SUPPLEMENTARY MATERIAL Flavonostilbenes from Sophora alopecuroides L. as multidrug resistance associated protein 1 (MRP1) inhibitors Kai Nia, Lei Yanga, Chuan-xing Wanb, Yuan-zheng Xiaa, Ling-yi Konga* a State Key Laboratory of Natural Medicines, Department of Natural Medicinal Chemistry, China Pharmaceutical University, 24 Tong Jia Xiang, Nanjing 210009, People’s Republic of China b Key Laboratory of Protection and Utilization of Biological Resources in Tarim Basin of Xinjiang Production & Construct ion Group, Tarim University, Alaer 843300, People's Republic of China Correspondence to: Ling-yi Kong, State Key Laboratory of Natural Medicines, Department of Natural Medicinal Chemistry, China Pharmaceutical University. Tel.: +86-25-8327-1405 Fax.: +86-25-8327-1405 E-mail: cpu_lykong@126.com Flavonostilbenes from Sophora alopecuroides L. as multidrug resistance associated protein 1 (MRP1) inhibitors Abstract Flavonoids have been always attracted much attention about their reversal activity on multidrug resistance (MDR). Eight flavonoids isolated from Traditional Chinese Medicine (TCM) Sophora alopecuroides L. were applied to test their effect on multidrug resistance associated protein 1 (MRP1) through the established predicting assay. Three flavonostilbenes (alopecurone A, B and D) were firstly found exhibiting potent inhibitory activity on MRP1. All of them dramatically increased 6-carboxyfluorescein diacetate (CFDA) and doxorubicin accumulation in MRP1-transfected U-2 OS cells. The compounds significantly increased the cytotoxicity and decrease the IC50 value of doxorubicin on the MDR cells (12, 5, 8-fold, respectively) at a non-toxic concentration (20 μM). Besides, Q-PCR analysis reveals that the MRP1 mRNA level in U-2 OS/MRP1 was also markedly decreased by the three compounds. These findings indicate a new therapeutic role of the herb. The three flavonostilbenes may have the possible for further development as novel therapeutic reversal agents against MDR. Keywords: Sophora alopecuroides L.; flavonostilbenes; multidrug resistance (MDR); MRP1; inhibitors; MRP1-transfected U-2 OS CONTENTS S1. Tables Table S1. The reversal of the drug resistance of U-2 OS/MRP1 by compounds 1-3 or probenecid Table S2. Different substituent groups with different effects on intracellular CFDA accumulation in U-2 OS/MRP1 by compounds. Table S3. S2. The primer sequences used for quantitative real-time PCR Figures Figure S1. Multidrug resistance associated protein 1 (MRP1) expression and function analysis. Figure S2. Effects of compounds on CFDA accumulation in U-2 OS/MRP1 cells. Figure S3. Cytotoxicity of compounds 1-3 (A) and probenecid (B) on U-2 OS/pcDNA6 cells. Figure S4. Effects of Compounds 1-3 on doxorubicin (DOX) accumulation in U-2 OS/MRP1 (A) and U-2 OS/pcDNA6 (B). Figure S5. Effect of compound 1-3 on the MRP1 mRNA level in U-2 OS/MRP1 cells. S3. Experimental S4. References S1. Supplementary Tables Table S1. The reversal of the drug resistance of U-2 OS/MRP1 by compounds 1-3 or probenecid IC50(μΜ) of Drugs U-2 OS/pcDNA6 DOX+Com U-2 OS/MRP1 Vehiclea Com1b Com2 10.85±1.98 0.91±0.32(12)c 2.14±0.58(5) Com3 PRB(100μΜ) PRB(200μΜ) 1.25±0.35(8) 2.92±0.70(3.7) 1.53±0.31(7) 1.00±0.33 Note:Date represents mean value ± SD from three independent experiments. a Cells treated with DOX in DMSO (≤0.1%). b Cells treated with DOX in the presence of compounds (20 μΜ) and probenecid. c The reversal fold (ratio of IC50s) of drug resistance. Table S2. Different substituent groups