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SUPPLEMENTARY INORMATION Activation of the reward system boosts innate and adaptive immunity Tamar L. Ben-Shaanan 1,2, Hilla Azulay-Debby 1,2, Tania Dubovik 1, Elina Starosvetsky 1, Ben Korin 1,2, Maya Schiller 1,2, Nathaniel L. Green 1,2, Yasmin Admon 1, ahed Hakim 1,3, Shai S. Shen-Orr 1,4#*, Asya Rolls 1,2#* Affiliations: (1) Department of Immunology, Rappaport aculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel. (2) Center of Science and Engineering of Neuronal Systems, Rappaport aculty of Medicine, Technion - Israel Institute of Technology, Haifa Israel. (3) Pediatric Pulmonary Unit, Rambam Health Care Campus, Haifa, Israel. (4) aculty of Biology, Technion Israel Institute of Technology, Haifa, Israel.

Supplementary Table S1: Effects of VTA activation replicated in all three repeats of the experiments. B cells- CD80 MAC- CD80 Experiment #1 30.51 53.25 Experiment #2 60.66 12.81 Barcoded Experiment 68.04 5.31 B cells- CD86 MAC- CD86 Experiment #1 27.08 20.69 Experiment #2 36.87 6.97 Barcoded Experiment 19.41 44.53 B cells- TLR4 MAC- TLR4 Experiment #1 37.54 15.10 Experiment #2 2.19 53.47 Barcoded Experiment 13.29 11.43 B cells- CD25 Experiment #1 30.12 Experiment #2 25.54 Barcoded Experiment 40.71 Experiment #1-2 with non-barcoded data (n=5 mice per group) and an additional experiment, evaluated by barcoding (n=3 VTA and 5 controls). Significant differences are reported as a percentage of increase in the expression intensity in the group compared to the control group. Of note, we provide in igure S3 and S4 the specific details of one representative experiment done without barcoding and in Table S1, we provide a summary of the effects replicated in all three experiments including the barcoded data. Thus, for example, we did not identify differences in DCs in the barcoded experiment and, therefore, we do not refer to these cells in the text.

Table S2: CyTO antibody panel. Isotope Ab (In115)Di CD45 (La139)Di CCR3 (Pr141)Di CD80 (Nd142)Di GR1 (Nd143)Di CD86 (Nd144)Di 4/80 (Nd145)Di CD4 (Nd146)Di CD45R (Sm147)Di CD152 (Nd148)Di CD138 (Sm149)Di CD8 (Nd150)Di NK1.1 (Eu151)Di CD206 (Sm152)Di CD25 (Eu153)Di CD14 (Sm154)Di CD11c (Gd155)Di IgM (Gd156)Di CD49b Clone Catalog no. 30-11 103120 JO73E5 144504 16-10A1 104702 RB6-8C5 108402 GL-1 105002 BM8 123102 RM4-5 100520 RA3-6B2 103202 3C7 106202 281-2 142502 53-6.7 100716 PK136 108702 C068C2 141702 3C7 101902 Sa14-2 123302 N418 117302 RMM-1 406502 DX5 108902 Experiment Use C C, C, C, C, C = Clustering = unction A = Cell-subset annotation NA = Not analysed (barcoded) 24h = (non- barcoded) VTA activation CyTO analysis = VTA activation = 6-OHDA 24h E. coli (i.p.) 2 days 3 days/7 days 24h CyTO analysis CyTO analysis X No SNS + VTA activation Isotope Ab Clone Experiment Catalog no. Use (Gd157)Di CD19 6D5 115502 C (Gd158)Di CD34 MEC14.7 119302 C (Tb159)Di CD27 LG.3A10 124202 (Gd160)Di CD69 H1.23 104502 (Dy161)Di CD123 5B11 106002 NA (Dy162)Di TCRb H57-597 109202 (Dy163)Di CCR7 4B12 120101 (Dy164)Di CD28 37.51 102102 (Ho165)Di CD115 AS98 135502 (Er166)Di CD133 315-2C11 141202 C (Er167)Di TLR4 SA14-21 145402 (Er168)Di CD117 ACK2 135102 C (Tm169)Di CD79b HM79-12 132802 (Er170)Di CD62L MEL-14 104402 C (Yb171)Di CD44 IM7 103033 C (Yb173)Di (Yb173)Di TLR2 CD45RA T2.5 121802 14.8 sc-18865 NA (Yb174)Di IA-IE M5/114.15.2 107602 C, (Lu175)Di IgD 11-26c.2a 405737 (Yb176)D i CD11b M1/70 101202 Isotope Ab Clone Catalog no. Experiment Use (Sm147) Di CD3e 145-2C11 100314 (Dy161)Di CD21 7E9 123404 (Dy163)Di CD127 A7R34 135002 (Yb172)Di CD23 B3B4 101625 The antibodies used for clustering (C), annotation (A) and functional () analysis of the immune populations are shown with the clone details and the CyTO channels for each antibody. Markers discarded from the analysis altogether are marked NA (not analyzed). Clustering was performed with Citrus based on similarity of expression of all clustering markers. The antibodies used in each panel are specified with a color code. All antibodies were purchased from BioLegend, except CD45RA that was purchased from Santa-Cruz Biotechnology. All antibodies were validated by the manufacturer s for flow application as indicated on the manufacturer s website

