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Nat. Med. 17, 55–63 (2011) Receptor-mediated activation of ceramidase activity initiates the pleiotropic actions of adiponectin William L Holland, Russell A Miller, Zhao V Wang, Kai Sun, Brian M Barth, Hai H Bui, Kathryn E Davis, Benjamin T Bikman, Nils Halberg, Joseph M Rutkowski, Mark R Wade, Vincent M Tenorio, Ming-Shang Kuo, Joseph T Brozinick, Bei B Zhang, Morris J Birnbaum, Scott A Summers & Philipp E Scherer In the version of this supplementary file initially posted online, the Supplementary Methods were not included. The Supplementary Methods are now provided as of 8 July 2011. CORRECTION NOTICE
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Nat. Med. 17, 55–63 (2011)

Receptor-mediated activation of ceramidase activity initiates the pleiotropic actions of adiponectinWilliam L Holland, Russell A Miller, Zhao V Wang, Kai Sun, Brian M Barth, Hai H Bui, Kathryn E Davis, Benjamin T Bikman, Nils Halberg, Joseph M Rutkowski, Mark R Wade, Vincent M Tenorio, Ming-Shang Kuo, Joseph T Brozinick, Bei B Zhang, Morris J Birnbaum, Scott A Summers & Philipp E Scherer

In the version of this supplementary file initially posted online, the Supplementary Methods were not included. The Supplementary Methods are now provided as of 8 July 2011.

co r r e c t i o n n ot i c e

Supplementary Information Titles

Journal: Nature Medicine Article Title: The Pleiotropic Actions of Adiponectin are Initiated via Receptor-Mediated

Activation of Ceramidase Activity Corresponding Author:

Philipp Scherer

Supplementary Item & Number (add rows as necessary)

Title or Caption

Supplementary Figure 1 Adiponectin-decreases ceramide accumulation and improves hepatic insulin sensitivity in ob/ob mice.

Supplementary Figure 2 Adenoviral induction of LKB1 ablation does not alter LKB1 expression in cardiac or skeletal muscle, but alters sphingolipid metaboic gene expression in liver.

Supplementary Figure 3 Effect of Caspase 8 dimerization or adiponectin overexpression on sphingolipid levels and heart weight

Supplementary Figure 4 Adiponectin preserves functional b cell mass in PANIC ATTAC mice.

Supplementary Figure 5 Adiponectin prevents ceramide overaccumulation and activates ceramidase activity in Ins-1 b cells independently of AMPK activation.

Supplementary Figure 6 Adiponectin receptor double knockout MEFs are more susceptible to lipid induced cell death and overaccumulate ceramide in caveolar fractions and non-caveolar fractions.

Supplementary Table 1 Primers for AdipoR1 and AdipoR2 constructs and site directed mutagenesis.

Supplementary Methods

Nature Medicine: doi:10.1038/nm.2277

The Pleiotropic Actions of Adiponectin are Initiated via Receptor‐Mediated Activation of Ceramidase ActivityWilliam L. Holland, Russell A. Miller, Zhao V. Wang, Kai Sun, Brian M. Barth, Hai H. Bui, Kathryn E. Davis, 

Benjamin T. Bikman, Nils Halberg, Joseph M. Rutkowski, Mark R. Wade, Vincent M. Tenorio, Ming‐Shang Kuo, h k h b h l h

150 PBSa

Joseph T. Brozinick, Bei B. Zhang, Morris J. Birnbaum, Scott A. Summers and Philipp E. Scherer

Supplementary Information

leanobese

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Supplemental Figure 1. Adiponectin-decreases ceramide accumulation and improves hepatic insulin sensitivity in ob/ob mice. (a) Hepatic concentrations of individual ceramide species were quantified from liver of 10 week old leptin

