supplemental table 1. primer se quences for transcript ... · fsc-a ly6c gr-1 ly6c ccr2 ccr2 ly6c...
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Supplemental Table 1. Primer sequences for transcript analysis
Abbreviations: Mmp, matrix metalloproteinase; Timp, tissue inhibitor of metalloproteinase; Col, collagen; Fn, fibronectin; Ccl, chemokine (C-C motif) ligand
Primer Sequence (5’ – 3’) Primer Sequence (5’ – 3’)
Mmp2 Forward ACCCAGATGTGGCCAACTAC Mmp15 Forward CAGGAAAGGCATGGAACAATReverse AAAGCATCATCCACGGTTTC Reverse ACCAATGGTGTGACCTGCTC
Mmp3 Forward TGGAGATGCTCACTTTGACG β-Actin Forward CAGCTTCTTTGCAGCTCCTTReverse AGCCTTGGCTGAGTGGTAGA Reverse CACGATGGAGGGGAATACAG
Mmp7 Forward CGGAGATGCTCACTTTGACA Timp1 Forward GCATCTGGCATCCTCTTGTT Reverse ACCGGGAACAGAAGAGTGAC Reverse TGGGGAACCCATGAATTTAG
Mmp8 Forward CTTTCAACCAGGCCAAGGTA Timp2 Forward AAGCAGTGAGCGAGAAGGAG Reverse GAGCAGCCACGAGAAATAGG Reverse GGGGGCCGTGTAGATAAACT
Mmp9 Forward AGACGACATAGACGGCATCC Timp3 Forward GTGGGAAAGAAGCTGGTGAA Reverse TGGGACACATAGTGGGAGGT Reverse AGAGGCTTCCGTGTGAATGT
Mmp10 Forward CAGTTGGAGAACACGGAGAC Col1a1 Forward TAAGGGTACCGCTGGAGAAC Reverse TGTCCATTTCTCATCATCATCG Reverse CTCCCTGAGCTCCAGCTTCT
Mmp11 Forward GACGCTGGGAGAAGACAGAC Col1a2 Forward AGAGGACCACGTGGACAAAG Reverse GTGGGGTCACTTCACTCCATA Reverse TGAGCAGCAAAGTTCCCAGT
Mmp12 Forward GCTGTCACAACAGTGGGAGA Fn Forward TTAAGCTCACATGCCAGTGCReverse ATACCAGATGGGATGCTTGG Reverse CCCACTTCTCTCCGATCTTG
Mmp13 Forward TGGACCTTCTGGTCTTCTGG Ccl2 Forward AGGTCCCTGTCATGCTTCTGReverse TGGGCAGCAACAATAAACAA Reverse ATTGGGATCATCTTGCTGGT
Mmp14 Forward CCAGTGGATGGACACAGAGAReverse AGAGGGCCGAGAGGTAGTTC
Supplemental Figure 1
InflammatoryMonocytes
ResidentMonocytes Granulocytes
SSC
-A
CD45
SSC
-A
CD19 F4/80
FSC
-A
Ly6C
Ly6G
Ly6C
CCR2CCR2
Ly6C
Ly6G
Ly6C
A
Supplemental Figure 1
InflammatoryMonocytes
ResidentMonocytes
Granulocytes
SSC
-A
CD45
SSC
-A
CD19 F4/80
FSC
-A
Ly6C
Gr-1
Ly6C
CCR2CCR2
Ly6C
Gr-1
Ly6C
Supplemental Figure 1. Gating strategy for identification of monocyte subpopulations. Fluorescence-activated cell sorting(FACS) plots showing the gating strategy for identifying resident monocytes, inflammatory monocytes and granulocytes usingantibodies that recognize (A) Ly6G or (B) Gr-1 in combination with antibodies that recognize CD45, CD19, F4/80, Ly6C and CCR2.
