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Supplementary figures and methods Supplementary Figure S1. LY6E is overexpressed in a subset of breast cancers (A) Relative expression of LY6E gene expression in two different breast cancer subtypes. (B) Metabric analysis of LY6E expression in molecularly defined breast cancer subclasses. Table shows fold change and statistical significance for LY6E expression in basal-like cancers versus other breast cancer subtypes. P-values were calculated by t-test on log2transformed probe intensities, then adjusted with the Benjamin-Hochberg method. Supplementary Figure S2. LY6E transcript expression in normal human tissues is shown. LY6E expression detected from normal tissue RNA using qPCR analysis (Origene array) is represented as fold change over the expression of GAPDH and compared to LY6E transcript expression in the xenograft efficacy models depicted in Fig. 6 and in Supplementary Fig. S4. Supplementary Figure S3. Endocytosis of anti-LY6E antibody 9B12. (A) Live ovarian cancer cells (KURAMOCHI) were pre-incubated with either no 1 inhibitors (none), lipid raft disruptor, 1 mM Methyl-β- Cyclodextrin (MBC) or inhibitor of clathrin mediated endocytosis, 25 μM Chlorpromazine (CPZ); followed by a 30 minute incubation with 5 μg/mL of anti-LY6E antibody 9B12 at 370C. Cells were then fixed, permeabilized and co-stained for LY6E (9B12 antibody) in conjunction with lysosomal marker LAMP1. Detection reagents, Alexa 488- conjugate (green) and Cy3- conjugate (red) were used to detect anti-LAMP1 and 9B12 antibodies respectively. Colored images overlapping LY6E and LAMP1 staining are presented in the middle panel (Merge). White scale line indicates 20 M. (B) Clathrin mediated Endocytosis of Transferrin. Live KURAMOCHI ovarian cancer cells were preincubated with either vehicle control (none), Methyl-β- Cyclodextrin (MBC) or chlorpromazine (CPZ) and then incubated with transferrin directly conjugated to Alexa 555 (red). Cells were then fixed, permeabilized and costained for lysosomal marker LAMP1; which was detected with Alexa 488– labeled secondary antibody (green). Colored images with overlapping Transferrin and LAMP1 staining are presented in the middle panel (Merge). White scale line indicates 20 M. Supplementary Figure S4. LY6E ADC activity in MAXF-1162, a HER2+/ T2 DM1 resistant breast cancer model. (A) Photomicrograph illustrating heterogeneous 1+/2+ LY6E expression in MAXF-1162 xenografts. Bar denotes scale (100m). T-DM1 (B) and anti-LY6E ADC (C) efficacy against MAXF 1162, a HER2- positive patient derived breast tumor model. Mice were administered a single IV injection of either vehicle, T-DM1, anti-LY6E antibody 9B12, either as unconjugated or as ADC (LY6E), control ADC (Ctrl) at mg/kg doses indicated in parentheses. Average tumor volumes with standard deviations were determined from 8-10 animals per group and depicted on the Y-axis whereas day of study was depicted on the X-axis. Supplementary Table S1. Table lists the relative LY6E protein expression detected by IHC in various normal tissues using the GEN-93-8-1 antibody Expression scores signify no staining (0) or weak (1+), moderate (2+), and strong (3+) LY6E expression. Definitions are described further in the Methods section. Supplementary Table S2. Anti-LY6E antibody 9B12 affinity to human and cynomolgus monkey LY6E. Affinity of 9B12 was determined by Scatchard analysis on exogenous LY6E expressed in transiently transfected HEK-293 3 cells. Supplementary Table S3. The correlation of LY6E copy number to antiLY6E ADC killing in a panel of ovarian cancer cell lines is shown. Sensitivity of the cell lines to free MMAE drug is also depicted. Supplementary Table S4. LY6E and GAPDH specific primer and probe sets used for transcript analysis and LY6E specific siRNAs are listed. Supplementary Table S5. Detailed percent tumor growth inhibition data for xenograft efficacy studies presented in Fig. 6 and in Supplementary Fig. S4B. AUC is defined as Area