SUPPLEMENTARY MATERIAL In vivo antimalarial efficacy of acetogenins, alkaloids and flavonoids enriched fractions from Annona crassiflora Mart. Lúcia Pinheiro Santos Pimentaa*, Giani Martins Garciab, Samuel Geraldo do Vale Gonçalvesa, Bárbara Lana Dionísioa, Érika Martins Bragac, Vanessa Carla Furtado Mosqueirab a Departamento de Química – Instituto de Ciências Exatas – Universidade Federal de Minas Gerais, Av. Antônio Carlos 6627, Belo Horizonte, MG, Brazil; 31270-901. b Departamento de Farmácia – Escola de Farmácia – Universidade Federal de Ouro Preto, Campus Morro do Cruzeiro, Ouro Preto, MG, Brazil; 35400-000. c Departamento de Parasitologia - Instituto de Ciências Biológicas – Universidade Federal de Minas Gerais, Av. Antônio Carlos 6627, Belo Horizonte, MG, Brazil; 31270-901 *Corresponding author. Tel.: +55 (31) 3409 5754, Fax: +55 (31) 3409 5700 E-mail address: lpimenta@qui.ufmg.br In vivo antimalarial efficacy of acetogenins, alkaloids and flavonoids enriched fractions from Annona crassiflora Mart. Annona crassiflora and Annonaceae plants are known to be used to treat malaria by traditional healers. In this work, the antimalarial efficacy of different fractions of A. crassiflora, particularly acetogenin, alkaloids and flavonoid rich-fractions, was determined in vivo using Plasmodium bergheiinfected mice model and toxicity was accessed by brine shrimp assay. The A. crassiflora fractions were administered at doses of 12.5 mg/kg/day in a fourday test protocol. The results showed that some fractions from woods were rich in acetogenins, alkaloids and terpenes, and other fractions from leaves were rich in alkaloids and flavonoids. The parasitaemia was significantly (p<0.05, p<0.001) reduced (57-75%) with flavonoid and alkaloid-rich leaf fractions, which also increased mean survival time of mice after treatment. Our results confirm the usage of this plant in folk medicine as antimalarial remedy. Keywords: Annona crassiflora; antimalarial efficacy; flavonoids; aporphine alkaloids Experimental section General Chloroquine diphosphate was purchased from Sigma-Aldrich (St. Louis, MO). N,Ndimethylacetamide, dimethyl sulfoxide and PEG 300 were provided by Vetec. The solvents were from Quimex, Vetec, Carlo Erba and J. T. Baker (Brazil). The UV data were obtained in a Hitachi 2010 spectrophotometer and IR spectra were measured on a Perkin Elmer spectrometer version 3.02.1. Plant material and extraction procedure Wood and leaves of Annona crassiflora Mart. were collected in Itatiaiuçu, Minas Gerais, Brazil, July 2007. A voucher specimen was deposited at the Instituto de Ciências Biológicas Herbarium (BHCB) (no 22988), UFMG, Belo Horizonte, MG, Brazil. Plant parts were dried at 40 oC and extracted at room temperature with solvents which were removed under vacuum to give the crude dry extracts. Leaves of A. crassiflora (610.24 g) were successively and exhaustively extracted with hexane and ethanol leading to the hexanic (ACLH; 13.49 g) and ethanolic (ACLF01; 268.63 g) extracts. The wood of A. crassiflora (4,690 g) was extracted only with ethanol (ACWF01; 519.78 g). Ethanolic extracts of leaves (7.00 g) and wood (94.44 g) of A. crassiflora (ACLF01 and ACWF01), were dissolved in ethanol/water (7:3) and successively extracted with hexane. After solvent removal, the hexanic (ACLF02 and ACWF02) or lipophilic fractions were obtained. The defatted extracts were submitted to extraction in acid moiety (1% HCl aqueous solution/CHCl3) yielding the organic layer (ACLF03 and ACWF03) and the acidic hydroalcoholic (ACF04L and ACWF04) fractions. The ACLF04 and ACWF04 were basified with 6N NH4OH and extracted with CHCl3. The organic layer was washed with water, dried and concentrated to give an alkaloidal mixture named ACLF05 and ACWF05. During washing of the leaf chloroformic layer, a solid precipitated from ACLF05, which was removed by filtration and called ACLF05s. The aqueous basic layers from leaves and wood (ACLF06, ACWF06) were successively extracted with ethyl acetate and nbuthanol affording the ethyl acetate fractions