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Dendritic cell expression of A20 preserves immune homeostasis and prevents colitis and spondyloarthritis Gianna Elena Hammer 1 , Emre E. Turer 1 , Kimberly E. Taylor 1 , Celia J. Fang 1,2 , Rommel Advincula 1 , Shigeru Oshima 1 , Julio Barrera 1 , Eric J. Huang 1,3 , Baidong Hou 4 , Barbara A. Malynn 1 , Boris Reizis 5 , Anthony DeFranco 4 , Lindsey A. Criswell 1 , Mary C. Nakamura 1,3 & Averil Ma 1 1 Department of Medicine, University of California at San Francisco, San Francisco, CA 94143-0451 2 San Francisco Veterans Affairs Medical Center, San Francisco, CA 94121 3 Department of Pathology, University of California San Francisco & Pathology Service, VA Medical Center, San Francisco, CA 94121 4 Department of Microbiology and Immunology, University of California at San Francisco, San Francisco, CA 94143 5 Department of Microbiology and Immunology, Columbia University, NY 10032 Correspondence should be addressed to A.M. ([email protected]) University of California at San Francisco, 513 Parnassus Ave, S-1057, San Francisco, CA 94143-0451. Supplementary Figures Nature Immunology doi:10.1038/ni.2135

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Page 1: Dendritic cell expression of A20 preserves immune ... of Medicine, University of California at San Francisco, San Francisco, CA 94143-0451 2San Francisco Veterans Affairs Medical Center,

Dendritic cell expression of A20 preserves immune homeostasis and prevents colitis and spondyloarthritis

Gianna Elena Hammer1, Emre E. Turer1, Kimberly E. Taylor1, Celia J. Fang1,2, Rommel Advincula1, Shigeru Oshima1, Julio Barrera1, Eric J. Huang1,3, Baidong Hou4, Barbara A. Malynn1, Boris Reizis5, Anthony DeFranco4, Lindsey A. Criswell1, Mary C. Nakamura1,3

& Averil Ma1 1Department of Medicine, University of California at San Francisco, San Francisco, CA 94143-0451 2San Francisco Veterans Affairs Medical Center, San Francisco, CA 94121 3Department of Pathology, University of California San Francisco & Pathology Service, VA Medical Center, San Francisco, CA 94121 4Department of Microbiology and Immunology, University of California at San Francisco, San Francisco, CA 94143 5Department of Microbiology and Immunology, Columbia University, NY 10032 Correspondence should be addressed to A.M. ([email protected]) University of California at San Francisco, 513 Parnassus Ave, S-1057, San Francisco, CA 94143-0451. Supplementary Figures

Nature Immunology doi:10.1038/ni.2135

Page 2: Dendritic cell expression of A20 preserves immune ... of Medicine, University of California at San Francisco, San Francisco, CA 94143-0451 2San Francisco Veterans Affairs Medical Center,

100 101 102 103 1040

20

40

60

80

100

98.9

100 101 102 103 104

84.9

YFP (CRE recombination)

Cel

ls (r

elat

ive)

CD11chighDC CD11clowDC

61 82 7543

61 82 7543Wild-type allele (+)

loxP flankedallele (fl)

Ba Ba

BaBa Ba Ba

CRE recombined/ Deleted allele (Del)

61 87543 BaBa BaBa

Xb

XbXb

15.2 kb

XbXb

loxP

Xb

3.4 kb

Xb

Exon 4 Probe

1.9 kb

2.9 kb

loxP

a

Supplementary Figure 1.

Hammer et al., 2011

c

100 101 102 103 104

9.36

TCRβ+b +/fl fl/fl +/fl fl/flBMDM BMDC

WT 3.4 kb

fl 1.9 kb

Del 2.9 kb

Xba I digest

dTCRβ+CD4+

TCRβ+CD8+

CD19+B220+

NK1.1+CD3−

NK1.1+CD3+

CD11b+GR1+

CD11c−

2.08% 1.76+−

9.3% 2.75+−

7.93% 2.75+−

8.1% 6.1 +−

12.2% 10.0+−

9.7% 4.5 +−

Cell type Deletion (YFP+) econventional DCplasmacytoid DC

90% 5+−

65% 15+−

Cell type Deletion (A20/Tnfaip3)

Nature Immunology doi:10.1038/ni.2135

Page 3: Dendritic cell expression of A20 preserves immune ... of Medicine, University of California at San Francisco, San Francisco, CA 94143-0451 2San Francisco Veterans Affairs Medical Center,

Supplementary Figure 1. Generation of A20fl/fl CD11c-Cre mice and specificity of

deletion.

