Supporting Information - PNAS · Supporting Information Miyara et al. 10.1073/pnas.1508224112 SI...

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Supporting Information Miyara et al. 10.1073/pnas.1508224112 SI Methods Diagnosis of Human Diseases. Diagnosis for active sarcoidosis, active SLE, Sjögren syndrome, systemic sclerosis, mycosis fun- goides, or myasthenia gravis were made according to previously described criteria (20, 3336). Cytometry. Human peripheral blood mononuclear cells (PBMCs) and human thymocytes were prepared by Ficoll gradient cen- trifugation and stained with anti-hCD3, anti-hCD8, antihCD4- PerCP-Cy5.5 or APC, antihCD25-PE, antihCD45RA-PE-Cy7, antiICOS-, antiHLA-DR-PE (from BD Biosciences), anti- CD31 (-APC from eBioscience), anti-hCD127 (-Pacific blue). In- tracellular detection of FOXP3 with anti-hFOXP3 (PE or Alexa Fluor 647, clone 259D/A7, BD Biosciences) and of Ki-67 antigen with Ki-67 antibody (FITC or PE from BD Biosciences) was performed on fixed and permeabilized cells using Intracellular Fixation and Permeabilization Buffer Set (eBioscience). Most mAbs used for the study were obtained from the Lyoplate system (BD Biosciences). All mAbs for the cell surface marker screening were unconjugated and secondary stained. Clones and species for mAbs are described in Dataset S1. For subsequent cytometry analysis, Alexa Fluor 647-conjugated anti-CD15s mAbs (BD) were used. For the analysis of cytokine production, PMBCs were stimulated for 5 h with PMA and ionomycin. Data ac- quired by LSR-Fortessa or FACSCanto-II were analyzed with FlowJo software. Treg Suppression Assays. The 1 × 10 4 CFSE (1 μM, Invitrogen)- labeled responder CD25 CD45RA + CD4 + T cells were cocul- tured with 1 × 10 4 unlabeled cells assessed for their suppressive capacity together with 1 × 10 5 irradiated autologous accessory cells containing B cells and monocytes. Cells were stimulated with 0.5 μg/mL plate-bound anti-CD3 (OKT3 mAb) in 96-well round-bottom plate in RPMI medium supplemented with 100 mL/L FBS (Bio West), 2 mM L-glutamine, 1 mM sodium pyruvate, 1% nonessential amino acid MEM, 100 units/mL peni- cillin, 100 μg/mL streptomycin and amphotericin B (all from Gibco). Proliferation of CFSE-labeled cells was assessed by flow cytometry after 8490 h of culture. In Vitro Sensitization of NY-ESO-1Specific CD4 + T Cells. CD8 + T cells were depleted from PBMCs with CD8 Microbeads (Miltenyi Biotec). The remaining cells were subjected to negative selection of CD4 + T cells with CD4 + T Cell Isolation Kit (Miltenyi Biotec). CD4 + T cells were treated with biotin-anti-CD15s mAb for 15 min at 4 °C. Subsequently, anti-Biotin MicroBeads (Miltenyi Biotec) were added as described in the manufacturers protocol, then washed using PBS containing 20 mL/L FCS. CD15s cells were separated on autoMACS Pro Separator (Miltenyi Biotec). CD4 CD8 cells were used as antigen-pre- senting cells (APCs) after pulsing with pooled peptides (10 μM) overnight at 37 °C as previously described (17). After irradiation (35 Gy), 35 × 10 5 APCs were added to cultures containing 13 × 10 5 CD4 + T cells, and were fed with IL-2 (10 units/mL; Roche Diagnostics) and IL-7 (20 ng/mL; R&D Systems) in round- bottom 96-well plates (Thermo Fisher Scientic). Subsequently, one- half of the medium was replaced by fresh medium containing IL-2 (20 units/mL) and IL-7 (40 ng/mL) twice per week. Synthetic Peptides of NY-ESO-1. Peptides 120 (MQAEGRGTGG- STGDADGPGG), NY-ESO-1 1130 (STGDADGPGGPGIPD- GPGGN), NY-ESO-1 2140 (PGIPDGPGGNAGGPGEAGAT), NY-ESO-1 3150 (AGGPGEAGATGGRGPRGAGA), NY-ESO- 1 4160 (GGRGPRGAGAARASGPGGGA), NY-ESO-1 5170 (ARASGPGGGAPRGPHGGAAS), NY-ESO-1 6180 (PRGPHG- GAASGLNGCCRCGA), NY-ESO-1 7190 (GLNGCCRCGARG- PESRLLEF), NY-ESO-1 81100 (RGPESRLLEFYLAMPFATPM), NY-ESO-1 91110 (YLAMPFATPMEAELARRSLA), NY-ESO- 1 101120 (EAELARRSLAQDAPPLPVPG), NY-ESO-1 111130 (QDAPPLPVPGVLLKEFTVSG), NY-ESO-1 119143 (PGVLLKE- FTVSGNILTIRLTAADHR), NY-ESO-1 131150 (NILTIRLTAA- DHRQLQLSIS), NY-ESO-1 139160 (AADHRQLQLSISSCLQQL- SLLM), NY-ESO-1 151170 (SCLQQLSLLMWITQCFLPVF), and NY-ESO-1 161180 (WITQCFLPVFLAQPPSGQRR) were obtained from Invitrogen. In Vitro Sensitization of CMV-Specific CD8 + T Cells. For in vitro sensitization of CMV-specific CD8 + T cells, 0.51 × 10 6 PBMCs were cultured with CMV peptides (CMV 495503 for HLA- A*0201 restricted, 10 μM) in a round-bottom 96-well plate. After 8 h, one-half of the medium was replaced by fresh medium containing IL-2 (20 units/mL) and IL-7 (40 ng/mL) and repeated twice per week. Presensitized CD8 + T cells were stained after 7 d culture with PE-labeled HLA-A*0201/ tetramer for 10 min at 37 °C before additional staining with cell surface markers for 15 min at 4 °C. Enzyme-Linked Immunospot Assay. Flat-bottomed, 96-well nitro- cellulose plates (MAHAS4510; Millipore) were coated with antiIFN-γ mAb (4 μg/mL, 1-D1K; MABTECH) and incubated overnight at 4 °C and washed and blocked with RPMI with 100 mL/L AB serum. Presensitized 25 × 10 4 CD4 + T cells and 5 × 10 4 target cells (peptide-pulsed autologous activated T-cell APCs) were added to each well and incubated for 2022 h at 37 °C. Spots were developed using biotinylated antiIFN-γ mAb (0.2 μg/mL, 7-B6-1-biotin; MABTECH), alkaline phosphatase conjugated streptavidin (Roche Diagnostics), and 5-bromo-4- chloro-3-indolyl phosphate/nitroblue tetrazolium (Sigma) and counted with a CTL ImmunoSpot S5 Micro Analyzer (Cellular Technologies). Miyara et al. www.pnas.org/cgi/content/short/1508224112 1 of 15

