1 SUPPLEMENTARY METHODS 2 Cells 3 ATL-derived HTLV-1-infected T-cell lines ED40515(-) 4 expression, an HTLV-1-transformed T-cell line MT-2 5 Epstein-Barr virus-transformed B-cell line LCL-Kan were used. These cells were 6 cultured in RPMI1640 medium supplemented with 10% fetal bovine serum (FBS), 100 7 U/ml of penicillin and 100 g/ml of streptomycin. Peripheral blood samples were 8 donated from four patients with acute ATL, after they provided their written informed 9 consent. Peripheral blood mononuclear cells (PBMC) were isolated from the samples 10 using Ficoll-paque PLUS (GE Healthcare UK, Ltd., Buckinghamshire, United 11 Kingdom) density gradient centrifugation and then stored frozen in liquid nitrogen until 12 use. This study was approved by the ethics committee of Tokyo Medical and Dental 13 University. 1 2 and MT-12 lacking a viral producing HTLV-1, and an 14 15 Primers 16 The forward and reverse primers at various regions of the HTLV-1 gene were purchased 17 from Greiner Japan (Tokyo). When designing the primers, we used the nucleotide 18 sequence and number according to the J02029 clone containing the complete proviral 19 genome 3. The orientation, location and nucleotide number starting from the 5’ end of 20 the R region of 5’ HTLV-1 LTR as well as the primers used in this study are summarized 21 in Supplementary Table 1. 22 In addition to HTLV-1 primers, the following primers were used to quantify mRNA 23 of NIK (forward, 5’- ACAACGAGGGTGTCCTGCTC - 3’ ; reverse, 5’- TCAGCTCCT 24 CTGCCCGAAA - 3’), ICAM1 (forward, 5’- CTGGACTCCAGAACGGGTG - 3’ ; 1 1 reverse, 2 GGAGGGCAGAATCATCACG - 3’ ; reverse, 5’- TCGATTGGATGGCAGTAGCT - 3 3’), CD25 (forward, 5’- CCACACGCCACATTCAAAGC - 3’ ; reverse, 5’- 4 TGTGTTCCGAGTGGCAGAGC 5 CCGCACCTCCACTCCATCC - 3’ ; reverse, 5’- ACATCAGCACCCAAGGACACC - 6 3’), PKR (forward, 5’- CCTGTCCTCTGGTTCTTTTGCT - 3’ ; reverse, 5’- 7 GATGATTCAGAAGCGAGTGTGC 8 GTGAAGGTCGGAGTCAACGGATTTGGTCGT 9 TGATTTTGGAGGGATCTCGCTCCTGGAAGA - 3’). 5’- GTAGGGTAAGGTTCTTGCCCAC - 3’), - 3’), - 3’), VEGF IκB-α and - (forward, GAPDH 3’ (forward, ; 5’- 5’- (forward, 5’- reverse, 5’- 10 11 Differential RT-PCR for sense and anti-sense RNA 12 Total RNA extracted from cells using Isogen (Nippon Gene, Tokyo, Japan) was treated 13 with DNase (Ambion, Austin, TX), and the aliquots (1 g) were subjected to 14 quantitative RT-PCR (RT-qPCR) using real-time qPCR (LightCycler, Roche 15 Diagnostics). Anti-sense or sense RNAs corresponding to various HTLV-1 regions were 16 differentially reverse transcribed with forward or reverse primers alone for each primer 17 set, respectively, using the Rever Tra AceR qPCR RT Kit (ToYoBo, Osaka, Japan), and 18 the resulting cDNA was subjected to qPCR with the same primer set using the 19 THUNDERBIRDTM qPCR Mix (ToYoBo). The primer sets used were RexRe-Fw2 and 20 RexRe-Rev for the R region, U5-fw and U5-rev for the U5 region, gag-fw and gag-rev 21 for the Gag region, pX2 and pX3 for the pX region, and LTR 6-28 and U3-R1 for the 22 U3 region. In order to analyze the HBZ mRNA, oligo-dT primers were used for RT 23 followed by qPCR with the spliced HBZ-specific primer sets (HBZ 98-Fw and HBZ 24 193-217R) 4. For the evaluation of mRNAs other than HTLV-1 transcripts, oligo-dT 2 1 primers were used for RT. The thermal cycle consisted of an initial denaturation step 2 at 98℃ for 30 seconds, followed by 40 cycles of denaturation at 95℃ for five seconds, 3 annealing at 60℃ for 10 seconds, extension at 72℃ for 30 seconds and detection at 4 86 ℃ for two seconds. The RNA copies were standardized according to the 5 simultaneously quantified GAPDH mRNA level of the same total RNA sample. 6 7 5’-Rapid amplification of cDNA ends (RACE) 8 In order to determine the 5′ end of the anti-sense transcripts, RACE was performed 9 using the SMART RACE cDNA amplification kit (Clontech, US), according to the 10 manufacturer's instructions. First-strand cDNA was synthesized by RT from 1 μg of 11 total RNA of ED40515(-) cells or PBMCs obtained from acute ATL patients using 12 forward primers specific for the HTLV-1 R region (RexRe Fw2) or U5 region(627-651 13 Fw). The first cycle of PCR amplification was performed using the AdvantageR 2 PCR 14 Kit (Clontech, US) with the Universal Primer A Mix provided in the kit and either the R 15 region-specific primer(473-497 Fw)or U5 region-specific primer (666-689 Fw), 16 respectively. Nested amplification was performed using the Nested Universal primer A 17 in the kit and either the U5-specific primer (577-601 Fw) or U5-specific primer 18 (724-747 Fw), respectively. The PCR products were visualized on ethidium bromide 19 staining following electrophoresis, and the DNA fragments in major bands excised from 20 the gel were cloned into pGEM-Teasy (Promega) vectors. The nucleotide sequences of 21 the cloned products were determined using the ABI sequence system (Perkin-Elmer 22 Applied Biosystems) with the M13 Fw primer located in the cloning plasmid, according 23 to the manufacturer's instructions. 