Supplementary Materials Identification of founder sequences and marker nucleotides A general explanation of founder sequence identification was provided in the main paper, and a more detailed explanation is provided here. Sequences from each patient were aligned using ClustalW and a single common sequence was identified as the first founder virus. For example, in the sequences for the patient shown in Supplementary Figure 1A, sequence number 668 was chosen as the first founder. Then, positions at which a nucleotide (or two consecutive nucleotides) differed from this first founder in at least two sequences were identified as potential marker positions. These marker positions are indicated by the many coloured bars in the bottom 5 sequences shown in Supplementary Figure 1A. Rarely, it became apparent that a position thus identified as a marker was more likely to have been a single point mutation on a founder and so it was discarded from the set of markers. Only point mutations, not indels, were identified as markers. Variations in only a single sequence were assumed to be mutations (e.g. coloured bars in sequences 684, 677 and 680, marked with grey circles in Supplementary Figure 1A). Sequences identical to the first founder at all marker positions were identified as “founder 1” sequences (top 14 sequences in Supplementary Figure 1A). Additional founder sequences were then identified as those sequences whose nucleotides at marker sites differed from founder 1, (but were identical between all sequences of the new founder). Therefore, in Supplementary Figure 1A the bottom five sequences were identified as originating from a second founder sequence. Examples of the nucleotides present surrounding markers in two different founder sequences are shown in Supplementary Figure 1B. Within each patient, identified founder sequences were required to differ from each other by at least 5 different nucleotide positions. Additionally, for a sequence to be considered a founder, we required that at least two copies of it be observed. These points, coupled with the fact that sequences were obtained from very early in infection allowed us to conclude that they were in fact distinct founding viruses, and were not the result of replication of naturally emerged mutations from the one founder. Recombined sequences were identified as those sequences whose nucleotides at certain marker positions shared features of one founder, while at other marker positions shared features of a different founder. The makeup of such sequences could be explained using a combination of two or more founder viruses. An example of this is sequence 655 in Supplementary Figure 1A, which is identified as a recombined sequence, since marker positions below nucleotide number 1770 are identical to the founder 1, while marker positions above position 2072 match with markers from the second founder at the bottom of the figure. The nucleotides corresponding to this sequence surrounding the detected recombination are shown in Supplementary Figure 1B, and a compressed representation of the markers surrounding the recombination is given in Supplementary Figure 1C. We verified our detection of recombined sequences using both highlighter analyses and comparison with the output from Recco, software designed to automatically detect recombined sequences (1). In all cases our detection of recombination either agreed with Recco, or else visual inspection indicated that our analysis provided a more accurate explanation for the observed sequence. A complete breakdown of the sequences used, marker points identified, and recombination breakpoints inferred is provided in the supplementary materials. We exclude from analysis sequences that contain 3 or more mutations, since such sequences may not have been accurately identified. We also remove any recombined sequences with identical marker profiles as we cannot confirm whether these were generated as a result of two different, but identical recombination events, or as a result of proliferation of a single recombined sequence. The chosen representations for all patients and sequences used are shown in Supplementary Figure 4-13 below. D M.#Len 1 4 1 1 1 1 1 3 2 1 1 1 1 1 1 1 2 1 1 1 1 1 1 1 M.#Pos 34 425 430 433 435 440 443 445 452 469 560 642 786 1095 1377 1389 1614 1659 1770 2072 2089 2102 2480 2486 Int#Len 390 1 2 1 4 2 1 4 15 90 81 143 308 281 11 224 43 110 301 16 12 377 5 mA mB mC mD mE mF mG mH mI mJ mK mL mM mN mO mP mQ mR mS mT mU mV mW mX 668 673 687 672 678 686 675 676 683 681 669 684 677 680 685 671 679 674 670 682 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 3 4 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 Supplementary Figure 1 Sequence analysis of patient 63068 (This is the same as Figure 2 of the main paper). (A) Highlighter plot of all sequences from patient 63068 indicating Founder 1 sequences (top), Founder 2 sequences (bottom) and a recombined sequence (middle). Some mutations are indicated by grey circles. (B) Nucleotides surrounding markers 18 – 21 are shown for three example sequences. This corresponds to the blue shaded area in panel A. Marker nucleotides are displayed in bold and marked