Transcript of Supporting Information - PNAS · Supporting Information Miyara et al. 10.1073/pnas.1508224112 SI...

Page 1: Supporting Information - PNAS · Supporting Information Miyara et al. 10.1073/pnas.1508224112 SI Methods Diagnosis of Human Diseases. Diagnosis for active sarcoidosis, active SLE,

Supporting InformationMiyara et al. 10.1073/pnas.1508224112SI MethodsDiagnosis of Human Diseases. Diagnosis for active sarcoidosis,active SLE, Sjögren syndrome, systemic sclerosis, mycosis fun-goides, or myasthenia gravis were made according to previouslydescribed criteria (20, 33–36).

Cytometry.Human peripheral blood mononuclear cells (PBMCs)and human thymocytes were prepared by Ficoll gradient cen-trifugation and stained with anti-hCD3, anti-hCD8, anti–hCD4-PerCP-Cy5.5 or –APC, anti–hCD25-PE, anti–hCD45RA-PE-Cy7,anti–ICOS-, anti–HLA-DR-PE (from BD Biosciences), anti-CD31 (-APC from eBioscience), anti-hCD127 (-Pacific blue). In-tracellular detection of FOXP3 with anti-hFOXP3 (PE or AlexaFluor 647, clone 259D/A7, BD Biosciences) and of Ki-67 antigenwith Ki-67 antibody (FITC or PE from BD Biosciences) wasperformed on fixed and permeabilized cells using IntracellularFixation and Permeabilization Buffer Set (eBioscience). MostmAbs used for the study were obtained from the Lyoplate system(BD Biosciences). All mAbs for the cell surface marker screeningwere unconjugated and secondary stained. Clones and speciesfor mAbs are described in Dataset S1. For subsequent cytometryanalysis, Alexa Fluor 647-conjugated anti-CD15s mAbs (BD)were used. For the analysis of cytokine production, PMBCswere stimulated for 5 h with PMA and ionomycin. Data ac-quired by LSR-Fortessa or FACSCanto-II were analyzed withFlowJo software.

