Serum preparation, RNA isolation, and RT-qPCR assay Venous blood samples (~5 ml) were collected from each patient and healthy volunteer. All the samples were processed within 1 h. Serum separation was accomplished by centrifugation at 3,000 g for 10 min, followed by a 15 min high-speed centrifugation at 12,000 g to completely remove cell debris. The supernatant serum was recovered and stored at -80 ℃ until analysis. Total RNA was extracted from 100 μl of serum by phenol/chloroform purification and centrifugation in isopropyl alcohol. Briefly, 100 μl of serum was mixed with 200 μl of phenol, 200 μl of chloroform, and 300 μl of RNase-free water. The sample was vortexed and incubated at room temperature for 15 min. The mixture was centrifuged at 12,000 g for 10 min and the upper aqueous layer was collected. Subsequently, a 1/10 volume of 3 M sodium acetate and a two-fold volume of isopropyl alcohol were added to the aqueous phase. The total RNA was precipitated by incubation at -20 ℃ for 1 h. The RNA pellet was collected by centrifugation at 16,000 g for 20 min, washed once with 75% ethanol, dried for 10 min at room temperature, and then dissolved in 20 μl of RNase-free water. TaqMan probe-based RT-qPCR assay was carried out using a commercial kit (Applied Biosystems, Foster City, CA, USA) according to the manufacturer’s instructions. Briefly, 2 μl of total RNA was reverse transcribed to cDNA using AMV reverse transcriptase (TaKaRa, Dalian, China) and the stem-loop RT primer (Applied Biosystems, Foster City, CA, USA). Real-time PCR was performed using TaqMan miRNA probes on an Applied Biosystems 7300 Sequence Detection System (Applied Biosystems, Foster City, CA, USA). The threshold cycle (Cq) values were determined using the fixed threshold settings. All reactions, including no-template controls, were performed in triplicate. To calculate the expression levels of target miRNAs, a series of synthetic miRNA oligonucleotides with known concentrations were also reverse transcribed and amplified to generate a standard curve. It was linear on a semi-logarithmic plot in a range from 10 fM to 107 fM. The amount of each miRNA was then calculated according to the standard curve. Because U6 and 5S rRNAs were degraded in the serum samples, and there was no current consensus on housekeeping miRNAs for the RT-qPCR analysis of serum miRNAs, the expression levels of miRNAs were directly normalized to the serum volume in this study. Supplementary Table 1 Differentially-expressed miRNAs of responders and non-responders to chemotherapy in screening samples order 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 name mean fold change p-value miR-20a miR-21 miR-24 miR-25 miR-27b miR-29a miR-30a miR-92a miR-95 miR-99a miR-100 miR-101 miR-107 miR-122 miR-125b miR-130 miR-139-3p miR-140-3p miR-145 miR-150 miR-185 miR-191 3.13 4.24 2.67 2.08 1.07 1.1431785 1.4954582 4.14502 1.1179528 2.69 1.0234521 1.079218 1.094375 3.26 1.3597159 3.456 1.053803 1.042287 4.481299 1.746494 2.1 2.87 3.64E-07 2.28E-05 0.001255 8.18E-10 0.7567261 0.3623874 0.0731187 0.003084 0.5932393 2.61E-05 0.9108538 0.7229841 0.586468 0.004824 0.2975648 0.0054724 0.865472 0.7037122 0.001156 0.057758 0.007051 0.000372 significant significant significant significant non-significant non-significant non-significant non-significant non-significant significant non-significant non-significant non-significant significant non-significant significant non-significant non-significant significant non-significant significant significant 23 24 25 26 27 28 29 30 31 32 33 34 35 miR-192 miR-197 miR-199a-3p miR-210 miR-216 miR-320a miR-361 miR-372 miR-411 miR-451 miR-483 miR-532-5p miR-618 1.3246894 0.2644458 1.117953 0.593239 1.363585 0.2153148 1.3872444 0.3868377 3.732919 0.0044299 1.493328 0.0640379 1.5194114 0.3374292 4.0253 0.009875 1.796262 0.007805 1.7464941 0.0577575 5.632765 0.0009546 1.7962625 0.0078049 2.8435 0.00074587 non-significant non-significant non-significant non-significant significant non-significant non-significant significant non-significant non-significant significant non-significant significant