CVR-2012-726R1 Supplementary Data Supplementary methods Animals and diets Thirty 8-weeks old male Golden Syrian hamsters weighing 113.24 ± 7.4 g were randomly assigned to two groups (n = 15 for each group). They were maintained in a 12:12 (light/dark) cycle at 22 ± 2 ºC and 50 ± 10 % relative humidity with free access to both food and water. Food intake and body weight were recorded every week. The control group ate a diet based on Harlan Tecklad 7001 (Harlan Laboratories, Barcelona, Spain) composition and the atherogenic group ate an atherogenic diet 1 in which the cholesterol content had been set at 0.5% and which was supplemented with 15% of lard (Table 1 of the Supporting Information). These diets were maintained for 3 months. Animals were then fasted overnight, anesthetised with 2.5% isoflurane in air and finally sacrificed by cardiac puncture obtaining the blood which was immediately centrifuged at 2000 x g for 5 min for plasma collection. Then, aorta was removed and separated the aortic arcs from the descendent aorta. The descendent aortas were frozen in liquid N2 and stored at -80 ºC until analysis. The aortic arcs were put in paraformaldehyde 10% during 24 h at 4ºC, dried and frozen and stored at -80 ºC until analysis. Later, transverse sections (16 µm) from arch of aorta were obtained and collected on gelatincoated glass slices. In order to analyse dietary modulation of atheromatosis, an additional group was introduced (n = 15). The grape seed extract (961016, Euromed S.A. Barcelona, Spain) supplemented group (GSE) ate the same diet of the atherogenic group but supplemented with a 0.2% of GSE extract (Table 1 of the Supporting Information). All experimental procedures were approved by the Institutional Animal Care Committee of IRBLleida and were conformed with the Directive 2010/63/EU of the European Parliament. 1 CVR-2012-726R1 Lipidomics analysis For aorta samples, 50 µl of cold methanol containing representative internal standards 2 were added to 7-12 mg of tissue and homogenized with a Potter– Eljeveim device at 4ºC. Then, 500 µl of chloroform and 187.5 µl of 0.7% of KCl were added. It is necessary to vortex after each solvent addition. Then, the samples were vortexed and centrifuged at 1000 x g, 4 ºC for 10 min, and the chloroform phase was separated in a glass tube. Five hundred µl of chloroform were added to the sample and the centrifugation step was repeated. Finally, the chloroform phase (both from first and second extraction) was evaporated using a Speed Vac (Thermo Fisher Scientific, Barcelona, Spain) and resuspended in chloroform:methanol (1:3, v/v). For plasma samples, 175 µl of phosphate buffer were added to 25 µl of plasma. Then, 600 µl of cold acetone containing lipid class representative internal standards were added 2, vortexed for 10 s, incubated at 4ºC for 30 min and centrifuged at 1000 x g at 4 ºC for 10 min, to precipitate proteins. Supernatants were extracted and 250 µl of methanol, 500 µl of chloroform and 200 µl of 0.7% of KCl were added. It is necessary to vortex after each solvent addition. Then, the samples were vortexed and centrifuged at 1000 x g, 4 ºC for 10 min, and the chloroform phase was separated in a glass tube. Five hundred µl of chloroform were added to the sample and the centrifugation step was repeated. Finally, the chloroform phase (both from first and second extraction) was evaporated using a Speed Vac (Thermo Fisher Scientific, Barcelona, Spain) and resuspended in chloroform:methanol (1:3, v/v). For LC-Q-TOF-based lipid molecular species analyses, lipid extracts were subjected to massspectrometry using a HPLC 1200 series coupled to ESI-Q-TOF MS/MS 6520 (Agilent Technologies, Barcelona, Spain) . One μl of sample was applied onto a reverse phase column (Luna C5, 3.5 µm, 4.6x50 mm, Phenomenex, LA; CA, USA) equipped with a reverse phase precolumn (C4, 3.5 µm, 2x20 mm, Phenomenex, LA; CA, USA) for