Treg Suppression Assays. The 1 × 104 CFSE (1 μM, Invitrogen)-labeled responder CD25−CD45RA+CD4+ T cells were cocul-tured with 1 × 104 unlabeled cells assessed for their suppressivecapacity together with 1 × 105 irradiated autologous accessorycells containing B cells and monocytes. Cells were stimulatedwith 0.5 μg/mL plate-bound anti-CD3 (OKT3 mAb) in 96-wellround-bottom plate in RPMI medium supplemented with100 mL/L FBS (Bio West), 2 mM L-glutamine, 1 mM sodiumpyruvate, 1% nonessential amino acid MEM, 100 units/mL peni-cillin, 100 μg/mL streptomycin and amphotericin B (all fromGibco). Proliferation of CFSE-labeled cells was assessed byflow cytometry after 84–90 h of culture.

In Vitro Sensitization of NY-ESO-1–Specific CD4+ T Cells. CD8+

T cells were depleted from PBMCs with CD8 Microbeads(Miltenyi Biotec). The remaining cells were subjected to negativeselection of CD4+ T cells with CD4+ T Cell Isolation Kit (MiltenyiBiotec). CD4+ T cells were treated with biotin-anti-CD15s mAbfor 15 min at 4 °C. Subsequently, anti-Biotin MicroBeads(Miltenyi Biotec) were added as described in the manufacturer’sprotocol, then washed using PBS containing 20 mL/L FCS.CD15s− cells were separated on autoMACS Pro Separator(Miltenyi Biotec). CD4−CD8− cells were used as antigen-pre-

senting cells (APCs) after pulsing with pooled peptides (10 μM)overnight at 37 °C as previously described (17). After irradiation(35 Gy), 3∼5 × 105 APCs were added to cultures containing1∼3 × 105 CD4+ T cells, and were fed with IL-2 (10 units/mL;Roche Diagnostics) and IL-7 (20 ng/mL; R&D Systems) in round-bottom 96-well plates (Thermo Fisher Scientic). Subsequently, one-half of the medium was replaced by fresh medium containing IL-2(20 units/mL) and IL-7 (40 ng/mL) twice per week.

Synthetic Peptides of NY-ESO-1. Peptides 1–20 (MQAEGRGTGG-STGDADGPGG), NY-ESO-111–30 (STGDADGPGGPGIPD-GPGGN), NY-ESO-121–40 (PGIPDGPGGNAGGPGEAGAT),NY-ESO-131–50 (AGGPGEAGATGGRGPRGAGA), NY-ESO-141–60 (GGRGPRGAGAARASGPGGGA), NY-ESO-151–70(ARASGPGGGAPRGPHGGAAS), NY-ESO-161–80 (PRGPHG-GAASGLNGCCRCGA), NY-ESO-171–90 (GLNGCCRCGARG-PESRLLEF), NY-ESO-181–100 (RGPESRLLEFYLAMPFATPM),NY-ESO-191–110 (YLAMPFATPMEAELARRSLA), NY-ESO-1101–120 (EAELARRSLAQDAPPLPVPG), NY-ESO-1111–130(QDAPPLPVPGVLLKEFTVSG), NY-ESO-1119–143 (PGVLLKE-FTVSGNILTIRLTAADHR), NY-ESO-1131–150 (NILTIRLTAA-DHRQLQLSIS), NY-ESO-1139–160 (AADHRQLQLSISSCLQQL-SLLM), NY-ESO-1151–170 (SCLQQLSLLMWITQCFLPVF), andNY-ESO-1161–180 (WITQCFLPVFLAQPPSGQRR) were obtainedfrom Invitrogen.

In Vitro Sensitization of CMV-Specific CD8+ T Cells. For in vitrosensitization of CMV-specific CD8+ T cells, 0.5∼1 × 106 PBMCswere cultured with CMV peptides (CMV 495–503 for HLA-A*0201 restricted, 10 μM) in a round-bottom 96-well plate. After8 h, one-half of the medium was replaced by fresh mediumcontaining IL-2 (20 units/mL) and IL-7 (40 ng/mL) and repeatedtwice per week. Presensitized CD8+ T cells were stained after7 d culture with PE-labeled HLA-A*0201/ tetramer for 10 min at37 °C before additional staining with cell surface markers for15 min at 4 °C.

