Name: a doxorubicin-induced cardiomyopathy model in adult zebrafish
Uploaded: 2018-06-07T13:30:00
Description: Watch this Scientific Journal Video about A Doxorubicin-induced Cardiomyopathy Model in Adult Zebrafish at JoVE.com

This work was supported in part by a Scientist Development Grant from the American Heart Association (14SDG18160021 to YD), the US NIH R01 grants HL 81753 and HL 107304 to XX, and the Mayo Foundation to XX.

All procedures described here were performed in accordance with the Guide for the Care and Use of Laboratory Animals (National Academies Press. 2011), and they were approved by the Mayo Clinic Institutional Animal Care and Use Committee.
1. Adult Zebrafish Preparation
<ol>
	<li>Set up sufficient breeding pairs in crossing tanks to acquire at least twice as many as the total fish needed for DOX injection. If comparing fish with different genetic backgrounds, breed all fish within the same wee...

<ol>
	<li>Octavia, Y., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Doxorubicin-induced+cardiomyopathy:+from+molecular+mechanisms+to+therapeutic+strategies.">Doxorubicin-induced cardiomyopathy: from molecular mechanisms to therapeutic strategies.</a> J Mol Cell Cardiol. 52 (6), 1213-1225 (2012).</li><li>Singal, P. K., Iliskovic, N. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Doxorubicin-induced+cardiomyopathy.">Doxorubicin-induced cardiomyopathy.</a> N Engl J Med. 339 (13), 900-905 (1998).</li><li>Angsutararux, P., Luanpitpong, S., Issaragrisil, S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Chemotherapy-Induced+Cardiotoxicity:+Overview+of+the+Roles+of+Oxidative+Stress.">Chemotherapy-Induced Cardiotoxicity: Overview of the Roles of Oxidative Stress.</a> Oxid Med Cell Longev. , 795602 (2015).</li><li>Ichikawa, Y., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Cardiotoxicity+of+doxorubicin+is+mediated+through+mitochondrial+iron+accumulation.">Cardiotoxicity of doxorubicin is mediated through mitochondrial iron accumulation.</a> J Clin Invest. 124 (2), 617-630 (2014).</li><li>Zhang, Y. W., Shi, J., Li, Y. J., Wei, L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Cardiomyocyte+death+in+doxorubicin-induced+cardiotoxicity.">Cardiomyocyte death in doxorubicin-induced cardiotoxicity.</a> Arch Immunol Ther Exp (Warsz). 57 (6), 435-445 (2009).</li><li>Sawyer, D. B. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Anthracyclines+and+heart+failure.">Anthracyclines and heart failure.</a> N Engl J Med. 368 (12), 1154-1156 (2013).</li><li>Zhang, S., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Identification+of+the+molecular+basis+of+doxorubicin-induced+cardiotoxicity.">Identification of the molecular basis of doxorubicin-induced cardiotoxicity.</a> Nat Med. 18 (11), 1639-1642 (2012).</li><li>Dodd, D. A., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Doxorubicin+cardiomyopathy+is+associated+with+a+decrease+in+calcium+release+channel+of+the+sarcoplasmic+reticulum+in+a+chronic+rabbit+model.">Doxorubicin cardiomyopathy is associated with a decrease in calcium release channel of the sarcoplasmic reticulum in a chronic rabbit model.</a> J Clin Invest. 91 (4), 1697-1705 (1993).</li><li>Mitry, M. A., Edwards, J. G. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Doxorubicin+induced+heart+failure:+Phenotype+and+molecular+mechanisms.">Doxorubicin induced heart failure: Phenotype and molecular mechanisms.</a> Int J Cardiol Heart Vasc. 10, 17-24 (2016).</li><li>Aminkeng, F., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=A+coding+variant+in+RARG+confers+susceptibility+to+anthracycline-induced+cardiotoxicity+in+childhood+cancer.">A coding variant in RARG confers susceptibility to anthracycline-induced cardiotoxicity in childhood cancer.</a> Nat Genet. 47 (9), 1079-1084 (2015).</li><li>Deng, S., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Dystrophin-deficiency+increases+the+susceptibility+to+doxorubicin-induced+cardiotoxicity.">Dystrophin-deficiency increases the susceptibility to doxorubicin-induced cardiotoxicity.