Figure S1. A Non-lesional Lesional

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Figure S1 Non-lesional Lesional GEN1 Non-lesional GEN1 Lesional C Normal Negative control Figure S1. Dermal Populations of + cells are found in human skin. Immunohistochemistry for on fixed, frozen skin sections of () non-lesional and lesional classical psoriasis, () non-lesional and lesional skin from patient GEN1, with a confirmed over-active mutation in (Jordan CT et al, m J Hum Genet, 212 May 4;9(5):784; PMID22521418), and (C) normal human skin. Lower right image is the negative staining control, performed in classical psoriasis lesional skin. rrows point to dermal + cells. Representative images are shown, bar = 1μm.

Figure S2 Normal CD3 CD11c CD163 CD31 CD3 and CD11c and CD163 and CD31 and Non-lesional CD3 CD11c CD163 CD31 CD3 and CD11c and CD163 and CD31 and Figure S2. Dermal is expressed in endothelial cells in normal and non-lesional skin. Two color immunofluroscence on frozen skin sections of () normal and () non-lesional skin demonstrates that (red) does not colocalize with various cell markers (green); CD3 (T-cells), CD11c (dendritic cells), and CD163 (macrophages), but does colocalize with CD31 + endothelial cells (green) in both normal and non-lesional skin. Representative images shown; bar = 1μm.

Figure S3 Vimentin (Fibroblasts/stromal cells) Normal Non-Lesional Lesional Vimentin Vimentin Vimentin Vimentin and Vimentin and Vimentin and Lesional Vimentin Vimentin and and CD31 CD31 Figure S3. Dermal colocalizes with vimentin + CD31 + cells. () Two-color immunofluroscence demonstrates (red) colocalizes with some vimentin (green) cells in normal, non-lesional, and lesional skin. () Triple-color immunofluroscence staining in lesional skin demonstrates that the dermal + (red) and vimentin + (green), colocalize with the CD31 + endothelial cells (blue). Representative image shown; bar = 1μm.

Figure S4 Non-lesional aorta Lesional aorta Negative Control Non-lesional aorta Lesional aorta CD31 CD31 CD31 and CD31 and Figure S4. is also expressed in aortic endothelial cells. () Immunohistochemistry for on fixed, frozen sections of aorta, obtained from cadavers with athelerosclerotic disease, classified as nonlesional (normal apearing) or lesional (atherlosclerotic) based on macroscopic observation. Negative control shown far right. () Two-color immunofluroscence for CD31 (green) and (red) in aorta. Representative images are shown; bar = 1μm.

Figure S5 NIH.PS.1 GEN1 WU.PS.1 RU.PS.1 RU.PS.2 Published Psoriasis Gene Sets Enriched in GEN1 ( mutation) LS vs NL Transcriptome Published Psoriasis Gene Sets Enriched in NIH( mutation) LS vs post-rx Transcriptome Figure S5. Transcriptomic profile of patients with muations. () Principle Component nalysis (PC) for the gene expression of normal, LS, and NL or post-treatment biopsies of patients with confirmed mutations (GEN1 and NIH.PS.1) and classical psoriasis (RU and WU samples). () Gene Set Enrichment nalysis (GSE) of published psoriasis upregulated and downregulated transcriptomes (DEGs) compared to gene expression profile of patients with confirmed mutations. cs = connectivity score. dditional information on bioinfomatics is located in the Material and Methods

Figure S6. therosclerosis Signaling LPS/IL-1 Mediated Inhibition of RXR Function Pathogenesis of Multiple Sclerosis IL-17 Signalling in Gastric Cells Role of IL-17 in Psoriasis Role of Hypercytokinemia/hyperchemokinemia in the Pathogenesis of Influenza MD3 NIH (LS-POST) GEN1 (LS-NL) Role of Macrophages, Fibroblasts, and Endothelial Cells in Rheumatoid rthritis IL-1 Signalling Interferon Signalling Color Key 1 1 Row Z Score WU.HD.13N N WU.HD.11N N Normal_2 N Normal_1 N WU.PSO.1_PN NL NL_9 GEN1 GEN1_PN NL_51 NIH Pustular_posttreat WU.PSO.1_PP NIH GEN1 NL NL NL POSTLS LS LS LS LS Pustular_pretreat GEN1_PP LS_1 LS_52 ail17effectw2_psoriasis Up MD3 Psoriasis Down RHE IL17 Down KC IL17 nottnf Down KC IL17andTNF Down KC IL17 nottnf Up KC TNF notil17 Up Synergistic IL17andTNFa KC KC TNF notil17 Down KC IL1 Up Synergistic IL17andIL22 KC KC IL17andTNF Up dditive IL17andTNFa KC RHE IL17 Up KC IL1 Down dditive IL17andIL22 KC MD3 Psoriasis Up ail17effectw2_psoriasis Down Figure S6. Transcriptomic profile of patients with mutations. () Ingenuity Pathway nalysis (IP), showing biological pathways significantly upregulated in both classical psoriasis (MD3) as well as patients with confirmed mutations. () Heat map of cyotkine GSV (gene set variation analysis)- derived scores in normal, LS, and NL or post-treatment biopsies of patients with confirmed mutations (GEN1 and NIH.PS.1) and classical psoriasis. dditional information on bioinformatics is located in the Materialsand Methods.

