Supplementary Information

Estrogen stimulates the proliferation of human endometrial cancer cells by stabilizingnucleophosmin/B23 (NPM/B23)

Angel Chao1*§,Chiao-Yun Lin1*, Chia-Lung Tsai1, Swei Hsueh2, Ying-Yu Lin1, Cheng-Tao Lin1, Hung-Hsueh Chou1, Tzu-Hao Wang1,3, Chyong-Huey Lai1§, Hsin-Shih Wang1§

1Department of Obstetrics and Gynecology,Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Taoyuan, Taiwan

2 Department of Clinical Pathology,Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Taoyuan, Taiwan

3 Genomic Medicine Research Core Laboratory, Chang Gung Memorial Hospital, Taiwan

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Supplementary Table 1. Characteristics of endometrial cancerpatients(for immunohistochemistry)

Number Age / Pathology / Stage

152 endometrioid adenocarcinomaIIIA

254endometrioid adenocarcinomaIIIA

349endometrioid adenocarcinomaIB

461endometrioid adenocarcinomaIA

546endometrioid adenocarcinomaIA

644 endometrioid adenocarcinomaIB

762endometrioid adenocarcinomaIB

864endometrioid adenocarcinomaIB

967endometrioid adenocarcinomaI1B

1051endometrioid adenocarcinomaIA

1158endometrioid adenocarcinomaIC

1253endometrioid adenocarcinomaIB

1371endometrioid adenocarcinomaIIIC

1468endometrioid adenocarcinomaI1A

1553endometrioid adenocarcinomaIA

1660endometrioid adenocarcinomaIIIC

1753endometrioid adenocarcinomaIVA

1867endometrioid adenocarcinomaIIIC

1959endometrioid adenocarcinomaIIIA

2072endometrioid adenocarcinomaIIIC

2154endometrioid adenocarcinomaIIIC

2265endometrioid adenocarcinomaIIIC

2359endometrioid adenocarcinomaIIIC

2455 endometrioid adenocarcinomaIA

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Supplementary Table 2. Characteristics of endometrial cancerpatients(for real-time quantitative PCR analysis)

Number Age / Pathology / Stage

153endometrioid adenocarcinomaIB

251endometrioid adenocarcinomaIC

353endometrioid adenocarcinomaIIIC

436endometrioid adenocarcinomaIIIA

575endometrioid adenocarcinomaIIIA

659endometrioid adenocarcinomaIB

745endometrioid adenocarcinomaII

844endometrioid adenocarcinomaIB

946endometrioid adenocarcinomaIA

1061endometrioid adenocarcinomaIA

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SupplementaryFigure 1. E2activates NPM/B23 protein expression in an ERα-dependent manner.(a) Lysates were prepared from the MCF-7 (ERα-positive) and MB-MDA231 (ERα-negative) human breast cancer cell lines.Western blotting was performed using ERαand β-actin antibodies. (b) MCF-7 and MDA-MB-231 cells were treated with E2 for 24h. Western blotting was performed using NPM/B23 and β-actin antibodies. The data shown represent themean ± standard error and were derived from three independent experiments. *, P < 0.05 as compared to the controls.

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(a)

(b)

(c)

Supplementary Figure 2. Expression levels of theERαand ERβreceptors and the effects of E2, anERα-specific agonist (PPT), and anERβagonist (DPN)onendometrial cancer cells.(a)The human endometrial cancer cell lines (Ishikawa and ARK1 cells) and ERα-positive breast cancer MCF7 cellswere measured forERα expression. Equal amounts of protein lysate were separated by SDS-PAGE and subjected to immunoblotting with antibodies for ERαand β-actin. The titration concentrations of (b) Ishikawa cellstreated with E2, an ERα-specific agonist (PPT), or an ERβ agonist (DPN)areshown.(c) ARK1 cells were treated withthe ERα-specific agonist (PPT) andanERβagonist (DPN). The ARK1 cell viabilitywas less than 10% when treated with 10 μMPPT;thus, the experiment was not performed at this concentration.The data shown represent the mean ± standard error and were derived from three independent experiments. *, P < 0.05 as compared to the controls.

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(a) (b)

Supplementary Figure 3.

E2induces the proliferation of human cancer cells by activating NPM/B23 in more than one clone of Ishikawa and ARK1 cells.NPM/B23 knockdown in an additional(a)Ishikawa and (b)ARK1 cellclone suppressed 1 μM E2-mediated cell proliferation, asassessed by BrdU incorporation.The data shown represent themean ± standard error andwere derived from three independent experiments. *, P < 0.05 as compared to the controls.

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