17
Supplemental Figure 1 A B C D E F Femoral artery and vein catheterization Continuous 4-day IV infusion of saline or glucose Islet isolation for proteomics analysis Day 0 Day 3 Day 7 Saline Glucose 0 50 100 150 200 Blood glucose (mg/dl) p=0.01 Pre INF Post INF 0 10 20 30 Body weight (g) Saline Glucose Supplemental Figure 1. (A) Schemac of experimental meline for glucose infusion for proteomics analysis. Mice were catheterized in the femoral artery and vein on Day 0, allowed to recover for three days, and then received connuous intravenous infusion of saline (control) or 50% glucose through the femoral vein. Aſter 4 days infusion mice were anesthezed and islets immediately isolated for proteomics screen. (B) Average blood glucose measured on blood obtained from the arterial catheter (unhandled mouse) over the 4-day infusion was modestly increased in mice receiving IV glucose. (C) Saline and glucose infused mice were of similar body weight before and aſter infusion. (D-F) Quanficaon of immunoblot performed on islets aſter 4-day infusion, corresponds to images shown in Figure 1F; n=4. Data are repre- sented as mean +/- SEM. *p<0.05 by Student’s T test. 0.0 0.5 1.0 1.5 p-eIF2a : actin 0.0 0.5 1.0 1.5 PCNA : actin 0.0 0.5 1.0 1.5 2.0 sXbp : actin * * p=0.055 Sal Glu Sal Glu Sal Glu

Supplemental Figure 1asci_content_assets.s3.amazonaws.com/manuscripts/79000/79264/J…Supplemental Figure 1 A B C D E F Femoral artery and vein catheterization Continuous 4-day IV

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Supplemental Figure 1

A

B C

D E F

Femoral artery and vein catheterization

Continuous 4-day IV infusion of saline or glucose

Islet isolation for proteomics analysis

Day 0 Day 3 Day 7

Saline Glucose0

50

100

150

200

Blo

od g

luco

se (m

g/dl

) p=0.01

Pre INF Post INF0

10

20

30

Body

wei

ght (

g)

SalineGlucose

Supplemental Figure 1. (A) Schematic of experimental timeline for glucose infusion for proteomics analysis. Mice were catheterized in the femoral artery and vein on Day 0, allowed to recover for three days, and then received continuous intravenous infusion of saline (control) or 50% glucose through the femoral vein. After 4 days infusion mice were anesthetized and islets immediately isolated for proteomics screen. (B) Average blood glucose measured on blood obtained from the arterial catheter (unhandled mouse) over the 4-day infusion was modestly increased in mice receiving IV glucose. (C) Saline and glucose infused mice were of similar body weight before and after infusion. (D-F) Quantification of immunoblot performed on islets after 4-day infusion, corresponds to images shown in Figure 1F; n=4. Data are repre-sented as mean +/- SEM. *p<0.05 by Student’s T test.

0.0

0.5

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F2a

: act

in

0.0

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PC

NA

: ac

tin

0.0

0.5

1.0

1.5

2.0

sXbp

: ac

tin

* *p=0.055

Sal Glu Sal Glu Sal Glu

Supplemental Figure 2

**

5 7.5 150.0

0.5

1.0

BiP/

actin

****

5 7.5 150.0

0.5

1.0

1.5

PC

NA

/act

in

0.0

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GR

P94

/act

in

5 7.5 15

**

Actin

GRP94

PDI

5 mM7.5 mM15 mM

**

**

ERO1Lb ERp57 ERp59

p=0.10p=0.07

**** **

**

p97/VCP CHGaSCG3PSMA

p=ns p=ns

0.0

0.5

1.0

1.5

2.0

ddC

t (ge

ne:a

ctin

)

