SUPPLEMENTARY INFORMATION Supplementary Materials and Methods RNA extraction, reverse transcription (RT) and real-time PCR. Total RNA from cultured cells was extracted using the Trizol reagent (Invitrogen, Carlsbad, CA) as the manufacturer instructed. cDNAs were amplified and quantified in ABI Prism 7500 Sequence Detection System (Applied Biosystems, Foster City, CA) using dye SYBR Green I (Molecular Probes, Invitrogen, Carlsbad, CA). Expression data were normalized to the geometric mean of housekeeping gene GAPDH to control the variability in expression levels and calculated as 2-[(C t of gene) – (C t of GAPDH)], where Ct represents the threshold cycle for each transcript. Primers and Oligonucleotides. Real-time PCR primer: AKIP1, forward: 5’-CCAACCCTT AGTGCTTCC-3’ and reverse: 5’-TCGACTCGCCTCTGTGATA-3’; VEGF-C, forward: 5’-C GGACTCGACCTCTCGG-3’ and reverse: 5’-TGGACACAGACCGTAACTGC-3’; GAPDH: 5’-ATTCCACCCATGGCAAATTC-3’ and 5’-TGGGATTTCCATTGATGACAA G-3’. Primers used for human VEGFC promoter reporter construction: P1-luc, forward: 5’-GCC CCGCGGGAATCCTGATGTCCAAGCCT-3’ and reverse: 5’-GCCCTGCAGGTTCTCCG CAAACCCTAACG-3’; P2-luc, forward: 5’-GCCCCGCGGCTCCAGGAG TCAAAAGCA ATAG-3’; P3-luc, forward: 5’- GCCCCGCGGGGATAAAGCGGGGG CTCCC-3’; P4-luc, forward: 5’- GCCCCGCGGGCGTCAGTCATGCCCTGC-3’; P5-luc, reverse: 5’- GCCCTG CAGTGAGCAACACTGCTGAAAAG-3’; P6-luc, forward: 5’- GCCCCGCGGCTCCAGG AGTCAAAAGCAATAG-3’ and reverse: 5’- GCCCTGCAGCCTCCAGAGCGCGCCGGG CT-3’. VEGFC promoter primer used for ChIP assays: F1, forward: 5’-CCACCTTCTATTC AAATCCTAC-3’ and reverse: 5’- TGCTGTCTTCCTGCTCTATG-3’; F2, forward: 5’- TTAGACGTGACTAAGTAGCAG-3’ and reverse: 5’- ATTGAGTTTATTTTCTGGCA-3’; F3, forward: 5’-GGCTGCCAGAAAATAAACT-3’ and reverse: 5’-ATGAAGTATGCGGTT GAGAA-3’; F4, forward: 5’-CTGTCATCTTGGGGAATAAA-3’ and reverse: 5’-CTCTATT GC TTTTGACTCCTG-3’; F5, forward: 5’-CAGTGTTGCTCATCAATAAAGG-3’ and reverse: 5’-ATTTGAAACTCCTCACCCAT-3’. F6, forward: 5’-AAGAAAGTCTCTTCTTC CGG-3’ and reverse: 5’-CAGGGTGAGCAGGTTACAG-3’; F7, forward: 5’-GCAGTCACT TTTCTT TGGAT-3’ and reverse: 5’-CTTCTGCAAGAAGTTGGTTT-3’; F8, forward: 5’-A CTGCAT CCTGAGAACTGC-3’ and reverse: 5’-CAAAGTTTGGAAATGTCCTG-3’; F9, forward: 5’-GTGGTCGCATCACCTCTAA-3’ and reverse: 5’-CTCCCCTCTCACTCTCCC T-3’; F10, forward: 5’-TCTGGCGGGTTTGGAGGG-3’ and reverse: 5’-TGAAGCGAGGG CGAGGGA -3’; F11, forward: 5’-GTTTCCTGTGAGGCTTTTACC-3’ and reverse: 5’-CTC CTGGTCCCTCTCCCC-3’. AKIP1 scramble: GGUAGCCAUUACACCAUAAGU; AKIP1 RNAi#1: CCUUCAGA ACAAUGGCUGAAU (targets coding sequences within AKIP1 exon 3); AKIP1 RNAi#2: GUCAGUGUGGGAAAUAUUAUUCA (targets coding sequences within AKIP1 exon 3); VEGFC scramble: GGCAAAUAACACUAUAUACCU; VEGFC siRNA#1: CAAACCAG UAACAAUCAGUUU; VEGFC siRNA#2: CCACCAAACAUGCAGCUGUUA. scramble (Scr-1): GAGGGAGGUUGCGUGUAAU; GGAAUA; AAACA; SP1 siRNA: GGCUGGUGGUGAU AP-2 scramble (Scr-2): GGACCCACUAAUAGAUUGU; GGGUAUUAACAUCCCAGAU; AP-2 siRNA: NF-B p65 scramble (Scr-3): GACCGCGACAACGU NF-B p65 siRNA: GGAGCACAGAUACCACCAA; UUCCGGCAAUCUAU; PKA scramble: GUACC PKA siRNA: UCCUGCAAGCUGUCAACUU; GCGACGUUAGGUGCAGUAU; SP1 SirT1 scramble: SirT1 siRNA: GCAGAUUAGUAGGCGGCUU; Dorsal air sac assay. The dorsal air sac assay was used to examine the angiogenic response triggered by cells. Briefly, the chamber consisting by a ring (Millipore, Billerica, MA) covered with filters (0.45 μm pore