positive ionization, and onto a reverse phase column (Gemini C18, 3.5 µm, 4.6x50 mm, Phenomenex, LA; CA, USA) equipped 2 CVR-2012-726R1 with a reverse phase precolumn (C18, 3.5 µm, 2x20 mm, Phenomenex, LA, CA, USA) for negative ionization. The flow rate was 200 μl/min with solvent A composed of 95% water, 5% methanol containing 0.1% formic acid and 5mM ammonium formate for positive ionization or 0.1% ammonium hydroxide for negative ionization, and solvent B composed of 65% isopropanol, 30% methanol, 5% water containing corresponding counterions. The gradient consisted of solvent B from 0% to 20% in 5 minutes, from 20% to 100% in 60 minutes, return to 0% B in 20 minutes, and re-equilibrated at 0% solvent B for 10 min. Data were collected in positive and negative electrospray ionization mode TOF operated in fullscan mode at 100 to 3000 m/z in an extended dynamic range (2 GHz), using N2 as nebulizer gas (5 L/min, 350ºC). The capillary voltage was 3500 V with a scan rate of 1 scan/s. The ESI source used a separate nebulizer for the continuous, low-level (10 L/min) introduction of reference mass compounds: 121.050873, 922.009798 (positive ion mode) and 119.036320, 966.000725 (negative ion mode), which were used for continuous, online mass calibration. The MassHunter Data Analysis Software (Agilent Technologies, Barcelona, Spain) was used to collect the results and the MassHunter Qualitative Analysis Software (Agilent Technologies, Barcelona, Spain) to obtain the molecular features of the samples, representing different, comigrating ionic species of a given molecular entity using the Molecular Feature Extractor algorithm (Agilent Technologies, Barcelona, Spain), as described previously 3, 4 . Finally, the MassHunter Mass Profiler Professional Software (Agilent Technologies, Barcelona, Spain) was used to perform a non-targeted lipidomic analysis over the extracted features. Only common features (found in at least 75% of the samples of the same condition) were taken into account to correct for individual bias. Multivariate and clustering analysis were obtained using this software. The masses representing significant differences by Student T-test (fold change ≥ 2, p < 0.05 with Benjamini-Hochberg Multiple Testing Correction) were searched against the LIPID MAPS 5 database. The identities obtained were then compared to the authentic standards added. 3 CVR-2012-726R1 Targeted lipidomic analysis was performed using the same chromatographic and spectrometric method as untargeted approach. MassHunter Qualitative Analysis Software (Agilent Technologies, Barcelona, Spain) was employed for integration and extraction of peak intensities of the different lipid species. We searched for a) different free fatty acids as docosahexaenoic acid, oleic acid, linolenic acid, stearic acid, arachidonic acid, lauric acid, palmitic acid, capric acid and myristic acid, b) cholesterol and c) different soluble oxidative stress-related markers as 10-hydroxy-docosahexaenoic, 17-hydroxy-docosahexaenoic, 8isoprostaglandin F2α, 13-hydroxyoctadecadienoic acid (HODE), 9-HODE, HODE-cholesteryl ester, 15-hydroxyeicosatetraenoic phosphatidylcholine (PGPC), acid (HETE), 1-palmitoyl-2-glutaryl-sn-glycero-3- 1-O-hexadecanoyl-2-O-(9-carboxyoctanoyl)-sn-glycero-3- phosphatidylcholine (PazPC), 4-hydroxynonenal, 10-nitrooleate, cholesterol-5α,6α-epoxide, 5cholesten-3β-ol-7-one, 7β-hydroxycholesterol, resolvin D1, cholesteryl linoleate hydroperoxide, and cholesteryl linoleate. The m/z values used for quantification of lipid molecules detected were: m/z 245.2486 [M-H]for oleic acid, m/z 283.2643 [M-H]- for stearic acid, m/z 255.233 [M-H]- for palmitic acid, m/z 279.233 [M-H]- for linoleic acid, m/z 303.233 [M-H]- for arachidonic acid, m/z 327.233 [M-H]for docosahexaenoic acid, m/z 369.3487 [M+H]++[-H2O] for cholesterol; m/z 401.3414 [M+H]+ for 5-cholesten-3β-ol-7-one and for 7β-ketocholesterol, m/z 403.3571 [M+H]+ for cholesterol5α,6α-epoxide , m/z 321.2424 [M+H]+ for HETE, m/z 295.2318 [M+H]+ 9, 13-HODE and m/z 610.3715 [M+H]+ for PGPC. Metabolomic analyses Thirty μl of cold methanol was added to 10 μl of plasma, vortexed for 1 min, and incubated at −20°C for 1 h to precipitate proteins. Samples were centrifuged at 12000 x g for 3 min, and the supernatant was collected. The supernatant was dried in a SpeedVac and resuspended in 50 μl of water. The sample was filtered in an eppendorf UltraFree 5 kDa filter. 