</a> Eur J Heart Fail. 9 (10), 986-994 (2007).</li><li>Leong, S. L., Chaiyakunapruk, N., Lee, S. W. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Candidate+Gene+Association+Studies+of+Anthracycline-induced+Cardiotoxicity:+A+Systematic+Review+and+Meta-analysis.">Candidate Gene Association Studies of Anthracycline-induced Cardiotoxicity: A Systematic Review and Meta-analysis.</a> Sci Rep. 7 (1), 39 (2017).</li><li>Wasielewski, M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Potential+genetic+predisposition+for+anthracycline-associated+cardiomyopathy+in+families+with+dilated+cardiomyopathy.">Potential genetic predisposition for anthracycline-associated cardiomyopathy in families with dilated cardiomyopathy.</a> Open Heart. 1 (1), e000116 (2014).</li><li>Lebrecht, D., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Dexrazoxane+prevents+doxorubicin-induced+long-term+cardiotoxicity+and+protects+myocardial+mitochondria+from+genetic+and+functional+lesions+in+rats.">Dexrazoxane prevents doxorubicin-induced long-term cardiotoxicity and protects myocardial mitochondria from genetic and functional lesions in rats.</a> Br J Pharmacol. 151 (6), 771-778 (2007).</li><li>QuanJun, Y., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Protective+Effects+of+Dexrazoxane+against+Doxorubicin-Induced+Cardiotoxicity:+A+Metabolomic+Study.">Protective Effects of Dexrazoxane against Doxorubicin-Induced Cardiotoxicity: A Metabolomic Study.</a> PLoS One. 12 (1), e0169567 (2017).</li><li>Seifert, C. F., Nesser, M. E., Thompson, D. F. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Dexrazoxane+in+the+prevention+of+doxorubicin-induced+cardiotoxicity.">Dexrazoxane in the prevention of doxorubicin-induced cardiotoxicity.</a> Ann Pharmacother. 28 (9), 1063-1072 (1994).</li><li>Adams, J. W., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Enhanced+Galphaq+signaling:+a+common+pathway+mediates+cardiac+hypertrophy+and+apoptotic+heart+failure.">Enhanced Galphaq signaling: a common pathway mediates cardiac hypertrophy and apoptotic heart failure.</a> Proc Natl Acad Sci U S A. 95 (17), 10140-10145 (1998).</li><li>Bowles, N. E., Bowles, K. R., Towbin, J. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+&amp;#34;final+common+pathway&amp;#34;+hypothesis+and+inherited+cardiovascular+disease.+The+role+of+cytoskeletal+proteins+in+dilated+cardiomyopathy.">The &amp;#34;final common pathway&amp;#34; hypothesis and inherited cardiovascular disease. The role of cytoskeletal proteins in dilated cardiomyopathy.</a> Herz. 25 (3), 168-175 (2000).</li><li>Kroumpouzou, E., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Common+pathways+for+primary+hypertrophic+and+dilated+cardiomyopathy.">Common pathways for primary hypertrophic and dilated cardiomyopathy.</a> Hybrid Hybridomics. 22 (1), 41-45 (2003).</li><li>Towbin, J. A., Bowles, K. R., Bowles, N. E. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Etiologies+of+cardiomyopathy+and+heart+failure.">Etiologies of cardiomyopathy and heart failure.</a> Nat Med. 5 (3), 266-267 (1999).</li><li>Liu, Y., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Visnagin+protects+against+doxorubicin-induced+cardiomyopathy+through+modulation+of+mitochondrial+malate+dehydrogenase.">Visnagin protects against doxorubicin-induced cardiomyopathy through modulation of mitochondrial malate dehydrogenase.</a> Sci Transl Med. 6 (266), 266ra170 (2014).</li><li>Asimaki, A., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Identification+of+a+new+modulator+of+the+intercalated+disc+in+a+zebrafish+model+of+arrhythmogenic+cardiomyopathy.">Identification of a new modulator of the intercalated disc in a zebrafish model of arrhythmogenic cardiomyopathy.</a> Sci Transl Med. 6 (240), 240ra274 (2014).</li><li>Ding, Y., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Haploinsufficiency+of+target+of+rapamycin+attenuates+cardiomyopathies+in+adult+zebrafish.">Haploinsufficiency of target of rapamycin attenuates cardiomyopathies in adult zebrafish.</a> Circ Res. 109 (6), 658-669 (2011).