Table SI: P1PK and GLOB blood group phenotypes and antigens Phenotypes Antigens P1 P1, P, Pk P2 P, Pk p none P1 k P1, Pk P2 k Pk 1 Table SII: Expression of Pk/Gb3 on RBCs and allelic discrimination Pk % P1 % Genotype (Phenotype) P1PK blood group controls p 0.6 0 1 1 P1 17.5 87.7 P /P (P1) P2 0.5 0 P2/P2 (P2) Patients 1 1.0 0 P2/P2 (P2) 17 13.5 12.6 P1/P2 (P1) 18 22.9 21.9 P1/P1 (P1) 19 1.5 3.2 P2/P2 (P2) 20 8.3 17,1 P1/P2 (P1) 22 18.5 53.0 P1/P1 (P1) 23 1.1 0 P2/P2 (P2) k P /Gb3/CD77 and P1 antigen levels on RBCs are presented as percentage of the RBCs in three well-studied controls with known RBC phenotype p, P1 and P2 as well as in 7 STEC-HUS patients. Allelic discrimination for the P1 or P2 phenotype: C/C=P1, C/T=P1 heterozygote and T/T=P2. 2 HUS patient Healthy control Unlabeled sample Anti-C3 Isotype control Figure S1. Flow cytometry demonstrating C3 on RBCs Primary histogram from one patient and one control showing unlabeled sample, anti-C3 labeled and the isotype control A B CD35 MFI APC 100 MFI FITC 3500 150 3000 2500 50 0 Unstimulated 2000 Stx2 E Factor H 2500 1500 Unstimulated Stx2 Unstimulated Stx2 CD235a and Factor H 40 25 20 15 10 30 20 10 5 0 3000 2000 MV 103/mL % RBC with bound Factor H D CD59 4000 3500 200 MFI FITC C CD55 Unstimulated Stx2 0 Unstimulated Stx2 Figure S2. The effect of Stx2 on expression of complement inhibitors on RBCs Complement inhibitors on RBCs were measured in unstimulated and Stx2-stimulated samples (n=4). The results are presented as mean fluorescent intensity (A-C), percent RBCs with bound factor H (D) or RBC-derived microvesicles with factor H (E) in Stx2 stimulated samples, depicted as median (bar) and individual values. No statistical significance was found for all four complement regulators.
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