4 CVR-2012-726R1 Four microliters of extracted sample were applied to a reverse-phase column (C18 Luna 3 n pfp(2) 100 A 150 × 2 mm, Phenomenex, Torrence, CA) equipped with a precolumn (AJO-8326 pfp(2) 4 × 2 mm, Phenomenex, Torrence, CA). The flow rate was 200 μL/min. Solvent A was composed of water containing 0.1% formic acid for positive ionization or 0.1% acetic acid for negative ionization, and solvent B was composed of 95% acetonitrile and 5% water containing corresponding counterions. The gradient consisted of solvent B from 5% to 100% over 20 min, held at 100% solvent B for 5 min, and re-equilibrated at 5% solvent B for 6 min. Data were collected in positive and negative electrospray mode TOF operated in full-scan mode at 100–3000 m/z in an extended dynamic range (2 GHz), using N2 as the nebulizer gas (5 L/min, 350 °C). The capillary voltage was 3500 V with a scan rate of 1 scan/s. The ESI source used a separate nebulizer for the continuous, low-level (10 L/min) introduction of reference mass compounds: 121.050873, 922.009798 (positive ion mode) and 119.036320, 966.000725 (negative ion mode), which were used for continuous, online mass calibration. The Masshunter Data Analysis Software (Agilent Technologies, Barcelona, Spain) was used to collect the results, and the Masshunter Qualitative Analysis Software (Agilent Technologies, Barcelona, Spain) was used to obtain the molecular features of the samples, representing different, comigrating ionic species of a given molecular entity using the Molecular Feature Extractor (MFE) algorithm (Agilent Technologies, Barcelona, Spain), as described 3, 4. Finally, the Masshunter Mass Profiler Professional Software (Agilent Technologies, Barcelona, Spain) was used to perform a nontargeted metabolomic analysis of the extracted features. Only common features (found in at least 75% of the samples of the same condition) were analysed, correcting for individual bias. The masses with significant differences in abundance (determined using a Student’s t test; fold change ≥ 2, p < 0.05) were searched against the various databases (METLIN 6, HMDB 7 , LIPID MAPS 5, and KEGG 8 databases), using exact masses. 5 CVR-2012-726R1 To confirm the identity of the metabolites obtained after the nontargeted analysis (MS analysis and database search), we used the Q-TOF mode operated in full scan mode (MS and MS/MS) at 100–1500 m/z. The capillary voltage was 3500 V with a scan rate of 3 (MS) or 5 (MS/MS) scans/s with a fixed collision energy (20 V). N2 was used as a gas nebulizer (5 L/min flow rate, 350 °C). Angiotensin conversor enzyme (ACE) activity ACE activity in serum was determined following a fluorescence-based method previously described 9. Briefly, 25 µL of serum was mixed with 25 µL of 150 mM Tris-base buffer (pH 8.3) and 100 µL of ACE fluorescent substrate (0.45 mM of Abz-Gly-Phe(NO2)-Pro) in a 96-well microplate. Appropriate controls (25 µL of serum + 125 µL of Tris-base buffer) were included in separate wells. After 10 min of incubation at 37 ºC, kinetic fluorescence (Ex/Em 355/400) readings were measured during 30 min (1 reading each 5 min) using a Tecan Infinite 11200. ACE activity was determined as the slope of the linear regression obtained from the kinetic measure. ACE activity of samples was compared with the control group. Aorta immunohistochemistry For immunofluorescence in aorta samples, the