1 Supporting Materials Supporting Materials and Methods Construction of reporter gene plasmids The mouse PNPLA3 gene promoter (-992 bp to +145 bp relative to the transcription start site) was amplified by PCR and subcloned between the MluI and XhoI sites of the luciferase reporter plasmid pGL3-basic vector (Promega); the resulting reporter construct was designated as p-PNPLA3-992. To amplify different promoter regions, the corresponding forward primers 5’-ACCACAAACCATCTAGCTCCCAG-3’ (p-PNPLA3-992), 5’-GCATCCAAGCCTAGGATTTGG-3’ (p-PNPLA3-170) and 5’-CGTCACCCGAAGACAGCTTAG-3’ (p-PNPLA3-43) were used with identifical reverse primer 5’-CAGACATGCGTAAGCCCCGAC-3’. MluI and Xhol restriction sites were added to each 5’ and 3’ primer, respectively. For site-specific mutations, the putative SRE sites were mutated by PCR using the following primers: 5’-TGGTCCTAGAATGTTGGGGCCTC-3’ (p-PNPLA3-mut1) and 5’-GGGGCCTTTGCTTTTGTCACCCG-3’ (p-PNPLA3-mut2). Transient transfection and luciferase assays HepG2 cells were grown in 24-well plates using Dulbecco's Modified Eagle Medium (GIBCO/BRL, 37°C, 5% CO2) containing 10% FBS. Cells were co-transfected with the PNPLA3 promoter reporter plasmids and various expression plasmids using LipofectamineTM 2000 (Invitrogen). Luciferase activity was measured 48 h later with the Dual Luciferase Reporter Assay System (Promega). 2 Electrophoretic mobility shift assay (EMSA) The LightShift Chemiluminescent EMSA Kit (Pierce) was used according to the manufacturer’s instructions. HEK293 cells were cultured, and the nuclear proteins were extracted according to the EMSA kit directions. The following biotin-labeled oligonucleotides containing the PNPLA3 promoter SRE or the mutated SRE were used: 5’-TATTTGCATGGTCCTAGTGGGGCGGGGCCTCAGCTGACGTCACCCGAAG AC-3’ and 5'-TATTTGCATGGTCCTTGAATGTTAGGGCCTTTGCTAGCGTCACCCGAAGA CA-3’, respectively. Chromatin immunoprecipitation (ChIP) assays ChIP assays were performed as previously described (26). The DNA fragments were analyzed by PCR, and the promoter sequences spanning nucleotides -171 to +73 relative to the transcription start site were amplified using the following mouse PNPLA3-specific primer pairs: 5’-AGCATCCAAGCCTAGGATTTGG-3’ (forward) and 5’-CTCTGGGTCATACATGGTGCTTG-3’ (reverse). Analytical procedures Primary hepatocyte and hepatic concentrations of total triglycerides, total cholesterol and free fatty acids were measured using enzymatic assay kits (Sigma) and normalized to protein concentrations or sample weights. Serum ALT, AST, total triglycerides, total cholesterol and free fatty acids were determined with enzymatic assay kits (Sigma). 3 For histological studies, livers were fixed in 4% paraformaldehyde and embedded in paraffin. Then, 4-μm sections were cut and stained with hematoxylin and eosin. To detect lipids, primary hepatocytes and 10-μm liver cryosections were fixed with paraformaldehyde and stained with oil red O using 0.23% dye dissolved in 65% isopropyl alcohol for 10 min. Supporting Figures and tables Supporting Figure S1. Adenovirus-mediated overexpression of PNPLA3 in the mouse liver impaired insulin-induced Akt phosphorylation. A, db/+ mice were treated as described in Fig. 7A. After 7 days, the lysates from liver were subjected to western blot analysis using antibodies specific to Flag and β-actin. B, C57BL/6J and db/+ mice were treated as described in Fig.7A. Hematoxylin and eosin staining of liver sections (upper panel) and oil red O staining of liver cryostat sections (down panel) from these mice. C, db/+ mice were treated as described in Fig.7F. Liver protein lysates were subjected to western blot analysis. Supporting Figure S2. Adenovirus-mediated knockdown of PNPLA3 in the mouse liver minimally influenced the size and number of hepatic lipid droplets ob/ob and db/db mice were treated as described in Fig.8A. Hematoxylin and eosin staining of liver sections (upper panel) and oil red O staining of liver cryostat