ACLY5 Annexin-V ATPa5 HSP60

7.5 15sXbp

7.5 15uXbp

7.5 15s:uXbp

0.0

0.5

1.0

1.5

2.0

2.5

ddC

t (ge

ne:H

K)

p=0.06*

*

B

G H I J K

A

D E FC

0.0

0.5

1.0

1.5

PD

I / a

ctin

5 7.5 15

p=0.09

7.5 15 7.5 15 7.5 15

**nsns

Supplemental Figure 2. Ex vivo islet glucose exposure models in vivo induction of proliferation, UPR, and targets induced in the proteomics screen (goes with Figure 2). (A) Mouse islet cells cultured in 5, 7.5 or 15 mM glucose for 24 hours were assessed for mRNA expression of the indicated genes corresponding to proteins altered in abun-dance on the proteomics screen (n=3; p values reflect comparison between 5mM and 15mM glucose. (B-C) quanti-fication of immunoblots in Figure 2D (n=3). (C-E) Immunoblots on mouse islet cells cultured in 5, 7.5 or 15mM glucose for other UPR-associated proteins (n=3). (F-I) quantfication of immunoblots in Figure 2G and 2K (n=3). (J) Results of a qPCR assay for spliced and total Xbp. This is a different assay than the gel-based agarose assay shown in Figure 2F. Data are represented as mean +/- SEM. *p<0.05, **p<0.01, ***p<0.001, ****p<0.0001 by Student’s T test

***

5 7.5 150.0

0.5

1.0

1.5

CH

OP

/act

in

0.0

0.5

1.0

1.5

full

leng

th A

TF6

/act

in

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1.0

1.5

nucl

ear A

TF6

/act

in

0.0

0.5

1.0

1.5

p-eI

F2a/

actin

A B

Supplemental Figure 3

1st probe(Novus)

no strip2nd probe

(Novus)

cre

actin

Ad la

cZ

Ad c

re

ATF6full

nuclear

ATF6full

nuclear

Supplemental Figure 3. Validation of ATF6 antibody. Most commercially available ATF6 antibodies did not detect bands of the correct size in mouse islets in our hands. One antibody, lot#AB121107A-02 from Novus (but not lot#AB060711A-05 from Novus), did detect bands of the correct size for full and nuclear ATF6 in dispersed mouse islet cultures. To test whether these bands were indeed ATF6, we tested (A) islets from ATF6-alpha flox/flox mice (generous gift from G. Hotamisligil) transduced with adeno-lacZ (control) or adeno-cre (for deletion). On first probe the bands are visible but faint, with extensive background; on second probing with the same antibody (with additional washing but without stripping) the bands of correct size are visible in the control and reduced in the Ad-cre treated islets. We also tested the antibody on islet cells treated with the ATF6 inhibitor (B); in this case, although PERK and IRE1 inhibitors did not reduce the nuclear/active ATF6 band, the ATF6 inhibitor did.

actin

Veh

Veh

PERK

inh

Atf

6 in

h

IRE1

inh

ATF6full

nuclear

7.5

50

75100

15 15 15 15

PCNA

CHOP

BiP

p-eIF2α

ATF6

Actin

5

Veh Tg Tm

7.5 15 15 15 15 15 15 15

full

nuclear

Supplemental Figure 4

Veh

5 7.5 15 15 15 15 15

Tm (ng/ml)

15 15 15 15

Tg (nM)

Veh

5 7.5 15 15 15 15 1515 15 15 15

*****

*0.0

1.0

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PC

NA

/act

in

******* ****

0

2

4

CH

OP

/act

in

10 100

500

2000

2 20 200

1000

Tm (ng/ml)Tg (nM)

10 100

500

2000

2 20 200

1000

Supplemental Figure 4. In vitro immunoblot quantification of proliferation and decompensated ER stress in mouse islet cells treated with Tg and Tm. (A-B) Quantification of the immunoblot experiments shown in Figure 4A. Mouse islet cells cultured in 5, 7.5 or 15 mM glucose, plus vehicle or a range of doses of thap-sigargin (Tg) or tunicamycin (Tm). Cultures were assessed for abundance of PCNA (A) or CHOP (B); n=5-7. Data are represented as mean +/- SEM. *p<0.05, ***p<0.001, ****p<0.0001 by ANOVA. (C) A second example of the proliferative effect (increased PCNA) of low-dose Tg or Tm and the threshold effect, show-ing that at higher dose Tg or Tm PCNA is lost and CHOP induced. Doses used for Tg are 2, 20 and 500nM, and for Tm are 10, 100 and 1000 ng/ml.