Enzyme-Linked Immunospot Assay. Flat-bottomed, 96-well nitro-cellulose plates (MAHAS4510; Millipore) were coated with anti–IFN-γ mAb (4 μg/mL, 1-D1K; MABTECH) and incubatedovernight at 4 °C and washed and blocked with RPMI with100 mL/L AB serum. Presensitized 2∼5 × 104 CD4+ T cellsand 5 × 104 target cells (peptide-pulsed autologous activatedT-cell APCs) were added to each well and incubated for 20–22 hat 37 °C. Spots were developed using biotinylated anti–IFN-γmAb(0.2 μg/mL, 7-B6-1-biotin; MABTECH), alkaline phosphataseconjugated streptavidin (Roche Diagnostics), and 5-bromo-4-chloro-3-indolyl phosphate/nitroblue tetrazolium (Sigma) andcounted with a CTL ImmunoSpot S5 Micro Analyzer (CellularTechnologies).

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Fig. S1. Cell surface marker expression by FOXP3-expressing CD4+ T cells. Expression of intracellular FOXP3 and each indicated surface marker assessed byflow cytometry of PBMCs gated on CD4+ T cells. Data are representative of 6 healthy donors. PBMCs were first incubated with unconjugated antibodies, thenwith dye-conjugated antibodies (CD3, CD8, CD4, CD45RA, CD25, HLA-DR, ICOS, CD31, FOXP3, Ki-67, and Helios). In CD4 panels, because unconjugated anddye-conjugated anti-CD4 mAb was of the same clone (RPA-T4), the dye-conjugated anti-CD4 mAb failed to stain after incubating with the unconjugatedanti-CD4 mAb.

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CD

275

CD

278

Ki-67Mar

kers

Fig. S2. (Continued)

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TCR

BLT

R-1

BU

FFE

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CD

w32

7

CD

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8

CD

w32

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CD

49f

CD

104

CD

120b

CD

132

CD

201

CD

210

CD

212

CD

267

CD

279

CD

282

CD

294

CD

305

CD

309

CD

314

CD

321

CD

326

CD

335

CD

336

CD

337

CD

338

CD

340

CLI

P

CM

RF-

44

CM

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R4

CXC

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CXC

R6

CD

158b

CLA

DG

D2

EG

FR

fMLP

R

TCR

HP

C

HLA

-A,B

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HLA

-A2

HLA

-DQ

HLA

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Inte

grin

e 7

MIC

A/B

HLA

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-DP

-DQ

Inva

riant

NK

T

BU

FFE

R R

AT

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icro

glob

ulin

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0

TRA

-1-8

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V 8

V 2

3

Con

trol c

ell

Con

trol c

ell

Con

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ell

Con

trol c

ell

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ell

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trol c

ell

Ms

IgG

1

Ms

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2a

Ms

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2b

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gG1

Rt I

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Ki-67Mar

kers

Fig. S2. (Continued)

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Bam

bi

B7-

H4

CC

R1

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R2

CC

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R4

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R5

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R6

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R7

CC

R9

CC

R10

CD

CP

1

CD

218a

CD

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CD

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CD

42d

CD

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is

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CD

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CD

65s

CD

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CD

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CD

68

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CD

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CD

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CD

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CD

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CD

101

CD

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CD

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CD

116

CD

120a

CD

129

CD

139

CD

143

CD

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CD

148

CD

155

CD

167a

CD

169

CD

172a

CD

172g

CD

173

CD

178

CD

179b

CD

182

CD

202b

CD

203c

CD

222

CD

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CD

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CD

239

CD

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CD

247

CD

254

CD

255

CD

256

CD

258

CD

261

CD

262

CD

263

CD

265

CD

266

CD

270

CD

271

CD

276

CD

277

CD

282

CD

286

CD

289

CD

298

CD

300e

CD

307

CD

317

CD

318

CD

319

CD

334

CD

344

CD

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CD

357

c-M

et

CM

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AC

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DR

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BU

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GIT

RL

IL15

R

Inte

grin

5

Not

ch 1

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-76

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R

TWEA

Kr

Ki-67Mar

kers

Fig. S2. Cell surface marker expression by Ki-67–expressing CD4+ T cells. Expression of intracellular Ki-67 and each indicated surface marker assessed byflow cytometry of PBMCs gated on CD4+ T cells. Data are representative of 6 healthy donors. PBMCs were first incubated with unconjugated antibodies,then with dye-conjugated antibodies (CD3, CD8, CD4, CD45RA, CD25, HLA-DR, ICOS, CD31, FOXP3, Ki-67, and Helios). In CD4 panels, because unconjugatedand dye-conjugated anti-CD4 mAb was of the same clone (RPA-T4), the dye-conjugated anti-CD4 mAb failed to stain after incubating with the un-conjugated anti-CD4 mAb.

