Supplemental Figure 1 1a 1c PD-1 MFI fold change 6 5 4 3 2 1 IL-1α IL-2 IL-4 IL-6 IL-1 IL-12 IL-13 IL-15 IL-17 IL-18 IL-21 IL-23 IFN-α Mut Human PD-1 promoter SBE-D 5 -GTCTG- -1.2kb SBE-P -CAGAC- -1.kb IFN-γ TNF-α TGF-β1 NFATc1 -TTTTTCC-3 -TTTTTGG-3 +1 Gated on CD4+ T cells Gated on CD8+ T cells pdcd1 1d 1b PD1 MFI (x1 4 ) Relative Luciferase Unit 4 3 2 1 15 12 9 6 3 DMSO.1.1 1 1 CsA Concentrations (µg/ml) * NFATc1 Mut Medium + TGF-β1 Medium 1e Relative Luciferase Unit 3 2 1 EV 4 8 Medium +TGF-β1 * * TGF-βRI/RII (µg) 1f SSC Isotype Empty Vector TGF-βRI/RII (4µg) 1 8 6 4 2 1 8 6 4 2 1.27% 1 8 6 4 2 7.25% 1 1 1 1 2 1 3 1 4 1 1 1 1 2 1 3 1 4 1 1 1 1 2 1 3 1 4 TGF-βRII 1g Gapdh Pdcd-1 Fold Enrichment Relative to IgG 15 1 5 Fold Enrichment Relative to IgG 15 1 5 Medium +TGF-β1 +TGF-β1+SB431542 IgG αnfatc1 IgG αnfatc1
Supplemental Figure 2 2a mrna expression relative to mock 1.4 1.2 1..8.6.4.2. Scramble mrna expression relative to mock 1.6 1.4 1.2 1..8.6.4.2. Scramble 2b IB: IB: β-actin IB: IB: β-actin Mock Mock 2c 2d Isotype Ova Ova+TGF-β1 IB: IB: β-actin IB: IB: β-actin #1 #2 #1 #2 #1 #2 OT-I OT-II 1 8 6 4 2 1 1 1 1 2 1 3 1 4 1 8 6 4 2 MFI 67.2 MFI 112 MFI 21.1 MFI 76.4 1 8 6 4 2 1 1 1 1 2 1 3 1 4 1 8 6 4 2 MFI 826 MFI 485 MFI 15 MFI 94.3 1 1 1 1 2 1 3 1 4 1 1 1 1 2 1 3 1 4 PD-1 LAG3 2e 2f CD8+ TILs CD4+ TILs LAG3+[%] normalized to 3. 2.5 2. 1.5 1..5 * PD1+[%] normalized to 2.5 2. 1.5 1..5
Supplemental Figure 3 3a PD-1 1 5 1 4 1 3-1 3-1 3 1 3 1 4 1 5-1 3 1 3 1 4 1 5 CD4 1 8 6 4 2 Foxp3 1 CD4+ Foxp3+ [%] 9 8 7 6 Plot CD4+ 1 PD1+ 5 3b +TGF-β1 Count 1 8 6 4 2 Foxp3- Foxp3+ 1 1 1 1 2 1 3 1 4 Foxp3-GFP Count 8 6 4 2 Gated on Foxp3+ or Foxp3- Foxp3- Foxp3+ 1 1 1 1 2 1 3 1 4 1 8 6 4 2 1 1 1 1 2 1 3 1 4 PD-1 Isotype +TGF-β1 : Gated on Foxp3+ subset +TGF-β1 : Gated on Foxp3- subset 3c
Supplemental Figure 4 4a 1 8 6 4 2 Isotype 1 8 6 4 2 Representative Plots 1 8 6 4 2 4b Proliferation [%] 8 6 4 2 8 N N 1 8 6 4 2-1 3 1 3 1 4 1 5-1 3 1 3 1 4 1 5-1 3 1 3 1 4 1 5 1 8 6 4 2-1 3 1 3 1 4 1 5-1 3 1 3 1 4 1 5-1 3 1 3 1 4 1 5 CFSE PD-1 LAG3 1 8 6 4 2 LAG3 MFI PD-1 MFI 6 4 2 3 25 2 15 1 5 4c N 1 8 6 4 2-1 3 1 8 6 4 2-1 3 Isotype 1 3 1 4 1 5 1 3 1 4 1 5 1 8 6 4 2 1 8 6 4 2 Representative Plots 1 4 1 5 1 4 1 5 1 8 6 4 2 1 8 6 4 2-1 3-1 3 1 3 1 4 1 5 1 3 1 4 1 5 CFSE PD-1 LAG3 4d Proliferation [%] PD-1 MFI LAG3 MFI 8 6 4 2 2 1-1 25 2 15 1 5 N
Supplemental Figure 5 5a 5b TIL Tumor Volume (mm3) 8 6 4 2 5 1 15 2 25 Days * PD-1 MFI (Gated on PD-1+) 1 5 1 4 * 1 5 PD-1 MFI (Gated on PD-1+) 1 4 1 3 5c 25 TIL 2 LAG3+ [%] 2 15 1 5 LAG3+ [%] 15 1 5 5d 1 1 +TGF-β1 8 6 4 2 8.45% 8 6 4 2 2.81% 1 1 1 1 2 1 3 1 4 1 1 1 1 2 1 3 1 4 1 1 8 6 9.41% 8 6 7.89% SSC 4 2 4 2 1 1 1 1 2 1 3 1 4 1 1 1 1 2 1 3 1 4 IL-2
1 2 3 4 5 6 7 8 9 1 11 12 13 14 15 16 17 18 19 2 21 22 23 24 25 Supplementary Information Supplemental Figure 1. (a) The effect of various cytokines on PD-1 expression is shown as fold changes in MFI relative to the CD3/ CD28 condition with no cytokines in both CD4+ (black bars) and CD8+ (white bars) T cells. CD3+ T cells were enriched using magnetic isolation kits from the peripheral blood of healthy donors. The cells were activated with CD3/ CD28-conjugated beads in the presence of an individual cytokine (data from 5ng/ml is