A B

C

Supplemental Figure 5

5 mM

Veh Tg

15 mM

Veh Tg

*

*

0

2

4

6

8

% B

rdU

(+) b

eta

cells

5 mM

Veh Tm

15 mM

Veh Tm*

**

5

10

15

% B

rdU

(+) b

eta

cells

Supplemental Figure 5. Low dose thapsigargin (Tg) and tunicamycin (Tm) increase mouse beta cell proliferation (goes with Figure 4). Primary dispersed mouse islet cells were cultured in 5 or 15 mM glucose with vehicle or low-dose Tg (20 nM) or Tm (50 ng/ml) for 72 hours. BrdU was added for the final 24 hours of culture. Cultures were immunostained for insulin, BrdU and dapi, imaged, blinded and counted. (A) The images from Figure 4C are repeated here adjacent to panels showing insulin/dapi alone, to facilitate evaluation of the nuclear nature of the BrdU stain. (B-C) Quantification of BrdU counts from the first experiment exposing islet cell cultures to low dose thapsigargin (B) or tunicamycin (C). B-C was performed by a different individual in the lab from the experiment shown in Figure 4D-E (n=3-5). (D) Individual data points of all experiments, including the plots in Figure 4D-E, panels B-C above, and a third unpublished experiment, showing that proliferation increased when low dose Tg or Tm were added to 15mM glucose, independent of maximal proliferation in any given prep or of experimentalist. Data are represented as mean +/- SEM. *p<0.05, **p<0.01 by Student’s T test. Images were acquired at 200X.

A B

C

D

Veh5m

M5m

MTg

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Tm

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Veh15m

MTg

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Tm

I15m

MVeh

15mM

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MTm

Veh5m

M5m

MTg

5mM

Tm

Insulin DNA BrdU Insulin DNA Insulin DNA BrdU Insulin DNA

vehicle

Tg (20nM)Tg (5nM)

Tm (50ng/ml)Tm (10ng/ml)

Tm (100ng/ml)

glucose0

10

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% B

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eta

cells

+ -

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eta

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% B

rdU

(+) b

eta

cells

+ -

- -- -

- -- +

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15 15

BIndividual

***** ** *p=0.05p=ns

Supplemental Figure 6

Supplemental Figure 6. Cell confluence increases in wells treated with low dose Tg and Tm. Wells containing dispersed mouse islet cells were imaged sequentially, at the same time each day, with brightfield microscopy. Time “0 hours” refers to one day after dispersion and plating, when the dispersed islet cultures were treated with the additives indicated. Tg-20 refers to 20 nM thapsigargin; Tm-10 refers to 10 ng/ml tunicamycin. The images in each row represent the same well imaged over time. Note the apparent increase in cell number at 24 and 48 hours, which is not captured by the BrdU exposure between 48-72 hours, or the pHH3 measurement, which reflects M-phase at the time of fixation. Between 0 and 24 hours, cells grown in 15mM glucose undergo spreading, which accounts for some of the increase in apparent confluence at 24 hours. Images acquired at 40X. These images are representative of n=3 independent biological replicates.

0 hours

5 m

M, V

ehic

le15

mM

, Veh

icle

15 m

M, T

g-20

15 m

M, T

m-1

0

24 hours 48 hours 72 hoursA

B

C

D

Supplemental Figure 8

Supplemental Figure 7

5mM - veh 15mM - veh 15mM - Tg20 15mM - Tg1000

Supplemental Figure 7. Scatter plots showing procedure for identifying single alpha, beta and islet cells for the cell number counts per unit time experiments (Figure 4H-4I-4J). Dispersed mouse islet cells were cultured on plastic as described above. After lifting from the plate using trypsin, cells were immunostained for insulin and glucagon to identify beta and alpha cells, then counted by flow cytometry. Gating was performed to (A) capture healthy appearing islet cells, that (B) were not doublets, and (C) stained for either glucagon or insulin. Flow plots are representative of n=5-7 replicates.