with an arrow at the top. The nucleotide position of each marker is indicated at the top. Markers indicating the presence of founder 1 are shown in red and markers indicating the presence of founder 2 are shown in green. Where nucleotides are omitted from this representation (to save space) this is indicated by dashes. (C) Representations for the same three sequences in panel B are shown, this time with only the marker nucleotides represented by the coloured squares. The numbers inside the squares indicate how many nucleotides exist between this marker and the next marker. Markers corresponding to founder 1 are depicted with a red square at the marker position and those corresponding to founder 2 have a green square. The recombined sequence has a red square at markers where founder 1 was identified and a green square at markers where founder 2 was identified. We observe that recombination occurred somewhere between markers 19 and 20 in a region corresponding to 301 nucleotides. (D) Full representation of the sequences from patient 63068. Only marker nucleotides from the sequences are shown. First three rows show marker length, marker position and interval length. Markers are coloured as described for panel C. Markers are labeled mA, mB, etc. Three digit sequence identifiers are given on the left hand side of each figure. Identifying Recombination in Patients with Three Founder Viruses Detecting and analysing recombination in a sequence originating from a patient with three founders requires mode detailed analysis than that described above, since not all marker sites contain information that identifies the founder virus present at the marker. For example, if, at a given marker, founder 1 has nucleotide X and both of founders 2 and 3 have nucleotide Y, then the marker is only useful to identify founder 1 from one of founders 2 and 3, but cannot tell which of founder 2 or 3 was present. Therefore, for these sequences, in addition to identifying the founders present and the marker positions that distinguish one founder from the others (as we did in the case of two founders), we must also (i) infer which founder was present at marker positions where the nucleotide could belong to one of two founders and (ii) for recombined sequences, identify which markers distinguish between the two founders present on the recombined sequence. We therefore perform the following steps (a) Detect founders that are uniquely identified at a marker position on the sequence (and so must be part of the sequence composition). (b) Check whether all other markers are compatible with these identified founders and if so, use the detected founders to choose the most parsimonious representation (resulting in the least number of recombinations) for the sequence. (c) If there remains some markers whose nucleotide cannot be explained only by the uniquely identified founders, use additional founders to determine the most parsimonious compatible representation for the sequence that results in the lowest calculated recombination rate for that sequence. (d) Disregard any markers that do not distinguish between the founders in this sequence. For example, if a sequence contains only founders 1 and 2, and there is a marker that distinguishes founder 3 from founders 1 and 2, but does not distinguish founder 1 from founder 2, then this marker contains no information to aid in the calculation of recombination on this sequence and so is discarded. A graphical explanation of the three founder case is given in Supplementary Figure 2. We exclude from analysis any sequence without a uniquely identified founder virus at one of its marker positions. !" !" * ) (* +(* , (* - (* / (* . (* 0(* 1( #" * 3' 4&' (56(( 7" #$%&' () ( ! " #$%&' () ( * 3' 4&' (56(( ! " #$%&' (+( ! " #$%&' (+( * 3' 4&' (56(( 7" #$%&' (, ( * 3' 4&' (56(5$7&' ' &%(( 36(7" #$%&' () ( * 3' 4&' (56(5$7&' ' &%( 8" (9&(7" #$%&' (+( * 3' 4&' (56(5$7&' ' &%( 8" (9&(7" #$%&' (, ( 2( * 3' 4&' (=5>&6(( $" (5$7" ' < 3?" $( ! " #$%&' (, ( : &; " < 9() ( 2( : &; " < 9(+( : &; " < 9(, ( 2( ! ( "( Supplementary Figure 2 Sequence analysis of 6 sequences from patient 04013240 (A) Nucleotide sequences from 6 sequences of patient 04013240. Only nucleotides surrounding identified markers are shown. Marker nucleotides are indicated in bold and with an arrow, and their nucleotide position on the sequence is identified. Some nucleotides that are identical across all sequences have been omitted to simplify the representation, and this is indicated by dashes. Markers that uniquely identify the founder sequence present at that marker position are shown with coloured text. Red indicates founder 1, green indicates founder 2 and yellow indicates founder 3. (B) The same six sequences from panel A are shown, however only the 8 marker nucleotides are depicted and labeled as M1- M8. The legend for the marker colourings is on the left hand side of the panel. The markers are coloured according to the information given by the nucleotide at that marker position. Observe that not all marker positions uniquely identify the founder sequence present at that marker. Solid squares at a marker position indicate that the founder