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Suppression of intratumoral CCL22 by type I interferon inhibits migration of regulatory T cells and blocks cancer progression

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Legends for Supplementary Figures

Supplementary Figure 1. Treatment with CpG causes a reduction of Treg within the CD4 T

cell population and an increase of CD8+ tumor-infiltrating cells. (a) The CT26 tumors described in Figure 1b were stained for CD4 and infiltrating cells were counted by fluorescence microscopy. The FoxP3/CD4 ratio was determined. (b) The proportion of FoxP3+ cells within tumor-infiltrating CD3+CD4+ T cells was determined by flow cytometry. (c) Mice bearing CT26 tumors with an average size of 60 mm2were treated peritumorally with a single dose of 100—g CpG and the number of FoxP3+ and CD8+ cells per mg tumor tissue, the percentage of FoxP3+ cells within CD3+ cells and the CD8/FoxP3 ratio were determined by flow cytometry four and eight days after CpG treatment. Data are presented as in Figure 1c. P values were calculated relative to untreated mice (*p < 0.05; **p < 0.01; ns, not significant).

Supplementary Figure 2. CpG-induced suppression of Treg infiltration in different mouse

tumor models. Subcutaneous B16 or EG-7 tumors were induced in C57BL/6 mice. (a) Mice bearing B16 tumors (average size 60 mm2) were treated twice at a two-day interval with CpG (n = 7) or remained untreated (n = 7). Two days after the last injection of CpG,

tumor-infiltrating FoxP3+ and CD3+ cells were stained on frozen tissue sections and counted in each sample. Data are presented as in Figure 1. (b) EG-7 tumor-bearing mice (average tumor size 60 mm2) were treated three times with CpG at two-days intervals (n = 5) or remained untreated (n = 5). Infiltrating T cells were analyzed as in (a). No evaluation of CD3 was performed in the EG-7 model because of CD3 auto-expression by the tumor cells. Error bars indicate SEM. P values were calculated relative to untreated mice (*p < 0.05; ***p < 0.001).

Supplementary Figure 3. Correlation (corr) of intratumoral FoxP3+ cells and CCL22 levels

in CT26 tumors from untreated mice (same mice as in Figure 1b and d). CT26 tumors were Published in &DQFHU5HVHDUFKGRL&$1

which should be cited to refer to this work.

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implanted as described in Fig. 1 and analyzed for infiltration by FoxP3+ cells and

intratumoral CCL22. Each data point represents one tumor sample of one individual mouse. Correlation was calculated using Pearson’s correlation coefficient.

Supplementary Figure 4. Inducible secretion of CCL22 by CT26-CCL22doxcells. (a) One day after the addition of 2 —g/ml doxycycline to the supernatant of cultured CT26-CCL22dox tumor cells, CCL22 induction was measured in the supernatant by ELISA. (b) BALB/c mice were inoculated with subcutaneous CT26-CCL22doxtumors and fed with a normal (n = 7) or doxycycline-containing (n = 7) diet. 30 days after tumor inoculation, CT26-CCL22doxtumors were collected and CCL22 levels in the homogenates were measured via ELISA. The proportion of infiltrating CD4+FoxP3+ cells was determined by flow cytometry. Error bars indicate SEM. P values were calculated relative to untreated cells or mice, respectively (*p < 0.05; **p < 0.01).

Supplementary Figure 5. CCL22 secretion of human tumor cell lines upon IFN-J

stimulation. Different human tumor cell lines were cultured for three days either untreated or treated with IFN-J. CCL22 levels in the supernatants were determined by ELISA. Error bars indicate SEM. P values were calculated relative to untreated cells (*p <0.05; **p < 0.01).

Supplementary Figure 6. Type I interferon is a key mediator in the process of CCL22

suppression and tumor regression. (a) Sucutaneous B16 tumors were induced in C57BL/6 (n=10) or type I interferon receptor-deficient (IFNAR) mice (n=10). At day 12 after tumor induction, mice of both groups were either treated with 250—g poly(I:C) or remained

untreated (n = 6 per group). Tumor size was measured every second day and expressed as mm2. (b) CT26 or Panc02 tumor-bearing mice were injected with 3 x 105U IFN-Į or PBS. Four days after treatment intratumoral FoxP3+ cell numbers and CCL22 protein expression was analyzed by flow cytometry and ELISA respectively. Error bars indicate SEM. P values of poly (I:C)-treated mice were calculated to the corresponding untreated animals (**p < 0.01;

2

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ns, not significant).