ACLF07, ACWF09, and the nbuthanolic fractions ACLF08, ACWF08, respectively. From the extraction of ACLF06 and ACWF06 with ethyl acetate precipitated a solid that were named ACLF07s and ACWF07s, respectively. The wood aqueous fraction was neutralized and named ACWF09. The parts of plants used in each case, their yields in % dry wt. and the yields from acidic extraction are given in Table S1. Chromatography analysis All extracts and fractions were submitted to analytical TLC analysis. The plates containing the extracts and fractions from A. crassiflora were sprayed with Kedde’s reagent in order to characterise an ,-unsaturated--lactone moiety, commonly found on annonaceous acetogenins (Cavé, Cortes, Figadère, Laurens, & Pettit, 1997). All extracts and fractions were also analysed by TLC plates sprayed by Dragendorff’s reagent, indicative of the presence of alkaloids, and by Natural Products-PEG reagent at UV-365 nm, where intense fluorescence produced indicated detection of flavonoids (Wagner, Bladt, & Zgainski, 1984). As nearly all fractions gave positive reaction to Dragendorf’s reagent, the TLC analysis was performed to compare the wood fractions with the standard compounds liriodenine and atherospermidine isolated from A. crssiflora wood. Biological screening The brine shrimp test (BST) (Pimenta, Pinto, Takahashi, Silva, & Boaventura, 2003) Artemia salina encysted eggs (10 mg) were incubated in 100 ml of seawater under artificial lighting at 28oC, pH 7-8. After incubation for 24 h, nauplii were collected with a Pasteur pipette and kept for an additional 24 h under the same conditions to reach the metanauplii stage. The samples (triplicate) to be assayed were dissolved in DMSO (dimethyl sulfoxide) (2 mg/400 l or 2 mg/1000 l) and serially diluted (10, 20, 30 and 50 l/5ml) in seawater. About 10-20 nauplii were added to each set of tubes containing the samples. Controls containing 50 l of DMSO in seawater were included in each experiment. As a positive control, lapachol dissolved in DMSO was used. Twenty-four hours later, the number of survivors was counted, recorded and the lethal concentration 50% (LC50) and confidence intervals 95% were calculated by Probit analysis (Finney, 1976). Hemolitic activity of A. crassiflora fractions Hemolysis was tested by colorimetric measurement of hemoglobin release after red blood cell (RBC) incubation with the different fractions (Aditya, Patankar, Madhusudhan, Murthy, & Souto, 2010). Whole blood from healthy human donors was collected using tubes containing 0.5 ml 3.8% citrate. The tubes were centrifuged (200 × g, 15 min at 4°C) and the supernatant discarded. The cell pellet was diluted with isotonic PBS (157 mM) and concentration adjusted to give an optical density of 400 to 540 nm. Two controls were used: T0 (no hemolysis) constituted by RBC in PBS and T100 (total hemolysis) related to RBC in distilled water. Samples of wood fractions were added at various dilutions in PBS (ACWF02, ACWF03, ACWF05). All the preparations were diluted and incubated for 30 min at 37°C. After incubation, hemolysis was stopped at +4°C and intact cells were removed by centrifugation (5 min at 100 × g). Turbidity was removed by filtrating the supernatant in 0.45 µm filter (Millex®, Millipore). The supernatant was collected (300 µl) and analyzed by UV-VIS spectroscopy at 540 nm in 80 µl flow cell sipper in spectrophotometer (Helious-α, Thermo Spectronic, USA). The results were expressed as percentage of hemolysis by the equation where T is the optical density of the sample supernatant: % hemolysis = (T - T0)/T100 Animals The in vivo experiments were approved by the Ethics Committee on Animal Experimentation of the Universidade Federal Ouro Preto, Brazil, and are in compliance with the Guide for the Care and Use of Laboratory Animals recommended by the Institute of Laboratory Animals Resources (Committee on Care and Use of Laboratory Animals, 1985). Female out bred Swiss albino mice weighing 20 to 24 g were supplied by the Animal Facility of Universidade Federal de Ouro Preto. They were kept in a normal