Supplementary Materials and Methods Materials. MMDX hydrochloride (PNU-152243, nemorubicin) was a gift from Pfizer, Inc. (New York, NY). IFA was obtained from the Drug Synthesis and Chemistry Branch of the National Cancer Institute (Bethesda, MD). 4-OOH-IFA and 4-OOHcyclophosphamide were provided by ASTA Pharma (Bielefeld, Germany). Puromycin dihydrochloride (Cat# P7255), troleandomycin (TAO) (Cat# T6514) and crystal violet (Cat# C3886) were purchased from Sigma-Aldrich (St. Louis, MO). Ketoconazole (Cat# 30.152.82) was obtained from Research Diagnostics (Flanders, NJ). Western blotting and P450 reductase assay. Cells grown in 6-well culture plates were washed with ice-cold 50 mM potassium phosphate (KPi) buffer, 1 mM EDTA (pH 7.4) and scraped into 200 µl of the same buffer containing 20% glycerol. Cells were lysed by sonication with 3-10 short (~10 sec) bursts in 1.5-ml eppendorf tubes on ice using a model 550 Sonic dismembrator (Fisher Scientific, Hampton, NH). Total cellular protein was electrophoresed through a 10% SDS-polyacrylamide gel and transferred to a nitrocellulose membrane, which was washed and incubated for 1 hr with 5% nonfat dry milk in TBS-T (Tris buffered saline-Tween; 10 mM Tris Cl (pH 7.6), 0.9% NaCl, 0.1% Tween 20). The blot was incubated overnight at 4ºC with rabbit polyclonal anti-CYP3A4 COOH-terminal peptide antibody (kindly provided by Dr. R. Edwards, Royal Postgraduate Medical School, London, United Kingdom) diluted 1/3000 in 5% non-fat dry milk in TBS-T. The blot was washed 3 x 10 min in TBS-T and then incubated for 1 hr at room temperature with a goat anti-rabbit secondary antibody conjugated with horseradish peroxide (Pierce Supplementary Materials – Lu et al – Page 1 Biotechnology, Rockford, IL) diluted 1: 20,000 into 5% non-fat dry milk in TBS-T. Antibody binding was visualized using a SuperSignal West Femto fluorescence kit (Pierce Biotechnology). Lymphoblast-expressed CYP3A4 microsomes (BD Gentest, Woburn, MA) were used as a standard to quantify CYP3A4 protein levels. P450 reductase activity was assayed in 0.3 M KPi buffer (pH 7.8) using 25 g cell lysate protein by monitoring the NADPH-dependent reduction of cytotchrome C at 550 nm ( = 21 mM-1 cm-1,) at room temperature. qPCR analysis - TRIzol Reagent (Invitrogen) was used to isolate total RNA from cells grown in individual wells of 6-well culture plates. The purified RNA was treated with RNase-free DNase and reverse transcribed followed by SYBR green-based qPCR analysis in triplicate 4 µl reactions containing 0.3 µM of each qPCR primer and 1:400 diluted cDNA (final concentrations) using an ABI 7900HT Sequence Detection System (Applied Biosystems). qPCR primers were designed using Primer Express software (Applied Biosystems) (1). Two pairs of forward and reverse primers were used for CYP3A4 amplification: ATGAAAGAAAGTCGCCTCGAA (ON-1091) with AAGGAAATCCACTCGGTGCTT (ON-1092); and AACTGGCCACTCACCATGAT (ON-1600) with AGGTGGGTGGTGCCTTATTG (ON-1601). The forward and reverse primers for adenovirus E3 RNA were TTACAGTGCTCGCTTTGGTCT (ON-1311) and TAAAGCTGCGTCTGCTTTTGTATTT (ON-1312). qPCR results were analyzed by comparing the CT number (threshold cycle) of CYP3A4 or E3 RNA after normalization by subtraction of the 18S RNA CT number obtained for the same cDNA sample (1). Supplementary Materials – Lu et al – Page 2 Recombinant CYP3A4 adenovirus. Adeno-3A4, a replication-defective adenovirus encoding CYP3A4 cDNA (Research Genetics, Inc., Carlsbad, CA) and driven by the cytomegalovirus promoter, was obtained from Metabasis Therapeutics, Inc. (San Diego, CA). Adeno-3A4 was prepared by cloning CYP3A4 cDNA into the adenoviral shuttle plasmid pShuttle-CMV (Stratagene, La Jolla, CA), followed by virus generation using the AdEasy XL Adenoviral System (Stratagene). The CYP3A4 cloning site in the final virus preparation was verified by DNA sequencing. Adeno-3A4 was propagated in human kidney 293 cells grown in 100-mm dishes at 37°C in high glucose DMEM (Invitrogen cat. #12800) containing 10% FBS, as follows. Cells were grown to 90% confluence and then infected with Adeno-3A4 at a multiplicity of infection (MOI) of 5 viral particles per cell. Alternatively, 3-5 ml of culture supernatant obtained from Adeno-3A4-infected 293 cells and frozen at -80°C was used to infect each 100-mm dish of 293 cells. Seventy-two hr after infection, ~80-90% of the 293 cells became rounded and 10-20% of the cells were floating. The cells from 50 such Adeno-3A4-infected dishes were collected by centrifugation and resuspended in a total of 20 ml of buffer A (10 mM Tris.Cl (pH 8.0) and 1 mM MgCl2). Virus was released from the cells by three freeze-thaw cycles, alternating between an alcohol-dry ice bath and a 37 °C water bath. The cell lysate was centrifuged at 4°C for 10 min at 3,000 rpm and the supernatant was then treated for 30 min at room temperature with 1 unit/ml of fresh Benzonase (BD Clontech, Mountain View, CA). The treated