H. Sakata et al. / 1 Supplementary materials and methods Western blot analysis The NSCs were treated with cell lysis buffer (9803; Cell Signaling Technology) according to the manufacturer’s instructions, and used as whole cell lysate samples. Protein concentrations were determined by comparison with a known concentration of bovine serum albumin using a kit (23225; Thermo Fisher Scientific). Equal amounts of the samples (10-20 μg) were loaded per lane and analyzed by sodium dodecyl sulfate-polyacrylamide-gel electrophoresis on a 10% NuPAGE Bis-Tris gel (NP0303; Invitrogen) and then immunoblotted. The primary antibodies were a 1:200 dilution of a mouse monoclonal anti-p-STAT3 antibody (Tyr705) (molecular weight: ~ 91 kDa) (sc-8059; Santa Cruz Biotechnology), a 1:200 dilution of a mouse monoclonal anti-STAT3 antibody (molecular weight: ~ 91 kDa) (sc-8019; Santa Cruz Biotechnology), a 1:1000 dilution of a rabbit polyclonal anti-SOD2 antibody (molecular weight: ~ 25 kDa) (SOD-110; Enzo Life Sciences), a 1:1000 dilution of a rabbit polyclonal anti-copper/zinc-superoxide dismutase antibody (molecular weight: ~ 19 kDa) (SOD-101; Enzo Life Sciences), a 1:5000 dilution of a mouse monoclonal anti-IL-6Lα antibody (molecular weight: ~ 80 kDa) (sc-374259; Santa Cruz Biotechnology), a 1:1000 dilution of a mouse monoclonal anti-NF-κB antibody (molecular weight: ~ 65 kDa) (6956; Cell Signaling Technology), and a 1:100,000 dilution of a mouse monoclonal anti-actin antibody (molecular weight: ~ 42 kDa) (A5441; Sigma-Aldrich). After incubation with horseradish peroxidase-conjugated anti-mouse IgG (7076; Cell Signaling Technology) or anti-rabbit IgG (7074; Cell Signaling Technology), the antigen was detected by SuperSignal West Pico and/or Femto substrates (1856135/1856189; Thermo Fisher Scientific). Images were scanned with a H. Sakata et al. / 2 GS-700 imaging densitometer (Bio-Rad Laboratories) and the results were quantified using MultiAnalyst software (Bio-Rad). Immunofluorescent staining For immunocytochemistry, the NSCs cultured on eight-well chamber slides (154941; Thermo Fisher Scientific) were washed with PBS and fixed with 4% paraformaldehyde in PBS for 15 min. They were washed with PBS and incubated for 1 h in blocking solution (PBS containing 3% bovine serum albumin and 0.3% Triton X-100). For immunohistochemistry, the animals were anesthetized and perfused with PBS followed by 4% paraformaldehyde in PBS, pH 7.4. The brains were postfixed overnight in the same fixative at 4C. For cryosectioning, fixed tissues were cryoprotected in 10% sucrose in PBS overnight at 4C, then in 20% sucrose in PBS overnight at 4C, and embedded in Tissue-Tek O.C.T. compound (4583; Sakura Finetek USA, Inc.). Cryostat sections (20 μm) were cut and affixed to glass slides (12-550-15; Thermo Fisher Scientific). Cells or tissue sections were subsequently incubated overnight at 4C in an appropriate mixture of primary antibodies. The following antibodies were used: rabbit anti-GFP (1:100; G10362; Invitrogen), goat anti-GFP (1:100; LS-C67095; LifeSpan BioSciences), mouse anti-nestin (1:100; AB353; Millipore), mouse anti-Sox2 (a NSC marker) (1:50; 4900; Cell Signaling Technology), rabbit anti-β-tubulin (1:500; PRB-435P; Covance), mouse anti-GFAP (1:100; AB360; Millipore), rabbit anti-NG2 (an oligodendrocytic marker) (1:100 AB5320; Millipore), rabbit anti-SOD2 (1:50; ab13533; Abcam), mouse anti-p-STAT3 (Tyr705) (1:50; 4113; Cell Signaling Technology), rabbit anti-VEGF (1:50; 07-1376; Millipore) and rabbit anti-Ki-67 (1:50; ab16667; Abcam). After three washes in PBS, cells or tissue sections were incubated for 1 h with a 1:500 dilution of the following secondary antibodies: Alexa Fluor H. Sakata et al. / 3 488-conjugated donkey anti-rabbit IgG (A21206), Alexa Fluor 594-conjugated donkey anti-rabbit IgG (A21207), Alexa Fluor 488-conjugated donkey anti-goat IgG (A11055), Alexa Fluor 594-conjugated donkey anti-mouse IgG (A21203), and Alexa Fluor 647-conjugated donkey anti-mouse IgG (A31571; all from Invitrogen). After three washes in PBS, the samples were covered with VECTASHIELD mounting medium with DAPI. The samples were examined by confocal microscopy or fluorescence microscopy. Assessment of cell death and cell viability in vitro Cell death was quantified by a standard measurement of LDH release using a LDH-cytotoxicity assay kit (K311-400; BioVision). Cell viability was assessed with a cell proliferation reagent using a WST-1 assay kit (05015944001; Roche Diagnostics). For in situ labeling