(a) Organization of exons 1-8 of the A20-encoding locus, Tnfaip3 in A20fl/fl mice. Xba I

(Xb) restriction sites and the resulting DNA fragment detectable by a probe adjacent to

exon 4 are shown for the Wild type (+), loxP-flanked allele (“floxed”, fl) and the Cre

recombined/deleted allele (Del). (b) Bone marrow derived macrophages (BMDM; 100%

F4/80+CD11c−) and Bone marrow derived dendritic cells (BMDC; 55% CD11c+) were

harvested after six days of in vitro culture. Genomic DNA was digested with Xba I and

Cre-mediated deletion of the loxP flanked genomic region of exon 2 was analyzed by

southern blot using the exon 4 probe shown in (a). (c) A20fl/fl Cd11c-Cre mice were

interbred with animals carrying a YFP reporter gene; YFP expression was dependent on

CRE-mediated recombination and thus indicates deletion of exon 2 of A20. Shown are

representative histograms depicting YFP expression in conventional DCs (CD11chigh),

CD11clowDCs, and TCRβ+ lymphocytes from Cd11c-Cre-negative (dashed) and Cd11c-

Cre-positive (shaded) A20fl/fl mice. Nearly 100% of DCs were YFP+ and had deleted A20

as indicated by southern blot (data not shown). The percentage of YFP+ cells within the

indicated cell type is shown in (d). (e) Percent deletion of A20 in sorted splenic

populations of conventional DCs (CD11chigh Ly6C− MHC-II+) and plasmacytoid DCs

(CD11clow CD11b− Ly6C+ B220+) from A20fl/fl Cd11c-Cre mice. Deletion was assessed

using quantitative genomic DNA PCR of A20/Tnfaip3 exon 2 (described in1) and is

relative to that of DCs from control A20+/+ Cd11c-Cre mice. Data in (d,e) is averaged

from four individual mice.

Nature Immunology doi:10.1038/ni.2135

Page 4: Dendritic cell expression of A20 preserves immune ... of Medicine, University of California at San Francisco, San Francisco, CA 94143-0451 2San Francisco Veterans Affairs Medical Center,

a

b

+/+ fl/fl+/fl

+/+ fl/fl+/fl

Supplementary Figure 2.

Hammer et al., 2011

Supplementary Figure 2. A20-deficient DCs induce splenomegaly and lymphadenopathy.

(a) Spleens from representative A20+/+ Cd11c-Cre mice, A20+/fl Cd11c-Cre mice, and A20fl/fl

Cd11c-Cre mice. (b) Lymph nodes from representative A20+/+, A20+/fl, and A20fl/fl Cd11c-Cre

mice. Images are representative of more than twenty mice of each genotype between six to ten

weeks old.

Nature Immunology doi:10.1038/ni.2135

Page 5: Dendritic cell expression of A20 preserves immune ... of Medicine, University of California at San Francisco, San Francisco, CA 94143-0451 2San Francisco Veterans Affairs Medical Center,

0.0

0.0025

0.0050

0.0075

0.0100

Supplementary Figure 3.

Hammer et al., 2011

+/+ fl/fl

Ifnβ

(cop

y nu

mbe

r)

Supplementary Figure 3. A20-deficient DCs produce exaggerated amounts of type I IFN.

Splenic pDCs were sorted from A20+/+ Cd11c-Cre and A20fl/fl Cd11c-Cre mice. RNA expression

of Ifn , relative to -actin, was quantified by QPCR using Taqman Gene Expression Cells to CT

kit. Data is averaged from 5 mice.

Nature Immunology doi:10.1038/ni.2135

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100 10 1 102 103 10 410 0

10 1

10 2

10 3

10 4

26.2

10 0 10 1 10 2 10 3 10

70.5a

Supplementary Figure 4.

b

0

20

40

60

80

CD

4+ CD

44hi

CD

62Llo

cel

ls (%

)

Hammer et al., 2011

WTA20+/+ Cd11c-Cre

WTA20fl/flCd11c-Cre

+ +

CD

44

CD62L

WT + A20

fl/fl

WT +

A20+/+

Supplementary Figure 4. A20-deficient DCs aberrantly activate T cells in a physiologically

dominant fashion over WT DCs.

Hematopoietic chimera containing a mixed population of WT and A20+/+ Cd11c-Cre cells or WT

and A20fl/fl Cd11c-Cre cells were generated by reconstitution of sublethally irradiated WT mice

with congenic A20+/+ or A20fl/fl Cd11c-Cre bone marrow cells. Chimera were analyzed four

weeks post irradiation for the percentage of activated CD4+ T cells (a). The percentage of

activated CD4+ T cells in each chimera is averaged from three independent experiments

containing three chimera from each group (b).

