H9_16h A C B 5nM P 3nM B 5nM +P 3nM p27 NOXA HH3 RFC-1 α-Tubulin P12 16h P12_16h B C B 5nM P 2nM P 3nM B+P 2nM B+P 3nM p27 NOXA HH 3 HH-3 α-Tubulin Supplementary Data A. (A) Changes in protein expression following treatment with bortezomib pralatrexate in the CTCL line,, H9. and p p27, NOXA, HH3 and RCF-1 expression in H9 cells treated with bortezomib 5nM and/or pralatrexate 3nM after 16 hours of exposure was analyzed by Western blot. α-Tubulin was used to normalized protein loading in both cell lines. The western blot shown represents the time point at which the difference in protein expression were maximized. (B) Changes in protein expression following treatment with bortezomib and pralatrexate in the T-ALL line , P12. (B) p27, NOXA and HH3 expression in P12 cells after exposure for 16 hours to bortezomib 5nM and pralatrexate 2nM, 3nM and their combination was analized by Western Blot. α-Tubulin was used to normalized protein loading in both cell lines. The western blot shown represents the time point att which hi h the th difference diff i protein in t i expression i were maximized. 250 Control 200 Tumor Volum me (mm³) Bortezomib 150 Pralatrexate 100 Bortezomib + Pralatreaxate (6 CR) 50 0 1 3 6 9 12 15 18 Days Supplementary Data B. SCID Xenograft Beige Mouse Model of HH-CTCL. Bortezomib was administered at the dose of 0.5mg/kg i.p.; Pralatrexate was given at the dose of 15mg/kg i.p. (1/4 of the maximum tolerated dose); both drugs were administered simultaneously in the combination cohort cohort. All the cohorts were treated twice weekly for 2 weeks (day 1, 4, 8, 11). A B Time (day) C vs BP B vs BP P vs BP 3 0.003 0.044 0.004 Tumor Volume (mm3) ± SD Treatment Day 3 Day 6 Day 9 Day 12 Day 15 Day 18 110.0± 31.7 120.7± 34.3 125.9± 48.4 136.4± 58.8 176.8± 75.5 230.0± 87.6 Bortezomib 79.3± 23.7 103.3± 28.1 112.9± 37.4 107.2± 50.7 184.4± 67.6 166.2± 72.5 Pralatrexate 72.9± 26.9 59.5± 34.1 45.4± 25.1 49.0± 17.8 45.5± 16.5 45.2± 17.5 B+P 27.4± 26.3 18.0± 18.8 7.1± 21.0 7.8± 12.3 0.0± 15.0 0.0± 18.8 Control 6 0.001 0.001 0.012 9 0.001 0.001 0.012 12 0.001 0.001 0.007 15 0.001 0.001 0.002 18 0.001 0.001 0.002 C TREATMENT Weight Toxic Death Loss ≥ 10% Activity (CR) Control 0 0 0 Pralatrexate 15mg/Kg 0 0 0 Bortezomib 0.5 mg/Kg 0 0 0 B 0.5 mg/Kg + P 15 mg/Kg 0 0 6 Supplementary Data C. Table A presents all the p value for all the possible comparisons at different time point. Table B reveals the median tumor volume (mm3) and the standard deviation for all the studied cohorts. Table C demonstrated any significant toxicity in all the cohorts and highlighted the highest activity of the combination.
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