diurnal cycle and had free access to food and water throughout the experiments. Antimalarial activity in P. berghei-infected mice The 4-day suppressive test was used for monitoring in vivo activity of the extracts and fractions, as described by Peters et al. (1986), for determination of antimalarial activity against chloroquine-sensitive Plasmodium berghei NK65 strain. An infective inoculum was prepared from a previously infected donor mouse with rising parasitaemia (20 %). On day 0 the mice were infected intravenously with a million of infected erythrocytes of P. berghei in 0.2 ml of phosphate-buffered saline. They were randomly divided in groups of 5 mice and treated by intraperitoneal route once daily (12.5 mg/kg) with different fractions of A. crassiflora for four consecutive days (days 0 to 3). The fractions were dissolved in N,N-dimethylacetamide and polyethyleneglycol (PEG 300) at 1:2 proportion and further diluted 5-fold in saline to obtain the desired concentration in 0.2 ml for injection. Two control groups were used each time, one treated with chloroquine diphosphate (15 mg/kg/day) as positive control and one not treated or treated with saline, as specified in the results. Thin blood smears were made from tail blood on days 4, 7, 10, 15, 22 and 30 after infection, methanol-fixed and stained with Giemsa. At least 3000 cells were checked to calculate parasitaemia percent. Drug activity was determined on the basis of average parasitaemia per group of mice. The percent reduction of parasitaemia in treated groups as compared to untreated groups was calculated as follows: % parasitaemia in control group (Pcg) - % parasitaemia in test group/Pcg × 100. Overall mortality was monitored daily until day 30 after infection. Statistics All RBC counts and parasitaemia levels are expressed as mean values ± standard deviations. The parasitaemia data were analysed by using the one-way analysis of variance (ANOVA) test using Prisma® 5.0 software. The Kruskal-Wallis was used for survival comparative analysis. Table S1. Crude extracts* and fractions from acidic extraction# Plant names Part used Extract and fractions % dry wt. obtained Annona crassiflora ACLH 2.21 ACLF01 44.02 ACLF02 2.37 ACLF03 2.77 ACLF05 6.93 ACLF06 63.55 ACLF07 2.12 ACLF05s 6.93 ACLF07s 2.12 ACWF01 11.08 ACWF02 3.05 ACWF03 5.40 ACWF05 0.26 ACWF07 8.79 ACWF08 0.58 ACWF09 37.91 ACWF07s 7.73 ACWF03s 0.21 Leaves Wood * quantity obtained from 100g of dried plant material, % dry wt. # quantity obtained from 100g of dried extract, % dry wt. Table S2. Brine shrimp larvicidal activity of some extracts and fractions of Annona crassiflora. LC50 in g/mL Extracts and fractions tested (95% confidence interval) 1 AC L F01 (leaves) 1029.97 (769.61<LC<1396.55) 2 AC L F02 (leaves) 189.17 (159.93<LC<223.76) 3 AC L F03 (leaves) 1.45 (1.22<LC<1.74) 4 AC L F05 (leaves) 3.98 (3.25<LC<4.87) 5 AC L F06 (leaves) 1351.55 (889.32<LC<2054.04) 6 AC L F07 (leaves) 488.68 (406.35<LC<587.67) 7 ACWF01 (wood) 3.41 (2.39<LC<4.87) 8 ACWF02(wood) 11.64 (6.58<LC<22.55) 9 ACWF03 (wood) 1.29 (0.70<LC<1.87) 10 ACWF05(wood) 11.57 (4.05<LC<33.04) ND1 11 ACWF07(wood) 1 ND= Not determined . References Aditya, N.P., Patankar, S., Madhusudhan, B., Murthy, R.S.R., & Souto, E.B. (2010). Arthemeter-loaded lipid nanoparticles produced by modified thin-film hydration: Pharmacokinetics, toxicological and in vivo anti-malarial activity. European Journal of Pharmaceutical Sciences, 40, 448-455. Cavé A., Cortes D., Figadère B., Laurens A. & Pettit G.R. (1997). In: Progress in the Chemistry of Organic Natural Products, Springer-Verlag/Wien, Austria, pp. 81-288. Committee on Care and Use of Laboratory Animals, 1985. Guide for the Care and Use of Laboratory Animals, Natl. Inst. Health, Bethesda, DHHS, Publ. No. (NIH), pp. 86–123. Finney, D.J. (1971). Probit Analysis. Cambridge University Press. Cambridge. Pimenta, L.P.S., Pinto, G.V.; Takahashi, J.A., Silva, L.G.F. & Boaventura, M.A.D. (2003). Biological screening of Annonaceous Brazilian medicinal plants using Artemia salina. Phytomedicine, 10, 209-212.