Figure S1

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Administration of the hypoxia markers EF5 (60mg/kg; provided by Dr. Cameron Koch, University of. Pennsylvania, PA) or pimonidazole (60 mg/kg; Hypoxyprobe, ...
Cell Reports, Volume 23

Supplemental Information

Intravital Imaging to Monitor Therapeutic Response in Moving Hypoxic Regions Resistant to PI3K Pathway Targeting in Pancreatic Cancer James R.W. Conway, Sean C. Warren, David Herrmann, Kendelle J. Murphy, Aurélie S. Cazet, Claire Vennin, Robert F. Shearer, Monica J. Killen, Astrid Magenau, Pauline Mélénec, Mark Pinese, Max Nobis, Anaiis Zaratzian, Alice Boulghourjian, Andrew M. Da Silva, Gonzalo del Monte-Nieto, Arne S.A. Adam, Richard P. Harvey, Jody J. Haigh, Yingxiao Wang, David R. Croucher, Owen J. Sansom, Marina Pajic, C. Elizabeth Caldon, Jennifer P. Morton, and Paul Timpson

A

Ki67

DAPI

B

Pimonidazole

KPflC

Ki67 positive cells (%)

30

KPflC

20

ns

10

N

KPC

Ki67 positive cells (%)

30

a ox i H yp

or m

ox ia

0

KPC ns

20

10

2

KPC

1

2

0. 1%

2

O

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2

O

2

O

2

O

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2

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2

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N

or

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2

O

ox ia m N or

O

0 %

2

O

2

O

*

**

40

N

1%

* *

*

*

50

0. 1%

1%

O 0. 2 1% O or m 2 ox ia 5% O

2

O 5%

N

or m

ox

ia

0

KPC

*

*

60

0. 1

*

**

2

O

N 1%

*

Pimonidazole

KPflC

70

2

*

3

N

O 2

O

1%

1%

0.

2

O

5%

O 2

m ox

N or

O

1%

0.

1%

ox

2

O

m or N

H Pimonidazole

1%

**

**

ns

O

KPflC

4

ns

0

5%

ns

5

KPC

ia

Densitometry (HIF1α/Actin)

5

ns

ia

KPflC 5%

F

HIF1α

0.

or m N

G

ns

ns

10

2

3

Day

15

2

0

O

2

100

ia

1

200

ox

0

300

KPC

20

2

0

400

25

O

500

500

1%

1000

Annexin V positive cells (%)

Growth rate (Cells/day)

Cells/FOV (#)

0.1% O2

1500

ns

600

Normoxia

2000

1%

or m N

KPC

2500

0

ox ia

3

5%

2

Day

ox ia

1

5

5%

0

0

10

or m

0

100

ns

15

Densitometry (Pimonidazole/Actin)

Actin

200

KPflC ns

20

or m

500

300

ns

25

2

1000

400

O

0.1% O2

500

0. 1%

Normoxia

1500

E

ns

600

ox ia

2000

Cells/FOV (#)

KP

KP

p53

KPflC

2500

Growth rate (cells/day)

D

C

Cfl

C

Annexin V positive cells (%)

N

H

or

yp

m ox

ox

ia

ia

0

Actin

*** *** 2

O

1%

2

2

O

O

1%

0.

ia ox

m

N or

5%

2

O

2

2

O

1%

1%

0.

O

0.0

2

O

**

***

0.2

1%

2

0.

2

O

O

1%

2

ia ox

5%

m

O

N or

1%

2

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0.

O

2

1%

m or

5%

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2

O

1%

2

2

O

1%

0.