present at that marker position is uniquely identified. Hatched squares show that the one of two different founders could be present at that marker position. (C) The same six sequences are shown, however this time our best guess for the most parsimonious representation, consistent with the nucleotides present at the marker position is shown. Markers coloured in dark colours are those at which the founder present is uniquely identified by the nucleotide. Markers coloured in lighter colours are those where we have inferred the founder present at the marker, based on the founder present at surrounding markers. The first three sequences are identified to be founder sequences. The next three sequences are recombinant sequences. Recomb 1 shows recombination between founder 2 and founder 3, occurring between marker 5 and 7. Marker 6 gives no information about this recombination as it is compatible with either founder 2 or 1. Recomb 2 shows recombination between founder 2 and founder 3, occurring between marker 5 and marker 6. Recomb 3 shows recombination between founder 1 and either founder 2 or 3. Two potential representations for Recomb 3 are shown, that are both compatible with the nucleotides present at marker positions. The upper representation is chosen, as it corresponds to a lower estimated recombination rate for that sequence. Evaluating the Recombination Rate Recombination in a single interval For a recombination rate of r, we denote the probability of observing a recombination in an interval of length L, by p1(r,L). We have: êLú êë 2 úû æ L ö 2k+1 p1 (r, L) = å ç r (1- r)L-(2k+1) ÷ k=0 è 2k +1 ø (1) Similarly, we denote the probability of not observing a recombination over such an interval by p0(r,L) and we have êLú êë 2 úû æ L ö 2k p0 (r, L) = å ç r (1- r)L-2k ÷ k=0 è 2k ø (2) Recombination over multiple intervals We now consider multiple intervals occurring between identified markers. We denote the lengths of these intervals by L =(L1, L2, L3, …., Ln). We let X=(x1, x2, x3, …., xn) denote the observed recombinations within each interval, where xi=1 if a recombination event is observed and xi=0 if it is not. The likelihood of observing the sequence of recombinations described by L and X is given by n pX (r, L) = Õ p 1 (r, Li )xi p 0 (r, Li )1-xi (3) i=1 We then estimate the value of r that minimises the negative log of pX (r, L) , i.e. we minimize the n function f (r, X, L) = - å ( xi log p 1 (r, Li ) + (1- xi )log p 0 (r, Li )) using the matlab function fmincon. i=1 Recombination over all sequences and patients We calculate the overall template switching rate over all sequences deemed suitable for analysis, by minimising equation 3 for all the calculated interval lengths and recombinations using all sequences from all patients. Supplementary Table Patient # seqs Used in Reason for Exclusion Reference Analysis 04013448 54 Y N/A (2) 04013240 66 Y N/A (2, 3) 04013419 78 Y N/A (2, 3) 700010238 40 Y N/A (2, 3) CAAN5342 40 Y N/A (3) 63068 20 Y N/A (3) 701010016 20 Y N/A (3) Z35 21 Y N/A (3) Z95 19 Y N/A (3) Z03 20 Y N/A (3) AD77 40 N AD83 44 701010068 Many sequences cannot be explained by recombination between founder viruses (2) N Only includes one copy of a founder (2) 89 N Too many founder viruses required (2, 3) BORI0637 27 N No recombination observed (3) SC33 26 N No recombination observed (3) 12008 30 N No recombination observed (3) 62615 28 N No recombination observed (3) PRB957 33 N No recombination observed (3) SC50 35 N Only includes one copy of a founder (3) 1051 50 N No recombination observed (3) 9026 15 N No recombination observed (3) 9076 32 N No recombination observed (3) SC42 25 N Too many founder viruses required (3) TT27P 38 N No recombination observed (3) Z64 20 N Could not identify founder viruses without many (3) 700010224 48 N 701010092 36 N No recombination observed (3) Z16 19 N Too many founder viruses required (3) Z18 34 N Too many founder viruses required (3) Z30 29 N Only includes one copy of a founder (3) Z29 16 N Too many founder viruses required (3) 700010019 33 N Too many founder viruses required (3) Z74 18 N Too many founder viruses required (3) Z86 20 N Could not identify founder viruses without many (3) mutations Could not identify founder viruses without many (3) mutations mutations Z94 14 N Z10 17 N Only includes one copy of a founder (3) Could not identify founder viruses without many (3) mutations Supplementary Table 1 Patients whose sequences were analysed to determine whether they should be included in the template switching rate calculation. Sequences used in Analysis This section shows all sequences from the 10 patients were used in the recombination rate calculations. These sequences are shown in supplementary figures 3-12. Only marker nucleotides from the sequences are shown. Markers are coloured according to the information given by the nucleotide at the marker, and the legend for the marker colourings is shown Supplementary Figure 2 below. Markers are labeled mA, mB, etc. Both the marker length and the nucleotide position on the sequence are given at the top of each figure. The nucleotide positions given are the nucleotide positions of the reported sequence, not