Bregma -0.58 mm Bregma -0.58 mm Bregma 1.1.mm Supplementary igure 1: DREADD expression in the VTA. Coronal sections of a virus-infected brain evaluating mcherry labeling in the ventral tegmental area (VTA), substantia nigra (SN), lateral hypothalamus (LA), nucleus accumbens (NAcc), medial forebrain bundle (mfb) and the frontal cortex. mcherry expression is evident only within the VTA. Blue-DAPI, redbregma 1.78 mm mcherry. Scale bar, 0.5 mm

% of change in social interactions (before and after CNO injection) 150 100 50 0 ** Supplementary igure 2: DREADD-induced VTA activation increases social interaction. DREADD-induced activation increased the number of social interactions between cage mates. (n = 5; P < 0.01). Data represented as mean ± s.e.m.

Supplementary igure 3: activation induces small but specific changes in immune populations. Spleens from and control mice were subjected to analysis by CyTO mass cytometry (n = 5 per group; experiment #1 in Table S1). The identified cell clusters are represented as nodes in a Citrus derived circular dendrogram delineating lineage relationships as identified from the data. Cluster granularity (i.e. cell subset specificity) increases from the center of the diagram to the periphery. (a) The expression intensity of each marker used for cell population characterization is overlaid per cluster on the Citrus circular dendrogram and is indicated, independently for each marker, by the colored gradient whose range corresponds to the arcsinh transformed expression of the median marker expression measured across all Citrus clusters. or each marker we also provide a dot plot graph demonstrating the marker labeling in the manually gated indicated population. (b) Citrus plots showing, per marker, the clusters (pink) for which testing of group differences was restricted to based on an unsupervised application of a Probability of Expression (POE) algorithm. Shown is the POE information for the six markers in which group differences were identified, (c) Citrus plots delineating lineage relationships as identified from the data and group differences. Individual cell clusters are mapped to well established, gross-cell types: B cells (CD45R + CD79b + ), CD8 + T cells (TCRβ + CD8 + ), CD4 + T cells (TCRβ + CD4 + ), NK cells (NK1.1 + CD49b + ), granulocytes (CD11b + Gr-1 + ), monocytes/macrophages (CD11b + CD14 + 4/80 + ) and dendritic cells (CD11c+) identifiable by annotated shaded background groupings. Cell subsets, not well defined by these criteria were left white. Differences in functional markers expression for cell clusters in the spleen of and control mice are indicated for each cell cluster by one or more colored rings, corresponding to different functional markers, in which the median expression is different between the two experimental groups. Changes are shown for CD80, CD86 and MHCII (left) and CD25, CD115 and TLR4 (right).

