SUPPLEMENTARY MATERIAL Title: Luteolin attenuate the D-galactose induced renal damage by attenuation of oxidative stress and inflammation Author names and affiliations: Yuqing Xu*1, Jingzheng Zhang*1 , Jing Liu*1, Sai Li*1, Cheng Li*1, Wen Wang*1, Rong Ma**2 and Yi Liu**1 1 School of Pharmacy, Xuzhou Medical College, 84 West Huaihai Road, Xuzhou, Jiangsu, 221002, China 2 School of Environment, Nanjing University, Nanjing, 210000 Jiangsu Province, P. R. China E-mail: rongmnju@163.com Abstract Luteolin is reported to have antioxidant and anti-inflammatory properties. In the present study, we investigated the protective effect of luteolin against the renal damage induced by D-galactose (D-gal). The levels of creatinine (Cr) and urea nitrogen (BUN) were evaluated in plasma, kidney sections were stained with hematoxylin-eosin, followed by assessment of the antioxidant and anti-inflammatory activity. Furthermore, we also investigate the expression of the p38 mitogen-activated protein kinase (p38 MAPK) and its phosphorylated active. The results of luteolin treatment showed that the renal damages were attenuated. Luteolin could significantly ameliorate D-gal induced oxidative damage and suppress the inflammatory response. Moreover, the result also shows that luteolin could significantly inhibit the p38 MAPK phosphorylation in the kidneys from the model of D-gal-treated mice. Therefore, our research suggests that luteolin might be involved in the attenuated oxidative stress and inflammatory responses, hence the protective effects against D-gal-induced renal damage. Keywords: Luteolin; D-galactose; Oxidative stress; Inflammation; kidney 1. Experimental section 1.1 Materials Luteolin was purchased from Shanxi Sciphar Biotechnology Co., Ltd.(Shanxi, China). Malondialdehyde (MDA), superoxide dismutase (SOD), glutathione (GSH), catalase (CAT) enzyme, blood urea nitrogen (BUN) and creatinine (Cr) assay kit were purchased from Nanjing Jiancheng Biotechnology Co., Ltd (Nanjing, China), β-actin (Sigma-Aldrich, St. Louis, MO, USA). Phospho and non-Phospho-p38 MAPK (Cell Signal Technology Inc. Danvers, MA, USA). Enzyme-linked immunosorbent assay (ELISA) kit (Immuno-Biological Laboratories Co., Ltd., Japan). All other reagents used in the experiments were of analytical grade and purity. 1.2 Animal and tissue preparation Adult male Kunming mice (6 weeks old, weighing 18-23g) were randomized into 4 groups (n = 12 each): Group 1 (control group): mice received daily intraperitoneally injected of saline (0.9%) and received 0.5% sodium carboxymethylcellulose (CMC-Na) solution; Group 2 (D-gal group): mice received daily intraperitoneally injected of D-gal (100 mg/kg) and received 0.5% (CMC-Na) solution; Group 3 (D-gal + luteolin group): mice received daily intraperitoneally injected of D-gal (100 mg/kg) and received daily treatment of luteolin (100mg/kg, p.o.) Which was suspended in 0.5% (w/v) CMC-Na solution; Groups 4 (luteolin group): mice received daily intraperitoneally injected with saline (0.9%) and being administered luteolin (100mg/kg, p.o.). All groups of animal were kept at a regulated temperature (22 ± 2◦C) and humidity (50 ± 10%) on a 12-hour light/dark cycle with ad libitum access to standard commercial food and pure water. The mice received humane care throughout the experiment according to the Chinese Council on Animal Care and Institutional Care Committee of Xuzhou Medical College. At the end of treatment for 8 weeks, the mice were sacrificed, followed by the blood sampling without the addition of anticoagulants for centrifugation at 3000 × g for 10 min for subsequent determination of clear plasma, and the isolation of kidneys on ice. The blood samples and kidney tissues were rapidly frozen and stored at -80℃ until biochemical determinations. 1.3 Assessment of the Renal Function Biochemical analyses of blood urea nitrogen (BUN) and creatinine (Cr) levels were made using the standard diagnostic kits (Nanjing Jiancheng Bioengineering Institute, China). 1.4 Histomorphological evaluations For histomorphological examinations, all samples were fixed in 4% formaldehyde buffer, followed by embedment in paraffin and longitudinal slicing, with 5-μm-thick sections obtained for haematoxylin-eosin staining for the histomorphological analysis. 1.5 Lipid peroxidation assay The quantitative analysis of lipid peroxidation in the kidneys was performed as Wills described (Wills 1966). The MDA content was measured by reaction with thiobarbituric acid at the wavelength of 532 nm. The results were expressed as nmol/mg protein. 1.6 Superoxide dismutase activity SOD activity was assayed according to the method of Kono (Kono 1978) wherein the reduction of nitroblue tetrazolium chloride was inhibited by the superoxide which was measured at 560 nm spectrophotometrically. Briefly, the reaction was initiated by the addition of hydroxylamine hydrochloride to the reaction mixture containing NBT and post nuclear fraction of kidney homogenate. The results were expressed as units/mg protein, with one unit of enzyme defined as the amount of SOD required to inhibit the rate of reaction by 50%. 