the nucleotide positions when aligned to the consensus. Three digit sequence identifiers are given on the left hand side of each figure. Also shown are the number of identified mutations on each sequence. ! "#$%#&'(&)*+, - %#&. & ! "#$%#&1*+2- &3%&)*+, - %#&. &*#&/ & ! "#$%#&'(&)*+, - %#&/ & ! "#$%#&1*+2- &3%&)*+, - %#&. &*#&0& ! "#$%#&'(&)*+, - %#&0& ! "#$%#&1*+2- &3%&)*+, - %#&/ &*#&0& ! "#$%#&'(&+, '- %, 45%- & Supplementary Figure 3 Legend for marker sequences shown in supplementary figures 3 – 12 ! "#$%#&'%( ) *+, ! " ! ! ! ! ! # $ ! ! ! ! ! ! ! $ ! ! ! ! ! ! ! ! "#$%#&,*"#*&- . , /*/. ( , 01 123 104 100 103 114 110 113 132 156 354 512 785 9463 9077 9086 9591 9536 9774 2472 2486 2942 2184 2185 :( *%#; "'&'%( ) *+, #%& ! $ ! " $ ! " !' %& ( ! ! " # #&( $( ! ! ! $$" " # ! ! & #&! !) ! $ #** ' 50458 + , -. -/012 3 4 3 5 3 6 3 7 3 8 3 9 3 : 3; 3< 3= 3> 3? 3+ 3@ 3A 3B 3C 3D 3E 3F 3G 3H 3I 3J 558 & 556 & 574 ! 579 & 572 & 570 & 571 ! 573 & 575 & 577 & 578 & 576 ! 584 ! 589 & 582 & 580 & 581 ! 583 ! 585 & 587 & ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! $ $ $ $ $ ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! Supplementary Figure 4 Marker analysis for patient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upplementary Figure 5 Marker analysis for patient CAAN5342 ! "#$%#&"' "() *+*&, -&. "/+%' /&012121123&41241516789(*9 : "/+%' /&012121123&;, (, <#%= ! "#$%#&'%( ) *+, ! "#$%#&,*"#*&- . , /*/. ( , :( *%#; "'&'%( ) *+, 784848842 ! </"/+, ' * 353 355 351 352 357 356 359 318 314 310 313 315 311 312 317 316 319 328 324 320 2 2 2 2 2 2 2 2 2 2 2 012 304 315 543 667 4804 4496 4262 4613 0423 0395 3> 54 ?6 >05 255 203 >60 233 51@ 451 AB AC AD AE AF AG AH AI AJ AK AL 2 1 2 3 2 1 1 2 1 1 2 4 2 1 1 3 3 4 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 2 2 2 2 2 2 2 2 2 2 2 4 4 4 4 4 4 4 4 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 = 2 2 2 2 2 2 2 2 2 2 2 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 4 4 4 2 2 2 2 2 4 4 4 4 4 4 2 2 4 4 4 4 4 4 2 2 2 4 4 2 4 4 2 4 4 4 4 4 4 4 4 4 4 4 4 Supplementary Figure 6 Marker analysis for patient 701010016 ! "#$%#&"' "() *+*&, -&. "/+%' /&012"&3453413367(*7 812&9, (, : #%; ! "#$%#&'%( ) *+, ! "#$%#&,*"#*&- . , /*/. ( , :( *%#; "'&'%( ) *+, <83 5 5 5 5 5 5 5 5 5 5 5 5 5 < 5 5 5 5 5 5 5 5 5 012 340 545 6017 6054 6845 6872 6968 6387 6356 6522 6487 6445 6715 6741 6771 0618 0634 0654 0001 0990 0971 0338 1=< 541 233 2> 55= 54 52 532 35 552 5?5 <? 5@ =4 @ 553 2< @ 25 335 <= ?3 AB AC AD AE AF AG AH AI AJ AK AL AM A! AN AO AP AQ AR AS AT AU AV AW ! : /"/+, ' * 296 290 298 299 293 295 292 294 297 231 236 230 238 239 233 235 232 234 237 251 256 3 5 4 4 4 4 4 4 4 4 4 4 5 4 4 4 5 4 4 4 3 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 3 5 5 5 5 5 5 5 3 3 3 3 3 3 3 3 3 3 3 5 5 5 5 5 3 3 3 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 Supplementary Figure 7 Marker analysis for patient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upplementary Figure 8 Marker analysis for patient Z95 ! "#$%#&'%( ) *+, ! "#$%#&,*"#*&- . , /*/. ( , :( *%#; "'&'%( ) *+, 87803779 962 963 967 965 966 961 969 964 918 910 912 913 917 915 916 911 919 914 998 990 992 993 997 995 996 991 999 994 948 940 942 943 947 945 946 941 949 944 488 480 482 483 487 485 486 481 489 484 408 400 402 403 407 405 ! 01 " + , -. -/012 3 4 ' ' ' ' & ' ' ! ' ! ! 9 ! ! ' ' ' ! ' ' ' ! ' ' ' ! ' ' ! ! ! & & ' ! ! ' ' ' ! ' & ' ' ! ! ' ' ! ' ' & ' ' ! 23 !" ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! 34 204 255 216 778 503 534 574 592 591 632 612 100 937 420 472 443 0883 0872 0877 0865 0812 0817 0897 0846 0085 0081 0263 0380 0337 0752 0767 0509 0515 0590 0597 0546 0639 0670 0949 0445 2806 2894 2088 2006 2213 2382 2305 2373 2721 2501 2523 2521 2534 2573 2575 2579 2558 2552 2554 ! #$ %" &' !(% #& &" $ %& ) )) %$ %* ! && *( &' "' $ %* ! &' ( ! $ !! * ! ! "" %# %& ! ! # !! "% "( " & !! )! & &" ( $( &' #& !' ! " ! "( &* !& &# *% *$ " % !! % ! & ! ! ( 36 37 38 39 3: 3; 3< 3= 3> 3? 3+ 3@ 3A 3B 3C 3D 3E 3F 3G 3H 3I 3J 3K 3L 3 44 3 45 3 46 3 47 3 48 3 49 3 4: 3 4; 3 4< 3 4= 3 4> 3 4? 3 4+ 3 4@ 3 4A 3 4B 3 4C 3 4D 3 4E 3 4F 3 4G 3 4H 3 4I 3 4J 3 4K 3 4L 3 54 3 55 3 56 3 57 3 58 3 59 3 5: 3 5; 3 5< 3 5= 35 " % % ! % ! " " " % ! " ! % % % ! ! % ! ! ! ! ! ! ! ! ! ! " " " " " ! % % " ! " % ! % ! ! % ! % ! ! " ! ! % ! " " " " " " " & % % ( % ( & & & % & & ( % % % ( ( % ( ( ( ( ( ( ( ( ( ( & & & & & ( % % & ( & % ( % ( ( % ( % ( ( & ( ( % ( & & & & & & & & % % ( % ( & & & % & & ( % % % ( ( % ( ( ( ( ( ( ( ( ( ( & & & & & ( % % & ( & % ( % ( ( % ( % ( ( & ( ( % ( & & & & & & & & % % ( % ( & & & % & & ( % % % ( ( % ( ( ( ( ( ( ( ( ( ( & & & & & ( % % & ( & % ( % ( ( % ( % ( ( & ( ( % ( & & & & & & & & % % ( % ( & & & % & & ( % % % ( ( % ( ( ( ( ( ( ( ( ( ( & & & & & ( % % & ( & % ( % ( ( % ( % ( ( & ( ( % ( & & & & & & & & % % ( % ( & & & % & & ( % % % ( ( % ( ( ( ( ( ( ( ( ( ( & & & & & ( % % & ( & % ( % ( ( % ( % ( ( & ( ( % ( & & & & & & & " % % ( ) ( " " " ) ) " ( % % % ! ( ) ( ( ( ( ( ( ( ( ( ( " " " " " ( ) ) " ( " ) ! % ! ! % ! % ! ! " ! ! % ! " " " " " " " & % % ( % ( & & & % & & ( % % % ( ( % ( ( ( ( ( ( ( ( ( ( & & & & & ( % % & ( & % ( % ( ( % ( % ( ( & ( ( % ( & & & & & & & & % % ( % ( & & & % & & ( % % % ( ( % ( ( ( ( ( ( ( ( ( ( & & & & & ( % % & ( & % ( % ( ( % ( % ( ( & ( ( % ( & & & & & & & & % % ( % ( & & & % & & ( % % % ( ( % ( ( ( ( ( ( ( ( ( ( & & & & & ( % % & ( " ) ( % ( ( ) ( ) ( ( " ( ( ) ( " " " " " " " & % % ( % ( & & & % & & ( % % % ( ( % ( ( ( ( ( ( ( ( ( ( & & & & & ( % % & ( & % ( % ( ( % ( % ( ( & ( ( % ( & & & & & & & " % % ( ) ( & " " ) ) " ( % % % ( ( % ( ( ( ( ( ( ( ( ( ( " " " " " ( % % " ! " % ! % ( ! % ! ) ( ( " ! ( ) ( " " " " " " " & % % ( % ( & & & % & & ( % % % ( ( % ( ( ( ( ( ( ( ( ( ( & & & & & ( % % & ( & % ( % ( ( % ( % ( ( & ( ( % ( & & & & & & & & % % ( % ( & & & % & & ( % % % ( ( % ( ( ( ( ( ( ( ( ( ( & & & & & ( % % & ( & % ( % ( ( % ( % ( ( & ( ( % ( & & & & & & & " % % ! % ! " " " % ! " ! % % % ! ! % ! ! ! ! ! ! ! ! ! ! " " " " " ! % % " ! " % ! % ! ! % ! % ! ! " ! ! % ! " " " " " " " & % % ( % ( & & & % & & ( % % % ( ( % ( ( ( ( ( ( ( ( ( ( & & & & & ( % % & ( & % ( % ( ( % ( % ( ( & ( ( % ( & & & & & & & " ) ) ( ) ( " " " ) ) " ( ) ) ) ( ( ) ( ( ( ( ( ( ( ( ( ( " " " " " ( ) ) " ( " ) ( ) ( ( ) ( ) ( ( " ( ( ) ( " " " " " " " & % % ( % ( & & & % & & ( % % % ( ( % ( ( ( ( ( ( ( ( ( ( & & & & & ( % % & ( & % ( % ( ( % ( % ( ( & ( ( % ( & & & & & & & " % % ! % ! " " " % ! " ! % % % ! ! % ! ! ! ! ! ! ! ! ! ! " " " " " ! % % " ! " % ! % ! ! % ! % ! ! " ! ! % ! " " " " " " " " % % ! % ! " " " % ! " ! % % % ! ! % ! ! ! ! ! ! ! ! ! ! " " " " " ! % % " ! " % ! % ! ! % ! % ! ! " ! ! % ! " " " " " " " & % % ( % ( & & & % & & ( % % % ( ( % ( ( ( ( ( ( ( ( ( ( & & & & & ( % % & ( & % ( % ( ( % ( % ( ( & ( ( % ( & & & & & & & & % % ( % ( & & & % & & ( % % % ( ( % ( ( ( ( ( ( ( ( ( ( & & & & & ( % % & ( & % ( % ( ( % ( % ( ( & ( ( % ( & & & & & & & " ) ) ( ) ( " " " ) ) " ( ) ) ) ( ( ) ( ( ( ( ( ( ( ( ( ( " " " " " ( ) ) " ( " ) ( ) ( ( ) ( % ( ( & ( ( % ( & & & & & & & " % % ! % ! " " " % ! " ! % % % ! ! % ! ! ! ! ! ! ! ! ! ! " " " " " ! % % " ! " % ! % ! ! % ! % ! ! " ! ! % ! " " " " " " " " % % ! % ! " " " % ! " ! % % % ! ! % ! ! ! ! ! ! ! ! ! ! " " " " " ! % % " ! " % ! % ! ! % ! % ! ! " ! ! % ! " " " " " " " " ) ) ( % ( & & & % & & ( % % % ( ( % ( ( ( ( ( ( ( ( ( ( & & & & & ( % % & ( & % ( % ( ( % ( % ( ( & ( ( % ( & & & & & & & & % % ( % ( & & & % & & ( % % % ( ( % ( ( ( ( ( ( ( ( ( ( & & & & & ( % % & ( & % ( % ( ( % ( % ( ( & ( ( % ( & & & & & & & & % % ( % ( & & & % & & ( % % % ( ( % ( ( ( ( ( ( ( ( ( ( & & & & & ( % % & ( & % ( % ( ( % ( % ( ( & ( ( % ( & & & & & & & & % % ( % ( & & & % & & ( % % % ( ( % ( ( ( ( ( ( ( ( ( ( & & & & & ( % % & ( & % ( % ( ( % ( % ( ( & ( ( % ( & & & & & & & & % % ( % ( & & & % & & ( % % % ( ( % ( ( ( ( ( ( ( ( ( ( & & & & & ( % % & ( & % ( % ( ( % ( % ( ( & ( ( % ( & & & & & & & & % % ( % ( & & & % & & ( % % % ( ( % ( ( ( ( ( ( ( ( ( ( & & & & & ( % % & ( & % ( % ( ( % ( % ( ( & ( ( % ( & & & & & & & & % % ( % ( & & & % & & ( % % % ( ( % ( ( ( ( ( ( ( ( ( ( & & & & & ( % % & ( & % ( % ( ( % ( % ( ( & ( ( % ( & & & & & & & " % % ! % ! " " " % ! " ! % % % ! ! % ! ! ! ! ! ! ! ! ! ! " " " " " ! % % " ! " % ! % ! ! % ! % ! ! " ! ! % ! " " " " " " " & % % ( % ( & & & % & & ( % % % ( ( % ( ( ( ( ( ( ( ( ( ( & & & & & ( % % & ( & % ( % ( ( % ( % ( ( & ( ( % ( & & & & & & & " % % ! % ! " " " % ! " ! % % % ! ! % ! ! ! ! ! ! ! ! ! ! & & & & & ( % % & ( & % ( % ( ( % ( % ( ( & ( ( % ( & & & & & & & " % % ! % ! " " " % ! " ! % % % ! ! % ! ! ! ! ! ! ! ! ! ! " " " " " ! % % " ! " % ! % ! ! % ! % ! ! " ! ! % ! " " " " " " " " % % ! % ! " " " % ! " ! % % % ! ! % ! ! ! ! ! ! ! ! ! ! " " " " " ! % % " ! " % ! % ! ! % ! % ! ! " ! ! % ! " " " " " " " & % % ( % ( & & & % & & ( % % % ( ( % ( ( ( ( ( ( ( ( ( ( & & & & & ( % % & ( & % ( % ( ( % ( % ( ( & ( ( % ( & & & & & & & & % % ( % ( & & & % & & ( % % % ( ( % ( ( ( ( ( ( ( ( ( ( & & & & & ( % % & ( & % ( % ( ( % ( % ( ( & ( ( % ( & & & & & & & & % % ( % ( & & & % & & ( % % % ( ( % ( ( ( ( ( ( ( ( ( ( & & & & & ( % % & ( & % ( % ( ( % ( % ( ( & ( ( % ( & & & & & & & " ) ) ( ) ( " " " ) ) " ( ) ) ) ( ( ) ( ( ( ( ( ( ( ( ( ( " " " " " ( ) ) " ( " ) ( ) ( ( ) ( ) ( ( " ( ( ) ( " " " " " " " " % % ! % ! " " " % ! " ! % % % ! ! % ! ! ! ! ! ! ! ! ! ! " " " " " ! % % " ! " % ! % ! ! % ! % ! ! " ! ! % ! " " " " " " " & % % ( % ( & & & % & & ( % % % ( ( % ( ( ( ( ( ( ( ( ( ( & & & & & ( % % & ( & % ( % ( ( % ( % ( ( & ( ( % ( & & & & & & & & % % ( % ( & & & % & & ( % % % ! ! % ! ! ! ! ! ! ! ! ! ! & & & " " ! % % " ! " % ( % ( ( % ( % ( ( & ! ! % ! " " " " " " " & % % ( % ( & & & % & & ( % % % ( ( % ( ( ( ( ( ( ( ( ( ( & & & & & ( % % & ( & % ( % ( ( % ( % ( ( & ( ( % ( & & & & & & & & % % ( % ( & & & % & & ( % % % ( ( % ( ( ( ( ( ( ( ( ( ( & & & & & ( % % & ( & % ( % ( ( % ( % ( ( & ( ( % ( & & & & & & & & % % ( % ( & & & % & & ( % % % ( ( % ( ( ( ( ( ( ( ( ( ( & & & & & ( % % & ( & % ( % ( ( % ( % ( ( & ( ( % ( & & & & & & & " % % ! % ! " " " % ! " ! % % % ! ! % ! ! ! ! ! ! ! ! ! ! " " " " " ! % % " ! " % ! % ! ! % ! % ! ! " ! ! % ! " " " " " " " & % % ( % ( & & & % & & ( % % % ( ( % ( ( ( ( ( ( ( ( ( ( & & & & & ( % % & ( & % ( % ( ( % ( % ( ( & ( ( % ( & & & & & & & " % % ! % ! " " " % ! " ! % % % ! ! % ! ! ! ! ! ! ! ! ! ! " " " " " ! % % " ! " % ! % ! ! % ! % ! ! " ! ! % ! " " " " " " " " % % ! % ! " " " % ! " ! % % % ! ! % ! ! ! ! ! ! ! ! ! ! " " " " " ! % % " ! " % ! % ! ! % ! % ! ! " ! ! % ! " " " " " " " " % % ! % ! " " " % ! " ! % % % ! ! % ! ! ! ! ! ! ! ! ! ! " " " " " ! % % " ! " % ! % ! ! % ! % ! ! " ! ! % ! " " " " " " " " % % ! % ! " " " % ! " ! % % % ! ! % ! ! ! ! ! ! ! ! ! ! " " " " " ! % % " ! " % ! % ! ! % ! % ! ! " ! ! % ! " " " " " " " " % % ! % ! " " " % ! " ! % % % ! ! % ! ! ! ! ! ! ! ! ! ! " " " " " ! % % " ! " % ! % ! ! % ! % ! ! " ! ! % ! " " " " " " " Supplementary