1 2 Supplemental methods 3 RNA preparation and quantitative real-time PCR 4 Total RNA of treated cells was isolated by TRIzol (Invitrogen). RNA samples were 5 treated with the RQ1 RNase-free DNase (Promega) to remove any genomic 6 contamination according to the manufacturer’s instructions. Five micrograms of 7 treated RNA samples was subjected to reverse transcription with SuperScript III 8 (Invitrogen). Quantitative real-time PCR was processed by StepOne Real-Time PCR 9 System (Applied Biosystems) using Maxima Hot Start PCR Master Mix (2) 10 (Fermantus) and GAPDH was used as an internal control. Besides melting curve, real 11 time PCR products were also analyzed by gel electrophoresis to confirm single PCR 12 products. Primer sets were listed in supplemental table 1. 13 14 Flow cytometry 15 Subconfluent cells were trypsinized, washed with PBS. A total of 1 x106 cells were 16 fixed with 100% ethanol for 10 min following incubated with 1 mg/ml propidium 17 iodide (PI) for 10 min at room temperature. Cells were analyzed within 20 min 18 post-staining on a BD FACSCalibur (BD Biosciences). Quantitation of different cell 19 cycle phases were categorized by PI-staining intensity as sub-G1 (<800), G1 20 (800-1200), S (1201-1700), and G2/M (1701-2100). For Annexin V-PI double 1 1 staining, treated cells were harvested at indicated time, wash twice with ice cold PBS, 2 and directly stained with FITC-conjugated Annexin V and PI (BD Biosciences) for 15 3 min without fixation. Quadrant was divided as x-axis: Annexin-positive (FITC 4 intensity >=45) and Annexin-negative (FITC intensity <45), and y-axis: PI-positive 5 (PI intensisty >=40) and PI-negative (PI intensity <40). 6 2 1 S Fig 1. 2 (A) 3 4 5 (B) 6 7 8 9 3 1 S Fig 1. Isolation of H. syriacus skin extracts 2 Root skin powder from H. syriacus (8.70 kg) was rinsed three times with non-polar 3 organic solvent acetone, and the acetone layer was obtained. Following by increasing 4 the polarity of organic solvent to isolate acetone extract, and the crude extracts 5 HISY-F1 (Hibiscus syriacus), HISY-F2, HISY-F3, HISY-F4, HISY-F5, HISY-F6 and 6 HISY-F7. Subsequently, the polarity of organic solvent increased again, and the pure 7 compounds K01-K14 were extracted from HISY-F2, HISY-F4, HISY-F5 and 8 HISY-F6. 9 4 1 S Fig 2. K03 (10µg/ml) PI V.C 48.009 67 C 50 Count DMSO (0.1% DMSO) PI K04 24.003 234 M1 Sub-G1 34 A 176 Count G1 M2 17 S Sub-G1 M1 117 M3 G2/M 0 0 G1M2 1 10 G2/M M3 2 10 10 3 4 10 10 FL2-H K04 (10µg/ml) 59 PI K02 48.005 92 D S 0 0 1 10 10 2 3 10 4 10 10 69 Count FL2-H K02 (10µg/ml) M1 Sub-G1 46 M2 G1 23 M3 G2/M PI N.C 48.010 S 60 B 0 0 1 10 2 10 10 4 10 FL2-H 45 Count 3 10 K06 (10µg/ml) Sub-G1 M1 30 PI N.C 48.012 G1 M2 57 G2/M M3 E 15 