</li><li>Sun, X., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Cardiac+hypertrophy+involves+both+myocyte+hypertrophy+and+hyperplasia+in+anemic+zebrafish.">Cardiac hypertrophy involves both myocyte hypertrophy and hyperplasia in anemic zebrafish.</a> PLoS One. 4 (8), e6596 (2009).</li><li>Sun, Y., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Activation+of+the+Nkx2.5-Calr-p53+signaling+pathway+by+hyperglycemia+induces+cardiac+remodeling+and+dysfunction+in+adult+zebrafish.">Activation of the Nkx2.5-Calr-p53 signaling pathway by hyperglycemia induces cardiac remodeling and dysfunction in adult zebrafish.</a> Dis Model Mech. 10 (10), 1217-1227 (2017).</li><li>Yang, J., Shah, S., Olson, T. M., Xu, X. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Modeling+GATAD1-Associated+Dilated+Cardiomyopathy+in+Adult+Zebrafish.">Modeling GATAD1-Associated Dilated Cardiomyopathy in Adult Zebrafish.</a> J Cardiovasc Dev Dis. 3 (1), (2016).</li><li>Ding, Y., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Trapping+cardiac+recessive+mutants+via+expression-based+insertional+mutagenesis+screening.">Trapping cardiac recessive mutants via expression-based insertional mutagenesis screening.</a> Circ Res. 112 (4), 606-617 (2013).</li><li>Ding, Y., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=A+modifier+screen+identifies+DNAJB6+as+a+cardiomyopathy+susceptibility+gene.">A modifier screen identifies DNAJB6 as a cardiomyopathy susceptibility gene.</a> JCI Insight. 2 (8), (2017).</li><li>Kinkel, M. D., Eames, S. C., Philipson, L. H., Prince, V. E. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Intraperitoneal+injection+into+adult+zebrafish.">Intraperitoneal injection into adult zebrafish.</a> J Vis Exp. (42), (2010).</li><li>Wang, L. W., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Standardized+echocardiographic+assessment+of+cardiac+function+in+normal+adult+zebrafish+and+heart+disease+models.">Standardized echocardiographic assessment of cardiac function in normal adult zebrafish and heart disease models.</a> Dis Model Mech. 10 (1), 63-76 (2017).</li><li>Desai, V. G., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Development+of+doxorubicin-induced+chronic+cardiotoxicity+in+the+B6C3F1+mouse+model.">Development of doxorubicin-induced chronic cardiotoxicity in the B6C3F1 mouse model.</a> Toxicol Appl Pharmacol. 266 (1), 109-121 (2013).</li><li>Zhu, W., Shou, W., Payne, R. M., Caldwell, R., Field, L. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=A+mouse+model+for+juvenile+doxorubicin-induced+cardiac+dysfunction.">A mouse model for juvenile doxorubicin-induced cardiac dysfunction.</a> Pediatr Res. 64 (5), 488-494 (2008).</li><li>Chatterjee, K., Zhang, J., Honbo, N., Karliner, J. S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Doxorubicin+cardiomyopathy.">Doxorubicin cardiomyopathy.</a> Cardiology. 115 (2), 155-162 (2010).</li><li>Bang, C., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Cardiac+fibroblast-derived+microRNA+passenger+strand-enriched+exosomes+mediate+cardiomyocyte+hypertrophy.">Cardiac fibroblast-derived microRNA passenger strand-enriched exosomes mediate cardiomyocyte hypertrophy.</a> J Clin Invest. 124 (5), 2136-2146 (2014).</li><li>Rassaf, T., Kelm, M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Protection+from+diabetic+cardiomyopathy+-+putative+role+of+the+retinoid+receptor-mediated+signaling.">Protection from diabetic cardiomyopathy - putative role of the retinoid receptor-mediated signaling.</a> J Mol Cell Cardiol. 59, 179-180 (2013).</li><li>Wahbi, K., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Dilated+cardiomyopathy+in+patients+with+mutations+in+anoctamin+5.">Dilated cardiomyopathy in patients with mutations in anoctamin 5.</a> Int J Cardiol. 168 (1), 76-79 (2013).</li><li>Zhou, M. D., Sucov, H. M., Evans, R. M., Chien, K. R. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Retinoid-dependent+pathways+suppress+myocardial+cell+hypertrophy.">Retinoid-dependent pathways suppress myocardial cell hypertrophy.