Supplemental Figure 8. Scatter plots for Annexin V / PI experiments. Dispersed mouse islet cells cultured with the indicated reagents were lifted using trypsin, stained for annexin V and PI, and analyzed by flow cytometry. The fraction of AnnexinV(+)/PI(+) cells was clearly increased by high dose thapsigargin (Tg; 1000 nM), as expected, but was not increased by low (proliferative) dose thapsigargin (20 nM). These are the raw data from one of n=4 experiments summarized in Figure 4L.

A B C

Supplemental Figure 9

Supplemental Figure 10 p=ns

0

50

100

150

200

Blo

od g

luco

se (m

g/dl

)

CD HFD

Supplemental Figure 10. Blood glucose in high fat diet (HFD) fed mice injected with TUDCA. Blood glucose levels at the end of the 7-day HFD exposure were not significantly different whether mice were injected with saline or with TUDCA. Neither group was significantly different from mice fed control diet (CD). n=5-8. Data are represented as mean ± SEM.

Supplemental Figure 9. Co-immunostaining for BrdU (proliferation) and gamma-H2AX (DNA damage) suggests that UPR-induced BrdU incorporation is not due to DNA damage. Dispersed mouse islet cells cultured in 7.5mM or 15mM glucose, plus additives including low dose 20nM thapsigargin (Tg20), high dose 500nM thapsigargin (Tg500), low dose 100ng/ml tunicamycin (Tm100), or mitomycin C to directly induce DNA damage, were cultured for 72 hours, with BrdU included during the final 24 hours of culture. Although rare cells positive for gamma-H2AX were evident under all conditions, cells with BrdU incorporation in low/high glucose or with low dose Tg or Tm do not show gamma H2AX staining. Directly inducing DNA damage by treatment with mitomycin C, conversely, induces widespread gamma H2AX staining, without many BrdU positive cells, suggesting that BrdU does not routinely label beta cells with DNA damage. Arrows: gamma-H2AX labeled cells. Arrowheads: cells labeled with both gamma-H2AX and BrdU.

gam

ma-

H2A

X D

NA

Brd

U

7.5 mM, Vehicle 15 mM, Vehicle 15 mM, Tg 20

15 mM, Tg 50015 mM, Tm 100 15 mM, Mitomycin C

A B C

D E F

Supplemental Figure 11

Supplemental Figure 11. IRE1, PERK and ATF6 inhibitors block activation of their expected targets. Mouse islets were dispersed and cultured on plastic for 48 (A, C) or 72 (B) hours, then harvested for RNA (A, C) or protein (B) analysis. For all panels, high dose thapsigargin (Tg) 500nM was added to activate ER stress. (A) IRE1 inhibitor prevented splicing of Xbp (n=3). (B) PERK inhibitor reduced phosphorylation of eIF2a. (C) ATF6 inhibitor reduced expression of known ATF6 transcriptional targets. As expected, the ATF6 inhibitor did not alter abundance of sXbp or ATF6. Data are represented as mean +/- SEM. *p<0.05, **p<0.01 by Student’s t-test.

p-eIF2α

actin

veh

ATF6

inhi

b

PE

RK

inhi

b

veh

veh

veh

IRE

1 in

hib

IRE

1 in

hib

IRE

1 in

hib

Xbp

Actin

unsplicedspliced

A B

C

0.5

1.0

1.5

2.0

2.5

gene

:HK

HerpUD Hyou1 Pdia4 Grp94 BiP Erdj4 SelL1 sXbp uXbp Atf6

Tg-500 + + + + + + + + + + + + + + + + + + + +ATF6-inhibitor - + - + - + - + - + - + - + - + - + - +