43 Count S 0 0 1 10 10 2 3 10 Sub-G1 29 M1 4 10 10 G1 FL2-H G2/M M3 M2 14 S 0 0 10 2 1 10 2 10 3 10 4 10 FL2-H ** 80% ** Percentage (/total) 100% 60% * * Sub-G1 G1 40% S G2/M 20% 0% DMSO K02 K03 K04 K06 3 4 S Fig 2. Betulin and its derivatives increased the sub-G1 population of HBL-100 cells 5 After treating HBL-100 with 0.1% DMSO (A), or 10 µg/mL of K02 (B), K03 (C), 6 K04 (D) or K06 (E) for 48 h, the cells were stained with PI for flow cytometry. 5 1 Compared to DMSO control (A), HBL-100 cells treated with K02, K03, K04, and 2 K06 showed a significant increase in sub-G1 population, in particular the cells treated 3 with K02 (B) and K06 (E). Quantitation of cells in sub-G1, G1, and G2/M phases 4 showed that over 50% of cells were in sub-G1 phase in cells treated with K02 and 5 K06. 6 6 1 S Fig 3. B 10 10 10 12.84% 3 10 2 12.10% 10.21% PI FL2-H 7.23% 3 2 1 10 1 3 51.67% 26.58% 69.96% 0 10 8.58% 1.38% 10 0 10 10 10 4 4 10 10 K03 (10μg/ml) AP V.C 48.017 C 8.91% PI FL2-H HBL-100 DMSO AP K04 (0.1%) 48.015 A PI 10 K02 (10μg/ml) AP K02 48.013 4 FL2-H 10 1 D 10 85.84% 87.73% 10 2 FL1-H Annexin V 2 1 14.23% 0 10 10 3 10 10 0 10 4 10 E K04 (10μg/ml) AP N.C 48.018 4 8.63% 10 7.52% 1 10 2 FL1-H Annexin V 10 3 10 4 K06 (10μg/ml) AP K06 48.016 4 9.57% 19.02% 0.68% 0 2 10 3 10 4 10 10 10 3 10 2 1 68.86% 2 90 10.21 80 8.91 1.38 0.68 12.84 Percentage 70 2 1 32.54% 38.87% 0 10 1 10 2 FL1-H Annexin V 10 3 10 4 8.58 8.63 7.23 7.52 14.23 14.99 10 0 10 10 1 10 2 FL1-H Annexin V 10 3 10 4 9.57 19.02 26.58 60 other 38.87 50 40 3 14.99% 0 100 10 10 10 0 10 F PI 10 FL1-H Annexin V FL2-H 1 PI 10 FL2-H 10 0 10 87.73 69.96 30 earily 68.86 survival 51.67 20 late 32.54 10 0 DMSO K02 K03 K04 K06 3 4 5 S Fig 3. Betulin and its derivatives induced apoptosis in HBL-100 cells. 6 After treating HBL-100 with 10 µg/mL of K02 (B), K03 (C), K04 (D) and K06 (E) 7 for 48 h, the cells were double stained with FITC-conjugated Annexin V and PI for 7 1 flow cytometry. The results were quantified for each quadrant. Compared to DMSO 2 control (0.1% DMSO) (A), cells in quadrant I and IV increased in cells treated with 3 K02, K03, K04 and K06, especially in cells treated with K02 (B) and K06 (E). After 4 quantifying all four quadrants, cell number in quadrant I and IV from K02 and K06 5 treated groups was more remarkably increased whilst compared to those of K03 and 6 K04 treated and DMSO control groups (F). 