sections (lower panel) from these mice. 4 Supporting Table 1 Primers used in real-time PCR: mouse SREBP-1c 5’-CTTCTGGAGACATCGCAAAC-3’ (forward) 5’-GGTAGACAACAGCCGCATC-3’ (reverse) mouse PNPLA3 5’-ACGTGCTGGTGTCTGAGTTCC-3’(forward) 5’-AGGGACGTTGTCGCTCACTC-3’ (reverse) mouse PNPLA2 (ATGL) 5’-TGTTTCAGACGGAGAGAACGTC-3’ (forward) 5’-TGAGAATGGGGACACTGTGATG-3’ (reverse) mouse PNPLA5 (GS2-like) 5’-CGTCCCAAGCACCCTATTATG-3’ (forward) 5’-CCGCTCCACTTTCACCA-3’ (reverse) mouse FAS (fatty acid synthase) 5’-CTTGGGTGCTGACTACAACC-3’ (forward) 5’-GCCCTCCCGTACACTCACTC-3’ (reverse) mouse β-actin 5’–CCAGCCTTCCTTCTTGGGTAT-3’ (forward) 5’–TGCTGGAAGGTGGACAGTGAG-3’ (reverse) mouse MTP 5’–GGGACTGGATGTGGCAGAG-3’ (forward) 5’–CACGCTGTCTTGCGGTTT-3’ (reverse) 5 Supporting Table 2 Metabolic characteristics of 7-day–treated C57-BL/6J mice with adenovirus expressing Ad-GFP (control) or Ad-PNPLA3 Ad-GFP Ad-PNPLA3 Parameters Body weight (g) Liver/Body weight (100×) 23.90±0.83 26.41±1.95 6.13±0.26 6.01±0.75 Metabolic parameters Liver triglyceride (mg/g of liver weight) 10.04±2.19 10.30±1.57 Liver cholesterol (mg/g of liver weight) 2.25±0.08 2.17±0.15 Liver free fatty acid (μm/g of liver weight) 9.44±0.68 9.69±0.69 Alanine aminotransferase (units/l) 536.92±301.6 500.37±199.6 Aspartate aminotransferase (units/l) 586.1±322.7 482.4±185.8 Triglyceride (mg/dl) 106.03±28.14 128.61±44.82 Blood parameters Cholesterol (mg/dl) Free fatty acid (mmol/l) 133.21±1.30 149.06±2.13 1.44±0.31 1.48±0.44 Data are means ±SE. C57-BL/6J mice (n= 5 per group). 6 Supporting Table 3 Metabolic characteristics of 7-day–treated db/+ mice mice with adenovirus expressing Ad-GFP (control) or Ad-PNPLA3. Ad-GFP Ad-PNPLA3 Parameters Body weight (g) Liver/Body weight (100×) 21.67±1.36 21.43±1.20 5.17±0.40 5.08±0.35 Metabolic parameters Liver triglyceride (mg/g of liver weight) 7.36±1.30 7.53±1.15 Liver cholesterol (mg/g of liver weight) 2.31±0.14 2.38±0.11 Liver free fatty acid (μm/g of liver weight) 9.43±0.64 9.54±1.04 Alanine aminotransferase (units/l) 670.6±305.0 544.2±114.5 Aspartate aminotransferase (units/l) 656.9±256.6 481.5±112.0 Triglyceride (mg/dl) 94.74±13.92 138.35±16.63* Blood parameters Cholesterol (mg/dl) Free fatty acid (mmol/l) 123.58±18.5 1.74±0.32 110.10±5.7 1.67±0.46 Data are means ±SE. db/+ mice (n= 5 per group), *P<0.05 versus Ad-GFP treated db/+ control mice. 7 Supporting Table 4 Metabolic characteristics of 7-day–treated ob/ob mice with adenovirus Ad-siPNPLA3-scr (control) or Ad-siPNPLA3-2 Ad-siPNPLA3-scr Ad-siPNPLA3-2 Parameters Body weight (g) 50.43±4.00 51.97±2.20 9.20±0.61 8.61±1.39 Liver triglyceride (mg/g of liver weight) 149.08±21.33 128.72±24.64 Liver cholesterol (mg/g of liver weight) 18.49±0.71 18.20±0.84 Liver free fatty acid (μm/g of liver weight) 11.36±0.77 10.62±2.44 Alanine aminotransferase (units/l) 1311.6±601.9 1461.1±671.4 Aspartate aminotransferase (units/l) 1395.8±719.9 1478.0±758.8 Triglyceride (mg/dl) 49.14±3.82 53.13±2.76 Cholesterol (mg/dl) 241.88±3.99 237.62±3.42 0.80±0.42 0.81±0.12 Liver/Body weight (100×) Metabolic parameters Blood parameters Free fatty acid (mmol/l) Data are means ±SE. ob/ob mice(n= 4 per group). 8 Supporting Table 5 Metabolic characteristics of 7-day–treated db/db mice with adenovirus Ad-siPNPLA3-scr (control) or Ad-siPNPLA3-2 Ad-siPNPLA3-scr Ad-siPNPLA3-2 Parameters Body weight (g) Liver/Body weight (100×) 46.86±3.96 45.92±7.78 7.97±0.48 8.84±1.16 Liver triglyceride (mg/g of liver weight) 73.45±10.72 67.92±14.15 Liver cholesterol (mg/g of liver weight) 18.37±2.72 17.67±1.81 Liver free fatty acid (μm/g of liver weight) 14.59±1.71 14.85±3.31 Alanine aminotransferase (units/l) 992.3±200.7 925.2±584.4 Aspartate aminotransferase (units/l) 1190.2±246.5 1064.1±617.4 Triglyceride (mg/dl) 133.99±16.67 120.72±8.87 Metabolic parameters Blood parameters Cholesterol (mg/dl) Free fatty acid (mmol/l) Data are means ±SE. db/db mice(n= 4 per group). 216.20±6.87 2.21±0.11 231.30±13.07 2.00±0.10