Supplementary File Activation of neutrophils via IP3 pathway following exposure to Demodex associated bacterial proteins. Fred McMahon1, Nessa Banville2, David A. Bergin2, Christian Smedman3, Staffan Paulie3, Emer Reeves2 and Kevin Kavanagh†*1 S1. Supplementary Materials and Methods. S1.1 Analysis of Endotoxin Activity in Bacillus Protein Preparation by ELISpot Fresh blood from healthy volunteers was collected in heparin-EDTA treated tubes following ethical approval of the NUI Maynooth ethics committee (BSRESC2012-008) to isolate peripheral blood mononuclear cells (PBMC) according to the method of Smedman et al. (2009). To confirm the absence of endotoxin contamination in both the crude and pure B. oleronius protein preparations, a tumor necrotic factor (TNF)-α ELISpot assay (Mabtech AB, Nacka Strand, Sweden) was performed using isolated PBMC, at a density of 5 x 104 cells/well ± crude or pure B. oleronius protein (2, 0.2, 0.002, and 0.0002 µg/ml), lipopolysaccharide (LPS) (10, 1, 0.1, and 0.001 ng/ml) and with the addition of polymyxin B (10 µg/ml) to specific sample wells to inhibit LPS. Quantification of PBMC TNF-α secreted spots was recorded using an ELISpot reader system (iSpot, AID, Strassberg, Germany) S2. Supplementary Results. S2.1 Assessment of Endotoxin Activity and TNF-α Spot Formation by Bacillus Proteins Preparations To ensure the effects on neutrophils of Bacillus protein preparations were not caused by the presence of an endotoxin, the protein preparations were tested against PBMC in a TNF-α ELISpot assay to detect minimal amounts of LPS and assess for endotoxin activity. Addition of LPS led to an increase in the number of TNF-αsecreting cells which at 0.01 and 0.001 ng/mL LPS were effectively inhibited by the action of polymyxin B (10 µg/ml), and the reduction of TNF-α-secreting cells was calculated to be significant (p = 0.0032 and p = 0.0063, respectively) (Fig. S1). In contrast, polymyxin B had little or no effect on the TNF-α-inducing capacity of 1 PBMC exposed to both the pure (Fig. S2) and crude (Fig. S3) B. oleronius protein preparations at 2, 0.2, 0.002, and 0.0002 µg/ml, demonstrating that the induction of TNF-α 2 Figure S1. Assessment of endotoxin activity and TNF-α secretion in PBMC exposed to LPS by ELISpot. (A) Investigating the endotoxin properties of pure and crude B. oleronius protein preparations through TNF-α ELISpot, by performing titrations of LPS (10 – 0.01 ng/ml) to examine spot formation induced by endotoxin activity, and inhibition of endotixin activity by polymyxin B (10 μg/ml) at 0.1 ng/ml LPS. The inhibition of spot formation at 0.1 ng/ml and 0.001 ng/ml LPS following the addition of polymyxin B was significant. At 0.01 and 0.001 ng/ml LPS, TNF-α spot formation induced by LPS was significantly decreased in the presence of polymyxin B (p = 0.0032 and p = 0.0063, respectively). (B) Representative ELISpot images of spot formation and inhibition were recorded. (Significance: ** = P <0.01). 3 Figure S2. Assessment of endotoxin activity and TNF-α secretion in PBMC exposed to pure B. oleronius protein by ELISpot. (A) Investigating the endotoxin properties of pure B. oleronius protein preparations through TNF-α ELISpot. B. oleronius protein and was observed not to inhibit TNF-α spot formation indicating a non-endotoxin effect by the pure B. oleronius protein preparation (ns). (B) Representative ELISpot images of spot formation and inhibition were recorded. 4 Figure S3. Assessment of endotoxin activity and TNF-α secretion in PBMC exposed to crude B. oleronius protein by ELISpot. (A) Investigating the endotoxin properties of crude B. oleronius protein preparations through TNF-α ELISpot. B. oleronius protein and was observed not to inhibit TNF-α spot formation indicating a non-endotoxin effect by the pure B. oleronius protein preparation (ns). (B) Representative ELISpot images of spot formation and inhibition were recorded. 5 References. Lacey, N., S. Delaney, K. Kavanagh, and F.C. Powell. 2007. Mite-related bacterial antigens stimulate inflammatory cells in rosacea. British Journal of Dermatology 157:474-481. O’Reilly, N., D. Bergin D, E.P. Reeves, N.G. McElvaney, and K. Kavanagh. 2012a. Demodex-associated bacterial proteins induce neutrophil activation. British Journal of Dermatology 166:753-760. Smedman, C., B. Gårdlund , K. Nihlmark, P. Gille-Johnson, J. Andersson, and S. Paulie. 2009. ELISpot analysis of LPS-stimulated leukocytes: Human granulocytes selectively secrete IL-8, MIP-1β and TNF-α. Journal of Immunological Methods 346:1-8. 6