7 8 S Fig 4. PUMA ** ** ** ** ** ** ** 12hr ** ** 36hr ** PERP BAX NOXA PUMA 36hr 24hr 12hr 0hr 36hr 24hr 0hr 24hr 12hr 0hr 36hr 24hr 0hr ΔNp63 12hr 36hr 24hr 0hr TAp63 PERP 0.1 TAp63 ΔNp63 BAX NOXA PUMA ** K04 PERP TAp63 0.1 ΔNp63 BAX NOXA PUMA 36hr 0hr 24hr 12hr 36hr 24hr 12hr 0hr 36hr 24hr 12hr 0hr 36hr 24hr 12hr 0hr 36hr 0hr 24hr 12hr 36hr 1 0hr 36hr 24hr 12hr 0hr 36hr 24hr 12hr 0hr 36hr 0hr 24hr 12hr 36hr 24hr 12hr 0hr 36hr 24hr 0hr 12hr 36hr 0hr 24hr 12hr 1 10 24hr ** 10 100 K03 Relative mRNA expression (normalized to GADPH) 100 *** C *** B 12hr 0.1 Relative mRNA expression (normalized to GADPH) * 1 12hr 36hr 24hr 12hr 0hr 36hr 24hr 0hr NOXA 12hr 36hr 24hr 0hr BAX 12hr 36hr 24hr 0hr ΔNp63 12hr 36hr 0hr 24hr 12hr 36hr 0hr 24hr 1 * 36hr * * K06 10 0hr * 100 24hr * ** ** * ** ** ** ** ** ** ** 10 12hr Relative mRNA expression (normalized to GADPH) K02 TAp63 2 *** *** *** D 100 12hr A Relative mRNA expression (normalized to GADPH) 1 PERP 0.1 3 S Fig 4. Betulin and its derivatives regulated apoptotic-related gene mRNA expression 4 in MDA-MB-231 cells. 5 After treating MDA-MB-231 with 10 µg/mL of K02 (A), K03 (B), K04 (C) or K06 6 (D) for 0, 12, 24 and 36 h, real-time PCR was performed to analyze TAp63, ΔNp63, 7 BAX, PUMA, NOXA and PERP mRNA expression. Among K02 and K06 treated 8 cells, TAp63 was significantly increased at 12 h and slightly decreased at 24 h and 36 9 h. ΔNp63 also increased at 12 h, and it lost significance and dramatically decreased at 10 24 h or 36 h. And most of TAp63 downstream apoptotic genes including BAX, 11 NOXA, PUMA and PERP were increased over time (A and D). These results 9 1 implicated that K02 and K06 induced apoptotic gene expression in a 2 TAp63-associated manner. Although K03 and K04 treatment also increased TAp63 3 expression, no significant change was observed in ΔNp63 or downstream apoptotic 4 genes (B and C). Therefore, in p53-mutated MDA-MB-231 breast cancer cells, K02 5 and K06 may induce TAp63 expression to compensate parts of p53 function. 6 10 Cell viability (refer to DMSO) 2 4 6 7 TAp63 0 ΔNp63 BAX 0.1 5 * NOXA 1 PUMA 2.5 PERP TAp63 K03 10 * 1 0.1 60% 40% 20% 0% 5 10 μg/ml (F) Flow cytometry 11 ΔNp63 C 100 0.1 TAp63 K04 K06 ΔNp63 3 (E) MTT assay pure compound 120% DMSO 100% K02 80% K03 BAX BAX NOXA NOXA PUMA PUMA 0hr 12hr 24hr 36hr PERP 0hr 12hr 24hr 36hr 0hr 12hr 24hr 36hr 0hr 12hr 24hr 36hr 0hr 12hr 24hr 36hr 0hr 12hr 24hr 36hr * 0hr 12hr 24hr 36hr B * 0hr 12hr 24hr 36hr 0.1 0hr 12hr 24hr 36hr D 100 0hr 12hr 24hr 36hr 1 0hr 12hr 24hr 36hr * Relative mRNA expression (normalized to GADPH) K02 0hr 12hr 24hr 36hr PUMA 0hr 12hr 24hr 36hr 0hr 12hr 24hr 36hr A 10 Relative mRNA expression (normalized to GADPH) 100 NOXA 0hr 12hr 24hr 36hr BAX 0hr 12hr 24hr 36hr ΔNp63 0hr 12hr 24hr 36hr 100 0hr 12hr 24hr 36hr TAp63 0hr 12hr 24hr 36hr 0hr 12hr 24hr 36hr * ** * 0hr 12hr 24hr 36hr 0hr 12hr 24hr 36hr 0hr 12hr 24hr 36hr Relative mRNA expression (normalized to GADPH) 10 0hr 12hr 24hr 36hr Relative mRNA expression (normalized to GADPH) 1 S Fig 5. K06 10 * * 1 0.1 PERP K04 ** 1 PERP A. DMSO (0.1% DMSO) C. K03 (10µg/ml) B. K02 (10µg/ml) D. K04 (10µg/ml) E. K06 (10µg/ml) 1 2 3 S Fig 5. The effects of betulin and its derivatives on cell viability, apoptosis and 4 apoptotic-related gene expression in non-tumorigenic human breast epithelial cell 5 H184B5F5/M10. 