size) at both sides was filled with 1×106 cells suspended in 150 μl of PBS, and then implanted into a air sac in the dorsum of anesthetized male nude mice (6 weeks old). On day 7, the chambers were removed from the subcutaneous fascia of the mice, and the angiogenic response was assessed by determining the areas of new blood vessels under a stereomicroscope. Chemical reagent. NF-B inhibitor, Helenalin, was purchased from EMD biosciences (Gibbstown, NJ) and dissolved in Dimethyl sulfoxide (DMSO). DMSO was used throughout the experiments as the vehicle control. Chicken chorioallantoic membrane (CAM) assay. CAM assay was performed at the 8th day of development of fertilized chicken eggs according to a method described previously.1 A 1-cm diameter window was opened in the shell of each egg with 8-day-old chicken embryo (Yueqin Breeding Co. Ltd, Guangdong, China). The surface of the dermic sheet on the floor of the air sac was removed to expose the CAM. A 0.5-cm diameter filter paper was first placed on top the CAM, and 100μl conditioned media harvested from ESCC cells were added onto the center of the paper. Then the eggs were incubated at 37°C under 80–90% relative humidity for 48 hours. Following fixation with stationary solution (methanol: acetone=1:1) for 15min, CAMs were cut and harvested, and gross photos of CAMs were taken under a digital camera (Panasonic, Osaka, Japan). The effect of conditioned media harvested from different cells was evaluated by the number of second- and third-order vessels in comparison with that treated with the medium harvested from control group. References 1. Célérier J, Cruz A, Lamandé N, Gasc JM, Corvol P. Angiotensinogen and its cleaved derivatives inhibit angiogenesis. Hypertension. 2002; 39:224-228. 2. Cristea IM, Chait BT. Conjugation of magnetic beads for immunopurification of protein complexes. Cold Spring Harb Protoc. 2011:pdb.prot5610. Supplementary Figure Legends Supplementary Figure 1. AKIP1 is overexpressed in ESCC cell lines and primary human ESCC. (a) Western blotting analysis revealed that AKIP1a, the longest isoform of AKIP1, is predominately expressed in the Kyse30 ESCC cells, using overexpressed HA-tagged AKIP1 splice variants as controls. α-Tubulin was used as a loading control. (b-c) Real time-PCR analysis of AKIP1 mRNA expression in 2 NEECs and 12 cultured ESCC cell lines (b), and in 10 paired primary ESCC tissues (T) and adjacent non-cancerous tissues (ANT) from the same patient (c). Expression levels were normalized to GAPDH. (d) Quantification analysis of AKIP1 protein expression in 10 paired human ESCC tissues (T) and the matched adjacent non-tumor tissues (ANT) from the same patient (as shown in Figure 1b). (e) Statistical analysis of the average MOD of AKIP1 staining for ESCC specimens of different clinical stages. The average MOD of AKIP1 staining increases as ESCC progresses to higher stages. Each bar represents the mean ± SD of three independent experiments. * P < 0.05. Supplementary Figure 2. (a-b) Kaplan-Meier curves and univariate log-rank analyses of the survival of ESCC patients expressing low and high levels of AKIP1 within subgroups of Clinical stage I (a) and T1 classification (b). Samples with an IHC scoring index (SI) ≥ 8 were determined as high expression and samples with a SI < 8 were determined as low