slices were permeabilized with 0.1% Triton X100 and blocked with 20% of normal horse serum in 0.1% Triton X-100 for 2h. Then, the slices were incubated at 4 °C for 24 h either with: (1) the rabbit anti-CD36 polyclonal antibody (ab78054) (diluted 1:250, Abcam, Cambridge, UK) and (2) the mouse anti-PDI-ER Marker monoclonal antibody (ab2792) (diluted 1:250, Abcam, Cambridge, UK). The slices were incubated at room temperature for 1h with the appropriate secondary antibodies: Alexa Fluor 488 goat anti-mouse (diluted 1:750, Molecular Probes, Eugene, OR, USA) or/and Alexa Fluor 546 goat anti-rabbit (diluted 1:750, Molecular Probes, Eugene, OR, USA). Slices were finally counterstained with 4,6-diamidino-2-phenylindole dihydrochloride (DAPI, 50 ng/ml) for 5 min and mounted on slides with Vectashield (Vector Laboratories, Burlingame, CA, USA). Mounted 6 CVR-2012-726R1 slices were examined under a Fluoview 500 Olympus confocal laser scanning microscope (Olympus, Hamburg, Germany). Cell culture experiments PPARγ transcriptional activity response in human embryonic kidney cells (HEK293) For gene expression, Reporter Gene methodology was employed. HEK293 cells were grown in Advanced MEM (Invitrogen Co., Carlsbad, CA) supplemented with 10% fetal bovine serum at 37ºC. P1015 (PPRE X3-Tk-luc) and P20702 (pHM829, LacZ-MCS-GFP) plasmids were employed for PPARγ transcriptional activation analysis and control of transfection, respectively 10, 11 . Transient transfection of two plasmids was performed using LipofectAMINE Plus according to the manufacturer’s instructions (Invitrogen Co., Carlsbad, CA). Plasmids were purchased from Addgene (www.addgene.org). Plasmids amplification was performed in E. coli and then isolated with a Plasmid Maxi Prep (Qiagen Iberia SL, Madrid, Spain), according to manufacturer instructions. Later, HEK293 cells at a density of 106 cells/plate were transfected with 20 µg of PPRE X3-Tk-luc along with 10 µg of pHM829. After incubation for an additional 24 h, the cells were harvested and control of transfection was measured by GFP fluorescence. Further, cells were trypsinized and harvested for 24 h in a 96 well plate. Then, depending on the experiment performed, cells were exposed to: a) plasma of control, atherogenic and GSE groups at a dose of 10% v/v with Advanced MEM; b) 5, 20, 100, 200, 400, 1000, 2000 and 5000 nM of taurocholic acid (Sigma Aldrich, S. Louis, MO, USA) or c) 5, 20, 100, 200, 400 and 1000 mg/L of GSE extract and incubated during 5 h. Additionally, in separate wells, as a control of increased PPARγ activation, a calibration curve with Bezafibrate (Sigma Aldrich, S. Louis, MO, USA) from 1 M to 200 M was employed. To determine gene expression a Nova-Bright β-galactosidase and Firefly Luciferase Dual Enzyme Reporter Gene Chemiluminiscent Detection System (Invitrogen, Calsbarg, CA, USA) was employed. The activation of PPARγ was measured as the intensity of luminescence after the exposure of Firefly Luciferase up to 45 min and normalized 7 CVR-2012-726R1 by β-galactosidase activity both measured according manufacturer instructions in an Infinite 200 Pro instrument (Tecan Group Ltd, Männedorf, Switzerland). DNA double strand break induction in human microvascular endothelial cell (HMEC) HMEC cell line was grown in DMEM medium (LONZA) supplemented with 10% fetal bovine serum heat inactivated (Invitrogen), 2 mM L-Glutamine (Invitrogen Co., Carlsbad, CA) and 20 U/mL penicilline and 20 µg/mL streptomicine (Invitrogen Co., Carlsbad, CA) as antibiotics. Then, depending on the experiment, cells were exposed to a) plasma of control, atherogenic and GSE groups at a dose of 10% v/v with DMEM serum free; b) 5, 100, 200 and 1000 nM of taurocholic acid (Sigma Aldrich, S. Louis, MO, USA) or c) 200 and 800 mg/L of GSE and incubated during 8 h. For evaluating preventive senescence effect of the compounds, the cells were subsequently incubated with