6 After treating H184B5F5/M10 with 10 µg/mL of K02 (A), K03 (B), K04 (C) or K06 7 (D) for 0, 12, 24 and 36 h, real-time PCR was performed to analyze TAp63, ΔNp63, 8 BAX, PUMA, NOXA and PERP mRNA expression. Among all treated cells, the 9 expression of BAX, NOXA, PUMA and PERP was not changed. In, TAp63 10 expression increased first and decreased afterwards in K02 or K06 treated cells. 11 ΔNp63 increased first and decreased afterwards in K02 treated cells and fluctuated in 12 K06 treated cells. In K03 and K04 treated cells, ΔNp63 was not obviously changed, 13 and the expression of TAp63 increased first and decreased over time. Besides, 14 H184B5F5/M10 cells were treated with 0.1% DMSO, or 10 µg/mL of K02, K03, K04 15 or K06 for 48 h and harvested for (E) MTT assay and (F) PI-staining flow cytometry. 16 The detail methods were identical as described in text, legend of figure 1, and 12 1 supplemental methods. Betulin and its derivatives were not obviously modified cell 2 viability and apoptosis of H184B5F5/M10 cells and therefore implicated a relative 3 lower toxicity to normal mammary cells. 4 13 1 Supplemental table 1 Primer list of real time PCR Forward primer Reverse primer TAp63 CAGTCCAGAGGTTTTCCAGCAT TCAATGGGCTGAACATATAG ΔNp63 GCAAAACAATGCCCAGACTCA TGTTCAGGAGCCCCAGGTT BAX ATGTTTTCTGACGGCAACTTC ATCAGTTCCGGCACCTTG PUMA ACCTCAACGCACAGTACGA GAGATTGTACAGGACCCTCCA NOXA GGAGATGCCTGGGAAGAAG CCTGAGTTGAGTAGCACACTCG PERP TGTCTTCCTGAGAGTGATTGGA ACCAGGGAGATGATCTGGAA GAPDH CCACTCCTCCACCTTTGAC ACCCTGTTGCTGTAGCCA 2 14 1 Supplemental table 2 Antibodies list Primary Antibody Secondary Antibody Bax Rabbit polyclonal Ab (Santa cruz) Bcl-x Rabbit polyclonal Ab (Santa cruz) Caspase-3 Rabbit polyclonal Ab (Cell signaling) PARP Rabbit polyclonal Ab (Cell signaling) p53 Mouse monoclonal Ab (Dako) p21 Mouse monoclonal Ab (Santa cruz) Phospho-AKT Rabbit polyclonal Ab (Cell signaling) HRP-conjugated Goat anti-rabbit IgG Ab (Jackson) HRP-conjugated Goat anti-rabbit IgG Ab (Jackson) HRP-conjugated Goat anti-rabbit IgG Ab (Jackson) HRP-conjugated Goat anti-rabbit IgG Ab (Jackson) HRP-conjugated Goat anti-mouse IgG Ab (Jackson) HRP-conjugated Goat anti-mouse IgG Ab (Jackson) HRP-conjugated Goat anti-rabbit IgG Ab (Jackson) (Ser473) Pan-AKT Rabbit polyclonal Ab (Cell signaling) β-actin Mouse monoclonal Ab (Thermo SCIENTIFIC) 2 15 HRP-conjugated Goat anti-rabbit IgG Ab (Jackson) HRP-conjugated Goat anti-mouse IgG Ab (Jackson)