** ** ** * *ns ns ns

p=0.08

p=0.08

Supplemental Figure 12

Supplemental Figure 12. Viability of mouse islet cells after electroporation. Mouse islets were dispersed using trypsin, and then either held as control (”No Shock”), electroporated with control plasmid or electro-porated with ATF6 plasmid, then immediately treated with TOPRO dye to identify dead cells. The most significant loss of viability occurred after trypsinization, with moderate additional loss of viability after electroporation. n=3, quantified by flow cytometry. Data are represented as mean +/- SEM. *p<0.05, ***p<0.001 by Student’s T test.

No

Sho

ck

Con

trol p

lasm

id

ATF

6 pl

asm

id

0

20

40

60

80

100

% L

ive

cells

(TO

PR

O-n

egat

ive)

*** *

Supplemental Figure 13

Supplemental Figure 13. Raw, non-normalized data for human islet experiments. Variability in human beta cell proliferation among donors necessitated normalizing the data to observe effects of thapsigargin (Tg) and tunicamycin (Tm) on proliferation (Figure 9). The raw, non-normalized data are shown here for all preps treated with Tg (20, 200 or 500 nM), Tm (10, 100 or 1000 ng/ml), and chaperones TUDCA and PBA. Note that in nearly all preps, low dose Tg and/or Tm increased proliferation over 15mM glucose baseline, and, when tested, TUDCA and PBA reduced proliferation below 15mM glucose baseline. Later preps (G-L) were not treated with high dose Tg or Tm, or chaperones (H-L). Note the variable Y-axis range, and the lack of proliferative effect of low dose Tg or Tm in the single prep from a donor with T2D (B).

0.0

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eta

cells

AAEY008

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AAFS251-T2D

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test0.0

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U(+

) bet

a ce

lls

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Supplemental Figure 14

Actin

BiP

(glucose) 5

Veh

Veh

Tg20

Tm10

0

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CA

PB

A

15 15 15 15 15

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BiP

(glucose) 5

Veh

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Tg20

Tm10

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TUD

CA

7 15 15 15 15

Supplemental Figure 14. Low dose Thapsigargin (Tg) and tunicamycin (Tm) increase ER stress in human islets, and TUDCA and PBA reduce ER stress in human islets. (A-B) Dispersed human islet cells from two different donors were cultured with thapsigargin (Tg; 20nM), tunicamycin (Tm; 100 ng/ml), TUDCA (100 ng/ml) or PBA (250 nM) for 96 hours before lysing cells for western blot. Tg and Tm increased BiP abun-dance, and TUDCA and PBA reduced BiP abundance, relative to 15mM glucose vehicle control.

A B

Supplemental Figure 15

gam

ma-

H2A

X D

NA

Brd

U

A B C

D E F

7.5 mM, Vehicle 15 mM, Vehicle

15 mM, Tg 20 15 mM, Tm 100015 mM, Tm 10

15 mM, Mitomycin C

Supplemental Figure 15. Immunostaining human islet cells for gamma-H2AX shows that DNA damage relatively infrequent in these cultures. Under control conditions (7.5 and 15mM glucose with vehicle) or proliferative low dose Tg (20 nM) and Tm (10 ng/ml), only rare cells stain for gamma-H2AX, a marker of DNA damage. gamma-H2AX-positive cells do not co-localize with BrdU stain in conditions of widespread DNA damage caused by mitomycin C treatment, suggesting the BrdU incorporation is not a general artifact of DNA damage, although some co-localization was seen with high-dose Tm (1000 ng/ml). Images are representative of n=3 independent experiments.