the DNA alkylating agent methyl methanesulfonate (MMS) (Sigma Aldrich, S. Louis, MO, USA) at 1.5 mM for 6 hours. For immunofluorescence assay, cells were fixed for 1 h 4°C with 4% paraformaldehyde in PBS and permeabilized with 0.1% Triton X-100 in PBS for 30 min. After blocking with 10 % Normal Horse Serum (0.1 % Triton in PBS) for 1 hour, cells were incubated at 4° C with anti-gamma H2AX (phospho S139) antibody (ab2893) diluted 1:750. Antigen was detected with secondary antibody conjugated to Alexa-Fluor-546 diluted 1:750. Cells were finally counterstained with DAPI (50 ng/ml) (Vector Laboratories, Burlingame, CA, USA), coverslipped using Vectasheild mounting media and examined under a Fluoview 500 Olympus confocal laser scanning microscope (Olympus, Hamburg, Germany). 8 CVR-2012-726R1 Supplementary results Correlational analysis The correlation analyses (using the samples of the three groups) revealed several significant correlations (Supplementary Figure 3A). Specifically, the analyses revealed positive correlations between 7-ketocholesterol in plasma with total, LDL and HDL cholesterol (Pearson Correlation = 0,632, p = 0,004; Pearson Correlation = 0,487, p = 0,049; Pearson Correlation = 0,575, p = 0,001, respectively). The 5α,6α-epoxy-cholesterol in plasma positively correlate with the levels of palmitic, stearic and oleic acid in plasma (Pearson Correlation = 0,329, p = 0,038; Pearson Correlation = 0,406, p = 0,009; Pearson Correlation = 0,434, p = 0,005, respectively). Further, we found positive correlation between HETE and arachidonic acid in aorta (Pearson Correlation = 0,569, p = 0,014), indicating that the level of arachidonic acid (the native free fatty acid) is the principal reason for its oxidation and, therefore, for HETE formation. Contrary, HODE aorta levels did not correlate with its precursor, the linolenic acid, whereas we found high positive correlation with two other free fatty acids in aorta, the stearic acid (Pearson Correlation = 0,837, p = 0,000) and the oleic acid (Pearson Correlation = 0,810, p = 0,000). The levels of total and LDL cholesterol in plasma also positively correlate with the levels of DHA in aorta (Pearson Correlation = 0,542, p = 0,030; Pearson Correlation = 0,540, p = 0,031, respectively). Concerning metabolites found in plasma, the correlational analysis showed that both taurine and phenylalanine negatively correlate with total and LDL-cholesterol (phenylalanine-total cholesterol: Pearson Correlation = 0,672, p = 0,000; phenylalanine-LDL-cholesterol: Pearson Correlation = 0,637, p = 0,000; taurine-total cholesterol: Pearson Correlation = 0,663, p = 0,000; taurine-LDL-cholesterol: Pearson Correlation = 0,601, p = 0,000), being the correlation between these two metabolites positive and almost perfect (Pearson Correlation = 0,936, p = 9 CVR-2012-726R1 0,000). This last result suggested direct regulation between these metabolites. Finally, the levels of the taurocholic acid in plasma positively correlate with the plasma levels of total cholesterol, LDL-cholesterol, oleic acid, arachidonic acid and DHA (Pearson Correlation = 0,502, p = 0,004; Pearson Correlation = 0,515, p = 0,003; Pearson Correlation = 0,349, p = 0,034; Pearson Correlation = 0,407, p = 0,012; Pearson Correlation = 0,407, p = 0,012, p = 0,000, respectively). Most interesting, the levels taurocholic acid positively correlates with the levels of free cholesterol in aorta (Pearson Correlation = 0,700, p = 0,004), being a potential good biomarker of atheromatosis process (Figure 2D). Further, if we performed the correlational analysis for each group (Supplementary Figure 3B, C and D) we could see that the diet affects the correlations between molecules suggesting different regulation of lipid and metabolites metabolism. 