Microarray analysis Median age (range) Sex Male Female Functional analysis Median age (range) Sex Male Female Total CD200hi CD200lo 53.5 52 (28-64) 54.5 (19-78) 34 44 15 24 19 20 53.5 54 (35-64) 53 (17-70) 21 19 8 9 13 10 Supplemental Table 1. Parameters of AML patients. Table shows patients stratified according to level of CD200 expression (probe set; 209582_s_at) for PD-L1 expression analysis and functional analyses respectively. Patients were stratified into CD200hi and CD200lo based on upper and lower quartiles of expression respectively. All analyses were performed on diagnostic material. A B C 40 CD3 30 CD200 CD8 CD3 20 10 CD8 CD200 hi 0 CD200 lo Patient frequency (%) PD-L1 (up-regulated) PD-L1 (down-regulated) PD-L1 Supplemental Figure 1. PD-L1 and CD200 co-expression on blast cells from AML patients and CD8 T cell gating strategy. (A) Summary gene expression data illustrating % patient PD-L1 change (up-regulated or down-regulated) between CD200lo and CD200hi AML patients. (B) Representative flow cytometric data showing the co-expression of PD-L1 and CD200 on blast cells AML patients. (C) + Representative flow-cytometric bivariate plot identifying the CD8 T cell population from CD200lo (upper) and CD200hi (lower) AML patients. Supplemental Figure 2. Representative flow cytometric plots illustrating CD200R expression on CD8+ T cells from AML patients. Isotype matched control in shaded black. Supplemental Figure 3. Representative flow cytometric plots illustrating PD1 expressio n on CD8+ T cells from AML patients. Isotype matched control in shaded black Supplemental Figure 4. Comparison of PD-1+ CD4+ T cells between CD200hi and CD200lo AML patients. Using flow cytometry, the percentage of PD-1+ CD4+ T cell subsets was evaluated between CD200hi and CD200lo AML age matched patients, median age; 53 (range, 35-64) and 54 (range, 17-70). A B Supplemental Figure 5. CD200R expression on 7E7 CD8+ T cells from co-culture assays with K562 cells. The expression of CD200R on 7E7 CD8+ T cells from K652 co-culture assays was evaluated by flow cytometry. (A) 7E7 T cells were distinguished as CD8+, low SSC. (B) Histogram illustrates CD200R expression on 7E CD8+ T cells. Shaded plot represents IgG isotype matched control. 3 * * * 2 CD200- PD-L1+ CD200+ PD-L1+ 0 CD200+ PD-L1- 1 CD200- PD-L1- (normalized) MFI TNFα TNF MFI (normailsed) 4 Supplemental Figure 6. The effect of K562 co-expression of CD200 and PD-L1 on TNFα release in 7E7 CD8+ T cells. CD200-PD-L1- (double negative), CD200+PDL1- (single positive), CD200+PD-L1+ (double positive) or CD200-PD-L1+ (single positive) K562 cells were co-cultured with 7E7 CD8+ T cell and TNF-α production was analysed by flow cytometry. The magnitude of the TNFα response (normalized mean fluorescence intensity; MFI) was significantly lower in single positive and double positive co-cultures compared with double negative. *p<0.05 analyzed by one-way ANOVA with Tukey’s multiple comparison test. B 6 4 2 CD200(hi) 0 CD200(lo) Lymphocyte CD200 MFI (normalized) A Supplemental Figure 7. CD200 expression on lymphocytes from AML patients. The expression of CD200 was evaluated on AML patient lymphocytes at diagnosis by flow cytometry. (A) CD45 was used to distinguish lymphocytes (P1) from AML blast cells. Lymphocyte frequency varied from 0.1% - 4.2% for the patients analysed. (B) Summary of total CD4+ and CD8+ lymphocyte CD200 expression level (MFI) between CD200lo and CD200hi AML patients.