SUPPLEMENTARY MATERIAL Sensitization of ovarian cancer cells to cisplatin by flavonoids from Scutellaria barbata Jie Lia,1, Yun Wanga,1, Jia-Chuan Leib, Yang Haoa, Yuan Yanga, Cheng-Xiong Yangc, Jian-Qing Yua,* a Key Laboratory of Combinatorial Biosynthesis and Drug Discovery (Wuhan University), Ministry of Education, School of Pharmaceutical Sciences, Wuhan University, Wuhan 430071, China b Renmin Hospital, Wuhan University, Wuhan 430060, China; cJingchu University of Technology, Jingmen 448000,China *Corresponding author. E-mail address: jqyu@whu.edu.cn Abstract Combination of natural components with anticancer drugs is a new strategy for cancer chemotherapy to increase antitumor responses. In this study, we investigated the sensitization effects of nine flavonoids from Scutellaria barbata to cisplatin (CDDP) on human ovarian cancer cells. The combinations of three flavonoids with CDDP showed the synergistic effects. The intracellular reactive oxygen species (ROS) and the antioxidant activity were measured. The data suggest that the synergistic effects of flavonoids with CDDP on ovarian cancer cells did not directly correlate with their redox properties, but could be associated with the positions of hydroxyl group and methoxy group of flavonoids. Keywords: Scutellaria barbata; flavonoids; cisplatin; ovarian cancer; antioxidant Experimental Extraction and isolation S. barbata (10 kg) was extracted with 95%, 75% and 50% ethanol, respectively. The extract was concentrated under reduced pressure to yield an ethanol extract, which was absorbed by macroporous resin (D101) and eluted successively with water, 75% and 95% ethanol, respectively. Each fraction was concentrated and dried to obtain the water (Fr.1), 75% ethanol (Fr.2) and 95% ethanol (Fr.3) fractions. Fr.2 (100g) was then subjected to silica gel column chromatography (CC) eluted successively with petroleum ether–acetone-methanol[(1:4:1, Fr.2.1); (1:1:1, Fr.2.2 ); (1:1:4, Fr.2.3)] and methanol (Fr.2.4) to give four fractions. Fr.2.2 (22g) was separated by repeated silica gel column and further purified by sephadex LH-20 column to give compounds 1, 3, 5, 6, 8 and 9. Fr.2.4 (35g) was chromatographed over a silica gel column followed by sephadex LH-20 CC to afford compounds 2, 4 and 7. Structural identification The identification of compounds was based on the spectral analysis, as well as, by comparison of their spectral data with literatures. Compound1: 1H-NMR (400 Hz, DMSO-d6) δ 12.98 (1H, s, 5-OH), 10.72 (1H, s, 7-OH), 9.68 (2H, brs, 3’-OH, 4’-OH), 6,67 (1H, s, H-3), 7.40 (1H, d, J=2.0 Hz, H-2’), 7.43 (1H, dd, J=2.0, 8.4 Hz, H-6’), 6.88 (1H, d, J=8.4 Hz, H-5’), 6.20 (1H, d, J=2.0, H-6), 6.45 (1H, d, J=2.0 Hz, H-8); 13C-NMR (DMSO-d6) δ 181.7 (4-C), 164.1 (C-2), 163.8 (C-7), 161.4 (C-5), 157.2 (C-9), 149.7 (C-4’), 145.8 (C-3’), 103.4 (C-3), 98.8 (C-6), 94.8 (C-8), 103.6 (C-10), 121.9 (C-1’), 113.9 (C-2’), 114.9 (C-5’), 118.9 (C-6’) The data were also compared with those in the literature (Miyazawa & Hisama, 2003). Compound 2: 1H-NMR (400 Hz, DMSO-d6) δ12.50 (1H, s, 5-OH), 10.80 (1H, s, 7-OH), 9.61 (1H, s, 3-OH), 9.36 (1H, s, 3’-OH), 9.33 (1H, s, 4’-OH), 7.68 (1H, d, J=2.0 Hz, H-2’), 7.54 (1H, dd, J=8.4, 2.0 Hz, H-6’), 6.88 (1H, d, J=8.4 Hz, H-5’), 6.41 (1H, d, J=2.0 Hz, H-8), 6.19 (1H, d, J=2.0 Hz, H-6). 