Supplemental methods RNA preparation and quantitative real-time PCR Total RNA of treated cells was isolated by TRIzol (Invitrogen). RNA samples were treated with the RQ1 RNase-free DNase (Promega) to remove any genomic contamination according to the manufacturer’s instructions. Five micrograms of treated RNA samples was subjected to reverse transcription with SuperScript III (Invitrogen). Quantitative real time PCR was processed by StepOne Real-Time PCR System (Applied Biosystems) using Maxima Hot Start PCR Master Mix (2X) (Fermantus) and GAPDH was used as an internal control. Besides melting curve, real time PCR products were also analyzed by gel electrophoresis to confirm single PCR products. Primer sets were listed in table 1. Western blot analysis Treated cells were washed twice with PBS, then lyzed in 200μl of RIPA lysis buffer (Millipore, 50 mM Tris-HCl, pH 7.4, 150 mM NaCl, 1 mM EDTA, 1% Triton X-100, 1% sodium deoxycholate, 0.1% SDS) containing protease inhibitor (Roche). 30μg of protein from the supernatant was loaded on SDS polyacrylamide gel followed by western blot analysis to detect the protein level of indicated genes (antibody information was listed in Table 2). The immuno-reactive bands were revealed by ECL system (Millipore) then developed and quantified on UVP BioSpectrum Imaging System. Flow cytometry Subconfluent cells were trypsinized, washed in 1xPBS and adjusted to 2x106 cells⁄ml. A total of 1 x106 cells were fixed with 100% EtOH for 10 min following incubated with 1mg/ml propidium iodide for 10 min at room temperature. Cells were analyzed within 20min post-staining on a BD FACSCalibur (BD Biosciences). And for Annexin V-PI double staining treated cells were harvested in indicated time, wash twice with ice cold 1x PBS, and directly stained with Annexin V and propidium iodide for 15 min without fixation as manuscript (BD,Biosciences). Data analysis Real-time PCR original data and western blot data were also recorded as continuous variants and analyzed with Student’s t test or linear polynomial ANOVA with LSD posthoc examination. All the statistical analyses were performed using SPSS 16.0 and Excel 2007. All statistical tests and P values were two-sided and the level of significance was set at < 0.05 (*), < 0.01 (**), or < 0.001 (***). Supplemental figure 1 (A) (B) Supplemental Figure 1. Isolation of H. syriacus skin extracts Root skin powder from H. syriacus (8.70 kg) was rinsed three times with non-polar organic solvent acetone, and the acetone layer was obtained. Following by increasing the polarity of organic solvent to isolate acetone extract, and the crude extracts HISY-F1 (Hibiscus syriacus), HISY-F2, HISY-F3, HISY-F4, HISY-F5, HISY-F6 and HISY-F7. Subsequently, the polarity of organic solvent increased again, and the pure compounds K01-K14 were extracted from HISY-F2, HISY-F4, HISY-F5 and HISY-F6. Supplemental figure 2 K03 (10µg/ml) PI V.C 48.009 67 C 50 Count Control (HBL100 48hr) PI K04 24.003 234 M1 34 M3 A Count 176 M2 17 0 M1 117 0 1 10 2 10 3 10 4 10 10 FL2-H M3 K04 (10µg/ml) M2 59 PI K02 48.005 