Supplementary igure 4: ViSNE dimensionality reduction reveals subtle upregulation of protein expression in immune subpopulations. CyTO analysis of VTA and control mice (n = 5 per group, same experiment shown in Supplementary igure 3) was analyzed using ViSNE, an orthogonal analysis paradigm to Citrus, which relies on a nonlinear dimensionality reduction to two dimensions of single cell distances (measured on the same markers used for clustering in the Citrus analysis). On the upper left, is a ViSNE plot, colored for CD45 marker expression with ViSNE islands annotated to gross cell-types. Additional plots provide the baseline comparison ViSNE representation of TLR4, CD115, CD25, CD80, CD86 and MHCII median expression levels in control and mice. Color code indicates expression intensity.

Supplementary igure 5: Changes in blood cells following VTA activation. Blood cells from mice and controls were assayed by CyTO followed by Citrus clustering and analysis of group differences. Clusters represented as nodes in a Citrus-derived circular dendrogram. Individual cell clusters are mapped to well established, gross-cell types, identifiable by annotated shaded grey background groupings, with cluster granularity (i.e. cell subset specificity) increasing moving from the center of the diagram to the periphery. Colored clusters represent an increase in median expression of CD86 (n = 5 and 7).

a Serum IL4 (pg/ml) 300 280 260 240 220 200 180 160 140 0 200 0 b Serum IL10 (pg/ml) 300 280 260 240 220 c Serum TN- α (pg/ml) 1300 1100 900 700 500 300 0 d Serum IN- (ng/ml) γ 6.8 6.6 6.4 6.2 6.0 5.8 5.6 5.4 5.2 5.0 0 Supplementary igure 6: VTA activation does not induce changes in mouse serum cytokines. Serum samples of and control mice were analyzed for their cytokines levels using standard ELISA kits. The results are reported following background subtraction and calculation of pg or ng /ml levels of each cytokine (n = 6). Data represented as mean ± s.e.m.

a b c Unstained cells CD11b stain only CD11b+ GP GP CD11b (PerCP) Supplementary igure 7: Validation of GP fluorescence on peritoneal CD11b+ cells. Validation of the GP levels of peritoneal CD11b+ cells from mice infected with nonfluorescent E. coli or GP-E. coli. (a) Peritoneal unstained cells two hours following i.p. injection of non- fluorescent E. coli. (b) Peritoneal cells two hours after i.p. injection of nonfluorescent E. coli stained with anti CD11b PerCP conjugated antibody. (c) Peritoneal cells two hours after i.p. injection of GP-expressing E. coli stained with anti CD11b PerCP conjugated antibody. CD11b high cells show increased levels of GP only after infection with GP-expressing bacteria.

Supplementary igure 8: CyTO and low cytometry analyses of splenocytes seven days after E. coli challenge reveal similar pattern of activation in control and VTA mice. (a) CyTO analysis of the changes in splenocytes derived from VTA mice and their controls seven days following E. coli i.p. injection. CyTO data using ViSNE analysis is represented on the left panel. The percentage of abundance for each population is provided in the right panel for each mouse. The gating strategy of the different cell subsets is demonstrated on a representative mouse. (b) Intracellular IN-γ expression represented as median fluorescence intensity (MI) of spleen T cells from VTA mice and their controls (n = 4). Data represented as mean ± s.e.m.

Supplementary igure 9: VTA activation has no effect on the immune system in sympathetically-ablated mice. To evaluate the impact of VTA activation in the absence of SNS, we compared the CyTO analysis between two groups of mice, both treated with 6- OHDA. Cell clusters are represented as nodes in a circular dendrogram delineating lineage relationships as identified from the data. Individual cell clusters are mapped to well established, gross-cell types, identifiable by annotated shaded grey background groupings, with cluster granularity (i.e. cell subset specificity) increasing moving from the center of the diagram to the periphery. Cell clusters that demonstrated change in cell abundance are circled in grey. The observed changes were mainly in cell clusters that could not be characterized, as they did not express any of the cell-type markers used in the assay. No other differences were detected even at DR 50%. We repeated the experiment two independent times, with qualitatively similar results (n = 6 and 8).