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BU

FFE

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CD

1a

CD

1b

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CD

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CD

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CD

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CD

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CD

7

CD

8a

CD

8b

CD

9

CD

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CD

11a

CD

11b

CD

11c

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CD

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CD

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CD

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CD

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CD

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CD

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66(a

,c,d

,e)

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kers

CD

50

CD

51

CD

53

CD

54

CD

55

CD

56

CD

57

CD

58

CD

59

Fig. S3. (Continued)

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BU

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CD

107b

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(CD

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226

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CD

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CD

244

CD

255

CD

268

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271

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273

CD

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275

CD

278

HeliosMar

kers

Fig. S3. (Continued)

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Fig. S3. (Continued)

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Fig. S3. Cell surface marker expression by Helios-expressing CD4+ T cells. Expression of intracellular Helios and each indicated surface marker assessed byflow cytometry of PBMCs gated on CD4+ T cells. Data are representative of 6 healthy donors. PBMCs were first incubated with unconjugated antibodies, thenwith dye-conjugated antibodies (CD3, CD8, CD4, CD45RA, CD25, HLA-DR, ICOS, CD31, FOXP3, Ki-67, and Helios). In CD4 panels, because unconjugated anddye-conjugated anti-CD4 mAb was of the same clone (RPA-T4), the dye-conjugated anti-CD4 mAb failed to stain after incubating with the unconjugatedanti-CD4 mAb.

CD

127

CD

26

CD

55

CD

100

CD

221

CD

130

CD

305

CD

321

FOXP3Mar

kers

Fig. S4. Cell surface markers down-regulated in FOXP3high eTreg cells. Eight surface markers were down-regulated in FOXP3high eTreg cells detected byanalyzing 323 mAbs as shown in Fig. S1. Expression of intracellular FOXP3 and each indicated surface marker was analyzed by flow cytometry of PBMCs gatedon CD4+ T cells. Data are representative of six healthy donors.

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Ki-67

A B

Helios

CD

71IC

OS

CD

39

ICO

S-L

Fig. S5. Surface markers correlated with Ki-67 and Helios expression. (A) Expression of Ki-67 correlated with surface expression of CD71, ICOS, and ICOS-L.Representative dot plots depicting CD4+ T-cell expression of intranuclear Ki-67 and the surface markers CD71, ICOS, and ICOS-L. Data are representative of sixhealthy blood donors. (B) Expression of CD39 correlated with intracellular expression of Helios. Representative dot plots depicting the expression by CD4+

T cells of intracellular Helios and CD39. The expression of CD39 corresponded to intracellular expression of Helios in some donors (Bottom) but not in others (Top).

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586(42.7%)

36,134(99.0%)

4,690(83.8%)

1,148(48.0%)

Day 4

CD25-CD45RA+

Responderalone

eTreg cells+

Responder cells(1 to 1 ratio)

CFSE (Responder cells)

Day 6

Cel

l num

ber

Fig. S6. Complete suppression of effector T cell proliferation by eTreg cells. Flow cytometric analysis of CFSE dilution by human CFSE-labeled responder cellsafter 4 d (Top) or 6 d (Bottom) coculture with (Right) or without eTregs isolated by the previously described protocol (4) (Left). Number (and percentage) ofcycling cell is indicated. In coculture of human eTregs with responder cells, proliferating responder cells could be detected on day 4, yet only a minority of thementered the third cycle of division, whereas most responder cells cultured alone had entered the third and fourth cycle. Furthermore, on day 6, most dividingresponder cells cultured alone had entered the sixth or the seventh cycle of cell division. Treg-cocultured responder cells still remained halted at the third cycle,whereas decreasing amplitudes are observed in successive peaks of proliferation. This pattern of CFSE dilution in suppressed responder cells indicates that thefew responder cells that have proliferated in the first few days of coculture have arrested their proliferation. Thus, human Treg cells can potently arrest theproliferation of responder cells.

Dataset S1. Monoclonal antibodies used in the study

Dataset S1

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