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Figure S1. Association between SPARC expression and distant metastasis free survival (RFS) in breast cancer patients with different PAM50 subtypes. A, All patients (n=1379, High: 663, Low: 716; p>0,05). B, Patients with Luminal A (LumA) subtype (n = 323, High: 213, Low: 110; p>0.05). C, Patients with Luminal B (LumB) subtype (n = 358, High:134, Low: 224, p>0.05). D, Patients with Basal subtype (n = 251, Hich: 69, Low: 182, p>0.05). E, Patients with Normal subtype (n = 211, High: 127, Low: 84, p>0.05). The analyses were performed with Gene Expression-Based Outcome for Breast Cancer Online tool. See also Figure 1. FigureS2. Downregulation of SPARC expression in 4T1 and LM3 murine breast cancer cell lines A, SPARC mRNA levels measured by RT-qPCR in 4T1 cells transduced with a lentiviral vector expressing a scramble (SCR) siRNA or siRNAs targeted to different regions of murine SPARC mRNA (i518, i52-1 and i52-2). B and C, RTqPCR SPARC mRNA levels in 4T1 (B) and LM3 (C) cell clones transduced with the SCR siRNA or i52-1 siRNA. D, Immunoblot of secreted SPARC. The optical density of the bands was normalized to SYPRO Ruby-stained loading control (LC) and .expressed as fold change with respect to control 4T1-SCR or LM3-SCR cells. A, B and C, data are the mean ± SEM of 3 experiments. ***p<0.001, ns not significant, one-way Anova and Bonferroni multiple comparisons test. D, Data are representative of 3 experiments. See also Figure 1. 1 Figure S3. SPARC targeting inhibits primary tumor growth and lung metastasis establishment. A, In vivo growth of SPARC-deficient LM3 cell clones (LM3-C5 and –C12) and control cells (LM3-SCR) in BALB/c mice. B, Immunohistochemical expression of SPARC in control (4T1-SCR) and SPARCdeficient tumors (4T1-C18). C, Quantification of SPARC intensity. D, Trichromic Masson staining in 4T1-SCR and 4T1-C18 tumors. E, Quantification of collagen intensity. Red scale bars, 50 µm. Data were obtained from samples collected 7 days after injection. Data in C and E are expressed as mean ± SEM (t test, *p<0.05, ***p<0.001). F, Representative microphotographs of lung sections from 30 days-old 4T1-SCR or 4T1-C18 tumor-bearing mice, stained with hematoxilin and eosin (H&E). The arrows show micrometastases. Black scale bars, 300 µm. G, In vivo growth of 4T1-SCR and 4T1-C1 tumors. H, Quantification of spontaneous macroscopic lung foci 30 and 45 days after orthotopic inoculation of 4T1-SCR and 4T1-C1 cells, respectively, when both primary tumors reached 900 mm 3. A, G and H, data are the mean ± SEM of 3 experiments (n= 3-4 mice per group). **p<0.01, ***p<0.00. See also Figure 1. Figure S4. SPARC-deficient cells exhibit a delay in cell cycle progression. A, In vitro cell proliferation of the different SPARC-deficient LM3 clones compared to control cells (LM3-SCR). Data are the mean ± SEM of 3 experiments. ***p<0.001, two-way Anova and Bonferroni multiple comparisons test. B, Representative microphotographs of the BrdU immunostaining assay in 4T1 cells under basal conditions. See also Figure 2E for quantification. C, Time course of BrdU immunostaining after hydroxyurea synchronization. D, Percentage of cells at each 2 stage of the cell cycle analyzed by flow cytometry at 0, 2, 4, 6, 8, 16 and 22 hours after hydroxyurea synchronization. E, Immunohistochemical staining of Ki67positive cells in control 4T1-SCR and SPARC-deficient 4T1-C18 tumors. The arrows show Ki-67-positive cells. Scale bars, 50 µm. F, Immunoblot against p53 and actin. HCT116 colorectal cancer cells were used as a control