13C-NMR (DMSO-d6) δ 175.5 (C-4), 163.8 (C-7), 60.7 (C-5), 156.1 (C-9), 147.7 (C-3’), 146.7 (C-2), 144.9 (C-4’), 135.7 (C-3), 121.9 (C-1’), 119.9 (C-6’), 115.7 (C-5’), 115.0 (C-2’), 102.9 (C-10), 98.1 (C-6), 93.3 (C-8). The data were also compared with those in the literature (Chen et al., 2008). Compound 3: 1H-NMR (400Hz, DMSO-d6) δ 12.98(1H, s, 5-OH), 10.85 (1H, s, 7-OH), 10.38 (1H, s, 4’-OH), 7.94 (2H, d, J=8.0Hz, H-2’, H-6’), 6.93 (2H, d, J=8.0Hz, H-3’, H-5’) , 6.80 (1H, s, H-3), 6.49 (1H, d, J=2.0 Hz, H-8), 6.20 (1H, d, J=2.0 Hz, H-6); 13 C-NMR (DMSO-d6) δ 181.0 (C-4), 164.1 (C-7), 163.7 (C-2), 161.4 (C-5), 161.1 (C-4’), 157.3 (C-9), 128.4 (C-2’, C-6’), 115.9 (C-3’, C-5’), 121.1 (C-1’), 103.7 (C-3), 102.8 (C-10), 98.8 (C-6), 93.9 (C-8). The data were also compared with those in the literature (Miyazawa et al., 2003). Compound 4: 1H-NMR (400z, DMSO-d6) δ 12.75 (1H, s, 5-OH), 10.37 (1H, s, 4’-OH), 8.61 (1H, s, 7-OH), 7.94 (2H, d, J=8.8Hz, H-2’, H- 6’), 6.94 (2H, d, J=8.8Hz, H-3’, H-5’), 7.00 (1H, s, H-8), 6.83 (1H, s, H-3), 5.22 (1H, d, J=6.8Hz, anomeric H); C-NMR(DMSO-d6) δ 182.5 (C-4), 161.4 (C-2), 102.7 (C-3), 147.7 (C-5), 130.6 13 (C-6), 164.2 (C-7), 93.6 (C-8), 151.2 (C-9), 106.1 (C-10), 121.3 (C-1’), 128.6 (C-2’, C-6’), 116.4 (C-3’, C-5’), 149.3 (C-4’), 100.3 (C-1’’), 72.8 (C-2’’), 75.4 (C-3’’), 71.2 (C-4’’), 75.7 (C-5’’), 170.2 (C-6’’). The data were also compared with those in the literature (Chen, Cui, Duan, Ma, & Zhong, 2006). Compound 5: 1H-NMR (400 Hz, DMSO-d6) δ 12.92 (1H, s, 5-OH), 10.58 (1H, s, 7-OH), 10.36 (1H, s, 4’-OH), 8.71 (1H, s, 6-OH), 6.69 (1H, s, 3-H), 6.52 (1H, s, 8-H), 7,88 (2H, d, J=8.4 Hz, H-2’, H-6’), 6.79 (2H, d, J= 8.4 Hz, H-3’, H-5’); 13 C-NMR (DMSO-d6) δ 181.8 (C-4), 163.8 (C-2), 101.7 (C-3), 152.6 (C-5), 129.1 (C-6), 146.6 (C-7), 93.3 (C-8), 148.8 (C-9), 103.4 (C-10), 121.1 (C-1’), 128.7 (C-2’, C-6’), 115.2 (C-3’, C-5’), 160.4(C-4’). The data were also compared with those in the literature (Wang, Liu, Dong, Lv, & Xu, 2012). Compound 6: 1H-NMR (CDCl3) δ 12.51 (1H, s, 5- OH), 10.66 (1H, s, 7- OH), 7.93 (2H, m, H-2', H-6'), 7.57 (3H, m, H-3', H-4',H-5'), 6.70 (1H, s, H-3), 6.45 (1H, s, H-6), 4.05 (3H, -OCH3); EI-MS [M]+ m/ z 284. The data were also compared with those in the literature (Harrison, Sia, & Sim, 1994). Compound 7: 1H-NMR (400 Hz, DMSO-d6) δ 12.43 (1H, s, 5-OH), 10.84(1H, s, 7-OH), 9.54(1H, s, H-3’), 9.01(1H, s, H-4’), 7.72 (1H, d, J=2.4 Hz, H-2’), 7.60 (1H, dd, J=8.4, 2.0 Hz, H-6’), 7.25 (1H, d, J=8.4 Hz, H-5’),6.47 (1H, d, J=2.0 Hz, H-8), 6.21 (1H, d, J=2.0 Hz, 6-H), 4.88 (1H, d, J=8.0 Hz, anomeric H); 13 C-NMR (DMSO-d6) δ 146.7(C-2), 136.4 (C-3), 176.0 (C-4), 160.7(C-5), 98.2(C-6), 164. 0(C-7), 93.5(C-8), 156.2(C-9), 103.1(C-10), 125.1 (C-1’), 115.8(C-2’), 145.9 (C-3’), 146.3 (C-4’), 115. 1(C-5’), 119.5(C-6’), 101.3 (C-1’’) , 77.2 (C-2’’), 75.9 (C-3’’), 73.2 (C-4’’), 69.75 (C-5’’), 60.6 (C-6’’). The data were also compared with those in the literature (van der Woude, Boersma, Vervoort, & Rietjens, 2004; Yang et al., 2012). Compound 8: 1H-NMR (400 Hz, (CD3 ) 2 CO) δ 11.80 (1H, s, 5-OH), 8.67 (1H, s, 4’ - H), 7.30 (1H, s, 7-OH), 7.41 (2H, d, J=8.0 Hz, H-2’, H-6’), 6.89 (2H, d,=8.0 Hz, H-3’, H-5’), 6.17 (1H, s, H-6), 5.46 (1H, dd, J=12.0, 2.0 Hz, H-2), 3.90 (3H, s, -OCH3), 3.20 (1H, dd, J=17.2, 12.0 Hz, trans 3-H), 2.77 (1H, dd, J=17.2, 2.0 Hz, cis 3-H); 13 C-NMR ((CD3)2CO): δ 197.0 (C-4), 102.5 (C-10), 92.4 (C-6), 55.7 (OCH3), 43.0 (C-3), 79.23 (C-2), 156.5 (C-5), 158.0 (C-4’), 156.7 (C-9), 129.9 (C-1’), 128.1 (C-2’, C-6’), 115.2 (C-3’, C-5’), 127.2 (C-8), 147.7 (C-7) [8]. The data were also compared with those in the literature (Tomimori, Miyaichi, Imoto, & Kizu, 1986). Compound 9: 1H-NMR (400 Hz, DMSO-d6) δ 11.82 (1H, s, 5-OH), 9.58 (1H,s,7-OH), 8.11 (1H, s, 4’-OH), 7.34 (2H, d, J=8.4 Hz, H-2’, H-6’ ), 6.79 (2H, d, J=8.4 Hz, H-3’, H-5’), 6.20 (1H, s, H-8), 5.43 (1H, dd, J=12.4, 2.8 Hz, H-2), 3.26 (1H, dd, J=17.2, 12.4 Hz, trans 3-H), 2.74 (1H, dd, J=17.2, 2.8 Hz, cis 3-H), 3.83 (3H, s, OCH3); C-NMR (DMSO-d6) δ 197.5 (C-4), 42.2 (C-3), 78.4 (C-2), 56.6 (OCH3), 13 158.3 (C-5), 129.0 (C-6), 157.1 (C-7), 92.8(C-8), 148.7 (C-9), 103. 6 (C-10), 128.9 (C-1’), 127.0 (C-2’), 115.7 (C-3’), 156.9 (C-4’), 115.7 (C-5’), 127.0 (C-6’). The data were also compared with those in the literature (Lee, Duan, Lee, Lee, Hong, & Lee, 2010). Assay of DPPH radical-scavenging activity The DPPH radical-scavenging activities of flavonoids and CDDP were measured according to the method of Hu, Shen, and Wang, (2009), with some modifications. Briefly, 150 μL of 0.2mM DPPH radical solution (in methanol) was mixed with 150 μL of sample solution containing flavonoids (60 μM) and/or CDDP (60 μM). The mixture was left to stand at room temperature for 30 min. Then, the absorbance was measured at 517nm. Assay of superoxide anion-scavenging activity Superoxide anion-scavenging activity was determined by measuring the inhibition of the auto-oxidation of pyrogallol using a slightly modified method (Siegel et al., 2004). 10 μL sample solution containing flavonoids (600 μM) and/or CDDP(600 μM) and 280 μL of 50 mM Tris–HCl buffer (pH 8.2) were added to a freshly prepared 10 μL of 30 mM pyrogallol solution (dissolved in 10 mM HCl). The inhibition rate of pyrogallol auto-oxidation was measured at 420 nm. Absorbance of each sample was recorded at every 0.5 min interval for 5 min. References Chen, X., Cui, L., Duan, X., Ma, B., & Zhong, D. (2006). Pharmacokinetics and metabolism of the flavonoid scutellarin in humans after a single oral administration. Follow Drug Metabolism and Disposition, 34, 1345–1352. Chen, Z., Liu, Y. M., Yang, S., Song, B. A., Xu, G. F., Bhadury, P. S., Jin, L. H., Hu, D. Y., Liu, F., Xue, W., & Zhou, X. (2008). Studies on the chemical constituents and anticancer activity of Saxifraga stolonifera (L) Meeb. Bioorganic & Medicinal Chemistry, 16, 1337–1344. Harrison, L. J., Sia, G. L., & Sim, K.Y. (1994). 5,7-Dihydroxy-8-methoxyflavone from Tetracera indica. Planta Medica, 60, 493-494. Hu, W., Shen, W., & Wang, M. H. (2009). Free radical scavenging activity and protective ability of methanolic extract from Duchesnea indica against protein oxidation and DNA damage. Journal of Food Science and Nutrition, 14, 277-282. Lee, G. T., Duan, C. H., Lee, J. N., Lee, K. S., Hong, J. T., & Lee, K. K. (2010). Phytochemical Constituents from Salvia plebeian. Natural Product Sciences, 16, 207-210. Miyazawa, M., & Hisama, M. (2003). Antimutagenic activity of flavonoids from Chrysanthemum morifolium. Bioscience Biotechnology and Biochemistry, 67, 