Figure S7 IL-8 CXCL1 CXCL1 2. 1.5 1..5. fl sh 3 2 1 fl p =.13 sh 1..8.6.4.2. fl sh 2.5 2. 1.5 1..5. fl sh CCL2 5 4 3 2 1 fl sh CCL5 Figure S7. Transfection of psoriasis-associated mutations into dermal endothelial cells resulted in increased expression of several chemokines. Quantitative RT-PCR for various chemokines in endothelial cells transfected with wild-type (full-length (fl) and short (sh) )(white), or psoriasis-associated mutation constructs: (gray) and (black). N= 3 per group. Error bars represent the standard error of the mean.

Figure S8 E-selectin P-selectin ICM VCM.6.4.2. fl sh.6.4.2. fl sh.2.15.1.5. fl sh.4.3.2.1. fl sh WT C 1 E-selectin 6 P-selectin 2 ICM 25 VCM MFI 8 6 4 2 MFI 4 2 MFI 15 1 5 MFI 2 15 1 5 WT Tx Tx WT Tx Tx WT Tx Tx WT Tx Tx Figure S8. Minimal upregulation of cell adhesion molecule protein expression on transfected HDECs. () qrt-pcr analysis of E-selectin, P-selectin, ICM, and VCM on wild-type (fl and sh) transfected HDECs, or HDECs transfected with psoriasis associated mutations ( and ). Expression is presented as relative to the housekeeping gene, hrp. N = 2-3 per group. Error bars represent the standard error of the mean. () and (C) Expanded HDECs transfected with the wild-type or the psoriasis-associated mutation (N=1) were stimulated with TNF-alpha overnight and then assessed for cell surface protein expression of adhesion molecules by flow cytometry; () histograms and (C) corresponding mean fluroscence intensity (MFI) are shown.

Figure S9 2.5 2. 1.5 1..5. PS IL-8 IL-17 TNFa IFNg IL-17+TNFa IL-17+IFNg.8.6.4.2. PS IL-17 CXCL1 TNFa IFNg IL-17+TNFa IL-17+IFNg CXCL1 1 8 6 4 2 PS IL-17 TNFa IFNg IL-17+TNFa IL-17+IFNg CCL2 CCL5 3 2 1 PS IL-17 TNFa IFNg IL-17+TNFa IL-17+IFNg.1.8.6.4.2. PS IL-17 TNFa IFNg IL-17+TNFa IL-17+IFNg Figure S9. Psoriatic cytokines upregulate chemokines in dermal blood endothelial cells. Human dermal blood endothelial cells were cultured with either vehicle control (PS), IL-17 (1ng/ml), TNF-alpha (2ng/ml), IFN-gamma (2ng/ml), or combinatations. RN was isolated after 12 hours of exposure to cytokines, and expression of various chemokines was determined using qrt-pcr (as described in the materials and methods). Error bars represent the standard error of the mean. Significance was determined by comparison of cytokine treatment versus PS, p <.5, p <.1 using a paired t-test. N=3.

Figure S1 Figure S1. Single stained flurochrome slide controls for triple-color immunofluroscence studies. Representative images of each single-flurochrome stained sample using the the green, red, or blue laser are shown at 2X.

Table S1: ntibodies used for immunohistochemistry/immunofluorescence ntigen Manufacturer Clone a Dilutio n mplification/detection (secondary antibodies) Sigma-ldrish Rabbit polyclonal 1:6 Goat anti-rabbit Ig rhodamine red CD3 D SK7 1:1 Goat anti-mouse IgG1-488 CD11c D -ly6 1:1 Goat anti-mouse IgG1-488 CD163- cris 5C6-FT 1:1 Goat anti-mouse IgG FITC FITC Vimentin Thermo Scientific b2 1:1 Goat anti-mouse IgG1-488 CD31 D WM59 1:1 Goat anti-mouse IgG1-488 or -647 PL-E abcam ab8853 1:5 Goat anti-mouse IgG1-488 LYVE-1 R&D 53728 1:2 Goat anti-mouse IgG1-488 pnfk Santa Cruz Rabbit 1:1 Zenon conjugated -647 (ser276) polyclonal CXCL1 cris Rabbit polyclonal 1:1 Goat anti-rabbit Ig rhodamine red CCL2 Novus MN1 1:1 Zenon conjugated -568 iologicals CCL5 abcam VL-1 1:2 Goat anti-mouse IgG2b - 568 a ll antibodies are murine monoclonal unless otherwise stated.

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