Supplement 1 Detailed Material and Methods Platelet-activating factor reduces endothelial NO production - Role of acid sphingomyelinase Yang Yang*1, Jun Yin*2, Werner Baumgartner3, Rudi Samapati2, Eike Reppien4, Wolfgang M. Kuebler**2,5, Stefan Uhlig**1 *, these authors contributed equally to this study. **, these authors share the last authorship. 1Institute of Pharmacology and Toxicology, Medical Faculty, RWTH Aachen University, 52074 Aachen, Germany 2Institute for Physiology, Charité – Universitätsmedizin Berlin, 14195 Berlin, Germany 3Department of Cellular Neurobionics, Institute of Biology 2, RWTH-Aachen, 52056 Aachen, Germany 4Research Center Borstel, Division of Pulmonary Pharmacology, 23845 Borstel, Germany The Keenan Research Centre at the Li Ka Shing Knowledge Institute of St. Michael´s Hospital, Toronto M5B 1W8, ON, Canada 5 Corresponding author: Stefan Uhlig, Institute of Pharmacology and Toxicology, Medical Faculty, RWTH Aachen University, 52074 Aachen, Wendlingweg 2, Germany. Email: suhlig@ukaachen.de, Tel. +49 241 8089120, FAX 49 241 8082433 Materials and Methods Materials Animals Male Sprague-Dawley rats (weight 350 to 450g; for in situ fluorescence imaging) and female Wistar rats (weight 220 to 250g; for all other experiments) were obtained from Charles River Laboratories (Germany, Sulzfeld) and kept under controlled conditions (22°C, 55% humidity, 12h day/night rhythm) on a standard laboratory chow and water ad libitum. All animals received care in accordance with the Guide for the Care and Use of Laboratory Animals (NIH Publication No. 86-23, revised 1985). The study was approved by the local animal care and use committee of the local government authorities. Pentobarbital sodium (Nacoren, 400µl/kg) was purchased from the Wirtschaftsgenossenschaft Deutscher Tierärzte (Hannover, Germany). Substances and chemicals Platelet-activating factor (PAF) was obtained from Sigma (Deisenhofen, Germany); acetyl salicylic acid (ASA) from Grünthal (Aachen, Germany); imipramine from ICN Biomedicals (Eschwege, Germany); L-NMMA from Cayman Chemical Company (MI, USA). Silica-beads with a diameter of 5 µm were from Bangs Laboratories, Inc. (Fishers, IN, USA) and chemicals for MBS-buffer and HBS-buffer were from Sigma Aldrich (Taufkirchen, Germany). Aluminium chlorohydroxide, used to coat the silica beads was from PFATZ & BAUER Inc. (Waterbury, CT, USA); Nycodenz from Axis-Shield PoC AS (Oslo, Norway) and Triton-X-100 from Boehringer-Mannheim GmbH (Mannheim, Germany). Sucrose and all other used chemicals were obtained from Sigma Aldrich. Mouse monoclonal antibody to caveolin-1, eNOS, peNOS were from BD Biosciences Pharmingen (Heidelberg, Germany). The secondary antibodies, Alexa-Fluor 680-anti-mouse IgG and Alexa-Fluor700-anti-rabbit IgG as well as the NO-sensitive fluorescence dye 4amino-5-methylamino-2’,7’-difluorofluorescein diacetate (DAF-FM) and the NO donor Snitroso-N-acetylpenicillamine (SNAP) were obtained from Molecular Probes (Eugene, OR, USA). Methods Preparation of isolated, ventilated and perfused rat lungs (IPL) Rat lungs were prepared and perfused essentially as described [1,2]. Briefly, lungs were perfused through the pulmonary artery at a constant hydrostatic pressure (12 cm H2O) with Krebs-Henseleit-buffer. Perfusate buffer contained 2% albumin, 0.1% glucose and 0.3% HEPES. Edema formation was assessed by continuously measuring the weight gain of the lung. All equipment was obtained from Hugo Sachs Electronics (March-Hugstetten, Germany). Imipramine (final concentration 10µM), D609 (300 µM), L-NAME (100 µM), dexamethasone (10 µM) and PAPAnonoate (100 µM) were prepared in perfusate buffer and were added in to the buffer reservoir 10 min prior to PAF administration. ASM (1 U/ml in perfusate buffer) was continuously infused for 30 min into venular capillaries of isolated lungs via a venous microcatheter (Ref. 800/110/100; SIMS Portex Ltd., Kent, UK). Lung filtration coefficient was measured by the weight transient method as described in detail before [3]. Preparation of endothelial membrane fractions Membrane fractions from endothelial cells were isolated from perfused rat lungs by use of colloidal silica beads essentially as described [4,5]. After 40 min of perfusion, 5 nmol PAF (final concentration 50 nM) was injected as a bolus directly into the perfusate. Ten minutes later, the flow rate was reduced to 2-3 mL/min and perfusion with 1% cationic colloidal silica beads in MES buffer saline (MBS, 25 mM MES-NaOH, pH 6.5, and 150 mM NaCl) was started. Step 1: Purification of endothelial cell membranes. After perfusion with the silica beads, lungs were immersed in cold HEPES buffered saline (HBS), minced, homogenized and filtrated through a 0.65 µm and 0.45 µm Nytex net (GE Osmononics Inc, Minnetonka, USA). The homogenate was mixed with an equal volume of 1.02 g/ml Nycodenz (containing 20 mM KCl) and then layered over 0.5-0.7 g/ml Nycodenz containing 60 mM sucrose in a centrifuge tube. After centrifugation in a Beckman SW 28 rotor at 20.000 rpm for 30 min at 4°C the floating tissue debris was removed and the pellet containing the silica-coated endothelial membranes fragments was resuspended with 1ml MBS. Step 2: Isolation of membrane fractions from silica-coated endothelial cell membranes. 