of positive staining for p53. C, D, E and F data are representative of 3 experiments. Scale bars, 20 µm. See also Figure 2. Figure S5. Transcriptomic analysis of SPARC-deficient tumors revealed changes in cell-ECM interaction and immune response. A, Representative microphotographs of tumor sections from 2 day-old 4T1-SCR and 4T1-C18 tumorbearing mice, stained with Hematoxylin and Eosin (H&E). Scale bars, 100 µm. B, Heatmap displays expression levels of 156 S-PT genes in the 4T1-SCR primary tumors (4T1-SCR), 4T1-C18 SPARC-deficient tumors (4T1-C18) and 4T1-SCR metastases (4T1-SCR MTTS) (n= 4 mice per group). C, Heatmap displays expression levels of 165 S-ESM genes in the 4T1-SCR primary tumors (4T1-SCR), 4T1-C18 SPARC-deficient tumors (4T1-C18) and 4T1-SCR metastases (4T1-SCR MTTS) (n= 4 mice per group). Figure S6. Enforced expression of COX-2 in SPARC-deficient 4T1 cells partially restores cells capacity to grow as primary tumor. A, Western-blot analysis of COX-2 protein levels in 4T1-SCR, 4T1-C18(E), 4T1-C18(COX2-C7) and 4T1-C18(COX2-C15) spheroids. The optical density of bands were normalized to β-actin intensities and expressed as fold change value relative to 4T1-SCR 3 spheroids. Experiments were repeated twice with similar results. B, Representative images of Ki-67 immunostaining of 4T1-SCR, 4T1-C18(E) and 4T1-C18(COX2-C7) tumors sections obtained at the end of the experiment. The arrows show Ki-67+ cells. See also Figure 4F. C, Representative images of cleaved caspase-3 immunostaining of 4T1-SCR, 4T1-C18(E) and 4T1-C18(COX2-C7) tumors sections obtained at the end of the experiment. The arrows show cleaved caspase-3 positive cells. Black scale bars, 50 µm. D, Western-blot analysis of cleaved caspase-3 levels in 4T1-SCR, 4T1-C18(E) and 4T1-C18(COX2-C7) tumoral extracts. Tumoral extracts from 3 different mice are shown for each condition. The optical density of cleaved caspase-3 bands (19 and 17 kDa) were normalized to complete caspase-3 (30 kDa) intensities and expressed as fold change value relative to the first 4T1-SCR tumoral extract. Experiments were repeated twice with similar results. E, Representative microphotographs of lung sections from 30 daysold 4T1-SCR, 4T1-C18(E) and 4T1-C18(COX2-C7) tumor-bearing mice, stained with H&E. The arrows show micrometastases. Red scale bar, 300 µm. See also Figure 4I. Figure S7. SPARC targeting impairs invasive capacity of breast cancer cells. (A) In vitro invasion of LM3 derived clones (% of control LM3-SCR cells). Data are the mean ± SEM of 3 experiments. ***p<0.001, **p<0.01, one-way Anova and Bonferroni multiple comparisons test. See also Figure 6. Figure S8. Association between hS-PT and hS-ESM expression and distant metastasis free survival (RFS) in breast cancer patients with different PAM50 4 subtypes. hS-ESM signature expression in: A, Patients with Luminal A (LumA) subtype (n = 323, High: 156, Low: 167; p>0.05). B, Patients with Luminal B (LumB) subtype (n = 358, High: 137, Low: 221, p>0.05). C, Patients with Basal subtype (n = 251, High: 74, Low: 177, p>0.05). D, Patients with Normal subtype (n = 211, High: 130, Low: 81, p>0.05). hS-PT signature expression in: E, Patients with Luminal A (LumA) subtype (n = 323, High: 150, Low: 173; p>0.05). F, Patients with Luminal B (LumB) subtype (n = 358, High: 105, Low: 253, p>0.05). G, Patients with Basal subtype (n = 251, High: 114, Low: 137, p>0.05). H, Patients with Normal subtype (n = 211, High: 140, Low: 71, p>0.05). The analyses were performed with Gene Expression-Based Outcome for Breast Cancer Online tool. See also Figure 7. 5