0 60 120 180 240 300 360Minutes after insulin Clamped

Basal Beforebolus

After bolus

ob/ob mice. (a) Hepatic concentrations of individual ceramide species were quantified from liver of 10 week old leptindeficient (ob/ob) mice (n=6/group) after a 60-minute treatment with full length adiponectin (2 mg/kg, IV). (b) Livers were harvested from 10 week-old leptin deficient (ob/ob) mice (n=4/group) 0, 30, or 60-minute after treatment with full length adiponectin (2 mg/kg, IV) and hepatic ceramide concentrations were quantified. (c-f) Hyperinsulinemic-euglycemic clamps were performed on 10 week-old male ob/ob mice (n=5/group). After initiating hyperinsulinemia (10 mU/kg/min), variable infusion of dextrose (50%, iv, Figure 1B) was used to maintain euglycemia. 3H-Glucose was infused for 90 minutes prior to insulin delivery and coinfused throughout the 5 hour clamped period Glucose disposal (c) and hepatic glucose output (d)insulin delivery and coinfused throughout the 5-hour clamped period. Glucose disposal (c) and hepatic glucose output (d) were calculated from serum samples obtained in triplicate during the basal state (-20, -10, 0 minutes before insulin), during hyperinsulinemic steady-state (90, 100, 110 minutes after insulin), and during a final hyperinsulinemic steady-state period after a bolus injection of adiponectin (Adn, 2 mg/kg, IV, 120 minutes post-insulin; 280, 290, 300 minutes after insulin). After initiating hyperinsulinemia, whole blood glucose (e) was determined every 10 minutes by glucometer from a tail nick in ob/ob mice which received a bolus of adiponectin (adn, 2mg/kg, IV, 120 minutes post insulin) or PBS. (f) Plasma was collected before insulin infusion (-10 minutes), during the initial clamped steady-state before bolus injections (120 minutes), or after bolus injections at the end of the clamped steady-state (300 minutes). Insulin concentrations were determined by ELISA. † denotes p<0.08 compared to 0 minute time-point. * denotes p<0.01 compared to basal

Nature Medicine: doi:10.1038/nm.2277

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Ceramide synthesisCeramide metabolism

Supplemental Figure 2. Adenoviral induction of LKB1 ablation does not alter LKB1 expression in cardiac or skeletal muscle, but alters sphingolipid metaboic gene expression in liver.  (a‐b) Diacylglycerol levels were quantified from liver of ob/ob mice (a) and diet‐induced obese (DIO) mice (b) 60 minutes after administration of recombinant adiponectin (2 mg/kg, IV).  n=8 per group.  * denotes significant difference from lean control (p<0.05).  (c‐d) LKB1(fl/fl) mice were infected with adenovirus encoding either GFP or Crerecombinase 16 days prior to experiments (n=8/group). (c) Liver, heart, or skeletal muscle proteins were resolved by SDS‐PAGE andrecombinase 16 days prior to experiments (n 8/group). (c) Liver, heart, or skeletal muscle proteins  were resolved by SDS PAGE and western blots probing against LKB1 and tubulin were performed.  (d) RT‐PCR  on β‐actin, key sphingolipid synthetic enzymes [serine palmitoyltransferase subunits (SPT1 & SPT2), dihydroceramide synthase isoforms (Cers2 & Cers4), dihydroceramide synthase (Des1)], and key ceramide metabolism enzymes [acid ceramidase (AC), glucosylceramide synthase (GCS), ceramide kinase (CK), AdipoR1, and AdipoR2. Relative expression of genes was determined by comparison with β‐actin.   * denotes p<0.05 compared to GFP infected treated control group. 

Nature Medicine: doi:10.1038/nm.2277

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Supplemental Figure 3.  Effect of Caspase 8 dimerization or adiponectin overexpression on sphingolipid levels and heart weight.  

10 20 30Age (weeks)

(a) Following treatment with AP20187 (5 μg/kg, 14 hours), left ventricles were rapidly dissected from wildtype (wt) and HEARTATTAC transgenic mice for quantification of total ceramide (n=8 per group).   (b) S1P was measured by  tandem mass spectrometry from serum of 10 week‐old mice overexpressing adiponectin (Tg/+) or with wildtype levels of adiponectin (+/+) (N=6/group).   (c)  Heart weights and body weights were recorded and the ratio of heart weight to body weight was calculated from 10, 20, and 30 week‐old mice overexpressing adiponectin (Tg/+), or from wildtype mice  (N=6/group).  * denotes significant difference from wt mice of the same age (p<0.02).