expression (For full details of the IHC SI see Supplemental Materials and Methods). Supplementary Figure 3. The effect of dysregulation of AKIP1 on ESCC progression examined using an in vivo tumor model. (a) Western blotting analysis of AKIP1 expression in the Kyse30/AKIP1-RNAi tumors, the Kyse30/RNAi-vector tumors and control tumors, respectively. α-Tubulin was used as a loading control. (b) Tumor volumes were measured on the indicated days. (c) Mean tumor weights. * P < 0.05. Supplementary Figure 4. AKIP1 enhances the ability of ESCC cells to induce angiogenesis. (a) Representative images (left panel) and quantification (right panel) of TECs tube formation cultured on Matrigel-coated plates with conditioned media from vector control cells and AKIP1-transduced cells, or RNAi-vector control cells and AKIP1-silenced cells. The capillary tubes were quantified by counting length (10 random 100× fields per well). (b) Cell migration assay was performed by culturing TECs with conditioned medium derived from the indicated ESCC cells. Migratory cells on the lower membrane surface were fixed in 1% paraformaldehyde, stained with hematoxylin, and counted (10 random 100× fields per well). (c) Representative images (left panel) and quantification (right panel) of the blood vessels formed in the CAM assay after stimulation with conditioned medium from the indicated cells. (d) Representative graphs of mouse dorsal air-sac angiogenesis induced by vector cells and AKIP1-overexpressing cells, or RNAi-vector cells and AKIP1-silenced cells. Each bar represents the mean ± SD of three independent experiments. Each bar represents the mean ± SD of three independent experiments. * P < 0.05. Supplementary Figure 5. AKIP1 promotes ESCC lymphangiogenesis. (a) Representative images (left panel) and quantification (right panel) of LECs tube formation cultured on Matrigel-coated plates with conditioned medium from vector control cells and AKIP1-transduced cells, or RNAi-vector control cells and AKIP1-silenced cells. (b) Cell migration assay was performed by culturing LECs with conditioned media derived from the indicated ESCC cells. Error bars represent the mean ± SD of three independent experiments. * P < 0.05. Supplementary Figure 6. AKIP1 upregulates VEGF-C expression. (a-b) Real-time PCR (A) and IHC (B) analyses of VEGF-C expression in the tumors formed by vector control cells, AKIP1-transduced cells, RNAi-vector cells and AKIP1-silenced cells. (c) Western blotting analysis of the expression levels of phospho-AKT (Ser 473) and phospho-ERK1/2 (T202/Y204) in the TECs treated with conditioned medium from AKIP1-transduced Kyse30 cells and in the TECs treated with conditioned medium from AKIP1-silenced KYSE30 cells. α-Tubulin was used as a loading control. the indicated cells. (d) Western blotting analysis of COX2 protein in α-Tubulin was used as a loading control. (e) AKIP1 transcriptionally regulates the expression of VEGF-C through physically associating with the VEGF-C promoter. Transactivation activity of serial fragments of the VEGF-C promoter in vector- or AKIP1-transduced KYSE510 cells. The cells were transfected with vectors expressing a luciferase reporter gene driven by various indicated fragments of the VEGF-C promoter (as shown in Figure 5b). The luciferase activities of the promoter constructs were