Supplementary data to: Epidemiological, Clinical and Biochemical Characterization of the p.(Ala359Asp) SMPD1 Variant Causing Niemann-Pick Disease Type B Mariana Acuña,1,2 Pablo Martínez,1,2 Carol Moraga,2,3 Xingxuan He,4 Mauricio Moraga,5 Bessie Hunter,6 Peter Nuernberg,7 Rodrigo A. Gutiérrez,2,3 Mauricio González,2,8 Edward H. Schuchman,4 José Luis Santos,9 Juan Francisco Miquel,1,2 Paulina Mabe,10 Silvana Zanlungo,1,2. 1 Departamento de Gastroenterología, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, 8330024, Chile. 2FONDAP Center for Genome Regulation (CGR). 3Departamento de Genética Molecular y Microbiología, Facultad de Ciencias Biológicas, Pontificia Universidad Católica de Chile, Santiago, 8331150, Chile. 4Department of Genetics & Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, 10029, USA. 5Programa de Genética Humana, Instituto de Ciencias Biomédicas, Facultad de Medicina, Universidad de Chile, Santiago, 8380453, Chile. 6 Hospital Luis Calvo Mackenna, Santiago, 7500539, Chile. 7Cologne Center for Genomics (CCG), University of Cologne, Köln, D-50931, Germany. 8INTA, Universidad de Chile, Santiago, 7830490, Chile. 9Departamento de Nutrición, Pontificia Universidad Católica de Chile, Santiago, 8330024, Chile. 10Hospital Exequiel González Cortés, Santiago, 8910095, Chile. Table of Contents Supplementary Materials and Methods....................................................................................2-4 Taqman allelic Discrimination Assay...………………………………………………...2 Clinical Characteristics of NPDB in Homozygous p.(Ala359Asp) Patients……..............2 Common Ancestor Haplotype Determination and Population Origin…………................2 DNA Genomic Sequencing...………………………………...………………………...3 Cell Transfection and ASM Activity Assay ...…………………………………………..3 Immunoblotting...………………...............................………………………………...3 Supplementary Tables................................................................................................................4 1 Supplementary Materials and methods Taqman Allelic Discrimination Assay The assay mix was developed using the Applied Biosystems bioinformatics assay design process and included forward (GAGCCCTGGCTGCCT; 15 nucleotides in length) and reverse primers (GTTTCCACGGACGATAAGTACCT; 23 nucleotides in length). Also included two TaqMan MGB probes designed to detect the normal allele (CGCAGGGCTTCG; linked to VIC in the 5' end), and the mutant allele (CGCAGGTCTTCG; linked to FAM in the 5' end). Clinical Characteristics of NPDB in Homozygous p.(Ala359Asp) Patients The laboratory analysis included blood count, lipid profile, serum alanine aminotransferase, aspartate aminotransferase, total and direct bilirubin, prothrombin time and abdominal ultrasonography. Common Ancestor Haplotype Determination and Population Origin The SNPs genotypes analyzed were determined by PCR-RFLP or sequencing methods. The primers used are described in Supplementary Table I. Of the 14 SNPs analyzed, 8 were covering the SMPD1 gene and flanking regions (~10 Kb). The other 6 SNPs were located 75, 68 and 41 Kb upstream and 72, 200 and 404 Kb downstream of the gene. In addition, 3 Short Tandem Repeats (STRs) were analyzed: D11S1323 (STR1) (PCR products 200207bp), D11S4531 (STR2) (PCR products 160-188bp) and D11S1331 (STR3) (PCR products 191205bp). STR1 and STR2 are located 135 and 99 Kb upstream of the SMPD1 gene, respectively, while STR3 is located 800 Kb downstream of the SMPD1 gene. DNA Genomic Sequencing The sequenced 14.5 Kb DNA fragment included 4.5 Kb encoding the entire SMPD1 genomic region and an additional 5.0 Kb upstream and downstream of the gene. 2 Cell Transfection Cells were transfected with 2 μg of wild-type or p.(Ala359Asp) mutant plasmid using the XtremeGEN transfection reagent (Roche, Indianapolis, IN, USA). Cells transfected with an empty pcDNA3.1(–) vector were used as a negative control. Forty-eight hours after transfection, cell pellets were washed twice with phosphate buffered saline (PBS) and resuspended in CellLytic reagent (Sigma) for ASM activity and immunoblotting. Immunoblotting Cell extracts (10 μg) were resolved by SDS-PAGE and transferred onto nitrocellulose membranes. Membranes were blocked by overnight incubation at 4°C in 5% (w/v) milk powder dissolved in Tris buffered saline (TBS) and 0.1 % (w/v) Tween 20 (TBST). They were then rinsed in TBST and incubated at room temperature for 2 h in the presence of a polyclonal anti-ASM antibody (1:2000 dilution) donated by Dr. Edward Schuchman. The membrane was washed again in TBST, and incubated at room temperature for 1 h in the presence of a HRP conjugated anti-rabbit IgG antibody (1:5000 dilution). 3 Supplementary Table Supplementary Table 1: Gene-specific primer sequences for SNP analysis SNP Forward primer Reverse primer rs11040859 GCCACATGTGCTGGATGACA TGACCCCTAGAAACCCAAAGG rs2947030 CCCCACTCATCAAAGCTGGT CAGCTTCATTCCAGGCCTCA rs7128818 TGCCAGCAACTTCTGTCTGA CGGCCAGGGTCCATTTTTAC rs7940008 CTGGTCAACAACAGCGAAAA GGTTAAGGACATGGCTGGAA rs2723659 AGACATGTTTTGCTTGACACATCCA AGGTACTTTTCTGAGGACTCTGCCT rs1542705 AAGGGGCTCATCTTCCTTAGA CCTTGGTCCCTGCAAATACT rs7951904 CCTCACTGACCTGCACTGGGA CACCTGGCCGGGATGCGG rs67992843* GGGCACTGGGACATTTTCT CATGGTGAAACCCCATCTCT rs113960387* GGGCACTGGGACATTTTCT CATGGTGAAACCCCATCTCT rs72896270 CCACCACACCCAGCTAATTT TGGGAAAAACTGGAGCACTT rs74053351 CAGTTCTTTGGCCACACTCA GGCAAGGAGCAAGGGTAACT rs11601088 GGCCTTAATCCTGGTGAGTG CGAGCCCTGTAGAGAAGCTG rs1050239 GGCCTTAATCCTGGTGAGTG CGAGCCCTGTAGAGAAGCTG rs1800606 CTCTAGACCCCTCCCTGACC AGTAGGGTGGTGTGGTGGTG rs2682092 CCACTTTGCCAGCCTACATT ATTGGGTCTTGGGAGAGGAC rs2723663 GCTGCAGCTCTCGTTTTCTT TTTCCAAGGCTACACAGTAAGT rs11040930 TCACTGCTGATTGCTCTGGG AGGATGGGCAGGTTGTTAGC rs497681 TAGGGGTCATGTCCCAAGGT TCCACAGCACCAGACAAGAC Thermal cycling consisted of 30 cycles at 94ºC for 30 s, 58ºC for 30 s, and 72ºC for 30 s. The melting curves were performed according to the manufacturer’s procedure. *Both SNPs were determined by sequencing of the same PCR reaction, which generated a fragment of approximately 640 bp that also contained the A359D mutation. 4 5