Figure 9 Marker analysis for patient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upplementary Figure 10 Marker analysis for patient 04013240 ! "#$%#&'%( ) *+, ! " ! ! ! ! ! ! ! ! # ! ! ! ! ! ! ! ! ! ! ! ! ! # ! ! ! ! ! ! ! ! " ! # ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! " ! ! ! ! ! ! ! ! ! ! ! "#$%#&,*"#*&- . , /*/. ( , 012 013 045 603 610 627 708 260 217 218 272 220 225 285 236 831 838 591 576 544 551 317 371 374 336 333 0998 0967 0968 0917 0989 0986 0959 0954 0014 0022 0023 0086 0087 0032 0696 0620 0686 0791 0700 0705 0766 0779 0206 0281 0828 0480 0350 6990 6922 6948 6097 6072 6047 6609 6608 6617 6671 6149 6141 6143 6155 6130 6137 6798 6706 6764 6719 6714 6745 6755 :( *%#; "'&'%( ) *+, " "$ %& !! ## ! $! ! &% !# ! ' % $ ( #" ! && # ! &$ "' "% ) )& ' " %% ) $ !* ! * #) ! !* $ %* !* # # ! "& $ %' ! & ! %& * $ " !* *! )& ( # ! &% #! ( !( )" #& #* %& #' ") ) !* ' ! #$ # ) $ # # !! ) !% # $ %& ( 97901703 + , -. -/012 3 4 3 5 3 6 3 7 3 8 3 9 3 : 3; 3< 3= 3> 3? 3+ 3@ 3A 3B 3C 3D 3E 3F 3G 3H 3I 3J 3K 3L 3 44 3 45 3 46 3 47 3 48 3 49 3 4: 3 4; 3 4< 3 4= 3 4> 3 4? 3 4+ 3 4@ 3 4A 3 4B 3 4C 3 4D 3 4E 3 4F 3 4G 3 4H 3 4I 3 4J 3 4K 3 4L 3 54 3 55 3 56 3 57 3 58 3 59 3 5: 3 5; 3 5< 3 5= 3 5> 3 5? 3 5+ 3 5@ 3 5A 3 5B 3 5C 3 5D 3 5E 3 5F 3 5G 3 5H 3 5I 3 5J 410 ! 416 & 411 & 417 & 412 & 418 & 414 ! 415 & 413 ! 479 ! 470 ! 476 & 471 & 477 & 472 & 478 & 474 # 475 & 473 & 429 ! 420 & 426 ! 421 & 427 & 422 & 428 05 424 & 425 & 423 & 489 & 480 & 486 & 481 & 487 & 482 & 488 & 484 # 485 & 483 & 449 ! 440 0 446 0 441 0 447 1 442 1 448 0 444 3 445 1 443 1 459 0 450 0 456 1 451 1 457 1 452 1 458 1 454 1 455 0 453 2 439 1 430 0 436 0 431 0 437 2 432 1 438 0 434 0 435 1 433 0 599 3 590 0 596 0 591 0 597 0 592 0 598 0 594 0 595 0 " " $ ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) " " ! ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # # $ # " # # # # # # # " " " " $ $ " " $ # $ " " " " " " " " $ " " " " " " $ # " " ! ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) " " $ ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) % % $ ) % % ) ) ) ) ) ) $ ) % % $ ) ) ) ) ) ) ) % ) ) ) ) ) ) ) ) ) ) ) ) ) $ ) % ) ) ) ) ) ) ) % % % % $ $ % % $ ) $ % % % % % % % % $ % % % % % % $ ) " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # # $ # " # # # # # # # " " " " $ $ " " $ # $ " " " " " " " " $ " " " " " " $ # " " ! ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) " " $ ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # $ # " # # # # # # # " " " " $ $ % " $ # $ " " " " " " " " $ " " " " " " $ # . " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # # $ # " # # # # # # # " " " " $ $ " " $ # $ " " " " " " " " $ " " " " " " $ # " " $ ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) " " $ ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # # $ # " # # # # # # # " " " " $ $ " " $ # $ " " " " " " " " $ " " " " " " $ # " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # # $ # " # # # # # # # " " " " $ $ " " $ # $ " " " " " " " " $ " " " " " " $ # " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # # $ # " # # # # # # # " " " " $ $ " " $ # $ " " " " % " " " $ " " " " " " $ # " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # # $ # " # # # # # # # " " " " $ $ " " $ # $ " " " " " " " " $ " " " " " " $ # " " ! ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) " " $ ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) " " $ ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) " " ! ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " $ " " " " " " $ # " " $ ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # # $ # " # # # # # # # " " " " $ $ " " $ # $ " " " " " " " " $ " " " " " " $ # " " ! ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) " " $ ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # # $ # " # # # # # # " " " " $ $ " " $ # $ " " " " " " " " $ " " " " " " $ # M " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # # $ # " # # # # # # # " " " " $ $ " " $ # $ " " " " " " " " $ " " " " " " $ # " " $ ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) % " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) % % $ ) % % ) ) ) ) ) ) $ ) % % $ ) ) ) ) ) ) ) % ) ) ) ) ) ) ) ) ) ) ) ) ) $ ) % ) ) ) ) ) ) ) % % % % $ $ % % $ ) $ % % % % % % % % $ % % % % % % $ ) " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # # $ # " # # # # # # # " " " " $ $ " " $ # $ " " " " " " " " $ " " " " " " $ # " " $ ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # # $ # " # # # # # # # " " % " $ $ " " $ # $ " " " " " " " " $ " " " " " " $ # " " ! ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) " " $ ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # # $ # " # # # # # # # " " " " $ $ " " $ # $ " " " " " " " " $ " " " " " " $ # " ( ! # " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " $ $ " " $ # $ " " " " " " " " $ " " " " " " $ # " " $ ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # # $ # " # # # # # # # " " " " $ $ " " $ # $ " " " " " " " " $ " " " " " " $ # " " $ ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) % % $ ) % % ) ) ) ) ) ) $ ) % % $ ) ) ) ) ) ) ) % ) ) ) ) ) ) ) ) ) ) ) ) ) $ ) % ) ) ) ) ) ) ) % % % % $ $ % % $ ) $ % % % % % % % % $ % % % % % % $ ) " " $ ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # # $ # " # # # # # # # " " " " $ $ " " $ # $ " " " " " " " " $ " " " " " " $ # " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # # $ # " # # # # # # # " " " " $ $ " " $ # $ " " " " " " " " $ " " " " " " $ # " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # # $ # " # # # # # # # " " " " $ $ " " $ # $ " " " " " " " " $ " " " " " " $ # " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # # $ # " # # # # # # # " " " " $ $ " " $ # $ " " " " " " " " $ " " " " " " $ # " " $ ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) " " $ ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # # $ # " # # # # # # # " " " " $ $ " " $ # $ " " " " " " " " $ " " " " " " $ # " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # # $ # " # # # # # # # " " " " $ $ " " $ # $ " " " " " " " " $ " " " " " " $ # " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # # $ # " # # # # # # # " " " " $ $ " " $ # $ " " " " " " " " $ " " " " " " $ # % % $ ) % % ) ) ) ) ) ) $ ) % % $ ) ) ) ) ) ) ) % ) ) ) ) ) ) ) ) ) ) ) ) ) $ ) % ) ) ) ) ) ) ) % % % % $ $ % % $ ) $ % % % % % % % % $ % % % % % % $ ) " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # # $ # " # # # # # # # " " " " $ $ " " $ # $ " " " " " " " " $ " " " " " " $ # " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # # $ # " # # # # # # # " " " " $ $ " " $ # $ " " " " " " " " $ " " " " " " $ # % % $ ) % % ) ) ) ) ) ) $ ) % % $ ) ) ) ) ) ) ) % ) ) ) ) ) ) ) ) ) ) ) ) ) $ ) % ) ) ) ) ) ) ) % % % % $ $ % % $ ) $ % % % % % % % % $ % % % % % % $ ) " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # $ # " # # # # # # # " " " " $ $ " " $ # $ " " " " " " " " $ " " " " " " $ # " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # $ # " # # # # # # # " " " " $ $ " " $ # $ " " " " " " " " $ " " " " " " $ # . # " " $ ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) " " ! ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) " " $ ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " $ " " " " " " $ # " " $ ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) % % $ ) % % ) ) ) ) ) ) $ ) % % $ ) ) ) ) ) ) ) % ) ) ) ) ) ) ) ) ) ) ) ) ) $ ) % ) ) ) ) ) ) ) % % % % $ $ % % $ ) $ % % % % % % % % $ % % % % % % $ ) " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # # $ # " # # # # # # # " " " " $ $ " " $ # $ " " " " " " " " $ " " " " " " $ # " " $ ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) " " $ ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) " " $ ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # # $ # " # # # # # # # " " " " $ $ " " $ # $ " " " " " " " " $ " " " " " " $ # " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # $ # " # # # # # # # " " " " $ $ " " $ # $ " " " " " " " " $ " " " " " " $ # . " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # # $ # " # # # # # # # " " " " $ $ " " $ # $ " " " " " " " " $ " " " " " " $ # " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # # $ # " # # # # # # # " " " " $ $ " " $ # $ " " " " " " " " $ " " " " " " $ # " " $ ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # # $ # " # # # # # # # " " " " $ $ " " $ # $ " " " " " " " " $ " " " " " " $ # " " $ ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) " " ! ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) % % $ ) % % ) ) ) ) ) ) $ ) % % $ ) ) ) ) ) ) ) % ) ) ) ) ) ) ) ) ) ) ) ) ) $ ) % ) ) ) ) ) ) ) % % % % $ $ % % $ ) $ % % % % % % % % $ % % % % % % $ ) " " $ # " " # # # # # # $ # " " $ # # # # # # # " # # # # # # # # # # # # # $ # " # # # # # # # " " " " $ $ " " $ # $ " " " " " " " " $ " " " " " " $ # % % $ ) % % ) ) ) ) ) ) $ ) % % $ ) ) ) ) ) ) ) % ) ) ) ) ) ) ) ) ) ) ) ) ) $ ) % ) ) ) ) ) ) ) % % % % $ $ % % $ ) $ % % % % % % % % $ % % % % % % $ ) " " $ ) " " ) ) ) ) ) ) ! ) " " ! ) ) ) ) ) ) ) " ) ) ) ) ) ) ) ) ) ) ) ) ) ! ) " ) ) ) ) ) ) ) " " " " ! ! " " ! ) ! " " " " " " " " ! " " " " " " ! ) " " $ # " " # # # # # # $ # " " $ ) ) # # # # # " # # # # # # # ) ) ) ) ) ) ! # " # # # # # # # " " " " ! ! " " ! ) $ " " " " " " " " $ " " " " " " $ # Supplementary Figure 11 Marker analysis for patient 04013419 ! "#$%#&"' "() *+*&, -&. "/+%' /&012&3143123356(*6 0127, (, 8#%9 ! "#$%#&'%( ) *+, ! "#$%#&,*"#*&- . , /*/. ( , :( *%#; "'&'%( ) *+, <84 537 536 539 530 531 548 542 543 544 547 546 549 540 541 558 553 554 555 557 556 4 01 22 ! 8/"/+, ' * 4 4 3 4 3 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 3 4 4 4 4 4 2 3 4 2 4 4 4 4 4 4 4 4 4 4 2 4 4 4 234 243 256 271 533 785 789 728 766 791 700 714 717 710 652 917 025 017 019 135 107 114 116 110 2820 2843 2256 2267 2295 2341 2402 2409 2419 2411 2579 2093 2131 2101 3321 3346 3452 3415 3419 3553 3572 3562 3517 3740 : 42 44 3; 3 :1 3 3 << 43 : = 4 3 =3 4<2 4: :1 4 3; ;1 > 3 4 4? 