igure S10 4/80 CD11b CD11b+ 4/80+ TLR4 VTA 0.35 0.51 0.55 0.62 0.52 0.50 0.46 0.54 0.39 0.60 0.45 0.56 (P<0.065) CD115 VTA 0.32 0.42 0.48 0.54 0.37 0.45 0.46 0.48 0.36 0.50 0.40 0.48 (P<0.067) CD25 VTA 0.68 0.83 0.83 0.93 0.76 0.74 0.77 0.85 0.72 0.85 0.75 0.84 (P<0.067) CD80 VTA 1.34 1.83 1.55 1.76 1.57 1.75 1.58 1.85 1.42 1.65 1.49 1.77 (P<0.018) CD86 VTA 1.21 1.46 1.39 1.52 1.33 1.38 1.34 1.50 1.13 1.46 1.28 1.47 (P<0.02) CD79b CD45R+ CD79b+ TLR4 0.18 0.22 0.24 0.31 0.21 0.29 0.23 0.31 0.20 0.27 0.21 0.28 (P<0.020) CD115 0.12 0.16 0.16 0.22 0.13 0.20 0.16 0.22 0.13 0.18 0.14 0.20 (P<0.020) CD25 0.28 0.36 0.35 0.42 0.32 0.43 0.36 0.48 0.30 0.37 0.32 0.41 (P<0.020) CD80 0.58 0.92 0.72 0.88 0.69 0.89 0.75 0.93 0.57 0.71 0.66 0.87 (P<0.020) CD86 0.53 0.74 0.64 0.77 0.58 0.80 0.66 0.84 0.53 0.65 0.59 0.76 (P<0.020) MHCII 5.90 5.88 5.97 6.12 5.87 6.06 6.02 6.20 5.83 5.82 5.92 6.02 (P<0.258) CD45R CD11b CD11c CD11c+ TLR4 0.35 0.38 0.41 0.51 0.37 0.57 0.45 0.55 0.41 0.59 0.40 0.52 (P<0.028) CD115 0.34 0.34 0.33 0.41 0.31 0.38 0.40 0.45 0.37 0.51 0.35 0.42 (P<0.083) CD25 0.74 0.79 0.73 0.92 0.65 0.93 0.78 0.92 0.72 0.88 0.72 0.89 (P<0.018) CD80 1.42 1.65 1.48 1.49 1.35 1.62 1.48 1.79 1.20 1.54 1.39 1.62 (P<0.021) CD86 1.21 1.30 1.39 1.42 1.33 1.38 1.34 1.58 1.13 1.39 1.28 1.41 (P<0.020) MHCII 6.21 6.36 6.31 6.54 6.21 6.63 6.49 6.60 6.32 6.52 0.36 0.50 (P<0.021) CD4 TCRβ TCRβ+ CD4+ CD25 VTA 0.33 0.42 0.39 0.48 0.40 0.38 0.40 0.45 0.37 0.43 0.38 0.43 (P<0.056) Supplementary igure 10: Manually gated single cell CyTO data and effect size of functional marker differences. Broad manual gates of single cell CyTO data are shown for the key populations (macrophages, B-cells, dendritic cells and CD4 T-cells) in which the Citrus-based analysis identified differences between naive and control mice in a single independent experiment (experiment #1 of Table S1). Median (arcsinh transformed) functional marker intensity values are shown for TLR4, CD115, CD25, CD80, CD86 and MHCII in each mouse, as well as a Student t-test Benjamini-Hochberg adjusted p-value for group differences. The gating strategy is demonstrated on a single mouse.