2091-2099. Siegel, D., Gustafson, D. L., Dehn, D. L., Han, J. Y., Boonchoong, P., Berliner, L. J., & Ross. D. (2004). NAD(P)H: quinone oxidoreductase 1: role as a superoxide scavenger. Molecular Pharmacology, 65, 1238–1247. Tomimori, T., Miyaichi, Y., Imoto, Y., & Kizu, H. (1986). Studies on the constituents of Scutellaria species(Ⅷ) on the flavonoid constituents of “Ban Zhi Lian,”the whole herb of Scutellaria rivularis Wall (2). Shoyakugaku Zasshi, 40, 432-433. Van der Woude, H., Boersma, M. G., Vervoort, J., & Rietjens, I. M.( 2004). Identification of 14 quercetin phase II mono- and mixed conjugates and their formation by rat and human phase II in vitro model systems. Chemical Research in Toxicology, 17, 1520-1530. Wang, J., Liu, X., Dong, B. P., Lv, X., & Xu, W. C. (2012). Synthesis and characterization of scutellarein. Chemical Research and Application, 24, 480-483. Yang , E. J., Kim, S. I., Park, S. Y., Bang, H. Y., Jeong, J. H., So, J. H., Rhee, I. K., & Song, K. S. (2012). Fermentation enhances the in vitro antioxidative effect of onion (Allium cepa) via an increase in quercetin content. Food and Chemical Toxicology, 50, 2042-2048. Cell viability (%) 100 C1 C2 C3 C4 C5 C6 C7 C8 C9 80 60 40 0 30 60 90 120 150 180 210 Compound concentrationM Figure S1. Effects of nine flavonoids on viability of OVCAR-3 cells. The cells were treated with vehicle (0.5% DMSO) and various concentrations of flavonoids for 24 h, and cell viability was determined by MTT assay. Results are representative of three independent experiments. Figure S2. The ROS changes in OVCAR-3 cells with treatments of CDDP (60 μM) alone, flavonoids (160 μM) alone, and their combinations for 3 h. The images were acquired by fluorescence microscopy (Olympus IX51S8F). Control: cells treated with 0.5% DMSO. DPPH radical-scavenging activity (%) 80 60 40 20 C8 C8+P C9 C9+P C6 C6+P C7 C7+P C3 C3+P C4 C4+P C5 C5+P C2 C2+P P C1 C1+P 0 Figure S3. DPPH radical-scavenging activities of CDDP (30 μM) alone, flavonoids (30 μM) alone, and their combinations. Results are representative of three independent experiments. (P), CDDP. 80 0 0 1 2 3 Time (min) 4 5 Superoxide anion-scavenging activity (%) Superoxide anion-scavenging activity (%) C4 (20 CDDP (20 C4 (20 ) + CDDP (20 40 20 0 0 1 2 3 4 Time (min) 5 6 Superoxide anion-scavenging activity (%) Superoxide anion-scavenging activity (%) C7 (20 CDDP (20 C7 (20 + CDDP (20 40 20 0 1 2 3 Time (min) 1 2 4 5 6 3 Time (min) 4 5 40 20 20 1 2 3 Time (min) 4 5 20 1 2 3 Time (min) 3 4 Time (min) 5 6 C6 (20 CDDP (20 C6 (20 + CDDP (20 20 0 1 2 3 4 Time (min) 5 6 80 40 0 2 40 6 C8 (20 CDDP (20 C8 (20 + CDDP (20 60 1 60 0 0 0 80 40 0 C3 (20 CDDP (20 C3 (20 ) + CDDP (20 60 0 6 C5 (20 CDDP (20 C5 (20 + CDDP (20 60 0 0 0 80 80 60 20 80 80 60 40 0 6 Superoxide anion-scavenging activity (%) 20 C2 (20 CDDP (20 C2 (20 + CDDP (20 60 Superoxide anion-scavenging activity (%) 40 80 Superoxide anion-scavenging activity (%) C1 (20 CDDP (20 C1 (20 + CDDP (20 60 Superoxide anion-scavenging activity (%) Superoxide anion-scavenging activity (%) 80 4 5 6 C9 (20 CDDP (20 C9 (20 + CDDP (20 60 40 20 0 0 1 2 3 4 Time (min) 5 6 Figure S4. Superoxide anion-scavenging activities of CDDP alone, flavonoids alone, and their combinations. Results are representative of three independent experiments.