Nature Medicine: doi:10.1038/nm.2277

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Supplemental Figure 4. Adiponectin preserves functional β cell mass in PANIC ATTAC mice. (a) Pancreata were obtained 10 days after treatment with AP20187 (0.2 mg/kg) or vehicle from 10-12 week-old male mice overexpressing adiponectin (Tg/+), wildtype for adiponctin (+/+), or lacking adiponectin (-/-). Tissue was sectioned at multiple levels, and islets were imaged after H&E staining with a Nikon Coolscope. Images are representative of 6 animals per condition. with multiple paraffin sections cut in 100 micrometer intervals.(bar=100μm). (b) Total pancreatic insulin content was measured from 10 week-old male mice overexpressing adiponectin (+/Tg), wildtype for adiponectin (+/+) or lacking di ti ( / ) t PANIC ATTAC b k d * d t i ifi t diff b t PANIC ATTAC t ti i (WT) d h PANIC ATTAC iadiponectin (-/-) on wt or PANIC ATTAC backgrounds. * denotes significant difference between PANIC ATTAC transgene negative mice (WT) and homozygous PANIC ATTAC mice

of the same adiponectin genotype (p<0.01) N=6/group. (c-g) Metabolic studies were performed on PANIC ATTACTg/Tg mice. (c) Random fed blood glucose was determined by glucometer in mice lacking adiponectin (-/-) or with wildtype levels of adiponectin (+/+) at indicated ages without AP20187 treatment (n=7 per group). * denotes significant (p<0.02) difference between adiponectin transgenic from wt animal of the same treatment. (d) Following injection of L-arginine (1 mg/g, IP), serum was collected at indicated time points and insulin concentrations were measured by ELISA N=7/group * denotes significant (p<0 02) difference between adiponectin transgenic from wt animal of the same treatmentinsulin concentrations were measured by ELISA. N=7/group. denotes significant (p<0.02) difference between adiponectin transgenic from wt animal of the same treatment. Glucose (e) and insulin (f) (0 and 30 minutes) were measured from adiponectin null and wildtype PANIC-ATTAC mice challenged with glucose (1mg/g, IP)(n=7 per group). * denotes significant (p<0.02) difference between adiponectin transgenic from wt animal of the same treatment. (g) Pancreas was obtained 10 days after initiating treatment with AP20187 (0.2 mg/kg, IP, twice daily for 3 days) or vehicle from 10-12 week-old female mice expressing wildtype adiponctin (+/+), or lacking adiponectin (-/-). Tissue was sectioned at multiple levels and islets were imaged after H&E staining with a Nikon Coolscope Islet size was calculated by mean cross-sectional area of multicelled islets and reported asat multiple levels, and islets were imaged after H&E staining with a Nikon Coolscope. Islet size was calculated by mean cross sectional area of multicelled islets and reported as microns2/islet. N=6/group. * Indicates significant effect of dimerizer p<0.01. †Indicates significant difference compared to wildtype mice under the same treatment condition.

Nature Medicine: doi:10.1038/nm.2277

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Supplemental Figure 5. Adiponectin prevents ceramide overaccumulation and activates ceramidase activity in Ins-1 β ll i d d tl f AMPK ti ti ( b) INS 1 ll i f t d ith d i di ildt d i i tβ cells independently of AMPK activation. (a-b) INS-1 cells were infected with adenovirus encoding wildtype or domininantnegative (K45R)AMPK (50 MOI, 2h) or left uninfected (No Inf) and maintained for 24 hours before replacing media with 2% BSA or 0.75 mM palmitate (in 2% BSA) with or without adiponectin (3 μg/mL). (a) After 16 hours of lipid exposure, cells were harvested and ceramide was quantified (n=5/group) or (b) cells were washed and cell viability was assessed by MTT assays (presented as % viablility as compared to control cells). N=8 per group from multiple experiments. (c-d) Ins-1 cells were removed from serum for 2 hours then treated with C2 ceramide (50 μM) in the presence of myriocin (10 μM) or adiponectin (3 μg/mL). Treatments were administered 20, 40, 80 and 160 minutes prior to harvesting samples by Folch extraction. (c) Long chain (C14-C24) ceramide and (d) C2-ceramide content was determined at indicated time points. (n=6/group from 3 separate experiments). (e) Ins-1 cells were removed to serum-free media for 1 hour, then incubated for 2 hours with full -length adiponectin (0.3 μg/mL), the de novo ceramide synthesis inhibitor myriocin (10 μM), or PBS. Cells were harvested , and sphingolipid content was determined. Data are presented as fold change as compared to PBS treated cells. N=4 from multiple experiments. (f) Crude lysates of INS-1 cells were incubated with NBD-ceramide with PBS or with adiponectin added in vitroexperiments. (f) Crude lysates of INS 1 cells were incubated with NBD ceramide with PBS or with adiponectin added in vitroat increasing doses. Data are reported as the fold increase in ceramidase activty as compared to PBS (non adiponectin control). N=4 from separate experiments. * denotes significant difference from basal (p<0.05).* denotes p<0.05 compared toPBS treated control. * denotes significant (p<0.05) effect of adiponectin. † denotes significant (p<0.05) effect of lipid.Nature Medicine: doi:10.1038/nm.2277