10% cold Triton-X-100 (final concentration of 1%) was added to the membranes for 60 min at 4°C. After incubation the suspension was homogenized and the homogenate mixed with 80% sucrose to achieve a 40% membrane-sucrose-solution. A 30-5% sucrose gradient was layered on top. Samples were centrifuged in a Beckman-centrifuge (SW55Ti rotor) at 4°C and at 30.000 rpm for 16-18h. Volumes of 3 x 150 µl were sampled from the top to the bottom and collected as five membrane fractions. The pellet was solubilized in 150 µl MBS (pelletfraction) and 5 µg of protein were analyzed on the gels. The fractions in Fig. 1 were prepared slightly different. After perfusion with the silica beads, the lungs were minced in HBS and smoothly homogenized with a polytron mixer for 3x10min, subsequently incubated with collagenase (0.25%)+trypsin (0.25%), for 40min at room temperature and again smoothly homogenized with polytron for another 3x10min. This was followed by procedures as described in Step 1 and the resulting pellet was analyzed by immunoblotting. This fraction is termed ‘total’ in Fig. 1d. In another set of experiments the pellets were subjected to Step 1 and Step 2, before we analyzed the pooled fractions B/C representing the caveolae and the fractions A/D/E plus the pellet representing the noncaveolar fractions. In this case, only 2.5 µg of protein were loaded on the gels. Gel electrophoresis and immunoblotting The protein content of each fraction was determined by a BCA-Assay kit (Pierce, Illinios, USA). Equal amounts of protein (5µg) were separated by SDS-poly acrylamide gel electrophoresis (12% for caveolin-1, 8% for eNOS) and transferred to nitrocellulose. After transfer, nitrocellulose sheets were blotted with respective antibodies. For visualization, we used Alexa-Fluor 680 anti-mouse IgG or Alexa-Fluor700 anti-rabbit IgG as secondary antibodies. Western blot analyses were visualized in Odyssey® Imaging System (LI-COR Biosciences GmbH, Bad Homburg, Germany). Protein bands (intensities) were quantified with the Odyssey® Imaging System software at exactly the same settings for all parameters such as background correction, contrast or channel settings. Electron microscopy Lungs were fixed by perfusion with 250 ml Caco-buffer (100 mM Na-cacodylate, 100 mM NaCl, 2% formaldehyde, 2% glutaraldehyde and 2 mM CaCl2). Lungs were removed and cut into pieces of about 5 x 5 x 5 mm and immersed in Caco-buffer over night. After washing 4x15 min in PBS, the tissue pieces were immersed in PBS containing 1% OsO4 followed by washing 4 x 15 min in aqua bidest. Dehydration was performed by a graded EtOH-series and embedded in Epon. Thin sections were cut and stained with uranyl acetate and lead citrate. Electron microscopy pictures were digitally recorded using a Zeiss EM10. Acid sphingomyelinase activity Acid sphingomyelinase (ASM) activity was determined by using 14C-labelled sphingomyelin. For all samples, 10 μg protein diluted to 10 μl was incubated at 37°C for 2 h with 40 μl substrate (73 nmol 14 C-labelled sphingomyelin + 400 nmol sphingomyelin). Lipids were separated by chloroform/methanol extraction, 4 ml scintillation liquid was added and radioactivity counted in a β-counter. In situ fluorescence microscopy In situ imaging of endothelial NO production was performed as previously described [6]. In brief, lungs were excised and continuously perfused with 14 ml/min autologous blood at 37°C. Lungs were constantly inflated with a gas mixture of 21% O2, 5% CO2, balance N2 at a positive airway pressure (PAW) of 5 cmH2O. Left atrial pressure (PLA) was set to 3 cmH2O, yielding pulmonary artery pressure (PPA) of 10±1 cmH2O. PAW, PLA, and PPA were continuously monitored and recorded (DASYlab 32; Datalog GmbH, Moenchengladbach, Germany). Lungs were positioned on a custom-built vibration-free microscope stage and superfused with normal saline at 37°C. For in situ imaging of endothelial NO production, membrane-permeant DAF-FM diacetate (5 μM/L), which