Supplementary Information Sugar-Grafted Cyclodextrin Nanocarrier as a “Trojan Horse” for Potentiating Antibiotic Activity Min Li · Koon Gee Neoh* · Liqun Xu · Liang Yuan · David Tai Leong · En-Tang Kang Department of Chemical and Biomolecular Engineering, National University of Singapore, Kent Ridge, Singapore 117585 Kim Lee Chua Department of Biochemistry, National University of Singapore, Kent Ridge, Singapore 117543 Li Yang Hsu Department of Medicine, National University of Singapore, Kent Ridge, Singapore 119228 *To whom correspondence should be addressed. Koon Gee Neoh Tel.: +65 65162176. Fax: +65 67791936. E-mail: chenkg@nus.edu.sg. Table S1. Hydrodynamic diameter (Dh) and zeta potential of CD-MAN, CD-GLU and their antibiotic complexes Sample CD-MAN CD-MAN-ERY CD-MAN-RIF CD-MAN-CIP CD-GLU CD-GLU-ERY CD-GLU-CIP Dh (nm) 3.9±1.7 24.4±2.6 12.6±4.5 10.1±1.6 3.8±1.5 21.0±3.5 9.8±2.2 Zeta potential (mV) -3.85±0.45 -3.77±3.35 -8.05±5.22 -3.60±1.45 -3.51±0.19 -3.4±0.77 -2.52±1.25 Table S2. S. aureus ATCC 25923 count after antibiotic resistance assay (a) After 8 days TSB TSB + 0.25×MICa) CD-MAN-ERY TSB + 0.25×MICa) CD-ERY TSB only 2.4×109 1.9×109 2.5×109 TSB + 0.25×MICa) free ERY 3.0×109 Culture medium S. aureus (b) After 16 days Culture medium TSB only 4.1×109 3.7×109 3.3×109 3.3×109 Average bacterial counts (CFU/mL) TSB+2×MICa) CD-MANTSB+2×MICa) CDTSB+2×MICa) ERY ERY free ERY 0 0 0 0 NA NA NA 0 NA NA NA 0 Average bacterial counts (CFU/mL) TSB+2×MICa) CD-MANTSB+2×MICa) CDTSB+2×MICa) ERY ERY free ERY 0 0 0 0 NA NA NA 0 1.2×105 NA NA 1.3×105 Resistant bacteria 0 0 0 0 Resistant bacteria TSB 0 S. TSB + 0.25×MICa) CD-MAN-ERY 0 aureus TSB + 0.25×MICa) CD-ERY 1 in 26700 TSB + 0.25×MICa) free ERY 1 in 25300 NA: not applicable. a)Refer to Table 1 for MIC value of free ERY and ERY in CD-MAN-ERY and CD-ERY. ERY in CD-MAN-ERY and CD-ERY constitutes 15 wt% and 23 wt%, respectively. Table S3. E. coli DH5α count after antibiotic resistance assay. (a) After 8 days Culture medium E. coli NB NB + 0.25×MICa) CD-MAN-RIF NB + 0.25×MICa) CD-RIF NB + 0.25×MICa) free RIF NB only 4.9×109 4.6×109 3.9×109 4.6×109 (b) After 16 days Culture medium NB only Average bacterial counts (CFU/mL) NB+2×MICa) CD-MANNB+2×MICa) CDNB+2×MICa) RIF RIF free RIF 0 0 0 0 NA NA NA 0 NA NA NA 0 Average bacterial counts (CFU/mL) NB+2×MICa) CD-MANNB+2×MICa) CDNB+2×MICa) RIF RIF free RIF 0 0 0 0 NA NA NA 6.6×105 NA NA NA 5.6×105 Resistant bacteria 0 0 0 0 Resistant bacteria NB 3.7×109 0 NB + 0.25×MICa) CD-MAN-RIF 2.3×109 0 E. coli NB + 0.25×MICa) CD-RIF 4.1×109 1 in 6210 NB + 0.25×MICa) free RIF 3.5×109 1 in 6250 NA: not applicable. a)Refer to Table 1 for MIC value of free RIF and RIF in CD-MAN-RIF and CD-RIF. RIF in CD-MAN-RIF and CD-RIF constitutes 15 wt% and 20 wt%, respectively. Figure S1. Schematic illustration of the procedures of antibiotic resistance assay. S5 Figure S2. Accumulation assay of CD-MAN-PBI, CD-PBI and free PBI in (a) E. coli DH5α, (b) P. aeruginosa PAO1 and (c) S. aureus ATCC25923. ∗ and # denote significant difference (P < 0.05) compared to that of control (bacterial cells incubated in growth medium only) over the same incubation period and between the designated agents, respectively. S6 Figure S3. UV-vis spectra of PBS solution of CD-MAN. S7 Figure S4. Effect of CD-MAN on the viability of 3T3 fibroblasts after 24 and 72 h. Viability is expressed as a percentage relative to the result obtained with the control (3T3 fibroblast cells incubated in growth medium only). S8 Figure S5. Effect of (a) free ERY and (b) CD-MAN-ERY on the viability of NCM460 colonic epithelial and HEK 293T embryonic kidney cells, respectively, after 24 h. Viability is expressed as a percentage relative to the result obtained with the control (NCM460 colonic epithelial and HEK 293T embryonic kidney cells, respectively, incubated in growth medium without any antibiotic). S9