Nature Immunology doi:10.1038/ni.2135

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OT-

II IF

Nγ+

cells

(%)

0

10

20

30

0.00

0.25

0.50

0.75

IFN

γ pg

/mL

0

10

20

30

IL-1

7 pg

/mL

a b

+/+ +/+ +/fl−/− +/+

Supplementary Figure 5.

Hammer et al., 2011

+/fl

Supplementary Figure 5. Loss of A20 in dendritic cells enhances T cell activation.

(a) A20+/+ and A20 / BMDCs were sorted by autoMACS and pulsed with 10 µg/mL OVAp for

two hours prior to intravenous injection into WT mice containing OT-II T cells. Recipient mice

were immunized with 1x106 antigen-pulsed BMDCs on days zero and day two. Seven days post

immunization, spleen cells from recipient mice were restimulated with OVAp and OT-II T cell

responses were assayed by intracellular cytokine staining. Shown is the percentage of OT-II T

cells making IFN ; no IL-17 producers were detected. Each dot represents a recipient mouse. (b)

A20+/+ Cd11c-Cre and A20+/fl Cd11c-Cre mice were immunized with OVA/complete Freund’s

Adjuvant (heightened inflammation in A20fl/fl Cd11c-Cre mice precludes their immunization).

Two weeks later, lymph node cells from immunized mice were restimulated in vitro with 50

µg/mL OVA protein. After 48 hours restimulation, the amount of IFN and IL-17 in the cell

supernatant was assayed by ELISA.

Nature Immunology doi:10.1038/ni.2135

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Supplementary Figure 6.

Hammer et al., 2011

100 101 102 103 104100

101

102

103

104

6.49 84

+/+ fl/fla

0

5

10

15

20

+/+

OT-

I cel

ls (%

of C

D8+ )

b

0

30

60

90

OT-

I CD

44hi

CD

62Llo

cel

ls (%

)

+/+

c

CD

44

CD62L fl/fl

fl/fl

Supplementary Figure 6. In the absence of antigen, OT-I CD8+ T cells become activated

and expand in A20fl/fl Cd11c-Cre mice.

OT-I CD8+ T cells were adoptively transferred into A20fl/fl Cd11c-Cre or control Cd11c-Cre

mice. (a) The percentage of CD44hiCD62Llo activated OT-I T cells was analyzed nine days post

transfer. Activated OT-I T cells in all mice tested (b) and the percentage of OT-I T cells among

total CD8+ T cells (c) is shown. Data includes three recipient mice of each genotype.

Nature Immunology doi:10.1038/ni.2135

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+/+ Rag1−/−

+/fl Rag1−/−

fl/fl Rag1−/−

Supplementary Figure 7.Hammer et al., 2011

fl/fl Rag1−/−+/+ Rag1−/−b

c

a

Nature Immunology doi:10.1038/ni.2135

Page 10: Dendritic cell expression of A20 preserves immune ... of Medicine, University of California at San Francisco, San Francisco, CA 94143-0451 2San Francisco Veterans Affairs Medical Center,

Supplementary Figure 7. A20-deficient DCs rapidly activate and expand T cells to

induce colitis.

(a) Gross appearance of colons and spleens from A20+/+, A20+/fl, and A20fl/fl Cd11c-Cre

Rag1−/− mice 24 days post T cell transfer (top to bottom, two mice each). Representative

colon histology (b), and lamina propria (c) are shown. Data is representative of two

independent experiments including at least two mice per genotype.

Nature Immunology doi:10.1038/ni.2135

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WTCCC, P <0.01 ca=1478, co=2938

rsid pos (kb) type Add OR Add P rs2683064 138124 IMP 1.25 1.8E-06 rs7753364 138127 IMP 0.8 2.0E-06 rs6570186 138127 IMP 1.25 2.0E-06 rs7753394 138127 GEN 0.82 3.9E-06 rs12055552 138132 IMP 0.82 4.4E-06 rs9376300 138140 IMP 1.22 4.7E-06 rs9376296 138120 IMP 1.22 5.0E-06 rs999638 138113 IMP 1.22 5.1E-06 rs9389534 138119 IMP 1.21 5.6E-06 rs7773904 138127 GEN 1.21 6.7E-06 rs11961697 138117 IMP 0.82 9.1E-06 rs6927210 138118 GEN 1.21 1.1E-05 rs946227 138124 GEN 1.22 1.4E-05 rs498361 138076 IMP 1.25 1.9E-05 rs650157 138101 IMP 0.81 2.0E-05 rs584794 138079 IMP 0.8 2.1E-05 rs9484087 138110 IMP 0.81 2.7E-05 rs643746 138094 IMP 0.81 3.0E-05 rs508493 138095 IMP 0.81 3.3E-05 rs1538333 138113 IMP 0.84 4.5E-05 rs6917696 138090 IMP 0.82 0.00011 rs6917211 138090 IMP 1.21 0.00014 rs9321631 138149 IMP 0.84 0.00041 rs654039 138157 IMP 1.18 0.00052 rs12212460 138154 IMP 0.82 0.00103 rs9321627 138065 IMP 1.24 0.00168 rs3853402 138115 IMP 1.18 0.0058 rs7766288 138087 GEN 0.81 0.0059