CCR2
Ly6C
B
Supplemental Figure 2
BA
72 hr
analysis 0
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anti-CD40
10 g 30 g 100 g
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olut
e nu
mbe
r of
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80+
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roph
ages
(x10
6 )
*****
Supplemental Figure 2. CD40 agonist induces accumulation of resident macrophages in spleen. a, Wild-type C57BL/6 mice were administered isotype control or anti-CD40 antibody (0.1 mg) by intraperitoneal injection. b, Quantification of the absolute number of F4/80+ macrophages within spleens of mice after treatment with control or escalating doses of anti-CD40. n = 3 mice per group. **P< 0.01, ***P <0.001, unpaired t-test.
Ly6GDAPI
Ctrl FGK45
Supplemental Figure 3
Supplemental Figure 3. Impact of anti-CD40 treatment on Ly6G+ cells within PDAC tumors of KPC mice. Tumor-bearing KPC mice were treated with isotype control (Ctrl) or anti-CD40 antibodies. One day later, tumors were analyzed by immunofluorescencemicroscopy for the presence of Ly6G+ cells (green). Nuclei are stained with DAPI (blue). Displayed are representative images with quantification shown in Figure 1H.
Supplemental Figure 4
B
D E
ALy
6C
FSC
PreDay +1
post CEL
IMRM
Supplemental Figure 4. Strategy for depletion of resident and inflammatory monocyte populations in vivo. FACS plots gated on CD45+ CD19neg F4/80+ cells showing resident (RM) and inflammatory (IM) monocytes pre and one day post treatment with a,clodronate encapsulated liposomes (CEL), b, anti-Gr-1 depleting antibody, RB6-8C5, and c, anti-Ly6C depleting antibody, Monts-1. d, Quantification of absolute number of resident monocytes in peripheral blood pre and post treatment with clodronate encapsulated liposomes. n=5 mice, P = 0.002, paired t-test. e, Quantification of absolute number of inflammatory monocytes in peripheral blood pre and post treatment with RB6-8C5 (anti-Gr-1). n=7 mice, P=0.002, paired t-test. f, Quantification of inflammatory monocytes in peripheral blood pre and post treatment with Monts-1 (anti-Ly6C). n=5 mice, P=0.009, paired t-test.
PreDay +1
post anti-Gr-1
Ly6C
FSCIMRM
C
F
PreDay +1
post anti-Ly6C
Ly6C
FSCIMRM
Day of CEL treatmentPre Day 1
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od4000
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RM IM IM
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od
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Pre Day 1
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# of
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od
F4/80+Ly6Clo
RMF4/80+Ly6Chi
IMF4/80neg
Ly6C+ Ly6G+
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Day of CEL treatment
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f blo
od
Supplemental Figure 5
A B C
Supplemental Figure 5. Effect of clodronate encapsulated liposome (CEL) treatment on peripheral blood myeloid cells. Shown are peripheral blood counts for (a) F4/80+ Ly6Clo resident monocytes (RM) , (b) F4/80+Ly6Chi inflammatory monocytes (IM) and (c) F4/80neg
Ly6C+ Ly6G+ cells prior to (Pre) and one day (Day 1) post treatment with CEL. The impact of CEL on F4/80+Ly6Clo resident monocytes(RM) displayed in (a) is also shown in Supplemental Figure 4D and depicted here for comparison purposes. Significance testing was performed using a paired t-test. n=5; F4/80+ Ly6Clo RM, P= 0.002; F4/80+ Ly6Chi IM, P= 0.871; F4/80neg Ly6C+ Ly6G+, P =0.113.
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Supplemental Figure 6
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l cel
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CD3+ T cells CD19+ T cellsF4/80+ Ly6Chi
IMF4/80+ Ly6Clo
RMF4/80neg
Ly6C+ Ly6G+
* * *
*
**
050
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Cel
ls/
Lbl
ood
0100200300400
Cel
ls/
Lbl
ood
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Cel
ls/
Lbl
ood***
Supplemental Figure 6. Specificity of Ly6C depleting antibody, Monts-1. a, Peripheral blood counts for F4/80+ Ly6Chi
inflammatory monocytes (IM) , F4/80+ Ly6Clo resident monocytes (RM) , and F4/80neg Ly6C+ Ly6G+ cells prior to (Pre) and one day after (Day +1) treatment with anti-Ly6C depleting antibody, Monts-1. n=8 mice, paired t-test. b, Mice were treated with or without anti-Ly6C on days -1 and 0 with anti-CD40 administered on day 0. Splenocytes were harvested on day +1 and absolute number of CD3+ T cells, CD19+ B cells, F4/80+ Ly6Chi IMs, F4/80+ Ly6Clo RMs, and F4/80neg Ly6C+ Ly6G+ cells were quantified by flow cytometry. n = 4 mice/group, 2-tailed unpaired t-test. *P<0.05, **P<0.01, ***P<0.001.