10 CVR-2012-726R1 Supplementary Figures Supplementary Figure 1 11 CVR-2012-726R1 Figure S1. Metabolomic (A and B) and lipidomic (C and D) analyses in plasma samples in the preliminary GSE intake in the non-atherogenic context. A and C. Heat map representation of hierarchical clustering of molecular features (see main text for definition) found in each sample of two groups (CTL: control group, GSE: Grape seed extract supplemented group). Each line of this graphic represents an accurate mass ordered by retention time, coloured by its abundance intensity normalized to internal standard and baselining to median/mean across the samples. The scale from -10.8 (blue) to 10.8 (red) represents this normalized abundance in arbitrary units. B and D. Tridimensional PCA and PLS-DA graphs demonstrated the effect of GSE in the plasma metabolome and lipidome. Control animals were represented in red spots and GSE animals in blue spots. 12 CVR-2012-726R1 Supplementary Figure 2 Figure S2. Sphingolipid metabolism based on KEGG pathway database 8 . 13 CVR-2012-726R1 Supplementary Figure 3 Figure S3. Correlation analysis between lipid and molecules involved in atherogenic processes using samples form three groups (A), control (ctl) group (B), atherogenic (Ath) group (C) and grape seed extract (GSE) group (D). 14 CVR-2012-726R1 Supplementary Figure 4 Figure S4. Taurocholic acid (TA)induces double strand breaks in DNA in endothelial cells in culture (HMEC), as evidenced by confocal microscopy after immunocytochemistry with antiγH2AX antibody. Representative images of 4-6 experiments. Scale bar: 20 µm. 15 CVR-2012-726R1 Supplementary Figure 5 Figure S5. Taurocholic acid (TA) increases methyl methanesulfonate (MMS)-induced double strand breaks in DNA in endothelial cells in culture (HMEC), as evidenced by confocal microscopy after immunocytochemistry with anti-γH2AX antibody. Representative images. Positive Ctl: cells incubated with MMS. Scale bar: 20 µm. 16 CVR-2012-726R1 Supplementary Figure 6 Figure S6. In vivo effects of grape seed extract (GSE) intake are not reproduced by in vitro incubation of the extract. Double strand breaks in DNA in endothelial cells in culture induced by methyl methanesulfonate (MMS) are not diminished by GSE coincubation as evidenced by confocal microscopy after immunocytochemistry with anti-γH2AX antibody. Representative images from n=4-6 experiments. Positive Ctl: cells incubated with MMS. Scale bar: 20 µm. 17 CVR-2012-726R1 Supplementary Tables Supplementary Table 1: Diets composition Component Control (g) Atherogenic (g) GSE (g) Casein L-Cysteine Corn starch Sugar Corn oil Cellulose Minerals Vitamins Lard Cholesterol Grape Seed Extract Total weight 200 3 447 175 80 50 35 10 0 0 0 1000 200 3 393 154 0 50 35 10 150 5 0 1000 200 3 393 154 0 48 35 10 150 5 2 1000 Energy (Kcal/g diet) Carbohydrates (g/Kg) Starch % Sugar % Energy (Kcal/g diet) % Energia Proteins (g/Kg) Energy (Kcal/g diet) % Energy Lipids Energy (Kcal/g diet) % Energy Fiber % 4,02 622 67 26 2,5 62 203 0,8 20 80 0,7 18 7 4,4 547 66 26 2,2 50 203 0,8 18 155 1,4 32 8 4,4 547 66 26 2,2 50 203 0,8 18 155 1,4 32 8 18 CVR-2012-726R1 References 1. Auger C, Gerain P, Laurent-Bichon F, Portet K, Bornet A, Caporiccio B, et al. Phenolics from commercialized grape extracts prevent early atherosclerotic lesions in hamsters by mechanisms other than antioxidant effect. J Agric Food Chem 2004;52:5297-5302. 2. 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Kyoto Encyclopedia of Genes and Genomes. 2010; http://www.genome.jp/kegg/. 9. Sentandreu MA , Toldra F. A fluorescence-based protocol for quantifying angiotensinconverting enzyme activity. Nat Protoc 2006;1:2423-2427. 10. Sorg G , Stamminger T. Mapping of nuclear localization signals by simultaneous fusion to green fluorescent protein and to beta-galactosidase. BioTechniques 1999;26:858-862. 11. Kim JB, Wright HM, Wright M, Spiegelman BM. ADD1/SREBP1 activates PPARgamma through the production of endogenous ligand. Proc Natl Acad Sci U S A 1998;95:4333-4337. 19