of DNA fragmentation, the NSCs were prepared as described in the immunofluorescent staining section. An in situ cell death detection kit, TMR red (12156792910; Roche Diagnostics), was used according to the manufacturer’s instructions. Detection of vascular endothelial growth factor For the in vitro study, culture supernatants (incubation duration: 6 h) were collected for analysis and fresh brain tissue was removed 2 days after transplantation (n = 4 per group). The rectangular cuboid tissue block of the cortex, 1 mm on either side of the NSC-transplanted regions, was dissected (width 2 mm length 5 mm) and used as a sample. Protein was extracted as described in the Western blot analysis section. Commercial VEGF ELISA kits (MMV00; R&D Systems) were used to quantify the concentration of VEGF in each of the samples. H. Sakata et al. / 4 Quantification of survival of the transplanted NSCs The transplanted GFP-positive cells were counted using unbiased computational stereology as described above (n = 8 per group). All GFP-positive cells were counted on six serial coronal sections per brain (1 mm apart). Assessment of NSC proliferation and differentiation profiles The proportion of GFP-positive cells, also stained with a proliferation marker (Ki-67) (n = 4 per group) or lineage-specific phenotype markers (β-tubulin and GFAP) (n = 8 per group), was determined by confocal microscopy. Split panel and z axis analyses were used for all counting. One hundred or more GFP-positive cells were scored for each marker per animal. BVD analysis BVD was assessed 14 days after transplantation as described previously (Horie et al., 2011), with some modifications (n = 4 per group). Briefly, vessels were labeled by jugular vein injection of DyLight 594-labeled Lycopersicon esculentum lectin (50 mL) (DL-1177; Vector Laboratories) 30 min before the animals were killed. The tissue sections (40 μm) were prepared as described in the immunofluorescent staining section. The images were captured by confocal microscopy at these six coordinates: (1) A–P, +1.0; M–L, ±2.5; D–V, -0.5; (2) A–P, -0.5; M–L, ±3.0; D–V, -0.5; (3) A–P, -2.0; M–L, ±3.0; D–V, -0.5. BVD was measured using ImageJ software to determine pixel number/image, and the average of BVD ratio (ipsilateral/contralateral) was calculated. Water content measurement H. Sakata et al. / 5 Mouse brains were harvested 2 days after stroke and transplantation for determination of water content in the cerebral tissue (n = 4 per group). Wet and dry weight of cerebral hemispheres (ipsilateral and contralateral) was measured and the corresponding water content was calculated by the formula water content = 100 (wet weight - dry weight)/wet weight. H. Sakata et al. / 6 Supplementary figure legends Supplementary Figure 1 Characterization of GFP-positive NSCs in vitro. The NSCs grown as adherent cultures were examined by immunocytochemistry for GFP (green) and the NSC markers nestin (A) and Sox2 (red) (B). Nearly all the GFP-positive cells colocalized with both NSC markers. Scale bars: 50 μm. After culturing in differentiation medium containing 1 μM retinoic acid and 1% fetal bovine serum for 5 days, GFP-positive cells (green) expressed the neuronal marker β-tubulin (C), the astrocytic marker GFAP (D), and the oligodendrocytic marker NG2 (red) (E). Nuclei were counterstained with DAPI (blue). Scale bars: 20 μm. Supplementary Figure 2 Up-regulation of SOD2 with IL-6 preconditioning. (A) Western blot analysis of whole cell lysate from cerebral endothelial cells (CECs), neurons, NSCs, and SOD2 NSCs. Basal expression of SOD2 is higher in the NSCs than in the CECs and neurons. While SOD2 expression in the CECs increased after ischemic reperfusion injury, SOD2 expression in the neurons and NSCs decreased. β-actin was used as an internal control. (B) Western blot analysis of whole cell lysate from NSCs revealed expression of IL-6Rα under normal conditions. Expression of IL-6Rα was reduced after 8 h of OGD and 3 h of RO (n = 4). (C) Western blot analysis of whole cell lysate from NSCs preconditioned with IL-10. This preconditioning did not activate STAT3. In addition, SOD2 expression was similar at any concentration we tested. (D) Western blot analysis of whole cell lysate from non-PCNSCs or PCNSCs after 8 h of OGD and 3 h of RO. IL-6 preconditioning significantly increased expression of SOD2 together with p-STAT3 under normal conditions and after OGD and RO. (E) Western blot analysis of whole cell lysate from non-PCNSCs or PCNSCs. IL-6 preconditioning