TITLE: Circulating Apoptotic Endothelial Cells and Apoptotic Endothelial Microparticles Independently Predict the Presence of Cardiac Allograft Vasculopathy AUTHORS: Neha Singh MSc, Eline Van Craeyveld PhD, Marc Tjwa MD PhD, Agnieszka Ciarka MD PhD, Jan Emmerechts MD PhD, Walter Droogne MD, Stephanie C. Gordts MSc, Vincent Carlier MSc, Frank Jacobs PhD, Steffen Fieuws PhD, Johan Vanhaecke MD PhD, Johan Van Cleemput MD PhD, Bart De Geest MD PhD 1 Supplemental Figure 1. Flow cytometry analysis of EPCs. Gating strategy for EPCs, identified as CD34+ VEGFR-2+ mononuclear cells in whole blood samples (A, B). The first gate is set on CD34+ cells out of the mononuclear cellular events (A), which is then displayed on a scatter plot to quantify CD34+ VEGFR-2+ cells (B). The isotype control for VEGFR-2 is shown in panel C. Representative contour plots of EPCs in healthy controls, CAV negative transplant recipients, and CAV positive transplant recipients are shown in panels D, E, and F, respectively. 2 Supplemental Figure 2. Quantification of EPC number and EPC function in healthy controls and transplant recipients. EPC number was quantified as the number of Dil-acLDL and FITC labeled UEA-1 lectin double positive cells (A) or as the concentration of circulating CD34+ VEGFR2+ cells (B). EPC function was evaluated by quantification of EPC migration in modified Boyden chambers (C). Comparisons were made between healthy controls (n=25) and transplant recipients (n=52). All data represent means ± SEM. 3 Supplemental Figure 3. Enumeration of HPCs in healthy controls and transplant recipients. Comparison of the number of CFU-E (erythroid colony-forming units) (A), BFU-E (erythroid burst-forming units) (B), CFU-GEMM (granulocyte, erythrocyte, macrophage, megakaryocyte colony-forming units) (C), CFU-GM (granulocyte, macrophage colony-forming units) (D), CFU-M (macrophage colonyforming units) (E), and CFU-G (granulocyte colony-forming units) (F) between healthy controls (n=25) and transplant recipients (n=52). MNC: mononuclear cells. All data represent means ± SEM. 4 Supplemental Figure 4. Quantification of circulating endothelial cells (CECs) by flow cytometry in healthy controls and transplant recipients. Circulating endothelial cells (CECs) (A), apoptotic CECs (B), and viable CECs (C) were compared between healthy controls (n=25) and transplant recipients (n=52). All data represent means ± SEM of natural logarithm (ln) transformed values. 5 Supplemental Figure 5. Flow cytometry analysis of CECs. Gating strategy for CECs, identified as CD45- CD31bright VEGFR-2+ mononuclear cells in whole blood samples (A, B, C). An initial gate is set on CD45- cells out of the mononuclear cellular events (A). Next, a second gate is set on CD45- CD31bright cells (B), which is further displayed on a FACS scatter plot to identify CD45- CD31bright VEGFR-2+ cells (C). The isotype control for VEGFR-2 is shown in panel D. Representative contour plots of Annexin V positive circulating endothelial cells in healthy controls, CAV negative transplant recipients, and CAV positive transplant recipients are shown in panels E, F, and G, respectively. 6 Supplemental Figure 6. Determination of circulating endothelial microparticles by flow cytometry in healthy controls and transplant recipients. Circulating endothelial microparticles (CEMPs) (A), apoptotic CEMPs (B), and viable CEMPs (C) were analysed in healthy controls (n=25) and transplant recipients (n=52). All data represent means ± SEM. 7 Supplemental Figure 7. Flow cytometry analysis of circulating endothelial microparticles. Gating strategy for endothelial microparticles in human plasma, identified as CD42a- CD144+ microparticles (A). The isotype control for CD144 is shown in panel B. Representative contour plots for Annexin V positive endothelial microparticles in healthy controls, transplant recipients without CAV, and transplant recipients with CAV are shown in panels C, D, and E, respectively. 8