F4/80+ Ly6Chi
IMF4/80+ Ly6Clo
RMF4/80neg
Ly6C+ Ly6G+
A B
Supplemental Figure 7
Control anti-CD40
anti-CD40 + CEL Anti-CD40 + anti-CCL2
Supplemental Figure 7. CCL2 regulates CD40-dependent Ly6C+ myeloid cell recruitment to PDAC tumors in KPC mice.a, Representative images of immunohistochemistry to detect Ly6C+ cells in PDAC tumors from KPC mice one day aftertreatment with isotype control or anti-CD40 antibodies with or without clodronate encapsulated liposomes (CEL) or anti-CCL2neutralizing antibodies. Quantification is shown in Figure 2C. b, CCL2 protein levels detected by cytometric bead array inpancreas of normal littermate (n=2), subcutaneously (SubQ) implanted PDAC tumors (n=3), and primary PDAC tumors isolatedfrom KPC mice (n=4).
0
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3
ng C
CL2
/gra
m ti
ssue
Normalpancreas
SubQtumor
KPCtumor
Supplemental Figure 8
Supplemental Figure 8. Anti-CD40 treatment induces systemic cytokine release in mice and humans. a, Wild-type non-tumorbearing mice and KPC tumor-bearing mice were treated with isotype control (Ctrl) or anti-CD40 antibody. Serum was collected 24 hoursafter treatment for analysis. Shown are serum levels (pg/mL) of IL-12. n=17-20 mice per group for wild-type and n=10 mice per groupfor KPC. b, KPC tumor-bearing mice were treated with Ctrl, anti-CD40 or anti-CD40 in combination with anti-IFN- neutralizingantibody. Shown are serum levels of IL-12 and IFN- detected one day after treatment. n=5-14 mice per group. For a and b, significancetesting was performed using Student’s 2-tailed unpaired t-test. c, Shown are plasma levels for IL-12, IP-10, and MIG in PDAC patientsPre and one day post treatment with CP-870,893. For detection of plasma cytokine levels, n=13 patients at baseline; n=5 patients afterCP-870,893. Significance determined using Mann-Whitney test. *, P<0.05; **, P<0.01; ***, P<0.001; ****, P<0.0001.
A B
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*
Day 0
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pSTAT1
Supplemental Figure 9
MFI: 265
MFI: 478
MFI: 265
MFI: 254
Supplemental Figure 9. STAT1 signaling in human monocytes induced by plasma from PDAC patient treated with CP-870,893. Kinetics of (a) IL-12 and (b) IFN-detected in plasma of PDAC patients prior to and after treatment with the fully human CD40 agonist, CP-870,893. n=5-13 patients per time point. b, Human monocytes were incubated with plasma collected from a patient at day 0 (prior to treatment) and on days 1, 2, and 5 post treatment with CP-870,893. Monocytes were evaluated by flow cytometry for pSTAT1 expression. Shown are representative histograms of monocytes obtained from one of three healthy volunteers. Quantification of results is shown in Figure 3D. MFI, mean fluorescence intensity. For panels a and b, significance testing was performed using one-way ANOVA with Bonferroni correction. **, P<0.01; ****, P<0.0001.
pg/m
Lpg
/mL
IL-12
IFN-
Day
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****
**
Supplemental Figure 10. Anti-fibrotic activity induced with a CD40 agonist is dependent on IFN-. Representative images of tumorsections analyzed by H&E and by Masson's trichrome stain to reveal extracellular matrix (blue) one day after treatment. n=5-6 mice pergroup. Scale bar, 50 µm.