supernatant was purified by a two-step CsCl gradient ultracentifugation protocol (2). The purified virus was dialyzed against buffer A containing 4% sucrose, with the effectiveness of desalting verified by conductivity measurement. Viral titers were determined using Adeno-X rapid titer kit (BD Clontech). Supplementary Materials – Lu et al – Page 3 Adeno-gal, which codes for -galactosidase, and Onyx-017, a tumor cell-replicating oncolytic adenovirus, were described previously (2). Adeno-3A4-mediated RNA transcription, protein expression and enzyme activity. Human lung tumor A549 cells and human brain tumor U251 cells were seeded in 6-well plates at 300,000 cells per well in RPMI 1640 medium containing 5% FBS. Twenty four hr later the cells were incubated for 4 hr with Adeno-3A4 in 0.5 ml of RPMI 1640 medium containing 5% FBS to give MOIs specified in each experiment. Two ml of fresh RPMI 1640 containing 5% FBS was then added to each well and the cells were incubated for an additional 48 hr. The cells were treated with 2 mM IFA in 2 ml fresh culture medium together with 5 mM semicarbazide to trap and stabilize the 4-OH-IFA metabolite. After 4 hr IFA treatment, an aliquot of culture medium (0.5 ml) was removed from each well and stored at -80°C until ready for 4-OH-IFA analysis. The cells were washed once with PBS, scraped from the wells in 50 mM KPi buffer (pH 7.8) containing 20% glycerol and sonicated followed by protein quantification and Western blotting analysis for CYP3A4 protein. In parallel samples used for RNA analysis by qPCR, RNA was extracted from A549 and U251 cells infected with Adeno-3A4 in 6-well plates, as described above, 48 hr after adenovirus infection. In some experiments, A549 and U251 cells were co-infected with Adeno-3A4 (MOI 8) and Onyx-017 (MOIs 0, 0.7, 2, 3, 4) using the protocol described above, followed by analysis of CYP3A4 RNA, protein and cellular enzyme activity (metabolism of IFA to 4-OH-IFA). Supplementary Materials – Lu et al – Page 4 Supplementary Figures Fig. S1 – Adenovirus-induced CYP3A4 expression in human tumor cell lines A549 and U251. A) Relative CYP3A4 RNA levels determined for A549 and U251 cells (300,000 cells/well in 6-well plates) infected with Adeno-3A4 at MOI 0, 75, 150 or 300 followed by total cellular RNA isolation and qPCR analysis two days later. CYP3A4 RNA levels are expressed relative to uninfected control cells. In parallel cells infected for 48 hr with Adeno-3A4, as in panel A, cell extracts were assayed by Western blotting for CYP3A4 protein (c.f., Fig. 4, below) using lymphoblast-expressed CYP3A4 as a standard (panel B), or were treated for 4 hr with 2 mM IFA in 2 ml fresh culture medium and assayed for 4-OH-IFA production normalized to total cellular protein recovered after sonication and lysis in 50 mM KPi buffer, pH 7.4 (C). Data shown are mean + range values (n=2). Fig. S2 – Western blot analysis of CYP3A4 protein in Adeno-3A4-infected A549 (A) and U251 (B) cells. Cells as in Fig. S1 were infected by Adeno-3A4 alone (MOI 0, 75, 150, 300) or Adeno-3A4 (MOI 75) in combination with Onyx-017 (MOI 1 to 10). Two days later the cells were scraped into 50 mM KPi buffer (pH 7.6) and lysed by sonication. Cell lysates (40 µg/well) were analyzed on Western blots probed for CYP3A4. Arrow at right indicates mobility of CYP3A4 protein standard (lanes 1 and 2 of each panel). Asterisk (*) indicates unidentified CYP3A4 cross-reactive protein that is prominent in samples co-infected with Adeno-3A4 and Onyx-017. The CYP3A4 immunoreactivity of Supplementary Materials – Lu et al – Page 5 this Onyx-017 co-infection-dependent band was verified using a polyclonal anti-rat CYP3A antibody. Fig. S3 – Effect of Onyx-017 on CYP3A4 RNA and activity in Adeno-3A4-infected cells. A549 cells and U251 cells (100,000 cells/well in 6-well plates) were infected for 24 h with Adeno-3A4 (MOI 8) alone or in combination with Onyx-017 (MOI 0 to 4). Cells were incubated for another 24 h, and total RNA or protein were then extracted and assayed by qPCR for CYP3A4 RNA (A) or E3 RNA (B). RNA values are graphed relative to the 8 MOI Adeno-3A4 + 0 MOI Onyx-017 samples. In panel C, adenovirusinfected cells as in (A) and (B) were treated for 4 hr with 2 mM IFA in 2 ml fresh culture medium, and 4-OH-IFA production over a 4-hr incubation period was then assayed. 9L/3A4 cells served as a positive control, and 0 in panel C indicates no virus infection. Data shown are mean + SD values (n = 3). Supplementary Materials – Lu et al – Page 6 Supplementary References 1. Wiwi CA, Gupte M, Waxman DJ. Sexually dimorphic P450 gene expression in liver-specific hepatocyte nuclear factor 4alpha-deficient mice. Mol Endocrinol 2004;18:1975-87. 2. Jounaidi Y, Waxman DJ. Use of replication-conditional adenovirus as a helper system to enhance delivery of P450 prodrug-activation genes for cancer therapy. Cancer Res 2004;64:292-303. 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