under the fitted tumor volume curve as calculated using a linear mixed effects model (see Methods). AUC/Day %TGI (lower, upper) is the percentage AUC/Day (on the original mm3 volume scale) reduction compared to control based on the fitted curves, with upper and lower limits (of the 95% uncertainty interval) for only those days where all treatment groups still have some animals present. This means the control group must always be 0 and that the TGI calculation is based on data up to the lowest day in the Last Day column. Groups that reduce growth or cause 4 shrinkage will have a positive value. Any groups for which the tumors increased faster than the control will have negative values. The formula for AUC/Day %TGI is the following: AUC/Day %TGI = [1-(AUC/Day Treatment ÷ AUC/Day Control)] X 100. TTP 2X is defined as time (in days) to progression to twice the average tumor volume value at time 0. TTP 5X is defined as time (in days) to progression to five times the average tumor volume value at time 0. PR, CR are defined as partial and complete response, where a PR is defined as at least 50% shrinkage from Day 0 in tumor volume and CR is shrinkage to 0 (on the original scale) at any point during the study. Values are calculated from the raw, not fitted data. “NA” indicates that the tumor did not progress. Supplementary Table S6. Statistical analyses of differences between tumor growth in test groups versus vehicle control group in xenograft studies presented in Fig 6 and Supplementary Fig. 4B, as calculated by GraphPad Prism software v6.0e. 5 Supplementary protocols: Affinity binding assays (Scatchard analysis): HEK-293 cells were seeded in 150-cm dishes (BD; Franklin Lakes, NJ) at 15 106 cells/dish. The next day, cells were transfected with plasmid DNA encoding human or cynomolgus monkey LY6E, using Lipofectamine 2000 (Invitrogen) as described by the manufacturer. At approximately 48 hours post-transfection, cells were harvested for use in binding assays to determine affinity of 9B12 antibody to LY6E. Anti-LY6E antibody 9B12 was iodinated using the Iodogen method. The radiolabeled 9B12 antibody was purified from free 125I-Na by gel filtration using a NAP-5 column and had a specific activity of 29.3 Ci/g. Competition reaction mixtures of 50 L containing a fixed concentration of iodinated antibody and decreasing concentrations of unlabeled antibody were placed into 96-well plates. HEK-293 cells transiently expressing recombinant human or cynomolgus monkey LY6E were detached from plates using Sigma Cell Dissociation Solution and were washed with binding buffer (DMEM with 2% FBS, 50 mM HEPES, pH 7.2, and 0.1% sodium azide). The washed cells were added at an approximate density of 150,000 cells in 0.2 mL of binding buffer to the 96-well plates containing the 50-L 6 competition reaction mixtures. The final concentration of the iodinated antibody in each competition reaction with cells was 50 pico Moles and the final concentration of the unlabeled antibody in the competition reaction with cells varied, starting at 1000 nM and then decreasing by 1:2-fold dilution for ten concentrations, and included a zero-added, buffer-only sample. Competition reactions with cells for each concentration of unlabeled antibody were assayed in triplicate. Competition reactions with cells were incubated for 2 hours at room temperature. After the 2-hour incubation, the competition reactions were transferred to a Millipore Multiscreen filter plate and washed four times with binding buffer to separate the free from bound iodinated antibody. The filters were counted on a Wallac Wizard 1470 gamma counter (PerkinElmer Life and Analytical Sciences; Wellesley, MA). The binding data were evaluated using New Ligand software (Genentech), which uses the fitting algorithm of to determine the binding affinity of the antibody (1). 1. Munson PJ, Rodbard D. Ligand: a versatile computerized approach for characterization of ligand-binding systems. Analytical biochemistry 1980; 107:22039. 7