Ctrl
anti-CD40
anti-CD40 + anti-IFN-
H&EMasson’sTrichrome
Supplemental Figure 10
Supplemental Figure 11. CD40 activation does not alter extracellular matrix production or FAP+ fibroblast proliferation.Syngeneic mice bearing established PDAC tumors implanted subcutaneously were treated with isotype control or anti-CD40 antibodies.Tissues were harvested and analyzed one day later. a, Shown is relative transcript expression with comparison to -actin for Col1a1,Col1a2, and Fn observed within tumor homogenates. Data are shown as means + s.d. from n=5 mice for each transcript. b,Quantification of tumor sections for Ki67+ FAP+ cells by immunofluorescence microscopy. c, Representative immunofluorescenceimages of Ki67 (green) and FAP (red) staining in tumor tissues. Nuclei were stained with DAPI (blue). Scale bar, 100 m.
Supplemental Figure 11
Col1a1 Col1a2 Fn
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ansc
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essi
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Ki6
7+FA
P+ce
lls p
er h
pf
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CKi67 FAP DAPI
Ctrl
anti-CD40
Supplemental Figure 12
Supplemental Figure 12. Anti-CD40 treatment selectively depletes extracellular matrix proteins within the tumormicroenvironment. a, Representative images of H&E and immunofluorescence for type I collagen (TIC) and fibronectin (FN)deposition (red) among EpCAM+ tumor cells (green) one day after treatment with isotype control (Ctrl) or anti-CD40 antibodies. b,Representative images of immunohistochemistry for hyaluronan (HA) one day after treatment with isotype control (Ctrl) or anti-CD40antibodies.
Ctrl
anti-CD40
TICEpCAM
FNEpCAMH&E
HA
Ctrl
anti-CD40
A B
Supplemental Figure 13. Implantable tumor model of PDAC that reproduces tumor microenvironment of KPC model ofspontaneous PDAC. Representative images of H&E (A, D), Masson’s trichrome staining (B, E) and immunohistochemistry forF4/80+ macrophages (C, F) are shown for a spontaneously arising PDAC tumor in the KPC model (A-C) and a cell line derivedfrom this tumor that was implanted subcutaneously into C57BL/6 syngeneic mice (D-F).
Supplemental Figure 13
D E F
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ells
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Supplemental Figure 14
Supplemental Figure 14. Development of an implantable model of PDAC for evaluating monocyte-dependentdegradation of cancer fibrosis. a, Schematic showing treatment of C57BL/6 mice implanted subcutaneously with a syngeneicPDAC cell line derived from KPC mice. At two weeks after tumor implantation, mice were treated with isotype control or anti-CD40. The impact of treatment on the tumor microenvironment was examined 24 hours later. b, Tumors were analyzed forLy6C+ inflammatory monocyte (IM) infiltration by staining for Ly6C and for changes in extracellular matrix deposition bystaining for type I collagen. One representative image out of 4 is shown per group. Scale bar, 50 m. c, Quantification of tumor-infiltrating Ly6C+ inflammatory monocytes by immunohistochemistry. *, P < 0.05; unpaired 2-tailed t-test determined from 5-6images per mouse. d, Quantification of type I collagen content. *, P < 0.05; unpaired 2-tailed t-test determined from 4 imagesper mouse, n=4-5 mice per group.
Ant
i-CD
40 in
duce
d ex
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sion
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ol (
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nti-C
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indu
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vels
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Con
trol
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CT)
ECM ProteinsCollagensAdhesion MoleculesAdamts
Integrins Laminins MMPs and TIMPs Other Proteins
Supplemental Figure 15. Gene expression of extracellular matrix and adhesion molecules within the tumor microenvironment inresponse to anti-CD40 treatment. Fold change in gene expression within tumor homogenates one day after treatment with anti-CD40antibodies compared to isotype control.