Supplementary Figure 7. Efficacy of anti-tumor treatment with CpG is dependent on an

CD8+ T cell response. (a) Mice with CpG-mediated complete tumor regression were re-challenged with a lethal dose of CT26 (0.25 x 106) and tumor growth was measured every second day. Tumor growth was compared to mice without previous tumor encounter injected with the same amount of CT26 cells. (b) Intratumoral CD8+ T cells were isolated from CpG-or PBS-treated CT26 tumCpG-or-bearing mice 4 days after treatment. Cells were incubated ex

vivo for 4h with AH1 peptide and intracellular IFN-Ȗ expression was measured by flow

cytometry. Error bars indicate SEM. P value was calculated relative to cells isolated from untreated mice (*p < 0.05)

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Supplementary Figure 1

27.9

55.0

0

10

% FoxP3

+

in CD3

+

CD4

+

20

30

40

50

0.4

0.3

0.2

0.1

0

*

**

Gate on CD3+CD4+ cells

Untreated

A

C

B

CpG p.t.

FoxP3/CD4 ratio

CD8/FoxP3 ratio

CD8/FoxP3 ratio

Untreated

CpG p.t.

Untreated

CpG p.t.

CpG c.l.

Untreated

CpG p.t.

FoxP3

CD4

0 102 103 104 105 0 102 103 104 105 0 102 103 104 105 0 102 103 104 105

Day 4 post CpG treatment

Day 8 post CpG treatment

0

5

10

15

*

0

5

10

15

20

*

*

0

10

20

30

ns ns ns

0

5

10

15

20

25

**

**

%Fox

P

3

+

of

intratumoral CD3

+

%Fox

P

3

+

of

intratumoral CD3

+

CD4

+

FoxP3

+

cells

per mg tumor

CD4

+

FoxP3

+

cells

per mg tumor

0

1

2

3

4

5

0

1

2

0

20

40

60

80

CD3

+

CD8

+

cells

per mg tumor

CD3

+

CD8

+

cells

per mg tumor

0

5

10

15

4

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Supplementary Figure 2

A

B

0.1

0.2

FoxP3/CD3 ratio

Untreated

CpG p.t.

***

5

10

15

20

25

FoxP3

*

20

40

60

80

100

120

**

Cells / 0.25mm

2

field

CD3

24

22

8

10

19

14

3110

6

12

7 7

6

B16 melanoma

Untreated

CpG p.t.

(Counted fields / tumor)

5

10

15

20

25

Cells / 0.25mm

2

field

FoxP3

Untreated

CpG p.t.

EG-7 T-cell lymphoma

30

39

48

43

65

6

25

23

16

43

**

(Counted fields / tumor)

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Supplementary Figure 3

T

umor-infiltrating

FoxP3

+

cells

ng CCL22 / g protein

1

10

100

1

10

100

corr = 0.90

p < 0.0001

6

http://doc.rero.ch

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Supplementary Figure 4

0

100

200

Medium

CT26

CT26

Medium + Dox

No Dox

Dox

CT26

0

5

10

CCL22 in culture

supernatant (ng/ml)

Intratumoral CCL22

(ng/g protein)

Intratumoral Treg

(% of live cells)

**

**

A

B

0

2

4

6

*

http://doc.rero.ch

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Supplementary Figure 5

CCL22 (pg/ml)

CAMA-1

**

MCF-7

*

SKBR-3

**

A-431

**

0

200

400

600

800

Untreated

IFN-γ

SW480

SK-MEL23

Panc01

MDA-MB-435s

MDA-MB-231

Karpas

Jurkat

IMIM

A-549

A-375

8

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Supplementary Figure 6

Tumor size (mm

2

)

Time (days)

IFNAR

-/-IFNAR

-/-

+

Poly (I:C)

WT

WT +

Poly (I:C)

16

0

8

0

50

100

150

200

250

**

ns ns ns ns ns

A

B

Untreated

IFN-α

CT26

Panc02

0

1

2

3

4

5

Intratumoral CCL22

(ng/g protein)

Intratumoral CCL22

(ng/g protein)

0

100

200

300

400

0

100

200

300

400

500

CD4

+

FoxP3

+

cells

per mg tumor

CD4

+

FoxP3

+

cells

per mg tumor

0

5

10

15

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Supplementary Figure 7

IFN-γ

+

of intratumoral

CD8

+

cells

*

A

B

Tumor size (mm

2

)

Time (days)

0

6

11

16

0

50

100

150

200

Naive

Rechallenged

0

5

10

15

20

25

Untreated

CpG

10

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