43 442 4: : ; = 4=4 2 : 4 << =4= <; <? 33? 4; 41= <3 3 == : > 22 =3 @B @C @D @E @F @G @H @I @J @K @L @! @M @N @O @P @Q @R @S @T @U @V @W @X @Y @AA @AB @AC @AD @AE @AF @AG @AH @AI @AJ @AK @AL @A! @AM @AN @AO @AP @AQ @AR @AS @AT @AU @AV @A 4 3 4 3 1 4 3 7 1 1 3 1 3 4 4 3 3 1 1 5 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 < 2 2 4 2 2 2 2 2 2 2 2 2 2 2 2 2 < 2 2 2 4 < < 2 2 2 2 = = = = = = = = = = = = = = = = = = = = = < = = ; = = = = = = = = = = = = = < = = = ; < < = = = = 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 ; 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 2 ; 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 < 2 2 4 2 2 2 2 2 2 2 2 2 2 2 2 2 < 2 2 2 4 < < 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 < 2 2 4 2 2 2 2 2 2 2 2 2 2 2 2 2 < 2 2 2 4 < < 2 2 2 2 = = = = = = = = = = = = = = = = = = = = = < = = ; = = = = = = = = = = = = = < = = = ; < < = = = = 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 < ? 2 ; 2 2 2 2 2 2 2 2 2 2 2 2 2 < 2 2 2 ; < < 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 < 2 2 ; 2 2 2 2 2 2 2 2 2 2 2 2 2 < 2 2 2 ; < < 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 ; 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 2 ; 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 < 2 2 4 2 2 2 2 2 2 2 2 2 2 2 2 2 < 2 2 2 4 < < 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 < 2 2 ; 2 2 2 2 2 2 2 2 2 2 2 2 2 < 2 2 2 ; 3 < 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 < 2 2 4 2 2 2 2 2 2 2 2 2 2 2 2 2 < 2 2 2 4 < < 2 2 2 2 = = = = = = = = = = = = = = = = = = = = = < = = ; = = = = = = = = = = = = = < = = = ; < < = = = = 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 ; 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 2 ; 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 ; 2 2 2 2 2 2 2 2 2 2 2 2 2 < 2 2 2 ; 3 < 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 ; 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 2 ; 3 3 2 2 2 2 = = = = = 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 < 2 2 4 2 2 2 2 2 2 2 2 2 2 2 2 2 < 2 2 2 4 < < 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 ; 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 2 ; 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 ; 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 2 ; 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 < 2 2 ; 2 2 2 2 2 2 2 2 2 2 2 2 2 < 2 2 2 ; < < 2 2 2 2 Z " Supplementary Figure 12 Marker analysis for patient Z03 ! "#$%#&'%( ) *+, ! "#$%#&,*"#*&- . , /*/. ( , :( *%#; "'&'%( ) *+, ! ! ! ! ! ! ! 00 10 23 405 056 674 752 "# 388858402 * +,- ,./ 01 424 420 761 763 762 767 718 715 714 710 719 716 711 713 712 717 738 735 734 730 739 736 731 733 732 737 728 725 724 720 729 726 721 723 722 727 778 775 774 770 "$ 23 ! E E ! E E " ! E " ! ! ! 0 E ! ! ! " " E " " ! ! E E E E ! ! ! E E E " E ! " E ! %$ 24 &$ 25 "' ( 26 $" ) 27 ! )" 28 ! ! ! ! ! ! ! ! ! " ! 735 5855 5830 5554 5495 5491 5049 5940 4880 4432 4473 4978 $# 29 (! 2: $& 2; 2< ! "& 2= % 2> '' #& 2* 2? )' # "' % 2@ 2A !& 2B ! #! 2C 2D ) ! ! $ ! ! $ $ $ $ $ ! ! ! $ ) ) ) ) " ( ( $ ( ( $ $ $ $ $ ( ( ( $ " " " " ) ( ( % ( ( % % % % % ( ( ( % ) ) ) ) ) ! ! $ ! ! $ $ $ $ $ ! ! ! $ ) ) ) ) ) ! ! $ ! ! $ $ $ $ $ ! ! ! $ ) ) ) ) ) ! ! $ ! ! $ $ $ $ $ ! ! ! $ " " " ) ) ! ! $ ! ! $ $ $ $ $ ! ! ! $ ) ) ) ) " ( ( $ ( ( $ $ $ $ $ ! ! ! $ ) ) ) ) ) ( ( % ( ( % % % % % ( ( ( % ) ) ) ) " ( ( $ ( ( $ $ $ $ $ ( ( ( $ " ) ) ) " ( ( $ ( ( $ $ $ $ $ ( ( ( $ " " " " " ( ( $ ( ( $ $ $ $ $ ( ( ( $ " " " " ) ! ! $ ! ! $ $ $ $ $ ( ( ( $ ) ) ) " " ( ( $ ( ( $ $ $ $ $ ( ( ( $ " " " " " ( ( $ ( ( $ $ $ $ $ ( ( ( $ " " " " ) ( ( % ( ( % % % % % ( ( ( % ) ) ) ) ) ( ( % ( ( % % % % % ( ( ( % ) ) ) ) ) ( ( % ( ( % % % % % ( ( ( % ) ) ) ) " ( ( $ ! ! $ $ $ $ $ ! ! ! $ ) ) ) ) ) ! ! $ ! ! $ $ $ $ $ ! ! ! $ ) ) ) ) " ( ( $ ( ( $ $ $ $ $ ( ( ( $ " " " " ) ! ! $ ! ! $ $ $ $ $ ! ! ! $ ) ) ) ) ) ! ! $ ! ! $ $ $ $ $ ! ! ! $ ) ) ) ) " ( ( $ ( ( $ $ $ $ $ ( ( ( $ " " " " ) ! ! $ ! ! $ $ $ $ $ ! ! ! $ ) ) ) ) ) ( ( % ( ( % % % % % ( ( ( % ) ) ) ) ) ! ! $ ! ! $ $ $ $ $ ! ! ! $ ) ) ) ) ) ! ! $ ! ! $ $ $ $ $ ! ! ! $ ) ) ) ) ) ! ! $ ! ! $ $ $ $ $ ! ! ! $ ) ) ) ) ) ! ! $ ! ( $ $ $ $ $ ( ( ( $ ) ) ) ) ) ! ! $ ! ! $ $ $ $ $ ! ! ! $ ) ) ) ) ) ! ! $ ! ! $ $ $ $ $ ! ! ! $ ) ) ) ) " ( ( $ ( ( $ $ $ $ $ ( ( ( $ ) " " " ) ! ! $ ! ! $ $ $ $ $ ! ! ! $ ) ) ) ) " ( ( $ ( ( $ $ $ $ $ ( ( ( $ ) ) ) ) " ( ( $ ( ( $ $ $ $ $ ( ( ( $ " " " " " ( ( $ ( ( $ $ $ $ $ ( ( ( $ " " " " ) ! ! $ ! ! $ $ $ $ $ ! ! ! $ ) ) ) ) ) ( ! $ ! ! $ $ $ $ % ( ( ( % ) ) ) ) " ( ( $ ( ( $ $ $ $ $ ( ( ( $ " " " " Supplementary Figure 13 Marker analysis for patient 700010238 References 1. 2. 3. Maydt J & Lengauer T (2006) Recco: recombination analysis using cost optimization. Bioinformatics 22(9):1064-1071. Li H, et al. (2010) High Multiplicity Infection by HIV-1 in Men Who Have Sex with Men. PLoS Pathog 6(5):e1000890. Gnanakaran S, et al. (2011) Recurrent signature patterns in HIV-1 B clade envelope glycoproteins associated with either early or chronic infections. PLoS Pathog 7(9):e1002209.