1 2 Legend for supplementary figure 3 Figure S1. Pyrvinium reduces the total LC3 protein levels. HeLa cells were 4 pre-treated with sicontrol or siAtg7 for 24 hr and then administrated with pyrvinium 5 (200 nM) and vehicle control (1‰ DMSO) for another 24 hr. Cell lysates were 6 analyzed by western blotting using the indicated antibodies. Actin served as a loading 7 control. 8 Figure S2. Pyrvinium decreases autophagic flux. (a) GFP-LC3-expressing HeLa and 9 HEK293 cells were treated with pyrvinium (200 nM) and vehicle control (1‰ DMSO) 10 in the presence or absence of E64 (10 µg/ml) or pepstatin A (PEPS A, 10 µg/ml) for 11 24 hr and the cell lysates were analyzed by western blotting. (b) GFP-LC3-expressing 12 HeLa cells in response to etoposide alone, or together with pyrvinium (200 nM) in the 13 presence or absence of NH4Cl (20 mM) as indicated for 24 hr and the cell lysates 14 were analyzed by western blotting. Actin served as a loading control throughout. Band 15 intensity was calculated using ImageJ software and the ratio of LC3-II/Actin 16 expression was normalized and values were indicated. 17 18 Figure S3. Pyrvinium is identified as a lipophilic cation and pyrvinium-regulated 19 autophagy is AMPK/mTOR independent. (a) Fluorescence microscopy of HEK293 20 cells incubated with 200 nM pyrvinium for 4 hr. (b) Confocal microscopy of HEK293 21 cells incubated with 200 nM pyrvinium (red) for 4 hr, then fixed and immunostained 22 for Lamp-1, LC3, Cytochrome c (cyt-c) or V-DAC or treated with MitoTracker to 1 23 stain for mitochondria (green). (c) Fluorescence microscopy of HEK293 cells 24 incubated with 200nM pyrvinium in the presence of FCCP or incubated in high K+ 25 buffer for 4 hr. Scale bars, 50 µm. (d) HeLa and HEK293 cells were treated with 26 vehicle control (1‰ DMSO) and indicated concentration of pyrvinium for 24 hr and 27 then cellular ATP levels were detected using ATP Assay Kit. The ATP level was 28 expressed as a percentage of that of control cells. Values are the mean ± SD (n=3). (e, 29 f) HeLa and HEK293 cells were treated with pyrvinium (200 nM) and vehicle control 30 (1‰ DMSO) for 24 hr (e) or added with ATP to the medium at the last 4 hr (f) and the 31 cell lysates were analyzed by western blotting using the indicated antibody. (g) HeLa 32 cells were treated with pyrvinium (200 nM) and Compound C (10 mM) as indicated 33 and the cell lysates were analyzed by western blotting. Actin was used as a loading 34 control. Scale bars were presented as indicated. Error bars indicate STD. 35 36 Figure S4. Pyrvinium inhibits the transcription of some autophagy genes. (a) HeLa 37 cells were treated with pyrvinium (200 nM) and vehicle control (1‰ DMSO) for the 38 indicated periods of time and the cell lysates were analyzed by western blotting. (b) 39 Hela cells were treated with indicated concentration of pyrvinium for 24 hr and the 40 mRNA expression of the LC3B, Atg5 or Atg7 was analyzed by Real-time PCR. All 41 values were normalized to the mRNA level of Actin. (c) HeLa cells were treated with 42 actinomycin (10 µM) and pyrvinium (200 nM) as indicated and the mRNA expression 43 of the Beclin1 and LC3B were analyzed by Real-time PCR. All error bars indicated 44 STD. (d) HeLa cells were transiently transfected with a pEGFP-N1 plasmid. 24 hr 2 45 after transfection, pyrvinium (200 nM) was added and the Hela cells were incubated 46 for another 24 hr. GFP expression was visualized by fluorescent microscopy or 47 analyzed by immunoblot. (e) Hela cells were treated with indicated concentration of 48 pyrvinium for 24 hr and the cell lysates were analyzed by western blotting using the 49 indicated antibodies. Actin was used as a loading control. 50 51 Figure S5. Pyrvinium can sensitize tumor cells to apoptosis under starvation 52 condition. (a) HeLa and HCT116 cells were treated with vehicle control (1‰ DMSO) 53 and indicated concentration of pyrvinium for 2 days, and representative morphology 54 was imaged using a phase contrast microscope. (b) TUNEL assay was performed to 55 measure the ratio of apoptotic cells. (C) HeLa and HCT116 cells were treated as in (a) 56 under starvation condition for 2 days, and TUNEL assay was performed to measure 57 the ratio of apoptotic cells. Percentage of apoptotic cells was shown. Results were 58 means ± SD of 3 independent experiments. (d) Expression of Beclin1 in HeLa cells 59 transfected with control siRNA or siRNA targeting Beclin1. Actin served as a loading 60 control. Band intensity was calculated using ImageJ software and the ratio of 61 Beclin1/Actin expression was normalized and values are indicated. (e) HeLa cells 62 were treated with vehicle control, CQ, 3-MA or siBeclin1 as indicated under normal 63 growth media or glucose-free media, and the cell viability was determined by MTT 64 assay. All error bars indicated STD. 65 66 Figure S6. Effect of pyrvinium and 2-DG, alone or in combination, on 4T1 cancer 3 67 cells in vitro. (a-c) 4T1 cells were treated with vehicle control (1‰ DMSO) or 68 pyrvinium (200 nM) for 24 hr in the presence or absence of starvation or 2-DG (10 69 mM). (a) Cell viability was determined by MTT assay, (b) representative morphology 70 imaged using a phase contrast microscope, (c) cell lysates were analyzed by western 71 blotting. Actin served as a loading control. Error bars indicated STD. 72 73 Figure S7. Toxicity assessment following combination chemotherapy in normal mice. 74 (a) Immunohistochemical detection of cleaved caspase-3 in tumor specimens. 75 Representative images were provided as indicated. Scale bars, 20 µm. (b) Total body 76 weight was measured every three days during the study. (c-f) Weight of heart (c), lung 77 (d), kidney (e) and liver (f) was measured in normal mice after treatment with 78 pyrvinium and 2-DG, alone or in combination. Data were presented as mean ± s.e.m. 79 (n= 6 mice in each group). (g) H&E-stained sections of liver, heart, lung and kidney 80 samples. Scale bars, 50 µm. 4