s )30

40 VehicleS1P

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ells

(% t

otal

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20

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Ceramide

AdiponectinF i #

b

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Fraction # 1 2 3 4 5 6 1 2 3 4 5 6

R1R2DKO MEF

WT MEF

R1R2

Fraction #

DKO MEF

7 8 9 10 11 12 7 8 9 10 11 12Adiponectin

Supplemental Figure 6. Adiponectin receptor double knockout MEFs are more susceptible to lipid induced cell death and overaccumulate ceramide in caveolar fractions and non-caveolar fractions. (a) MEFs deficient for both Adi R1 d Adi R2 d f d i t i d f 16 h i 2% BSA 2% BSA j t d t l it t

Adiponectin

AdipoR1 and AdipoR2 were removed from serum and maintained for 16 hours in 2% BSA, 2% BSA conjugated to palmitate (0.75 mM), or 2% BSA containing C-2 ceramide (50 μM). Cell viability was assessed by MTT assay. N=8, from multiple experiments. † denotes a significant effect of the pro-apoptotic lipid treatment (p<0.02). * denotes a significant (p<0.05) effect of S1P. (b) After 2 hours of treatment with adiponectin (3 μg/mL, Right 6 lanes), embryonic fibroblasts (80% confluent) were washed twice in cold PBS, scraped into 2 ml of MBS (25 mm Mes, pH 6.5, 150 mm NaCl) containing 1% Triton X-100, passed 5 times through a loose fitting Dounce homogenizer, and mixed with an equal volume of 80% sucrose (prepared in MBS lacking Triton X-100). The sample was then transferred to a 12-ml ultracentrifuge tube and overlaid with a discontinuous sucrose gradient (4 ml of 30% sucrose, 4 ml of 5% sucrose, both prepared in MBS, lacking detergent). The samples were subjected to centrifugation at 200,000 × g (39,000 rpm in Sorval rotor TH-641) for 16 h. A light scattering band was observed at the 5/30% sucrose interface. Twelve 1-ml fractions were collected, and lipids were extracted for radioactive assessment of ceramide. 32P labeled ceramide-1 phosphate was resolved by TLC, visualized on a Storm phosphorescent imager after phosphorylation by DAG kinase. Quantifiaction of lanes 3-6 correspond to caveolin-enriched p p g p p y y pfractions indicates that adiponectin decreased raft-associated ceramides by 23% in wt (but not DKO) MEFs.

Nature Medicine: doi:10.1038/nm.2277

Supplemental Table 1. Primers for AdipoR1 and AdipoR2 constructs and site directed mutagenesis. AdipoR1 and AdipoR2 were cloned from a mouse liver cDNA library. A carboxy-terminal flag tag was introduced to allow for expression verification by western blot; BamH1 and EcoR1 cloning sites were introduced to allow ligation into the pcDNA3.1 backbone. Site directed

i i ll d f h i i f hi idi ( id 141 d 191 i Adi R1 id 152 d 202 i Adi R2)mutagenisis allowed for the point mutation of histidine (residues 141 and 191 in AdipoR1, residues 152 and 202 in AdipoR2) toarginine. Altered bases are shown in bold.