shown) with a cell to bead ratio of 1:1. In some experiments, a 1:3 cell to bead ratio was used with no changes in the relative effect of cytokines observed. After 72 hr, the cells were harvested and CD3+ CD4+ or CD3+ CD8+ were gated in order to assess respective PD-1 surface expression via flow-cytometry. (b) TGF-β induced proportionate increases in intracellular and surface PD-1 in the presence of CD3/ CD28 stimulation as described in (a). (c) Human peripheral CD3+ T cells were isolated and activated with CD3/ CD28-conjugated beads in the absence or presence of TGF- 1 for 72 hr. Cyclosporine A (CsA) was added after 24 hr of activation at varying concentrations and PD-1 expression was assessed by flow-cytometry: medium alone (filled circles); CD3/ CD28 (open circles); CD3/ CD28+TGF- 1 (filled triangles). The result is representative of two independent trials. (d) A putative NFATc1 binding site relative to Smad-binding elements (SBE) on a human Pdcd-1 promoter region. (e) Jurkat T cells were transfected with a luciferase vector containing wild-type () or mutant (Mut) NFATc1 site of the human Pdcd-1 promoter as described in the Method section, and luciferase activity was measured after activation with CD3/ CD28. The result is shown as the mean +/- SEM of technical replicates and is representative of at least two independent trials. (f) Jurkat T cells were transfected with a 1.9 kb long human Pdcd-1 promoter-driven luciferase vector together with different amounts of TGF- RI and RII expression plasmids. Subsequently, the cells were activated with CD3/ CD28 with (white bars) or without TGF- 1 (grey bars) and luciferase activity was measured. The result is shown as mean +/- SEM of technical replicates and representative of at least two independent trials. (g) Transfection efficiency of TGF- RI and RII expression plasmids on Jurkat T 1
26 27 28 29 3 31 32 33 cells by flow-cytometry, as shown in SSC (Y-axis) and TGF- RII (X-axis) (right). EV: empty vector. The result is representative of two independent trials. (g) Chromatin immunoprecipitation analysis of NFATc1 on the human Pdcd-1 promoter. Human peripheral CD3+ T cells were isolated and activated with CD3/ CD28-conjugated beads in the absence (black bars) or presence (hatched bars) of TGF- 1 for 24 hr and the ChIP assay was performed as described in the Method section. The degree of enrichment is shown as fold-change (Y-axis) relative to non-specific binding by an isotype control in a human Gapdh or Pdcd-1 promoter region. The result is shown as the mean +/- SEM of technical replicates and representative of at least two independent trials. 34 35 36 37 38 39 4 41 42 43 44 45 46 47 48 49 5 Supplemental Figure 2. (a) qpcr analysis of and mrna levels in Jurkat T cells. Jurkat T cells were transfected with scramble, and as described in the Method section. After resting overnight, the cells were harvested and cellular RNA was isolated in order to assess and transcript levels. The result is shown as mean +/- SEM of technical replicates and representative of at least two independent trials. (b) transfected Jurkat T cells were harvested and lysed for western blot analysis of and. (c) Western blot analysis of Cre-mediated gene knock-out in and CD4+ T cells. Naïve CD4+ T cells (CD4+ CD25- CD62L+) were flow-sorted from, and mice and were activated with CD3/ CD28 for 72 hr. The cells were harvested and lysed for western blot analysis of and expression as described in the method section. Numbers represent biological replicates of each group. (d) Ovalbumin-specific CD8+ (OT-I) (top) and CD4+ (OT-II) (bottom) T cells were enriched by magnetic isolation from the spleen and activated for 72 hr with Type1 Ovalbumin (Ova) and Type II Ova (1 µg/ml) in the presence of irradiated splenocytes under different conditions. PD-1 (left) and LAG3 (right) expressions are shown in representative histograms: isotype (shaded histogram), peptide alone (thin histogram), peptide with TGF- 1 (5 ng/ml) (bold histogram). (e) Average CD8+ LAG3 + percentages in and TIL are shown as normalized 2
51 52 53 values to CD8+ LAG3+ percentages. (f) Average CD4+ PD-1+ percentages in and TIL are shown as normalized values to CD4+ PD-1+ percentages. The data were analyzed using Student s t-test and considered significant if *p<.5, **p<.1, ***p<.1. 54 55 56 57 58 59 6 61 62 63 Supplemental Figure 3. (a) Foxp3 expression in CD4+ PD-1+ T cells infiltrating the tumor microenvironment in, and mice. A representative Foxp3 expression histogram is shown (left) and percentage of Foxp3 among PD-1+ CD4+ T cells in each group is shown as mean +/- SEM. (b) CD4+ T cells were magnetically isolated from Foxp3-GFP transgenic mice, and were activated with CD3/ CD28 for 72 hr with or without TGF- 1. PD-1 expression was separately assessed on GFP+ and GFP- subsets as shown in representative histograms: isotype (light shade); CD3/ CD28 (dashed line); GFP+ subset from CD3/ CD28+TGF- 1 (dark shade); GFP- subset from CD3/ CD28+TGF- 1 (black line). (c) Average PD-1 MFI on CD4+ Foxp3+ (left) and CD4+ Foxp3- (right) are shown in, and TIL isolated from MC38. 64 65 66 67 68 69 7 71 Supplemental Figure 4. (a) Representative histograms of CFSE (left), PD-1(middle) and LAG3 (right) expression on (thin grey histogram) and (thin black histogram) OT-I cells originating from the draining lymph nodes () (top) and non-draining lymph nodes (N) (bottom). (b) CFSE-, PD-1+ and LAG3+ OT-I subsets in s were gated based on OT-I cells from Ns. The percentage of CFSE- (top) and MFI of PD-1 (middle) and LAG3 (bottom) of each subset are shown as mean +/- SEM, and the data represent two independent trials. (c,d) The same analysis was performed on and OT-I cells and the data represent two independent trials. 72 73 74 75 Supplemental Figure 5. (a) and DNTGF RII Tg+ mice were injected with 1 5 B16 melanoma cells in foot-pads, and tumor volume (mm 3 ) is shown as mean +/- SEM on different days. (b) PD-1 MFI of PD-1+ CD8+ subset originating from the tumor microenvironment (left) and (right) is 3
76 77 78 79 8 assessed from each mouse on Day 27. (c) The percentage of the LAG3+ CD8+ subset originating from the tumor microenvironment (left) and (right) is assessed from each mouse on Day 27. (d) Isolated CD4+ T cells from and mice were activated with CD3/ CD28 for 72 hr with or without TGF- 1 and representative plots of IL-2 expression are shown. The data were analyzed using Student s t-test and considered significant if *P<.5. 4