significantly increased NF-κB H. Sakata et al. / 7 expression. BMS-345541 significantly reduced NF-κB expression without changing SOD2 levels. β-actin was used as an internal control. OD = optical density. *P < 0.05, †P < 0.01, ‡P < 0.001. Supplementary Figure 3 NSC death in vitro. (A) LDH assay revealed increased NSC death in a time-dependent manner with OGD (n = 4). Con = control. (B) NSCs analyzed by TUNEL staining (red) and DAPI (blue) after 8 h of OGD and 24 h of RO. The cell-counting study revealed a significant decrease in TUNEL-positivity in the PCNSCs and SOD2NSCs (n = 4). Scale bar: 20 μm. IL-6 preconditioning and SOD2 overexpression significantly reduced the release of LDH from the NSCs under the oxidative stimuli H2O2 (200 μM) (C) and diethylenetriamine/nitric oxide (DETA/NO) (250 μM) (D) (n = 4). LDH (E) and WST-1 (F) assays revealed that AG490 (20 nM) inhibited IL-6-induced cytoprotection in the NSCs after 8 h of OGD and 24 h of RO (n = 4). (G) In vitro ELISA of the CM from NSCs. IL-6 preconditioning significantly increased VEGF levels after 8 h of OGD and 6 h of RO. *P < 0.05, †P < 0.001. Supplementary Figure 4 The effects of grafted NSCs on the host brain cells. (A) Schematic diagram and fluorescent staining with DAPI (blue) and GFP (green) 1 h after transplantation show the location of the graft and the ischemic lesion (*). Scale bar: 100 μm. (B) Quantification of the number of TUNEL-positive host brain cells beside the graft 2 days after transplantation. Transplantation of PCNSCs significantly reduced the number of TUNEL-positive host brain cells compared with non-transplanted and non-PCNSC groups (n = 4). (C) Fluorescent staining with DAPI (blue) and ED-1 (red) in brain sections 2 days after transplantation. The number of ED-1-positive cells beside the graft was significantly decreased in the PCNSC group compared with the non-transplanted and non-PCNSC groups (n = 4). Scale bar: 20 μm. *P < 0.05, †P < 0.01. H. Sakata et al. / 8 Supplementary Figure 5 Proliferation capacity of NSCs. (A) Immunostaining images of the NSCs 2 days after stroke and transplantation. The sections were stained with GFP (green) and Ki-67 (red). IL-6 preconditioning did not change the percentage of Ki-67-positive grafted cells (n = 4). Scale bar: 20 μm. (B) Fluorescent staining of the NSCs with Ki-67 (red) and DAPI (blue) 48 h after OGD in vitro. The percentage of Ki-67-positive cells was similar between the non-PC NSCs and PCNSCs (n = 4). Scale bar: 20 μm. Supplementary Figure 6 IL-6-induced VEGF expression in vivo. (A) Fluorescent staining with DAPI (blue), GFP (green), and VEGF (red) in brain sections 2 days after transplantation. IL-6 preconditioning increased the expression of VEGF in the NSCs. Scale bar: 10 μm. (B) Brain water content 2 days after transplantation. No changes in the water content of the ischemic brains were observed among the groups. Supplementary Figure 7 Sub-acute delivery of NSCs. NSCs were transplanted into the brain 7 days after onset of stroke. (A) Fluorescent staining with DAPI (blue), TUNEL (red), and GFP (green) 2 days after transplantation. Sub-acute delivery of NSCs (7 days after stroke) resulted in a decreased number of TUNEL-positive grafted cells compared with acute delivery (6 h after stroke). IL-6 preconditioning significantly reduced the number of TUNEL-positive grafted cells at the sub-acute stage of stroke (n = 4). Scale bar: 20 μm. (B) Fluorescent staining with DAPI (blue) and HEt (red) in brain sections 1 h after transplantation. HEt signals in the host brain cells beside the graft were significantly reduced at the sub-acute stage of stroke compared with the acute stage of stroke. Scale bar: 10 μm. (C) Representative images of lectin-perfused vessels and H. Sakata et al. / 9 quantification of BVD in the peri-infarct cortex 14 days after transplantation (21 days after stroke). BVD was significantly increased in the PCNSC group (n = 4). Scale bar: 100 μm. (D) Behavioral performance using the rotarod test and mNSS. Transplantation of PCNSCs significantly enhanced behavioral improvement as indicated by the rotarod test on Days 21 and 28 compared with the non-transplanted control group (n = 8). Black bars denote non-transplanted control group; yellow bars denote non-PCNSC group with control-siRNA transfection; blue bars denote PCNSC group with control-siRNA transfection; red bars denote PCNSC group with STAT3-siRNA transfection. The labels show P value compared with the non-transplanted control group. *P < 0.05, †P < 0.001.