Supplemental Figure 15
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Ctrl Mo Mo+ IFN-
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Supplemental Figure 16
Supplemental Figure 16. IFN- induces Mmp13 expression in myeloid cells. Murine bone marrow derived myeloid cellswere stimulated in vitro with or without IFN- and then plated on a matrix of type I collagen containing human PDAC cells.Murine-specific Mmp gene expression was detected 24 hours after addition of unstimulated myeloid cells (Mo), IFN-stimulated myeloid cells (Mo + IFN-), and no addition of myeloid cells (Ctrl). Shown is the relative transcript expression for(a) Mmp10, (b) Mmp12, and (c) Mmp13. Data are shown as means + s.d., from 3 independent experiments. *, P<0.05.
Mmp10 Mmp12 Mmp13
Supplemental Figure 17
Supplemental Figure 17. RNA in situ hybridization (ISH) for MMP13 in PDAC tumors. Representative images of RNAISH for Mmp13 in spontaneously arising PDAC tumors in KPC mice one day after treatment with isotype control or anti-CD40antibody. n=3 mice per group, 5 images per mouse.
Control Anti-CD40
Supplemental Figure 18
A
Supplemental Figure 18. Detection of MMP activity in cellular subsets within the tumor microenvironment. Treatmentschema for detection of MMP activity. a, C57BL/6 mice were injected subcutaneously with PDAC tumor cells and 14 days latermice were administered MMPsense or PBS at three hours prior to treatment with Ctrl or anti-CD40. At 24 hours later, tumorswere evaluated by flow cytometry for presence of active MMPs. b, Flow cytometric analysis comparing cellular subsets withintumor tissue for the presence of MMP activity. n = 4-5 mice per group.
analysis
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MMPsenseor PBS
B
Total CD45+ CD45neg0
10203040
% c
ells
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ac
tive
MM
Ps
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1020304050 Ctrl
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A B C
Supplemental Figure 19
Supplemental Figure 19. Protein expression of MMP13 and MMP14 within the tumor microenvironment ofspontaneously arising pancreatic tumors in the KPC model. Representative immunofluorescence images with arrowsindicating a, MMP13 (green) co-localization with F4/80+ (red) myeloid cells (scale bar, 10 m) and b, MMP13 (green) co-localization with FAP+ (red) fibroblasts (scale bar, 20 m) c, Expression of MMP14 (green) by F4/80+ (red) myeloid cells withinstroma but not in tumor cells (T) of KPC mice one day after treatment with isotype control (Ctrl) or anti-CD40 antibody.
MMP14F4/80
Ctr
lan
ti-C
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MMP13FAP
TT
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Supplemental Figure 20
Supplemental Figure 20. Gene expression of Mmp2 and Mmp14 within the tumor microenvironment of pancreatictumors. Shown is the relative transcript expression with comparison to -actin for Mmp2 and Mmp14 observed within tumorhomogenates one day after treatment (Ctrl versus anti-CD40) of syngeneic mice bearing established PDAC tumors implantedsubcutaneously. Data are shown as means + s.d., from n = 9-10 mice for each transcript.
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Supplemental Figure 21
Supplemental Figure 21. Anti-fibrotic activity of a CD40 agonist is dependent on MMPs. a, Schematic showing treatment of miceimplanted subcutaneously with a syngeneic PDAC cell line derived from KPC mice. At two weeks after tumor implantation, mice weretreated with a broad spectrum MMP inhibitor (iMMP, Actinonin) or PBS followed 30 minutes later by isotype control or anti-CD40antibodies. b, Representative immunofluorescence images show fibronectin (FN, red) deposition among EpCAM+ tumor cells (green) oneday after treatment. Nuclei are stained with DAPI (blue). One representative image is shown out of five images per tumor section, pergroup. Scale bar, 100 m.
2 weeks
analysisC57BL/6
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anti-CD40 +iMMP13 #2
Anti-CD40 +iMMP
Supplemental Figure 22
Supplemental Figure 22. Impact of MMP13 specific inhibitors on CD40 agonist induced collagen degradation. Mice with animplanted PDAC tumor were treated with isotype control or anti-CD40 antibodies with or without selective inhibitors of MMP13(iMMP13 #1, WAY-170523; iMMP13 #2, 544678-85-5) or a broad spectrum MMP inhibitor (iMMP, Actinonin). Representative imagesshow collagen deposition (blue) by Masson’s Trichrome staining one day after treatment. One representative image is shown out of fiveimages per tumor section, n=4-8 tumors per group.