de-esterifies intracellularly to cell-impermeant, NO-sensitive DAF-FM was infused for 20 min into pulmonary capillaries via a venous microcatheter. Intracellular DAFFM is converted by an NO-dependent, irreversible reaction to an intensely fluorescent benzotriazole derivative with fluorescence intensity linearly reflecting NO concentration [7]. Single venular capillaries were viewed at a focal plane corresponding to maximum diameter (17-28 μm). Endothelial DAF-FM fluorescence was excited at 480 nm by a near monochromatic beam generated by a digitally controled galvanometric scanner (Polychrome IV; TILL Photonics, Martinsried, Germany) from a 75-watt xenon light source. Fluorescence emission was collected through an upright microscope (Axiotechvario 100HD; Zeiss, Jena, Germany) equipped with an apochromat objective (UAPO 40x W2/340; Olympus, Hamburg, Germany) and dichroic and emission filters (FT 510, LP 520; Zeiss, Jena, Germany) by a CCD camera (Sensicam; PCO, Kelheim, Germany) and subjected to digital image analysis (TILLvisION 4.0; TILL Photonics). Exposure time for each single image was limited to 5 milliseconds. Fluorescence images obtained in 10 s intervals were background-corrected and fluorescence intensity (F) was expressed relative to its individual baseline (F0). Since the conversion of DAF-FM to the benzotriazole derivative is irreversible, NO production is reflected by changes of the ratio F/F0 (Δ F/F0) over time and was determined in 5 min intervals. At the end of experiments, the exogenous NO donor SNAP (1 mmol/L) was added to test whether endotheliale cells still contained unconverted DAF-FM. Measurement of alveolar fluid influx and reabsorption. Fluid fluxes into and out of the alveolar space were quantified by a double-indicator dilution technique as previously reported [8]. Briefly, a high-molecular-weight fluorescence tracer, texas red dextran (70 kDa; Molecular Probes, Eugene, OR), was instilled into the alveolar space for determination of alveolar net fluid shift while a low-molecular-weight tracer, Na+ fluorescein (376 Da; Sigma-Aldrich, Taufkirchen, Germany), was added to the perfusate to allow for differentiation between alveolar fluid influx and alveolar fluid reabsorption. At time -10 min, 0 min, and 60 min, samples were drawn from both compartments, and alveolar fluid reabsorption, alveolar fluid influx, and net fluid shift were calculated as previously described assuming a two-compartmental distribution model [8]. Statistics. In case of heteroscedasticity data were transformed by the Box-Cox transformation prior to analysis. Data were analyzed by two-sided t-tests or by the Dunnett test (JMP 7). Fluorescence data were analyzed by the Kruskal-Wallis and Mann-Whitney U-test. The data in Fig. 1d were analyzed by 2-way ANOVA (factors: treatment, fraction) with the experimental ID-number as the blocking factor. If required, p-values were corrected for multiple comparisons according to the false-discovery rate procedure using the “R” statistical package [9]. References 1 Uhlig S. The isolated perfused lung. 1998; 29-55. 2 Uhlig S, Wollin L. An improved setup for the isolated perfused rat lung. J Pharm Tox Meth 1994; 31: 85-94. 3 Uhlig S, von Bethmann AN. Determination of vascular compliance, interstitial compliance and capillary filtration coefficient in isolated perfused rat lungs. J Pharm Tox Meth 1997; 32: 119-127. 4 Schnitzer JE, Oh P, Jacobson BS, Dvorak AM. Caveolae from luminal plasmalemma of rat lung endothelium: microdomains enriched in caveolin, Ca(2+)-ATPase, and inositol trisphosphate receptor. Proc Natl Acad Sci U S A 1995; 92: 1759-1763. 5 Melkonian KA, Ostermeyer AG, Chen JZ, Roth MG, Brown DA. Role of lipid modifications in targeting proteins to detergent-resistant membrane rafts. Many raft proteins are acylated, while few are prenylated. J Biol Chem 1999; 274: 3910-3917. 6 Kuebler WM, Uhlig U, Goldmann T, Schael G, Kerem A, Exner K, Martin C, Vollmer E, Uhlig S. Stretch activates PI3K-dependent NO production in pulmonary vascular endothelial cells in situ. Am J Respir Crit Care Med 2003; 168: 1391-1398. 7 Itoh Y, Ma FH, Hoshi H, Oka M, Noda K, Ukai Y, Kojima H, Nagano T, Toda N. Determination and bioimaging method for nitric oxide in biological specimens by diaminofluorescein fluorometry. Anal Biochem 2000; 287: 203-209. 8 Kaestle SM, Reich CA, Yin N, Habazettl H, Weimann J, Kuebler WM. Nitric oxidedependent inhibition of alveolar fluid clearance in hydrostatic lung edema. Am J Physiol Lung Cell Mol Physiol 2007; 293: L859-L869. 9 R Development Core Team. R: A language and environment for statistical computing. 2005;