Guangdong Medical University, Zhanjiang, China; 5 Guangxi Medical University, Nanning, China; 6 Department of Pathology, University of Michigan

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Overexpression of FAM83H-AS1 indicates poor patient survival and knockdown impairs cell proliferation and invasion via MET/EGFR signaling in lung cancer Jie Zhang 1,2, Shumei Feng 3, Wenmei Su 4, Shengbin Bai 3, Lei Xiao 3, Lihui Wang 5, Dafydd G. Thomas 6, Jules Lin 2, Rishindra M. Reddy 2, Philip W. Carrott, Jr. 2, William R. Lynch 2, Andrew C. Chang 2, David G. Beer 2, You-min Guo 1, Guoan Chen 2 1 Xian Jiaotong University, Xi an, China; 2 Department of Surgery, University of Michigan, Ann Arbor, Michigan, USA; 3 Xinjiang Medical University, Urumqi, China; 4 Guangdong Medical University, Zhanjiang, China; 5 Guangxi Medical University, Nanning, China; 6 Department of Pathology, University of Michigan Supplementary data 2 Tables 7 figures

Supplementary Table 1. FAM83H-AS1 expression and clinical variables from validation set of lung ADs measured by qrt-pcr Variables AD FAM83H-AS1 P value* Age <=65 42 1.34 >65 59 1.7 0.6 Gender Female 53(52.5%) 1.58 Male 48 1.64 0.6 Stage Stage I 59(58.4%) 1.19 Stage II 16 2.1 0.4 Stage III 26 1.69 0.8 N status No 70 1.48 N1-2 31 1.89 0.8 Differentiation Well 28 1.44 Moderate 38 1.65 0.5 Poor 34(33.7%) 1.48 0.5 *t test was used.

Supplementary Table 2. EGFR, KRAS and TP53 genes mutation in lung cancer cell lines used in Figure 3B Cell Line Subtype EGFR KRAS TP53 PC-9 AD E746_A750del WT WT Hcc4006 AD Del L747-E749 WT WT H1650 AD E746_A750del WT WT H838 AD WT WT, amp? E62stop H1975 AD L858R, T790M WT WT H1299 AD WT WT trancated H727 carcinoid??? H358 AD WT G12C WT H441 AD WT G12V R158L SK-MES-1 NSCLC WT WT E298stop H2228 AD WT WT Q331stop HCC827 AD Del E746-A750, EGFR amp WT WT Note: H2228 cell line has EML4-ALK fusion gene; Amp: DNA amplification; del: deletion.

FAM83H-AS1 (to NT) Supplementary Figure 1 1 0.9 0.8 0.7 0.6 0.5 0.4 0.3 0.2 0.1 0 The knockdown efficiency of FAM83H-AS1 sirna smartpool (10nM, 48 hrs) on 12 lung cancer cell lines used in this study on Figure 3B. (ACTB as mrna loading control, all values are relative to NT control, NT=1)

Supplementary Figure 2 FAM83H-AS1 RNA-Seq FAM83H-AS1 A 8.0 7.0 6.0 5.0 4.0 3.0 2.0 1.0 0.0 RNA-seq B 2.5 2.0 1.5 1.0 0.5 0.0 RT-PCR C 8.0 7.0 6.0 5.0 FAM83H-AS1 R² = 0.7199 4.0 3.0 2.0 1.0 0.0 0.0 0.5 1.0 1.5 2.0 2.5 RT-PCR FAM83H-AS1 expression in 12 lung cancer cell lines used in this study showing in Figure 3B. A, RNA-Seq data showing FAM83H-AS1 expression (log2 of FPKM value); B, RT-PCR validation of FAM83H-AS1 expression (relative to median value of 12 cells); C, correlation between RT-PCR and RNA-Seq values in these 12 cell lines (r = 0.72, p = 0.004).

Cell growth inhibition by sirna Supplementary Figure 3 60.0 r = 0.4, n = 12, p = 0.2 50.0 40.0 30.0 20.0 10.0 0.0 0.0 0.5 1.0 1.5 2.0 2.5 3.0 FAM83H-AS1 expression The correlation between FAM83H-AS1 expression and rate of cell growth inhibition by FAM83H-AS1 knockdown using sirna. The cell growth in some cells (indicated by red cycle) were not affected by FAM83H-AS1 sirna knockdown although these cells have relative higher level of FAM83H-AS1 expression. Whereas, cell growth in some cells (H838, H1299 and H1975) were affected by FAM83H- AS1 sirna knockdown although these cells have relative low level of FAM83H-AS1 expression.

Supplementary Figure 4 A B C D Ki-67 immunohistochemistry (IHC) staining on 97 lung cancer tissue array. Ki-67 staining was scored as 0 (negative, A), 1 (<10% positive cells, B), 2 (10-50% positive cells, C), or 3 (>50% positive cells, D).

FAM83H-AS1 expression FAM83H-AS1 Supplementary Figure 5 B A 2.5 2 1.5 1 0.5 0 Score 0 Score 1 Score 2 Score 3 Ki-67 TMA Score 10 9 8 7 6 5 4 3 2 1 0 0000000000000000000000001111111111111111111111111111222222222222222222223333333333333333333 Score 0 Score 1 Score 2 Score 3 Individual tumor Ki-67 TMA score A, Median values of FAM83H-AS1 expression in each Ki-67 score group; B, FAM83H-AS1 expression and Ki-67 tissue array (TMA) score in each individual tumor sample.

mrna expression (NT=1) Supplementary Figure 6 2 1.8 1.6 1.4 1.2 1 0.8 0.6 0.4 0.2 0 RT-PCR indicated the change in gene (mrnas) expression after FAM83H-AS1 sirna (10nM) treatment at 48 hrs on PC-9 cell. MET mrna was decreased by 40%, other genes were not affected. (ACTB as mrna loading control, all values are relative to NT control).

Supplementary Figure 7 464 LUAD KI-67 PCNA FAM83H-AS1 Heat maps of cluster analysis showing 868 proliferation related genes (downloaded from Ben-Porath, Nat. Gent. 2008) together with FAM83H-AS1 from 464 lung ADs (UM 67, Seo 85 and TCGA 312) RNA-Seq data. Columns represent samples, and rows genes, red is high expression and green low expression. Heat map showing that about 2/3 LUADs have a higher Ki-67 expression and other 1/3 tumors were presented by other proliferation genes. Regarding the proliferation related genes, KI-67 only represented a small subset of these proliferation related genes. Most of the proliferation related genes are not cluster with Ki-67 or PCNA.