Supplemental Figure 23
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Supplemental Figure 23. Kinetics of anti-CD40 activity on tumor microenvironment. Mice with implanted tumors were analyzed atdefined time points after treatment with isotype control or anti-CD40 antibodies. a, Gross images of bisected tumors analyzed at indicatedtime points after anti-CD40 treatment with comparison to isotype control. b, Shown is the ratio of Evans Blue (EB) leakage into tumortissue normalized to kidney. Evans blue was administered 20 minutes prior to necropsy at defined time points after treatment with anti-CD40 or isotype control antibody. c, Representative H&E images (4x and 20x) showing hemorrhagic necrosis in tumors at day 2 afteranti-CD40 treatment compared to isotype control. n=7-8 tumors per treatment group, *, P<0.05.
Supplemental Figure 24
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Day post anti-CD400 1 2 4 7
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31+
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els
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Supplemental Figure 24. Impact of anti-CD40 on CD31+ blood vessel density and vascular patency. Mice with implanted tumorswere analyzed on multiple days after treatment with isotype control or anti-CD40 antibodies. a, Shown is the density of CD31+ vesselsper hpf. n=7-8 tumors per group, 5 images per tumor. b, Representative images showing collapsed CD31+ blood vessels within tumors.
Supplemental Figure 25
Ctrl
anti-CD40 Gem (d+2)
Gem
anti-CD40 Gem (d+5)analysis
C57BL/624 hrs2 or 5 days2 weeks
Supplemental Figure 25. Anti-CD40 treatment improves gemcitabine efficacy in vivo. a, Schematic showing treatment of miceimplanted subcutaneously with a syngeneic PDAC cell line derived from KPC mice. At two weeks after tumor implantation, mice weretreated with anti-CD40 antibodies or control (Ctrl) followed by gemcitabine administered two (d+2) or five days (d+5) later. One day posttreatment with gemcitabine, tumors were analyzed for the number of Ki67+ cells per hpf. b, Representative images showing detection ofKi67+ cells within tumors from indicated treatment groups. Quantification is shown in Figure 6D.
A B
Supplemental Figure 26
Gem anti-CD40 Gem (d+2)
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**
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lls p
er h
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Supplemental Figure 26. Anti-CD40 treatment improves gemcitabine efficacy in KPC tumor-bearing mice. KPC mice were treatedwith anti-CD40 antibodies or control followed two days later by gemcitabine. One day post treatment with gemcitabine, tumors wereanalyzed for the number of Ki67+ cells per hpf. a, Representative images showing detection of Ki67+ cells within tumors from indicatedtreatment groups. b, Quantification of Ki67+ cells per hpf. n=3-4 mice per group, 5 images per mouse. **, P<0.01, student’s ttest.
Supplemental Figure 27
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Supplemental Figure 27. Impact of MMPs and Ly6C+ cells on anti-tumor activity induced by gemcitabine administered two daysafter an agonist CD40 antibody. Mice implanted subcutaneously with a syngeneic PDAC cell line derived from KPC mice were treatedwith anti-CD40 or control with or without inhibition of MMPs (iMMP, Actinonin) or depletion of Ly6C+ cells. Two days after anti-CD40treatment, mice received gemcitabine. Shown is the relative change in tumor volume from time of gemcitabine treatment to 6 days later.n=6-13 mice per group. *, P<0.05, **, P<0.01, Student’s t test.
Day post Gem treatment
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ent c
hang
e in
bod
y w
eigh
t
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Supplemental Figure 28
****
Supplemental Figure 28. Treatment tolerability is dependent on timing of gemcitabine administration after anti-CD40 treatment.Non-tumor-bearing mice were treated with anti-CD40 or control antibodies followed by gemcitabine administered two (day +2) or five days (day +5) later. Shown is the percent change in body weight over time. n=4-8 mice per group. Significance testing was performed using one-way Anova with Bonferroni correction for multiple comparisons testing. Error bars represent standard error of the mean, ** P<0.01.
Gem
anti-CD40 Gem (day +5)anti-CD40 Gem (day +2)