measured and normalized to Renilla luciferase activity. (f) Three mutants of VEGF-C promoter were constructed and luciferase acitivity assay was performed. SD of three independent experiments. Error bars represent the mean ± * P < 0.05. Supplementary Figure 7. AKIP1 regulates VEGF-C promoter activity in ESCC cells. (a) Real time-PCR analysis of VEGF-C mRNA expression (left panel) and Western blotting analysis of SP1, AP-2 and NF-κB p65 expression (right panel) in the indicated cells. VEGF-C mRNA expression levels were normalized to GAPDH. α-Tubulin was used as a protein loading control. (b) ChIP analysis of the binding efficiency of AKIP1 for different regions of VEGF-C promoter in the indicated cells treated with or without NF- . (c) Overexpressing AKIP1 increased, but silencing AKIP1 decreased, the binding efficiency of SP1, AP-2 and NF- the VEGF-C promoter. Error bars represent the mean ± SD of three independent experiments. * P < 0.05. Supplementary Figure 8. Silencing AKIP1 decreases VEGF-C expression in NSCLC, HCC and ovarian cancer cells. Left panel: Real time-PCR analysis of VEGF-C mRNA expression in A549, HepG2 and SK-OV-3 cells transfected with scrambled control or AKIP1 siRNA(s). Expression levels were normalized to GAPDH. Right panel: Western blotting analysis of AKIP1 expression in the indicated cells. control. α-Tubulin was used as a loading Each bar represents the mean ± SD of three independent experiments. * P < 0.05 Supplementary Tables Supplementary Table 1. Clinicopathological characteristics of studied patients and expression of AKIP1 in ESCC Factor NO. (%) 235 78.1 66 21.9 ≤57 152 50.5 >57 149 49.5 I 40 13.3 II 136 45.2 III 92 30.5 IV 33 11.0 T1 45 15.0 T2 71 23.6 T3 172 57.1 T4 13 4.3 N0 155 51.5 N1 146 48.5 No 268 89.0 Yes 33 11.0 90 29.9 Gender Male Female Age (years) Clinical stage T classification N classification M classification Histological Grade Well Moderate 120 39.9 91 30.2 Alive 98 32.6 Dead 203 67.4 Low expression 134 44.5 High expression 167 55.5 Low expression 124 41.2 High expression 177 58.8 Poor Vital status Expression of AKIP1 MVD (Expression of CD31) Supplementary Table 2. Correlation between the clinicopathological features and expression of AKIP1 AKIP1 expression Patient characteristics Low or none High Male 102 133 Female 32 34 ≤57 68 84 0.463 Gender 0.939 Age (years) >57 66 83 I 30 10 II 44 75 III 132 61 62 32 IV 11 22 T1 31 14 T T2 44 40 classification T3 132 31 62 67 105 T4 5 8 N N0 89 66 classification N1 204 45 0 101 M No 123 145 classification Yes 11 22 Well 48 42 Moderate 174 50 70 Poor 36 55 Alive 67 31 Dead 67 136 MVD Low 83 41 expression High 51 126 Clinical stage Histological P-value < 0.001 60 0.004 < 0.001 0.171 Grade 0.127 < 0.001 Vital status < 0.001 Supplementary Table 3. Univariate and multivariate analysis of different prognostic parameters in patients with ESCC by Cox-regression analysis Univariate analysis Multivariate analysis P Hazard ratio (95% CI) P Hazard ratio (95% CI) < 0.001 2.065 (1.564-2.725) 0.816 0.969 (0.744-1.262) < 0.001 1.385 (1.165-1.645) 0.154 1.198 (0.935-1.535) < 0.001 2.371 (1.788-3.144) 0.005 1.662 (1.169-2.362) < 0.001 2.905 (2.154-3.917) < 0.001 2.125 (1.529-2.952) Clinical stage I II III IV T classification T1 T2 T3 T4 N classification N0 N1 AKIP1 expression Low expression High expression