1 Supplemental Digital Content 1. Methods, primer sets, and normalization genes for RT-PCR. Methods Total RNA was isolated using the miRNeasy Mini Kit (Qiagen, Inc.; Valencia, CA, USA) and used to generate cDNA templates by reverse transcription of 1 µg RNA using the High Capacity cDNA Reverse Transcription Kit (Applied Biosystems; Carlsbad, CA, USA) according to the manufacturer's instructions. The resulting cDNA was diluted 5-fold and 5 µL was used for input into PCR reactions performed in a total volume of 20 µL containing SensiMix SYBR qPCR reagents (Bioline USA, Inc.; Tauton, MA, USA) using a Corbett Rotor-Gene 6000 real-time PCR system (Qiagen, Inc.). For sequences of the primer sets see Table, Supplemental Digital Content 1. The PCR primers used to detect MOR-1K were designed to target the unique exon 13 in the OPRM1 gene in combination with exon 2 [1]. The pool of C-terminal MOR splice variants (MOR-1(exons 1-2)) was targeted using a primer set spanning exons 1 and 2 [1], which will detect most of the MOR variants as they differ primarily in exon 4. For detection of MOR-1(exons 1-2) and MOR-1K mRNAs, PCR conditions consisted of an initial hold step at 95°C for 10 min followed by 40 amplification cycles of 95°C for 15 s, 60°C for 30 s, and 72°C for 20 s. For detection of CCL2, CCL8, CCL5, CXCR4, CCR5, and CD4 mRNAs, PCR conditions consisted of an initial hold step at 95°C for 10 min followed by 40 amplification cycles of 95°C for 5 s, 55°C for 10 s, and 72°C for 20 s. For detection of FLNA mRNA, PCR conditions consisted of an initial hold step at 95°C for 10 min followed by 40 amplification cycles of 95°C for 10 s, 58°C for 30 s, and 72°C for 30 s. The specificity of the amplified products was verified by melting curve analysis and agarose gel electrophoresis. Expression levels were normalized to GAPDH mRNA for untreated individual cell types. For brain tissue from the different subject 2 groups, expression levels were normalized to TATA-binding protein (TBP) mRNA following assessments of stability comparing various housekeeping genes which included a geNorm analysis to confirm that TBP was one of the most stably expressed genes in the sample set (see Figure, Supplemental Digital Content 1). Relative expression was calculated using the 2−ΔΔCt method [2]. 3 Primer sets Gene Forward primer Reverse primer MOR-1(exons 1-2) MOR-1K CCL2 CCL8 CCL5 CXCR4 CCR5 CD4 FLNA GAPDH TBP HPRT1 ACTB EEF2 EIF2B2 SDHA HMBS 5′- CTTCCTGGTCATGTATGTGATTGTC -3′ 5′- GCCAGAGCAAGGTTGAAAATG -3′ 5′- AGTGGTTCCCAGAGTGAAACTGA -3′ 5′- GCCAGAGCAAGGTTGAAAATG -3′ 5′- GACATACCAGGACTGCCTGAGACAA -3′ 5′- AGAACGAGATGTGGACAGCATGTTG -3′ 5′- CGCTTCTGTGCCTGCTGCTCAT -3′ 5′- AGCTTCCTTGGGACATTGGATGTTG -3′ 5′- CCCTCTGCGCTCCTGCATCTG -3′ 5′- GGAGCACTTGCCACTGGTGTAGA -3′ 5′- ACACTCCAAGGGCCACCAGAA -3′ 5′- AGGATGAAGGAGTCGATGCTGAT -3′ 5′- CTGCTCAACCTGGCCATCTCT -3′ 5′- CTTTTAAAGCAAACACAGCATGGAC -3′ 5′- CAGGTCCTGCTGGAATCCAACATC -3′ 5′- GTGCCGGCACCTGACACAGAAG -3′ 5′- GGGCAAATACGTCATCTGTG -3′ 5′- AGGGGATGACAAGGTCAAAG -3′ 5′- CATGGCACCGTCAAGGCTGAGAA -3′ 5′- CAGTGGACTCCACGACGTACTCA -3′ 5′- GCTGCGGTAATCATGAGGATAAGA -3′ 5′- TGAGCACAAGGCCTTCTAACCTTA -3′ 5′- GCTGACCTGCTGGATTACATC -3′ 5′- GAGAGATCATCTCCACCAATTAC -3′ 5′- CTGGCACCACACCTTCTACAATGA -3′ 5′- GCTGGGGTGTTGAAGGTCTCAAA -3′ 5′- ATCCGCGCCATCATGGACAAGAA -3′ 5′- TCGTCCTTCCGGGTATCAGTGAA -3′ 5′- ACGGACCACCGCTGGAGCAA -3′ 5′- TGCCATACTCCTCCCGGATAATC -3′ 5′- ACTGGCCACTCGCTATTGCACA -3′ 5′- TCCTCTATGCACAGTGCGATGACA -3′ 5′- GCCAGTAGCCGTGCATACAGCTA -3′ 5′- CGAGCAGTGATGCCTACCAACTG -3′ 4 Normalization genes Average expression stability values of remaining control genes Average expression stability M 0.6 0.55 0.5 0.45 0.4 0.35 0.3 0.25 0.2 HPRT1 HMBS EIF2B2 <::::: Least stable genes EEF2 ACTB TBP GAPDH SDHA Most stable genes ::::> geNorm output of housekeeping gene stability across the samples from each subject group. RTPCR was performed as described in the Methods section with conditions consisting of an initial hold step at 95°C for 10 min followed by 40 amplification cycles of 95°C for 5 s, 55°C for 10 s, and 72°C for 20 s for the indicated genes. For sequences of the primer sets see Table, Supplemental Digital Content 1. Ct values were transformed into relative quantification data using the delta-Ct method followed by geNorm (version 3.4) analysis (http://medgen.ugent.be/~jvdesomp/genorm/) [3]. The geNorm output chart ranking the candidate reference genes according to their expression stability is shown. 5 References for Supplemental Digital Content 1 1. Gris P, Gauthier J, Cheng P, Gibson DG, Gris D, Laur O, et al. A novel alternatively spliced isoform of the mu-opioid receptor: functional antagonism. Mol Pain 2010,6:33. 2. Livak KJ, Schmittgen TD. Analysis of relative gene expression data using real-time quantitative PCR and the 2(-Delta Delta C(T)) Method. Methods 2001,25:402-408. 3. Vandesompele J, De Preter K, Pattyn F, Poppe B, Van Roy N, De Paepe A, et al. Accurate normalization of real-time quantitative RT-PCR data by geometric averaging of multiple internal control genes. Genome Biol 2002,3:RESEARCH0034.