O 0. 2 1% O N or m 2 ox ia 5% O

2

1%

ia

O

ox

5%

m

0.4

5%

1 0

or N

ns

*

0.6

ia

0

*

*

ns

2

ns

0.8

ox

ns

1

3

*

1.0

m

*

KP C fl

p70-S6K(Thr389) ns ns ns KPflC KPC

or

* ns

4

N

*

3 2

Akt(Thr308) ns ns ns KPC *

5

N

Densitometry (Akt(Ser473)/Akt)

KP C fl

K Densitometry (p70-S6K(Thr389)/p70-S6K)

Akt(Ser473) ns ns ns * KPC

5 4

J Densitometry (Akt(Thr308)/Akt)

I

Figure S1, related to Figure 1. The presence of hypoxia and the associated growth and molecular effects in the KPflC and KPC mouse models of PDAC. (A) Immunofluorescence staining of the GEM KPflC and KPC PDAC mouse models for Ki67 (red), DAPI (cyan) and pimonidazole (green). Scale bars: 50 µm. (B) Quantification of Ki67 positive nuclei as a fraction of total nuclei, in pimonidazole negative (normoxic) and positive (hypoxic) regions (n=5 tumours/mouse model). Mean ± SEM. A onesample t-test was performed on normalized data. (C) Representative western blot of p53 loss or gainof-function mutant expression in the KPflC and KPC primary PDAC cell lines respectively, after 48 hours of culture in normoxia (n=5). P values are from a Student’s two-tailed parametric t-test. (D)

Assessment of growth rate in normoxic and hypoxic (0.1% oxygen) conditions in the KPflC and KPC cell lines, over a 3 day time course (n=5). Mean ± SEM. (E) Quantification of Annexin V positive KPflC and KPC cells by FACS analysis, after incubation for 48 hours in normoxia or hypoxia (5%, 1% and 0.1% oxygen). Mean ± SEM. P values are from a Student’s two-tailed parametric t-test. (F) Densitometry of HIF1α western blot in Figure 1D (n=5). Mean ± SEM. A one-sample t-test was performed on normalized data. (G) Representative western blot of pimonidazole adducts in the KPflC and KPC primary PDAC cell lines after 48 hours of culture in normoxia and 2 hours treatment with pimonidazole (236 µM, n=5). (H) Densitometry of pimonidazole western blot (n=5). Mean ± SEM. (IK) Densitometry of Akt(Ser473), Akt(Thr308) and p70-S6K(Thr389) western blots in Figure 1D (n=5). Mean ± SEM. A one-sample t-test was performed on normalized data. *p?,.">#'N&++@ DEFG/C",H

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Figure S2, related to Figure 2. Assessment of hypoxia within organotypic matrices, as well as drug

!"#$%&'()*'%&+,-&.'-/'!"#$%&')0 penetrance and response. Representative images of (A) laurdan (green; 2.5 µM) and (B) doxorubicin

(red; 1 µM) treated organotypic matrices with invading KPC cells (14 day invasion), after 2 hours with the compound (n=3). SHG of the organotypic collagen matrix is shown as grey on the image. Scale bars: 50 µm. (C,D) Representative immunohistochemistry (IHC) images of lactate dehydrogenase and GLUT1 stained organotypic matrices with invading KPC cells (14 day invasion; n=4). Scale bars: 50 µm, scale bars (inset): 10 µm. (E) Representative western blot of the KPC primary PDAC cell line, incubated for 48 hours in normoxia or hypoxia (5%, 1% or 0.1% oxygen; n=5). (F) Densitometry of lactate dehydrogenase, GLUT1 and NDRG1(Thr346) western blots (n=5). Mean ± SEM. (G) IC50 curve of KPC cells treated with the HAP TH-302 in both normoxic (black lines) and hypoxic (0.1%

oxygen, red lines) conditions (n=3). An extra sum-of-squares F test was performed between the best-fit parameters of each curve. (H,I) Representative images of invading KPC cells stained with NDRG1(Thr346) or γH2AX, with quantification of the percentage of positively stained KPC cells on the surface (“Normoxia”) or invading into (“Hypoxia”) the organotypic matrices (n=4). Scale bars: 50 µm, scale bars (insets): 10 µm. Mean ± SEM. A one-sample t-test was performed on all normalized data. *p