Cerium oxide nanoparticles inhibit adipogenesis in rat mesenchymal stem cells: Potential therapeutic implications Antonella Rocca a a,b,* a a , Virgilio Mattoli , Barbara Mazzolai , Gianni Ciofani a,* Istituto Italiano di Tecnologia, Center for Micro-BioRobotics @SSSA, Viale Rinaldo Piaggio 34, 56025 Pontedera (Pisa), Italy b Scuola Superiore Sant'Anna, The BioRobotics Institute, Viale Rinaldo Piaggio 34, 56025 Pontedera (Pisa), Italy * Corresponding Authors Antonella Rocca, antonella.rocca@iit.it Gianni Ciofani, gianni.ciofani@iit.it Istituto Italiano di Tecnologia, Center for Micro-BioRobotics @SSSA Viale Rinaldo Piaggio 34, 56025 Pontedera (Pisa), Italy Tel. +39050883089 Fax +39050883497 1 Supplementary Material Reactive oxygen species (ROS) are well known to play a key role during adipogenesis [S1S4]. In order to verify their production in our cell model and to confirm their inhibition following cerium oxide nanoparticles (nanoceria, NC) treatment, we measured intracellular ROS after 24 hours since differentiation induction in differentiating cultures, in differentiating cultures treated with 50 µg/ml of NC and, as anti-oxidant positive control, in differentiating cultures treated with 5 mM of N-acetyl-L-cysteine (NAC) [S5]. Proliferating cells were considered as reference control. Rat mesenchymal stem cells (MSCs) were plated at a density of 6,000 /cm2 in 6-well plates. At 24 hours since seeding, differentiating samples were provided with high glucose DMEM supplemented with 10% fetal bovine serum (FBS), 100 U/ml penicillin, 100 mg/ml streptomycin, 200 mM L -glutamine, 5 µg/ml insulin, 1 µM dexamethasone, 20 µM indomethacin, and 500 µM 3-isobuty-l-methyl-xanthine. Two experimental groups were moreover provided with NC and NAC, respectively, as previously mentioned. Control proliferating samples were maintained in standard medium (DMEM supplemented with 10% FBS, 100 U/ml penicillin, 100 mg/ml streptomycin, and 200 mM glutamine). ROS generation was measured with the fluorescent dye 6-carboxy-2′,7′- dichlorodihydrofluorescein diacetate bis(acetoxymethyl)-ester (C-DCF-DA; Molecular Probes), following standard procedures [S6]. Briefly, MSC cultures were treated as described for 24 h, then washed with phenol red-free Hanks'-buffered saline and incubated with C-DCFDA (25 μM) for 30 min at 37°C, in Hank's buffer. After this step, cells were washed and scraped off into 1 ml of distilled water, sonicated and centrifuged. The fluorescence of the supernatants was measured with a microplate reader (Victor3, Perkin Elmer) at 485 nm excitation and 525 nm emission, and data were expressed as % variation with respect to the control (proliferating cells). Three independent experiments were carried out, and statistical analysis was performed with KaleidaGraph (Sinergy Software), using one-way analysis of variance (ANOVA) followed by post-hoc Bonferroni's test. Results are reported in Figure S1. A significant increment (~13%, p < 0.05) of ROS production is highlighted in differentiating samples with respect to the proliferating ones. However, ROS levels are drastically reduced in differentiating samples treated both with 2 NAC (same level of the proliferating cultures, p > 0.05) and NC (non-significant increment of about 5%, p > 0.05 with respect to the proliferating samples), thus demonstrating efficiency of these treatments in the inhibition of ROS production in MSCs and, as a consequence, of their maturation toward adipocytes. ROS level (% of control) 20 * 15 10 5 0 Proliferating Differentiating Differentiating 50 µg/ml NC Differentiating 5 mM NAC Figure S1 - ROS levels, expressed as % variation with respect to the control proliferating cells, in MSC differentiating cultures after 24 hours since adipogenesis induction. Nanoceria and NAC treatments inhibit ROS production occurring in differentiating samples. Supplementary References S1 Gummersbach C, Hemmrich K, Kröncke KD, Suschek CV, Fehsel K, Pallua N. New aspects of adipogenesis: radicals and oxidative stress. Differentiation 2009;77:115-20. S2 Kim JH, Kim SH, Song SY, Kim WS, Song SU, Yi T, Jeon MS, Chung HM, Xia Y, Sung JH. Hypoxia induces adipocyte differentiation of adipose-derived stem cells by triggering reactive oxygen species generation. Cell Biol Int 2014;38:32-40. S3 Lee OH, Seo MJ, Choi HS, Lee BY. Pycnogenol® inhibits lipid accumulation in 3T3L1 adipocytes with the modulation of reactive oxygen species (ROS) production associated with antioxidant enzyme responses. Phytother Res 2012;26:403-11. 3 S4 Pires KM, Ilkun O, Valente M, Boudina S. Treatment with a SOD mimetic reduces visceral adiposity, adipocyte death, and adipose tissue inflammation in high fat-fed mice. Obesity 2014;22:178-87. S5. Kanda Y, Hinata T, Kang SW, Watanabe Y. Reactive oxygen species mediate adipocyte differentiation in mesenchymal stem cells. Life Sci 2011;89:250-8. S6 Basta G, Lazzerini G, Del Turco S, Ratto GM, Schmidt AM, De Caterina R. At least 2 distinct pathways generating reactive oxygen species mediate vascular cell adhesion molecule-1 induction by advanced glycation end products. Arterioscler Thromb Vasc Biol. 2005;25:1401-7. 4