92 D 0 0 1 10 2 10 10 3 4 10 10 69 Count FL2-H M1 46 M3 M2 K02 (10µg/ml) 23 PI N.C 48.010 60 B 0 0 1 10 2 10 3 10 4 10 10 FL2-H K06 (10µg/ml) PI N.C 48.012 M1 30 57 M3 E M2 15 43 Count Count 45 0 0 10 1 10 2 10 3 10 29 M1 4 10 M3 FL2-H M2 14 0 0 10 1 10 2 10 3 10 4 10 FL2-H Supplemental figure 2. Betulin and its derivatives increased the number of HBL-100 cells in sub-G1 phaseAfter treating HBL-100 with 10 µg/mL of K02 (B), K03 (C), K04 (D) and K06 (E) for 48 hours, the cells were stained with PI for flow cytometry. Compared to control (untreated HBL-100) (A), HBL-100 cells treated with K02, K03, K04, and K06 showed a significant increase in sub-G1 phase, in particular the cells treated with K02 (B) and K06 (E). Quantitation of cells in sub-G1, G1, and G2/M phases showed that over 50% of cells were in sub-G1 phase in cells treated with K02 and K06. Supplemental figure 3 B A 10 Control (HBL100 48hr) FL2-H 10 10 AP K02 48.013 8.91% 10 12.84% 3 10 2 10 K03 (10µg/ml) AP V.C 48.017 4 8.58% 7.23% 3 2 AP K04 48.015 4 12.10% 1.38% 10 1 10 51.67% 10 C K02 (10µg/ml) 4 FL2-H 10 69.96% 0 3 1 26.58% 14.23% 0 10 0 10 10 1 10 2 10 3 10 4 10 0 10 10 1 10 10 2 10 3 10 4 FL1-H 2 1 10 85.84% 4 D K04 (10µg/ml) E AP N.C 48.018 8.63% 10 7.52% 4 K06 (10µg/ml) AP K06 48.016 9.57% 19.02% 0.68% 0 10 0 10 10 1 10 2 10 3 10 4 10 3 10 3 10 10 FL2-H FL2-H FL1-H 2 10 1 10 68.86% 2 1 14.99% 32.54% 0 10 0 10 100 90 80 70 60 8.91 12.84 1 10 2 8.58 8.63 7.23 7.52 14.23 14.99 10 3 10 4 10 0 10 1 10 2 10 3 10 4 FL1-H 9.57 19.02 other 38.87 40 20 10 26.58 50 30 38.87% 0 10 FL1-H Percentage FL2-H FL1-H 10 69.96 late apoptosis early apotosis 68.86 survival 51.67 32.54 10 0 K02 K03 K04 K06 Supplemental figure3. Betulin and its derivatives caused apoptosis in HBL-100 breast cancer cells.After treating HBL-100 with 10 µg/mL of K02 (B), K03 (C), K04 (D) and K06 (E) for 48 hours, the cells were double stained with Annexin V and PI for flow cytometry. The results were quantified for each quadrant. Compared to control (untreated HBL-100) (A), cells in quadrant I and VI increased in cells treated with K02, K03, K04 and K06, and the increase was the most significant in cells treated with K02 (B) and K06 (E). After quantifying all four quadrants, cell number in quadrant I and VI from K02 and K06 treatment groups increased significantly compared to that from K03 and K04 treatment groups and control group (F). Supplemental figure 4 D D PUMA PERP PUMA 36hr 0hr 24hr 12hr 36hr 0hr NOXA 24hr 12hr 36hr 0hr BAX 24hr 12hr 36hr 0hr 24hr 12hr 36hr 0hr 24hr 12hr ΔNp63 PERP TAp63 ΔNp63 BAX NOXA PUMA 10 PERP TAp63 ΔNp63 BAX NOXA PUMA 36hr 24hr 0hr 12hr 36hr 24hr 0hr 12hr 36hr 24hr 12hr 0hr 36hr 24hr 12hr 0hr 36hr 24hr 0hr 12hr 1 36hr 36hr 24hr 0hr 12hr 36hr 24hr 12hr 0hr 36hr 24hr 0hr 12hr 36hr 24hr 12hr 0hr 36hr 24hr 12hr 0hr 36hr 0hr 24hr 12hr 1 K04 24hr 10 100 0hr C K03 12hr 100 Relative mRNA expression (normalized to GADPH) B Relative mRNA expression (normalized to GADPH) 36hr TAp63 0.1 0.1 0.1 1 0hr 36hr 0hr 24hr 12hr 36hr 0hr NOXA 24hr 12hr 36hr 0hr BAX 24hr 12hr 36hr 24hr 0hr ΔNp63 12hr 