3 1 2 RNA interference 3 Two 4 UGGAACUUUCGAUCUGUAACGGCGC, 5 UGAGAGUGCUAUAGGAUGGGCUGUC), four siRNAs targeting anti-sense R 6 sequences (si-R409-433: CCGGCGUGGAUGGCGGCCUCAGGUA, si-R475-499: 7 ACUUACCUAGACGGCGGACGCAGUU, si-R500-524: 8 GGCCCGGUCUCGACCUGAGCUUUAA, si-R571-595: 9 AGCAAGCAGGGUCAGGCAAAGCGUG), siRNA targeting anti-sense U3 sequences 10 (si-U3 136: UGCUGAGCUGCCCUCCGGGGGGAGA), or siRNA targeting HBZ 11 (si-HBZ611: GGCGAAACAGCAUAGUGCUAGGAAA) were obtained through the 12 custom service (Life Technologies, Tokyo, Japan) and used either alone or in a mixture, 13 together with appropriate combinations of control siRNAs (si-control GC31: 14 UAAUGUAUUGGAACGCAUA, si-control GC47: AGGUAGUGUAAUCGCCUUG, 15 si-control GC68 : UGCGCUAGGCCUCGGUUGC). Transfection of siRNA was 16 performed via electroporation into 1x 106 cells in 100 l of Ingenio Electroporation 17 Solution (Mirus, Madison, WI) containing 30 nM of siRNA with the AmaxaTM program 18 T-6 or T-19 for ED40515(-) and T-14 for ED40515(-) reporter cells on the 19 NucleofectorTM (Lonza, Basel, Switzerland). siRNAs targeting anti-sense U5 sequences (si-LTR-628: si-LTR-733: 20 21 Immunoblotting 22 Cells were cultured in the presence or absence of 10 M of Z-Leu-Leu-Leu-H (MG132) 23 (Peptide Institute, Osaka, Japan) for three hours and dissolved in RIPA buffer (50 mM 24 Tris-HCl pH 8.0, 150 mM NaCl, 0.1% SDS, 1% Triton X100, 0.5% Sodium 4 1 Deoxycholate), including protease inhibitor cocktail (Roche Diagnostics, Basel, 2 Switzerland) and PhosSTOP (Roche Diagnostics, Basel, Switzerland), for one hour on 3 ice. The cell lysates were cleared via centrifugation and denatured with SDS sample 4 buffer (Thermo Scientific, Rockford, IL) and 2.5% 2-mercaptethanol (Sigma-Aldrich, 5 St. Louis, MD) at 70°C for 15 minutes, after which 20 μg of proteins were 6 electrophoresed on polyacrylamide gel (Oriental Instruments CO., LTD, Kanagawa, 7 Japan) and then transferred to PVDF membranes (ATTO, Tokyo, Japan). The membrane 8 was blocked with Block Ace (DS Pharma Biomedical Co., Ltd, Osaka, Japan) for one 9 hour at room temperature and reacted with primary antibodies overnight, followed by 10 exposure to anti-rabbit IgG, HRP-linked antibodies (Cell Signaling, Danvers, MA) or 11 anti-mouse IgG, HRP-linked antibodies (Cell Signaling, Danvers, MA) as secondary 12 antibodies. The reacted bands were visualized using enhanced chemiluminescence with 13 NovelR ECL (Invitrogen, Carlsbad, CA) and analyzed on the Image Quant mini LAS 14 4000 (GE Healthcare). 15 16 Antibodies and reagents 17 Mouse anti-PKR antibodies (Santa Cruz, Dallas, Texas) and rabbit anti-phospho-PKR 18 (Abcam, Cambridge, UK), anti-NIK, anti-NFκB2 p100/p52, anti-phospho-NFκB2 p100 19 (Ser866/870), anti-phospho-NFκB p65 and anti-β-Actin (Cell signaling, Danvers, MA) 20 antibodies were used as primary antibodies for the immunoblotting assays. 21 Phycoerythrin-conjugated anti-human IL-2R alpha monoclonal antibodies and 22 phycoerythrin-conjugated murine IgG2a isotype control (R&D systems, Minneapolis, 23 MN) were used for flow cytometry on the FACSCalibur system (Becton Dickinson, San 24 Jose, CA). A chemical PKR inhibitor (an imidazolo-oxindole derivative C16, 5 1 C13H8N4OS; Calbiochem) 2 Calbiochem) were dissolved in DMSO and added at a concentration of 100-500 nM in 3 culture. 5 and its negative control inhibitor (C15H8Cl3NO; 4 5 Reporter assay 6 ED40515(-) reporter cells were prepared using a Cignal Lenti-NF-B reporter Luc Kit 7 (Qiagen, Duesseldorf, Germany) and Cignal Lenti thymidine kinase (TK)-Renilla 8 control (Qiagen). The luciferase assays were conducted with the Luciferase or Renilla 9 luciferase assay systems (Promega, Madison, WI) on cell lysates in Renilla luciferase 10 lysis buffer (Promega). The relative NF-B activity was calculated as the ratio of the 11 firefly luciferase activity to the Renilla luciferase activity in the same sample. 12 13 Statistics 14 The unpaired t-test was performed for statistical significance, and p values less than 15 0.05 were considered significant. 16 17 References 18 1. 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