with different effects on intracellular CFDA accumulation in U-2 OS/MRP1 by compounds. Fluorescence Com ratio* 1 + - + 5.34 2 + - + 4.20 3 + - + 4.62 4 - + + 1.33 5 + - - 1.46 6 + - - 1.63 Note:* Fluorescence ratio = (FlMDR treated – FlMDR blank) / (FlMDR control − FlMDR blank) Table S3. The primer sequences used for quantitative real-time PCR Forward primer (5’-3’) Reverse primer (5’-3’) GAPDH GAAAGCCTGCCGGTGACTAA AGGAAAAGCATCACCCGGAG MDR1 AGAGTCAAGGAGCATGGCAC ACAGTCAGAGTTCACTGGCG MRP1 TAATCCCTGCCCAGAGTCCA ACTTGTTCCGACGTGTCCTC BCRP1 AGATTGAGAGACGCGGCAAG CACCCGGACCTTCCAAACAA Genes S2. Supplementary Figures Supplementary Figure S1. Multidrug resistance associated protein 1 (MRP1) expression and function analysis. (A) The mRNA levels of three main MDR proteins (MDR1, MRP1 and BCRP1). (B) MRP1 expression of the three cell lines was detected by flow cytometry. (C) Cytotoxicity of DOX on the cells. **P<0.01 compared with control group. Supplementary Figure S2. Effects of compounds on CFDA accumulation in U-2 OS/MRP1 cells. (A) “Nc” and “Control” represent U-2 OS/pcDNA6 and U-2 OS/MRP1 treated with 2 μM CFDA in absence of compounds. “PRB100”, “PRB200” and “Com” represent U-2 OS/MRP1 treated with CFDA in presence of 100 and 200μM probenecid and 20μM compounds (1-8) respectively. (B) U-2 OS/MRP1 cells incubated with compounds (1-3) alone (20 μM, blue line) or CFDA alone (2 μM, orange line) or CFDA plus compounds (1-3) (red line). *P<0.05 and ** P<0.01 vs. group in absence of test compounds. Supplementary Figure S3. Cytotoxicity of compounds 1-3 (A) and probenecid (B) on U-2 OS/pcDNA6 cells. Supplementary Figure S4. Effects of Compounds 1-3 on doxorubicin (DOX) accumulation in U-2 OS/MRP1 (A) and U-2 OS/pcDNA6 (B). Cells were treated with compounds or probenecid and then DOX (10 μM). *P<0.05 and ** P<0.01 as compared to control group. Supplementary Figure S5. The effect of compound 1-3 on the MRP1 mRNA level in U-2 OS/MRP1 cells. U-2 OS/MRP1 cells were incubated with compound 1-3 (20 μM, 48 hours) for Q-PCR analysis. *P<0.05 as compared to U-2 OS/MRP1. S3. Experimental 3. Materials 3.1. Reagents Doxorubicin (DOX), probenecid (PRB), 6-carboxyfluorescein diacetate (CFDA), and 3-(4, 5-dimethylthiazol-2-yil)-2, 5-diphenyltetrazolium bromide (MTT) were purchased from Sigma-Aldrich (St. Louis, MO, USA). Lipofectamine 2000 Reagent and Blasticidin S HCl (BSD) were obtained from Invitrogen (Carlsbad, CA). All other compounds and reagents not listed were of analytical grade. 3.2. Biological materials FITC conjugated mouse anti-human MRP1 monoclonal antibody was purchased from BD Pharmingen (San Diego, CA, USA). The plasmid vector pcDNA™6/V5-His A was purchased from Invitrogen (Carlsbad, CA) and the recombinant plasmid (pcDNA™6/V5-His A-MRP1) encoding the whole human MRP1 gene were constructed by Novobio Scientific (Shanghai, China). 3.3. Plant materials and natural compounds Traditional Chinese Medicine Sophora alopecuroides L. was purchased from the Affiliation Hospital of Anhui College of Traditional Chinese Medicine, identified by Prof. Min-jian Qin (Department of Medicinal Plants, China Pharmaceutical University). And the natural compounds studied in present work were isolated from the root of the herb by our laboratory. Briefly, the crushed root of Sophora alopecuroides L. (1.0kg) was extracted with 95% EtOH (8 L) for 3 h thrice at 80°C and then the EtOH extract was concentrated under reduced pressure. To obtain the compounds studied in present work, the EtOAc