igure S11 Macrophages CD11b+ 4/80+ Dendritic cells CD11c+ B cells CD45R+ CD79b+ CD4 T cells TCR β+ CD4+ CD8 T cells TCR β+ CD8+ CD45 CD115 CD115 Macrophages CD11b+ 4/80+ Dendritic cells CD11c+ B cells CD45R+ CD79b+ CD4 T cells TCR β+ CD4+ CD8 T cells TCR β+ CD8+ TLR4 Macrophages CD11b+ 4/80+ Dendritic cells CD11c+ B cells CD45R+ CD79b+ CD4 T cells TCR β+ CD4+ CD8 T cells TCR β+ CD8+ CD80 Macrophages CD11b+ 4/80+ Dendritic cells CD11c+ B cells CD45R+ CD79b+ CD4 T cells TCR β+ CD4+ CD8 T cells TCR β+ CD8+ CD86 Macrophages CD11b+ 4/80+ Dendritic cells CD11c+ B cells CD45R+ CD79b+ CD4 T cells TCR β+ CD4+ CD8 T cells TCR β+ CD8+ CD45 CD45 CD45 CD45 CD45 CD25 Supplementary igure 11: Expression pattern of low intensity markers affected by VTA activation across immune populations. Single cell dot plots representing CD115, TLR4, CD80, CD86, and CD25 expression of different immune populations as indicated above each panel in immunologically naïve mice. The scale of marker intensity is adjusted for each marker as indicated.

B cells: CD45R+, CD79b+ 4.16% CD4 T cells: TCRβ+, CD4+ 28.3% B cells: CD45R+, CD79b+ CD4 T cells: TCRβ+,CD4+ 2.47% 9.65% CCR7 expression CD69 expression CCR7 CCR7 CD69 CD69 CD4 T cells: TCRβ+,CD4+ 5.47% Granulocytes: CD11b+,Gr-1+ 39.7% CD8 T cells: TCRβ+, CD8+ B cells: CD45R+, CD79b+ 0.11% 64.53% CCR3 expression IgM expression CCR3 CCR3 IgM IgM CD8 T cells: TCRβ +, CD8+ Macrophages: CD11b+, 4/80+ 2.38% 10.45% B cells: CD45R+, CD79b+ CD4 T cells: TCR β+,cd4+ 10.36% 19.0% CD206 expression CD28 expression CD206 CD206 CD206 CD206 CD28 CD28 CD8 T cells: TCRβ +, CD8+ Dendritic cells: CD11c+ 15.33% 33.64% TLR2 expression TLR2 TLR2 B cells: CD45R+, CD79b+ CD4 T cells: TCR β +,CD4+ 2.39% 79.92% CD27 expression CD27 CD27 CD8 T cells: TCRβ+, CD8+ B cells: CD45R+, CD79b+ 12.72% 21.68% CD138 expression CD138 CD138 Supplementary igure 12: Single cell CyTO data demonstrating marker reliability. Arcsinh transformed CyTO single cell data shown for all pertinent functional markers not affected by activation, in immunologically naïve mice.

4/80 Count CD80 (MI±SEM) 1961±180 3341±266 (P<0.018) CD11b CD80 Count CD86 (MI±SEM) 994±54 1254±59 (P<0.058) CD86 Count TLR4 (MI±SEM) 386±14 550±14 (P<0.003) TLR4 Count CD115 (MI±SEM) 1784±75 2036 ± 36 (P<0.04) CD115 Count CD25 (MI±SEM) 196±7 236±2 (P<0.013) CD25 Supplementary igure 13: low cytometry validation of activation effects on the expression of CD80, CD86, TLR4, CD115 and CD25 on monocytes and macrophages. We isolated monocytes/macrophages from the spleens of mice and their controls 24h after CNO injection. We labeled the cells with fluorescently labeled antibodies to CD11b, 4/80, CD80, CD86, TLR4, CD115 and CD25. The cells were then analyzed by flow cytometry for the expression of these markers of cells gated based on the CD11b, 4/80 staining as demonstrated in the left panel. In the right panels, representative histograms are shown. The average MI ± s.e.m. per group are shown. As each marker was analyzed individually, p values were evaluated by student s t- test (n = 3 mice per group).