Primers for Apn R1 and R2 constructsName SequenceForward AdipoR1 BamH1 cgggatccgccgccaccatgtcttcccacaaagReverse AdipoR1 Flag atcgtcgtccttgtagtcgagaagggagtcgtcReverse AdipoR1 BamH1 cgggatcctcacttgtcatcgtcgtccttgtag Forward AdipoR2 BamH1 cgggatccgccgccaccatgtcttcccacaaagReverse AdipoR2 Flag atcgtcgtccttgtagtccagtgcatcctcttcReverse AdipoR1 EcoR1 ggaattctca cttgtcatcgtcgtccttgtagForward AdipoR1 His141Arg ctggcaacatctggacacGtctgcttggttttgtgReverse AdipoR1 His141Arg cacaaaaccaagcagaCgtgtccagatgttgccagForward AdipoR1 His191Arg ctcctggctcttccGcactgtctactgtcattcReverse AdipoR1 His191Arg gaatgacagtagacagtgCggaagagccaggagForward AdipoR2 His152Arg gcaacatttggacacGtctcctaggttgtgtattcReverse AdipoR2 His152Arg gaatacacaacctaggagaCgtgtccaaatgttgcForward AdipoR2 His202Arg cttttcatggctcttccGcacggtgtactgccactReverse AdipoR2 His202Arg agtggcagtacaccgtgCggaagagccatgaaaag

Nature Medicine: doi:10.1038/nm.2277

Supplementary Methods

Lipid Standards and quantification

Labeled 18:0 sphingosine (Sph), 16:0, 18:0 and 24:0 Ceramides (Cer), 16:0, 17:0, 18:0, 24:0

GM3 and were synthesized internally at Eli Lilly and Company. Ceramides, sphingosines,

sphingosine-1-phosphate, dihydrosphingosine-1-phosphate, glucosylceramides, and GM3 levels

were quantified by the ratio of analyte and internal standard and calibration curves obtained by

serial dilution of a mixture of sphingolipids.

Hyperinsulinemic-Euglycemic Clamps

Ten week-old male ob/ob (C57Bl6J) mice were anesthetized under isoflurane anesthesia, and

chronic indwelling silicone catheters were aseptically placed in the right jugular vein and

animals were allowed 5 days to recover to preoperative weight. After initiating hyperinsulinemia

(10 mU/kg/min), variable infusion of dextrose (50%, iv, Figure 1B) was used to maintain

euglcemia (~250 mg/dL). Whole blood glucose was monitored every 10 minutes by glucometer

from a tail nick. An iv bolus of adiponectin (adn, 2mg/kg, IV, 120 minutes post insulin) or PBS

(0.1mL) was given through after achieving an initial clamped state. 3H-Glucose was infused for

90 minutes prior to insulin delivery and co-infused throughout the 5-hour clamped period.

Glucose turnover and hepatic glucose output were calculated from triplicate serum samples

obtained during basal state (-20, -10, 0 minutes before insulin), during a steady-state clamped

state (90, 100, 110 minutes after insulin), and after a bolus injection of adiponectin (Adn, 2

mg/kg, iv, 120 minutes post-insulin) during a final steady-state period (280, 290, 300 minutes

after insulin; 160-180 minutes after adiponectin).

Nature Medicine: doi:10.1038/nm.2277

Ceramidase Activity Assays

Cells were removed from serum for 2 hours, washed twice in cold PBS, and scraped into ice cold

buffer B [25 mM Tris-HCl (pH 7.4), 5 mM CaCl2, protease inhibitor cocktail]. After brief

sonication, 20 μL (containing approximately 15 μg protein) of lysate was added to resuspended

NBD-ceramide and reactions were allowed to proceed for 90 minutes at 37○C. Reactions were

stopped by boiling, dried by speed-vac, resuspended in 2:1 chloroform:methanol, and resolved

by TLC [(90:30:0.5 chloroform:methanol:ammonium hydroxide(25%) on Silica gel 60 plates].

The resulting NBD-stearate was identified and quantified relative to NBD-stearate standards, and

ceramidase activity was normalized to protein content (BCA assay).

Nature Medicine: doi:10.1038/nm.2277


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