extract was sequentially separated by MCI, ODS, silica gel, and Sephadex LH-20 column chromatography as well as further purified by pHPLC. Based on their physical and spectral data compounds 1-8 were identified as alopecurone D (1), alopecurone A(2), alopecurone B(3), alopecurone F(4) (Iinuma et al. 1995) , sophoraflavanone G(5) (Yoshiaki et al. 1988), lehmannin(6) (Bakirov et al. 1987), liquiritin(7) (Fu et al. 2005) and luteolin(8) (El-Ansari et al. 2009). The chemical structures of these compounds were showed in Figure 1 in original text. The compounds and herb voucher specimens (No.200909101) were deposited at State Key Laboratory of Natural Medicines, Department of Natural Medicinal Chemistry, China Pharmaceutical University. 3.3. Cell lines and culture condition The U-2 OS cells were obtained from Shanghai Cell Bank (Shanghai, China) and maintained in RPMI 1640 supplemented with 10% fetal bovine serum and antibiotics (100 U mL-1 penicillin and 100 µg mL-1 streptomycin). U-2 OS transfected with pcDNA™6/V5-His A-MRP1 (U-2 OS/MRP1) and empty vector (U-2 OS/pcDNA6) were grown in RPMI 1640 containing 4μg/mL BSD. 4. Methods 4.1. Transfection Cell lines (U-2 OS) were transfected with the empty and recombinant plasmid by Lipofectamine 2000 Reagent as the manual described (Invitrogen). Briefly, transfection was done with a complex (3.5 μg DNA plasmid, 9 μL Lipofectamine 2000 Reagent and 250 μL Opti-MEM free serum medium (Invitrogen)) adding into each well of six-well plates containing 2 mL complete medium when the cells reached 70%-90% confluence. Forty-eight hours later, cells were passaged at a rate of 1:10 or more with medium containing 8 μg/mL BSD. About 4-5weeks later, BSD-resistance clones were selected and amplified into cell culture plates for the following experiments. 4.2 Quantitative real-time PCR (Q-PCR) analysis Total RNA of 2×106 U-2 OS cells with different treatments were extracted using 1 mL TRIzol reagent (Invitrogen, Carlsbad, California, USA) according to the manufacturer’s illustration. 1 μg of total RNA was used to prepare first-strand cDNA by reverse transcription using a Superscript II reverse transcriptase (Invitrogen, Shanghai, China) with oligo d(T) primer according to the manufacturer’s instructions. For quantitative real-time PCR, triplicates of 20μl PCR reactions were performed on 2μl of cDNA, according the operation manual of SYBR Green PCR Master Mix (Toyobo Co., Ltd., Life Science Department, Osaka Japan) on the LightCycler 480 (Roche Molecular Biochemicals, Mannheim, Germany). The primer pairs for PCR were listed in Table S3. Data were analyzed using the comparative cycle threshold (Ct) method as a means of relative quantization, normalized to an endogenous reference (GAPDH) and relative to a calibrator (normalized Ct value obtained from control group cells) and expressed as 2−ΔΔCt. 4.2. MRP1 expression analysis by flow cytometry The BSD-resistance cell lines (U-2 OS/pcDNA6 and U-2 OS/MRP1) were harvested with trypsin on their exponential growth phase, washed and suspended in phosphate buffered saline (PBS). According the manuals (BD Pharmingen), cells were incubated with the MRP1-antibodies following fixed and permeabilized. The fluorescent density of cells was detected by BD FACSCalibur flow cytometer (BD Biosciences, Franklin Lakes, NJ). At least 1×104 cells of every sample were collected and detected. 