1 SUPPLEMENTARY MATERIAL 2 Antimicrobial Activity of Human β-defensins Against Lactic Acid Bacteria 3 Xiao-Fang Wang, Fei Tian, Rui-Ming Cao, Jing Li, Sheng-Mei Wu, Xiao-Kui Guo and Tong-Xin Chen 4 5 Abstract In this study we evaluated the antimicrobial activity of human β-defensin-1 (hBD-1), human 6 β-defensin-2 (hBD-2) and human β-defensin-3 (hBD-3) against 3 international common probiotic 7 strains of Lactic acid bacterium (LAB). Our results indicated that hBD-1, -2 and -3 at the range of 8 0.08-10 µg/ml does not have obvious antimicrobial activity against these strains. Viability of 9 Bifidobacterium longum (B. longum) JDM301, Bifidobacterium lactis (B. lactis) HN019 and 10 Lactobacillus rhamnosus GG (LGG) were still very high even at concentration of 10 µg hBD/ml. Then 11 we explored the mechanism of resistance by using carbonyl cyanide 3-chlorophenylhydrazone (CCCP) 12 to inhibit efflux pumps. In the presence of CCCP, hBD-1, -2 and -3 exhibited enhanced antibacterial 13 effect against B. longum JDM301 and B. lactis HN019, but not against LGG. Efflux pumps in B. 14 longum JDM301 and B. lactis HN019 may contribute to their resistance to hBD-1, -2, and -3. 15 16 Keywords: Human β-defensin; Probiotics; Efflux pump; Antimicrobial peptide; Defensin 17 18 Experimental 19 Bacterial Strains and Culture Conditions 20 All bacteria strains were provided by Department of Medical Microbiology and Parasitology, Institutes 21 of Medical Sciences, Shanghai Jiao Tong University School of Medicine. B. longum JDM301, B. lactis 22 HN019 and LGG were incubated in de Man-Rogosa-Sharpe broth (MRS broth) (Difco Laboratories, 23 Detroit, USA) supplemented with 0.05% (w/v) cysteine hydrochloride in anaerobic conditions using 24 Whitley DG250 Anaerobic Workstation (Don Whitley Scientific Ltd., Shipley, England) at 37℃ as 25 reported previously (Liu et al. 2009). 26 27 Antimicrobial Assay 28 The β-defensins hBD-1,-2 and -3 were purchased from ProSpec-Tany TechnoGene, Ltd. (Rehovot, 29 Israel). Different concentrations of hBD working solution were achieved by serial twofold dilution in 30 broth. The microbroth dilution method was performed using sterile 96-well microtiter plate, slightly 31 modified from the Clinical Laboratory Standards Institute (CLSI 2007). Ten microliters of hBD 32 solution and 80 µl MRS broth was added to each well. Then 10 µl bacteria suspension (1×107 CFU/mL) 33 was added. The final concentrations of hBDs were 10 µg/ml, 5 µg/ml, 2.5 µg/ml, 1.25 µg/ml, 0.625 34 µg/ml, 0.31 µg/ml, 0.16 µg/ml and 0.08 µg/ml. Wells containing 10 µl bacteria and 90 µl MRS broth 35 alone were used as positive control. Wells containing 100 µl MRS broth alone were used as negative 36 control. 37 After incubation at 37°C for 24 h, the optical density (OD) was read at 600 nm using a microplate 38 spectrophotometer (DAS, Rome, Italy) and was compared with the positive control. The final results 39 are expressed as viability and was calculated as follows: viability (%) = (OD in the presence of 40 hBDs-OD of the negative control/OD of the positive control-OD of the negative control)×100. All 41 assays were performed in triplicate and the results are from three independent experiments with the 42 data presented as mean viability ± standard deviation. 43 44 CCCP inhibiting efflux pump test 45 Carbonyl cyanide 3-chlorophenylhydrazone (CCCP) (Sigma Chemicals, St. Louis, MO) was soluted in 46 dimethyl sulfoxide (DMSO) and suspended in MRS Broth. The final concentration of CCCP was 47 determined to be 10 μg/ml, referred to previous literatures (Brissette & Lukehart 2007) and verified as 48 nontoxic to the testing bacteria in our pre-experiment. Seventy microliters MRS broth and 10 µl 49 bacteria were added in microliter wells followed by CCCP solution, and then exposed to hBDs with 50 final volume and concentrations the same as above antimicrobial assay. CCCP effect was expressed as 51 increased bacterial killing percentage, using the following formula: increased killing (%) = (viability 52 without CCCP – viability in the presence of CCCP/ viability without CCCP) ×100. 53 54 55 56 Figure S1. Antimicrobial activity of hBDs. Antimicrobial activity is expressed as viability (%). Data 57 represents the mean±SD of three independent experiments. hBD, human β-defensin. 58 59 60 Figure S2. Effect of CCCP on the susceptibility of 3 probiotic strains to hBDs. CCCP capacity was 61 expressed as increased killing (%). Data represents the mean±SD of three independent experiments. 62 hBD, human β-defensin; CCCP, carbonyl cyanide 3-chlorophenylhydrazone. 63 64 References 65 Brissette CA, Lukehart SA. 2007. Mechanisms of decreased susceptibility to beta-defensins by 66 Treponema denticola. Infect Immun. 75:2307-2315. 67 [CLSI] Clinical and Laboratory Standards Institute. 2007. Methods for antimicrobial susceptibility 68 testing of anaerobic bacteria. Approved standard. Wayne, PA: CLSI Publication M11-A7. 69 Liu C, Zhang ZY, Dong K, Yuan JP, Guo XK. 2009. Antibiotic resistance of probiotic strains of lactic 70 acid bacteria isolated from marketed foods and drugs. Biomed Environ Sci. 22:401-412.