Jurkat Heat shock transcription factor HeLa Phosphatidylinositol kinase PANC-, BxPC- Specificity protein HeLa, HepG EF* SKO- Nuclear factor kappa B* HeLa STAT* SKO- * Independent of HDACis
10 Supplementary Table S. The actual tumor sizes in vivo. Days Tumor size (mm )* Control Anti-NKGD VOR VOR/ Anti-NKGD 8 9. ±. 8. ±.9. ±. 9. ±.8 9. ±.. ±.. ± 8.. ±. 8.9 ±.8. ± 8.. ± 9.8. ±. 9. ± ±. 9. ±..8 ±.. ±.9. ±.9 8. ±..9 ±.8.9 ±.. ±.9 9. ±.9 9. ±..9 ±..8 ± ± ±.. ±.. ± 8.. ±. 9. ±.98 * Means ± SD
11 Supplementary references Wu, X., Tao, Y., Hou, J., Meng, X. & Shi, J. Valproic acid upregulates NKGD ligand expression through an ERK-dependent mechanism and potentially enhances NK cellmediated lysis of myeloma. Neoplasia, 8-89 (). Skov, S. et al. Cancer cells become susceptible to natural killer cell killing after exposure to histone deacetylase inhibitors due to glycogen synthase kinase--dependent expression of MHC class I-related chain A and B. Cancer Res, - (). Zhang, C., Wang, Y., Zhou, Z., Zhang, J. & Tian, Z. Sodium butyrate upregulates expression of NKGD ligand MICA/B in HeLa and HepG cell lines and increases their susceptibility to NK lysis. Cancer Immunol Immunother 8, -8 (9). Shi, P. et al. Valproic acid sensitizes pancreatic cancer cells to natural killer cellmediated lysis by upregulating MICA and MICB via the PIK/Akt signaling pathway. BMC Cancer, (). Soriani, A. et al. Reactive oxygen species- and DNA damage response-dependent NK cell activating ligand upregulation occurs at transcriptional levels and requires the transcriptional factor EF. J Immunol 9, 9-9 (). Lin, D., Lavender, H., Soilleux, E. J. & O'Callaghan, C. A. NF-kappaB regulates MICA gene transcription in endothelial cell through a genetically inhibitable control site. J Biol Chem 8, 99- (). Fionda, C. et al. Inhibition of glycogen synthase kinase- increases NKGD ligand MICA expression and sensitivity to NK cell-mediated cytotoxicity in multiple myeloma cells: role of STAT. J Immunol 9, - ().
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