4.3. MTT assay The DOX sensitivity on cells was performed by MTT assay. Briefly, cells were seeded in 96-well culture plates (5-6×103 cells and 200 μL/well) respectively, and allowed to attach overnight, the cells were treated with a series of concentrations (10-4 to 102 μM) of DOX for 48 h. DMSO (≤0.1%) was used as a vehicle. 20 μL MTT, 5 mg/mL in PBS after filtered to sterilized, was then added to each well for an additional 4 h incubation at 37℃ in dark. After that, DMSO (150 μL per well) was added to dissolve the formed purple precipitate formazan crystals. The optical density (OD) was detected with an ELISA reader (SpectraMax Plus384, Molecular Devices, Sunnyvale, CA) at a test wavelength of 570 nm (reference wavelength of 630 nm). Cell viability was calculated using the formula: Cell viability rate(%)= (average OD of DOX treated wells − average OD of blank wells) / (average OD of control wells − average OD of blank wells) ×100% 4.4. Flow cytometry-based CFDA accumulation assay Carboxyfluorescein diacetate (CFDA), a specific substrate for MRP1, was extensively as a fluorescent probe for MRP1 activity in MRP1 over-expressing cell lines (Dogan et al. 2004;Sun et al. 2007). In this part, CFDA accumulation experiment was performed as described previously with some modification (Sun et al. 2007). Namely, U-2 OS/MRP1 cells were seeded in 6-wells culture plates for 1 or 2 days with complete medium containing 4 μg/mL BSD. Until the cells reached 70%-80% confluence, all wells were treated with medium change in presence of tested compounds (20 μM) and PRB (in low cytotoxicity). After 2 h incubation, CFDA was added to a terminal concentration of 2 μΜ and then cells were incubated for another 90 min. U-2 OS/pcDNA6 cells were also performed as aforementioned procedure as a control. After that, cells were washed by cold PBS for 3 times, harvested with trypsin and suspended in PBS, then detected by flow cytometer (BD FACSCalibur). The acquired date (1×104 cells per sample) was analyzed with FlowJo7.6.1 software (Tree Star, San Carlos, CA). 4.5. Intracellular DOX accumulation assay Intracellular doxorubicin accumulation was determined by fluorimetry as described previously (Payen et al. 2001;Yang et al. 2011) for appropriate adjustment. Procedures were just like described above. After incubation with compounds 1-3 (a range of concentrations) and DOX (10μM), U-2 OS/MRP1 cells were washed three times with ice-cold PBS and lysed in 200 μL Cell lysis buffer for Western and IP (Beyotime biotechnology, China) and meanwhile ultrasonication was also performed. After centrifuged at 12000 rpm/min for 10 min, 150 μL supernatant was added into a black 96-well microplate (Fluotrac 200; Greiner Bio-One, Germany), fluorescence intensity was then determined using a SpectraMax Paradigm Multi-Mode Detection Platform instrument (Molecular Devices); excitation and emission wavelengths were 470 nm and 585 nm, respectively. Cellular protein content of each sample was determinated simultaneously by Enhanced BCA Protein Assay Kit (Beyotime) to normalize the fluorescence arbitrary units. 4.6. MDR reversal activity The chemotherapy sensitization assay of compound 1, 2, 3 at a completely non-toxic concentration and positive control probenecid were performed by MTT assay on U-2 OS/MRP1. Cells were seeded into 96-well culture plate with 5×103 cells per well. Anti-cancer drug (DOX) at a series of concentrations (102 to 10-4 μM) was added into wells in quadruplicates in the presence or absence of compounds (20 μM) or probenecid (100 and 200 μM). 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