Function  category  

Accession  number   Protein  name   Symbol  

Number  of  

peptides  

Protein  score  

Protein  score  

confidence  interval  (%)  

Direction  of  

change  

Translation   gi|33859482   Eukaryotic  translation  elongation  factor  2  

EEF2   29   368   100   shift  

Protein  folding  

gi|109730421   ERO1-­‐like  beta   ERO1LB   18   234   100   down  

gi|112293264  Protein  disulfide  isomerase  associated  3   PDIA3   31   652   100   down  

gi|31981679   Heat  shock  60kDa  protein  1  (chaperonin)    

HSPD1   23   241   100   down  

gi|6678413   Triosephosphate  isomerase  1   TPI1   9   100   99.999   up  

gi|549060  T-­‐complex  protein  1  subunit  eta  (TCP-­‐1-­‐eta)  (CCT-­‐eta)   CCT7   20   324   100   down  

gi|129729  Protein  disulfide-­‐isomerase  precursor  (PDI)   PDI   17   207   100   up  

gi|2506545   78  kDa  glucose-­‐regulated  protein  precursor  (GRP78,  BIP)  

HSPA5   23   215   100   up  

Protein  degradation  

gi|1698572   Proteasome  activator  PA28  beta  subunit  

PSME2   9   109   100   up  

gi|6755198   Proteasome  (prosome,  macropain)  subunit,  alpha  type  6  

PSMA6   13   179   100   up  

Secretory  pathway  

gi|1171774   N-­‐ethylmaleimide  sensitive  fusion  protein,  isoform  CRA_a  

NSF   34   304   100   up  

gi|19353445   Secretogranin  III   SCG3   12   71   99.13   up  

gi|6680932   Chromogranin  A   CHGA   8   94   99.995   up  

Metabolism  

gi|29293809   ATP  citrate  lyase   ACLY   32   237   100   up  

gi|6680748  ATP  synthase,  H+  transporting,  mitochondrial  F1  complex,  alpha  subunit,  isoform  1  

ATP5A1   14   113   100   up  

Nuclear  transport   gi|12846283   Ras-­‐related  nuclear  protein   RAN   11   119   100   up  

Misc   gi|6753060   Annexin  A5   ANXA5   21   443   100   up    Supplemental Table 1. Proteomics screen results. 8 mice underwent catheterization and four-day intravenous infusion with saline (n=4) or glucose (n=4). Immediately after infusion pancreatic islets were isolated, hand-picked, and frozen. Protein lysates within each infusion group were combined, labeled with Cy3 (saline) or Cy5 (glucose), mixed, and separated by 2D electrophoresis. Protein spots with different visual intensity between the fluorophores, implying regulation by in vivo hyperglycemia, were excised from the gel, trypsinized, and identified by mass spectrometry. Of 24 spots picked, 21 were positively identified with a high degree of confidence, 5 of which were duplicates (charge shift) of the same proteins, leaving 17 unique proteins, listed above.

Supplemental Table 2: Human islet characteristics

Unos IDPost

Culture Viability

Post Culture Purity

% beta cells Gender Age BMI Diabetes Ethnicity Cause of Death

AAEY008 80 90 89 F 55 39.9 No White StrokeAAFS251 95 95 64 M 49 23.9 Yes Asian StrokeAAF2179 93 83 41 M 65 37.4 No White StrokeAAIB402A 95 90 69 M 30 37 No Black AnoxiaABFV308 97 85 93 F 45 27.4 No White StrokeABGH054 95 85 73 M 25 33.8 No Hispanic Head TraumaABHV437 95 90 79 F 61 31 No Black StrokeABJU206 98 80 69 F 52 31.4 No White StrokeABJ3487 95 85 79 M 28 32.8 No White StrokeABKS009 94 90 60 M 15 23 No White Head traumaABKS484 98 70 79 M 63 38.6 No White AnoxiaABKT045 95 70 86 M 35 32 No Hispanic StrokeACCK183 93 80 84 F 39 22.8 No White Stroke

Donor characteristicsIslet characteristics

Supplemental Table 2: Characteristics of human islet preparations. All preps were received from the IIDP. Post culture viability and purity, gender, age, BMI, diabetes history, ethnicity, and cause of death are per IIDP report. The % beta cells refers to the percent of cells adherent in coverslip cultures that stained for insulin divided by the number of dapi-stained nuclei.

