Supplemental document 1 Transcript analyses Meaning of Sqstm1 and Tdp-43 levels for SIL1 patho-physiology in wz muscle Increased levels of Sqstm1 may either indicate increased autophagic activity or reduced autophagic clearance. Therefore, we performed quantitative PCR studies of Sqstm1 transcript levels in 26 week old mice (see below) and found similar levels in wz and wt animals (Fig. 5f), indicating impaired autophagic clearance of SqStm1. This observation is in line with the formation of autophagic vacuoles observed by electron microscopy (see results section of main document). We also asked whether TAR DNA-binding protein-43 (Tdp-43) is involved in these processes. Tdp-43 is a nuclear protein functioning in the regulation of transcription and mRNA splicing with emerging roles in neurodegeneration [37]. Accumulation of TDP-43 is a common hallmark of myopathies with rimmed vacuoles [36] and could also be linked to ER stress [6]. Efficient degradation of TDP-43 aggregates is mediated by autophagy [81]. Our quantitative PCR studies (see below) showed slightly elevated levels (2 fold increase) (Fig. 5f) and immunoblots of Tdp-43 protein revealed also a significant increase in wz mouse quadriceps muscles (Figs. 5c, 5f). Prima facie, simultaneously increased Tdp-43 transcript and proteins levels do not support the assumption that autophagic clearance is impaired. However, considering the above described pattern of Sqstm1 expression, the increase in Tdp-43 transcript levels – presumably leading to elevated protein levels – could be related to the known function of TDP-43 in RNA decay and transcriptional repression of DNA [37]. Insufficient autophagic clearance of the TDP-43 protein could also lead to this build-up. RNA isolation, Xbp1 splicing assay and quantitative PCR studies of Sqstm1 and Tdp-43: Total RNA was extracted from quadriceps muscles using RNeasy Mini Kit (Qiagen) according to manufacturer´s instructions. First strand cDNA was synthesized with the iScript cDNA Synthesis Kit from BioRad in accordance with the supplier’s instructions. 100 ng of the cDNA were used to amplify an Xbp1 amplicon harbouring the splice site. For PCR conditions see Suppl. Tab. 2a. Primer sequences for the amplification were as follows: Xbp1_F: 5´-AAACAGAGTAGCAGCGCAGACTGC-3´; Xbp1_R: 5´-TCCTTCTGGGTAGACCTCTGGGAG-3´. The PCR products were tested on a 1 % agarose gel and digested with PstI restriction endonuclease (New England Biolabs) according to the manufacturer’s instructions for 16 hours at 37°C. Restriction products were separated on a 2 % agarose gel to visualize differences between unspliced (Xbp1u) and spliced (Xbp1s) fragments. Real-time quantification of Sqstm1 and Tdp-43 relative to Gapdh mRNA was performed using SsoAdvanced SYBR Green Supermix (BioRad) and a CFX Connect Real-Time PCR Detection System (BioRad). Real-Time PCR primers for the indicated genes were designed with Primer 3 and synthesized by Metabion (Martinsried, Germany). Quantitative RT-PCR was performed in triplicate in 20 μl reaction volumes consisting of 10 µL SsoAdvanced SYBR Green Supermix, 50 pmol forward and reverse primers, 8 µl RNAse free water and 1 µl cDNA. For PCR conditions see Suppl. Tab. 2b. Primer sequences for the amplification were as follows: Sqstm1_F 5´- GACACCCACTACCCCAGAAA -3´; Sqstm1_R 5´- ATCTGTTCCTCTGGCTGTCC -3´; Tdp-43_F 5´- CCCCTGGAAAACAACTGAGC 3´; Tdp-43_R 5´- ACCCTTTCGAGTGACCAGTT -3´; Gapdh_F 5´- AACTTTGGCATTGTGGAA -3´; Gapdh_R 5´- ACACATTGGGGGTAGGAA -3´. The analysis of the gene expression data were made with the CFX96 analysis software which use the 2-ΔΔCT method [43]. a Temperature Time Cycles 95°C 30 sec 95°C 5 sec 58°C 30 sec 72°C 10 min final Temperature Time Cycles 95°C 30 s 95°C 5s 55°C 30 s 35x b 65°C – 95°C PCR conditions: (a) Xbp1 splicing studies. (b) qPCR studies c 40x 0,5°C per step d Analyses of Xbp1 splicing in 16-, 26-, 52- and 84-week old animals (c) as well as in three animal pairs with the age of 26 weeks (d). Enhanced splicing of Xbp1 is detectable in quadriceps muscles of wz animals compared to wt littermates. e Sqstm1 1,4 1,2 1 0,8 0,6 0,4 0,2 0 26 week control animals 1,2,3 f 26 week woozy animals 1,2,3 Tdp-43 3 2,5 2 1,5 1 0,5 0 26 week control animals 1,2,3 26 week woozy animals 1,2,3 Quantitative PCR studies of Sqstm1 (e) and Tdp-43 (f) in three animal pairs with the age of 26 weeks. Whereas Sqstm1 transcript levels show a low grade decrease, the transcript levels of Tdp-43 are more than 2-fold increased in wz quadriceps muscles.