36hr 24hr 0hr TAp63 12hr 36hr 0hr 24hr 1 10 24hr 10 K06 100 12hr K02 12hr Relative mRNA expression (normalized to GADPH) 100 Relative mRNA expression (normalized to GADPH) A PERP 0.1 Supplemental figure 4. Betulin and its derivatives affected apoptotic-related gene expression in MDA-MB-231 breast cancer cell line on RNA levels After treating MDA-MB-231 with 10 µg/mL of K02 (A), K03 (B), K04 (C) and K06(D) for 0, 12, 24 and 36 hours, real-time PCR was performed for the analysis on bax, puma, noxa, perp, TAp63 and ΔNp63 gene expression. In MDA-MB-231, bax, puma, noxa, and perp gene expression increased as K02 (A) and K06 (B) treatment time increased; whereas the expression of TAp63 and ΔNp63 decreased as the K02 (A) and K06 (B) treatment time increased. The expression of bax, puma, noxa, perp and ΔNp63 did not change in K03 (B) and K04 (C) treated cells, but the expression of TAp63 decreased along with the treatment time. Supplemental figure 5 100 TAp63 ΔNp63 BAX NOXA PUMA ΔNp63 BAX PUMA 0hr 12hr 24hr 36hr 0hr 12hr 24hr 36hr 0hr 12hr 24hr 36hr NOXA PERP 0.1 100 100 K03 B 10 K04 C 10 TAp63 ΔNp63 BAX NOXA PUMA PERP TAp63 ΔNp63 BAX NOXA PUMA 0hr 12hr 24hr 36hr 0hr 12hr 24hr 36hr 0hr 12hr 24hr 36hr 0hr 12hr 24hr 36hr 1 0hr 12hr 24hr 36hr 0hr 12hr 24hr 36hr 0hr 12hr 24hr 36hr 0hr 12hr 24hr 36hr 0hr 12hr 24hr 36hr 0hr 12hr 24hr 36hr 0hr 12hr 24hr 36hr 1 0hr 12hr 24hr 36hr Relative mRNA expression (normalized to GADPH) TAp63 PERP 0.1 0.1 1 0hr 12hr 24hr 36hr 0hr 12hr 24hr 36hr 0hr 12hr 24hr 36hr 0hr 12hr 24hr 36hr 0hr 12hr 24hr 36hr 0hr 12hr 24hr 36hr 0hr 12hr 24hr 36hr 1 10 0hr 12hr 24hr 36hr 10 K06 D 0hr 12hr 24hr 36hr A Relative mRNA expression (normalized to GADPH) K02 Relative mRNA expression (normalized to GADPH) Relative mRNA expression (normalized to GADPH) 100 PERP 0.1 Supplemental figure 5. The effect of Betulin and its derivatives on apoptotic-related gene expression in human normal mammary epithelial cell line H184B5F5/M10 After treating H184B5F5/M10 with 10 µg/mL of K02 (A), K03 (B), K04 (C) and K06(D) for 0, 12, 24 and 36 hours, real-time PCR was performed for the analysis on bax, puma, noxa, perp, TAp63 and ΔNp63 gene expression. In H184B5F5/M10, the expression of bax, puma, noxa and perp showed no change with K02(A) and K06(B) treatment; whereas TAp63 and ΔNp63 expression decreased along with the K02(A) treatment time. In K06 (B) treatment group, TAp63 expression decreased and the expression ofΔNp63 increased first and decreased afterwards. In K03 (B) and K04 (C) treated cells, bax, puma, noxa, perp and ΔNp63 expression was not affected by the treatment time, and the expression of TAp63 decreased along the treatment time. Supplemental Table 1 Primers and antibodies list Primer list of real time PCR Forward primer Reverse primer TAp63 CAGTCCAGAGGTTTTCCAGCAT TCAATGGGCTGAACATATAG Bax ATGTTTTCTGACGGCAACTTC ATCAGTTCCGGCACCTTG Puma ACCTCAACGCACAGTACGA GAGATTGTACAGGACCCTCCA Noxa GGAGATGCCTGGGAAGAAG CCTGAGTTGAGTAGCACACTCG Perp TGTCTTCCTGAGAGTGATTGGA ACCAGGGAGATGATCTGGAA GAPDH CCACTCCTCCACCTTTGAC ACCCTGTTGCTGTAGCCA Supplemental Table 2