Supplemental Table 3: Experimental use of each human islet preparation

Unos ID

7.5 vs.15 mM gluc (Figure

9B)

Thapsigargin (Tg)

(Figure 9C)

Tunicamycin (Tm)

(Figure 9D)TUDCA, PBA (Figure 9E)

Atf6 inhibitor (Figure 9F)

Ad-Atf6 (Figure 9G)

gH2AX (Suppl.

Figure 13)AAEY008 x x xAAFS251 x x x xAAF2179 x x x xAAIB402A x x x x xABFV308 x x x xABGH054 x x x xABHV437 x x x xABJU206 x x x x x xABJ3487 x x x x x xABKS009 x x x xABKS484 x x x x xABKT045 x x x x xACCK183 x

Supplemental Table 3: Description of which human islet preparations were used for which experiment.

     

Primer  Name   Forward   Reverse  ERO1LB   ACCCTGAGCTTCCTCTCAAGT   AAAGGACATGGTCGTTTCAGATT  PDIERp57   CGCCTCCGATGTGTTGGAA   CAGTGCAATCCACCTTTGCTAA  PDIERp59   GCCGCAAAACTGAAGGCAG   GGTAGCCACGGACACCATAC  TPI1   CCAGGAAGTTCTTCGTTGGGG   CAAAGTCGATGTAAGCGGTGG  PSMA   CCTTTCCTCTGACAGCAACA   CTATCTTCTCTCCCGAGGGC  P97/VCP   CGACCCAATCGGTTAATTGTTGA   AGCTTCCCGTCTTTTCTTTCC  SCG3   CCCCACAGGGAAGACGACT   TGGAGCTGGGAATAGCTTACTT  CHGa   ATCCTCTCTATCCTGCGACAC   GGGCTCTGGTTCTCAAACACT  BiP   AGGACAAGAAGGAGGATGTGGG   ACCGAAGGGTCATTCCAAGTG  sXBP   CAGCACTCAGACTATGTGCA   GTCCATGGGAAGATGTTCTGG  uXBP   GTCCATGGGAAGATGTTCTGG   CTGAGTCCGAATCAGGTGCAG  CHOP   CACATCCCAAAGCCCTCG   CTCAGTCCCCTCCTCAGC  Hyou1   TAGCCAGGTGTTCTCGAAGC   GACTAAGGAGGCTGGGATGC  GRP94   TGATGAAGTCGACGTGGATG   TCCTGTTCACTTCAGCTTGG  PDIA4   ATCGCCAAGATGGATGCTAC   CTTGGTCCTGCTCCTCTTTG  Erdj4   TGAATTTGCAGAGGTTTCACTG   CAAACTCAGCCCGACACATA  Sec24D   TGTAGGCTTTGCACCTGTTG   TCAAACCCTTCGCTGACATT  SSR3   ACCAGAACCAGGAACAGAGTG   CCGGAAGGAGAAAGACGAA  CalR   CTGCATAGGCCTCATCATTG   AGTTTTGCTGTACTGGGCCT  Ki67   CTGCCTGCGAAGAGAGCATC   AGCTCCACTTCGCCTTTTGG  PCNA   ACCTGCAGAGCATGGACTCG   GCAGCGGTATGTGTCGAAGC  ATF6  alpha   GACTCACCCATCCGAGTTGTG   CTCCCAGTCTTCATCTGGTCC  XBP-­‐for  agarose  gel   GAACCAGGAGTTAAGAACACG   AGGCAACAGTGTCAGAGTCC  Actin   AGCCATGTACGTAGCCATCC   CTCTCAGCTGTGGTGGTGAA  Tubulin   ACAGTGTTCGGTCTGGCG   CTTGCTGATGAGCAGTGTGC    Supplemental Table 4. Primer sequences.