Supplementary Information Synergistic effects of nelfinavir and bortezomib on proteotoxic death of NSCLC and multiple myeloma cells Shigeru Kawabata, Joell J. Gills, José R. Mercado-Matos, Jaclyn LoPiccolo, Willie Wilson III, M. Christine Cancer Research, Hollander, and Phillip A. Dennis Medical Oncology Branch, Center for National Cancer Institute, Bethesda, MD 20892 1 Supplemental Figure S1. apoptosis. Enhancement of caspase-dependent RPMI8226 cells were pre-treated or not with 50 µM Z-VAD for 1 h, followed by treatment with either DMSO, 10 µM NFV, 6.25 nM BZ, or the combination for 24 h. Cells were harvested and analyzed by DNA fragmentation and cell death assays. PARP cleavage was assessed by immunoblotting to confirm inhibition of caspases by Z-VAD. Columns, mean from at least three separate experiments; bars, SD. *, p <0.001. Supplemental Bcl-2 Figure expression, S2. and Combining increased NFV DR5 with and BZ DR4 decreases expression. H157 cells were treated with either DMSO, 10 µM NFV, 12.5 nM BZ, or the combination for the indicated times. The indicated markers were assessed by immunoblotting. Supplemental Figure S3. Combining NFV with BZ activates stress kinases, but not signaling pathways involved in cell proliferation. H157 cells were treated with either DMSO, 10 µM NFV, 12.5 nM BZ, or the combination for the indicated times. The indicated markers immunoblotting. 2 were assessed by Supplemental Figure S4. Expression of ER stress and apoptosis-markers (A) and cytosolic proteotoxicity-markers (B) in H157 xenograft tumor lysates after the 5-days of treatment as described in Materials and Methods (5 mice per group). The indicated markers were assessed by immunoblotting followed by densitometry analysis for Figure 6C. C1: H157 cells treated with 0.1% DMSO, C2: H157 cells treated with the combination of 10 µM NFV and 12.5 nM BZ for 48 h. (C) Expression of ER stress-markers in RPMI8226 xenograft tumor lysates after the 5-days of treatment as described in Materials and Methods (3 mice per group). The indicated markers were assessed by immunoblotting. Densitometry was performed using NIH Image software, and levels of each marker were normalized to GAPDH for each sample; Columns, mean from all 3 mice examined in RPMI8226 xenografts. bars, SD. Supplemental autophagy. NFV, 12.5 times. Figure S5. Combining NFV with BZ enhances H157 cells were treated with either DMSO, 10 µM nM BZ, or the combination for the indicated Levels of LC-3 I and II as a marker of autophagy were assessed by immunoblotting. 3 Supplemental Figure S6. Concurrent or Sequential schedule of the treatment with combination of NFV and BZ. Growth inhibition by NFV (■), BZ (▲), or the combination (●). H157 cells were treated with drugs at the indicated concentrations for 72 h (A) and 48 h (B), respectively on the concurrent schedules. (C) Sequential schedules. H157 cells were treated with BZ for 24 h followed by additional NFV for 48 h or with NFV for 24 h followed by additional BZ for 48 h at the indicated concentrations. N: NFV; B: BZ; A: analysis by the sulforhodamine B assay as described in Materials and Methods. D1: day 1. 4