1.7 Estimation of GSH content GSH concentrations were determined by the procedures of Ellman (Ellman 1959). Briefly, 0.5 ml homogenate was mixed with 1.5 ml 0.15 M KCl and 3 ml deproteinization solution. Each sample was centrifuged at 3000 rpm for 10 min and the supernatant was removed, followed by the addition of 2 ml phosphate solution and 0.5 ml DTNB into the 0.5 ml supernatant, with the absorbance read at 412 nm and compared with glutathione standards. The concentration of reduced glutathione was expressed as milligram per gram tissue. 1.8 Estimation of CAT CAT activity was measured according to the method of Aebi (Aebi 1984). Briefly, 0.1 ml of supernatant was added to a cuvette containing 1.9 ml of 50 mmol/L phosphate buffer (pH 7.0). The reaction was initiated by the addition of 1 ml freshly prepared 30 mmol/L H2O2. The rate of decomposition of H2O2 was measured spectrophotometrically by changes in absorbance at 240 nm. The activity of catalase was expressed as units per milligram protein. 1.9 Western blot To determine the phosphorylation and protein expression levels of p38 MAPK, whole kidney tissues were homogenized at 4°C in homogenizing buffer (50 mM Tris-Cl, pH 7.5, containing 2 mM dithiothreitol (DTT), 2 mM ethylene diamine tetraacetic acid (EDTA), 2 mM ethylene glycol tetraacetate (EGTA), 5 mg/ml each of leupeptin, aprotinin, pepstatin A, and chymostatin, 50 mM potassium fluoride (KF), 50 nM okadaic acid, 5 mM sodium pyrophosphate, and 2% sodium dodecyl sulfate (SDS)). The homogenate was then sonicated to dissolve the tissue completely, and the protein quantities of each sample were determined by a BCA Protein Assay kit ((ibid.) Equal amounts of protein (100 μg) were isolated by 10% SDS-polyacrylamide gel electrophoresis and were electrophoretically transferred to a nitrocellulose membrane. The membrane was blocked with 5% skim milk powder in a washing buffer [Tris-buffered saline containing 0.05% (v/v) Tween 20] for 2 h at 25°C, and was incubated with primary rabbit polyclonal antibodies against Thr180/Tyr182-phosphorylated p38MAPK (Phospho-p38 MAPK, Sigma-Aldrich, St. Louis, MO, USA) at a 1:500 dilution at 4°C overnight. Each membrane was thrice rinsed for 15 min and incubated with the secondary horseradish peroxidase-linked antibodies. β-actin was used as an internal control for the cytosolic extracts. Comparison between different treatment groups was performed by determination of the T-P38/β-actin protein ratio of the immunoreactive area by densitometry and the ratio of Phospho-p38 MAPK to T-p38 MAPK was recognized at the protein activation level. 1.10 Measurement of TNF-α and IL-6 levels TNF-α levels in the kidneys were determined with a commercial enzyme-linked immunosorbent assay (ELISA) kits (Roche Eurofin) for mice according to the manufacturer’s instructions. Similarly, the IL-6 concentrations in the kidney samples were also respectively analyzed with ELISA kits (Roche Eurofin). Statistical analyses Data were expressed as the mean ± SEM. The data were analyzed with SPSS 16.0 (SPSS, Inc., Chicago, Ill., USA). The statistical significance of differences in the dependent measures between experimental groups was determined by one-way ANOVA followed by the Tukey’s tests. Probability values less than 0.05 were considered significant. References Wills E. 1966. Mechanisms of lipid peroxide formation in animal tissues. Biochem J. 99:667-676. Kono Y. 1978. Generation of superoxide radical during autoxidation of hydroxylamine and an assay for superoxide dismutase. Arch Biochem Biophys. 186:189-195. Ellman GL. 1959. Tissue sulfhydryl groups. Arch Biochem Biophys. 82:70-77. Aebi H. 1984. Catalase in vitro. Methods Enzymol. 105:121-126. Figure S1.(A, B)Effects of luteolin on creatinine (Cr) and urea nitrogen (BUN) in plasma of D-gal -treated mice. Values are expressed as mean ± SEM. *p < 0.01 vs. Control group. #p < 0.05 vs. D-gal group (n = 6). Figure S2. Haematoxylin and eosin stained sections of mice kidneys. (A) Control kidney section. (B) Kidney section of D-gal-treated mice showing severe tubular necrosis and cast formation. (C) Kidney section of luteolin treated mice showing moderate necrosis and cast formation. (D) Kidney section of single luteolin treated mice showing moderate necrosis and cast formation. Figure S3. Effect of luteolin on Malondialdehyde (MDA) level(A), reduced glutathione (GSH) level(B), superoxide dismutase (SOD) activity(C), catalase (CAT) activity(D) in the kidneys of D-gal-treated mice. Values are expressed as mean ± SEM. **p < 0.01 vs. Control group. #p < 0.05 vs. D-gal group (n = 6) . Fig S4. Increased phosphorylation of p38 MAPK in kidney homogenates from D-gal group compared with D-gal + luteolin group (A) Representative results of Western blots show that the levels of phosphorylated p38 MAPK (phospho-p38 MAPK ), but not total-p38 MAPK (T-p38 MAPK), are significantly increased in D-gal group to D-gal + luteolin group. (B) Quantitative analysis indicated a significant increase of phospho-p38 MAPK in the kidney homogenates from D-gal group compared to D-gal + luteolin group. (Values are presented as mean ± SEM. n = 3 for each group. **p < 0.01 vs. Control group #p < 0.05 vs. D-gal group) phospho-p38 MAPK: Thr 180/Tyr 182-phosphorylated p38 MAPK; T-p38 MAPK: total protein of p38 MAPK including both phospho- and nonphospho-p38 MAPKs. Figure S5. (A, B) Effect of luteolin on tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6) level in the kidneys of D-gal-treated mice .Values are expressed as mean ±SEM. **p < 0.01 vs. Control group. # #p < 0.01 vs. D-gal group (n = 6).