Hammer et al., 2011

Supplementary Figure 8.

a

GenotypedImputed

5.5

6.0

138,230 kbTnfaip3 (A20)

137,855 kbOlig3138060 138080 138100 138120 138140 138160 138180

2.0

2.5

3.0

3.5

4.0

4.5

5.0

P v

alue

(−lo

g10)

Location (kb)

b

Nature Immunology doi:10.1038/ni.2135

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Supplementary Figure 8. Identification of A20/TNFAIP3 SNPs associated with

human Crohn’s disease.

A20/TNFAIP3 and surrounding genomic regions (chr 6: 137,725 -138,800 kb) were

analyzed for Crohn’s Disease-associated SNPs. After obtaining the publicly-

available dataset from WTCCC, we applied quality control thresholds of 90%

individual genotyping, 90% SNP genotyping, 5% minor allele frequency; all SNPs

had Hardy-Weinberg Equilibrium P > 0.01 in controls. We used IMPUTE2 to

impute up to all HapMap3 SNPs in A20/TNFAIP3 (chr 6: 138,230 -138,246 kb) and

surrounding regions (chr 6: 137,725 -138,800 kb), using the HapMap CEU

population as a reference. We retained genotypes imputed (IMP) with a probability

of >90% and treated those as absolute genotypes (GEN) in an additive model test.

Association was tested using SNPTEST

(www.stats.ox.ac.uk/~marchini/software/gwas/snptest.html). We performed

conditional analysis on the top SNP using Whap4. (a) SNP identity (rsid), position

(pos), additive odds ratio (OR) and additive P value of Crohn’s Disease-associated

SNPs with P < 0.01 in WTCCC. (b) Shown are the P values plotted by location of

imputed () and genotyped () Crohn’s Disease-associated SNPs. The upstream

location of coding regions for OLIG3 (137,855 kb) and downstream location of

A20/TNFAIP3 (138,230 kb) are shown for reference.

Nature Immunology doi:10.1038/ni.2135

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+/+ fl/fl

+/+

fl/fl

Supplementary Figure 9.

Hammer et al., 2011

Supplementary Figure 9. A20fl/fl Cd11c-Cre mice spontaneously develop arthritic

disease.

Representative hindpaws of littermate mice at five months of age; a healthy control and

A20fl/fl Cd11c-Cre mouse suffering acute arthritis is shown. Images are representative of

five mice of each genotype.

Nature Immunology doi:10.1038/ni.2135

Page 14: Dendritic cell expression of A20 preserves immune ... of Medicine, University of California at San Francisco, San Francisco, CA 94143-0451 2San Francisco Veterans Affairs Medical Center,

Hammer et al., 2011Supplementary Figure 10.

a

b

+/+ fl/fl

Nature Immunology doi:10.1038/ni.2135

Page 15: Dendritic cell expression of A20 preserves immune ... of Medicine, University of California at San Francisco, San Francisco, CA 94143-0451 2San Francisco Veterans Affairs Medical Center,

Supplementary Figure 10. A20fl/fl Cd11c-Cre mice spontaneously develop

spondyloarthritis.

Skeletons of one year old A20+/+ Cd11c-Cre and A20fl/fl Cd11c-Cre mice were analyzed

by computed tomography. Shown are representative computed tomography scans of the

hindpaw (a) and vertebrae (b) from A20fl/fl Cd11c-Cre and control mice. Note bone

erosions in A20fl/fl Cd11c-Cre mice.

Nature Immunology doi:10.1038/ni.2135

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Supplementary Figure References

1. Tavares, R.M., et al. The ubiquitin modifying enzyme A20 restricts B cell

survival and prevents autoimmunity. Immunity 33, 181-191 (2010). 2. Marchini, J., Howie, B., Myers, S., McVean, G. & Donnelly, P. A new multipoint

method for genome-wide association studies by imputation of genotypes. Nat Genet 39, 906-913 (2007).

3. The International HapMap Project. Nature 426, 789-796 (2003). 4. Purcell, S., Daly, M.J. & Sham, P.C. WHAP: haplotype-based association

analysis. Bioinformatics 23, 255-256 (2007).

Nature Immunology doi:10.1038/ni.2135