</a> Proc Natl Acad Sci U S A. 92 (16), 7391-7395 (1995).</li><li>Hershman, D. L., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Doxorubicin,+cardiac+risk+factors,+and+cardiac+toxicity+in+elderly+patients+with+diffuse+B-cell+non-Hodgkin's+lymphoma.">Doxorubicin, cardiac risk factors, and cardiac toxicity in elderly patients with diffuse B-cell non-Hodgkin's lymphoma.</a> J Clin Oncol. 26 (19), 3159-3165 (2008).</li><li>Silber, J. H., Barber, G. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Doxorubicin-induced+cardiotoxicity.">Doxorubicin-induced cardiotoxicity.</a> N Engl J Med. 333 (20), 1359-1360 (1995).</li><li>Von Hoff, D. D., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Risk+factors+for+doxorubicin-induced+congestive+heart+failure.">Risk factors for doxorubicin-induced congestive heart failure.</a> Ann Intern Med. 91 (5), 710-717 (1979).</li><li>Pugach, E. K., Li, P., White, R., Zon, L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Retro-orbital+injection+in+adult+zebrafish.">Retro-orbital injection in adult zebrafish.</a> J Vis Exp. (34), (2009).</li><li>Zang, L., Morikane, D., Shimada, Y., Tanaka, T., Nishimura, N. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=A+novel+protocol+for+the+oral+administration+of+test+chemicals+to+adult+zebrafish.">A novel protocol for the oral administration of test chemicals to adult zebrafish.</a> Zebrafish. 8 (4), 203-210 (2011).</li><li>Collymore, C., Rasmussen, S., Tolwani, R. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Gavaging+adult+zebrafish.">Gavaging adult zebrafish.</a> J Vis Exp. (78), (2013).</li></ol>

To model a progressive DIC, the dose of 20 mg/kg DOX was determined experimentally as the highest dose that does not cause significant fish death during 1 wpi but still results in fish death and the reduction of cardiac function after 4 wpi (Figure 3 and Figure 4C). This dose is comparable to those frequently used in rodent DIC models (15-25 mg/kg) and to the limit cumulative dose in humans (550 mg/m2, which is equivalent to 15 mg/kg)<sup class="xref"...

Doxorubicin (DOX), also named Adriamycin, has been developed as an anti-neoplastic drug since the 1960s1,2. It is now still actively used as an important chemotherapeutic drug for a broad spectrum of tumors. However, clinical application of DOX was hampered by its dose-dependent toxicities, especially cardiotoxicity characterized by variable symptoms ranging from asymptomatic electrocardiographic changes to pericarditis and decompensated cardiomyopathy1,2. To date, at least three major hypotheses have been raised to explain DIC, including activated reactive oxygen species (ROS)1,3,4,5, inhibition of topoisomerase II-&#946; (TOP2&#946;)6,7, and modulation of intracellular calcium release1,8,9. Accumulating evidence also suggests genetic predisposition as a pivotal risk factor for DIC10,11,12,13. Gene identities related to these DIC predispositions, however, remain largely unknown. Dexrazoxane is the only adjuvant agent approved by the US Food and Drug Administration (FDA) to treat DIC, but with limited implementation14,15,16, underscoring the need to identify additional therapeutic strategies. Animal models of DIC are therefore explored for these purposes. Owing to their accessibility and simplicity, mechanistic studies on DIC models could potentially have broader impacts on other types of cardiomyopathies: common pathogenesis might be shared among cardiomyopathies of different etiologies, especially at later pathological stages17,18,19,20.
In addition to rodent models of DIC, zebrafish DIC models with higher throughput have been developed to facilitate the discovery of both new genetic factors and therapeutics. An embryonic DIC model has been established in the transparent zebrafish embryos for screening therapeutic compounds21. Given that the cardiomyopathies are adult onset diseases with a progressive pathogenesis, adult zebrafish cardiomyopathy models have been developed22,23,24,25,26. We generated the first acquired model for cardiomyopathy resulting from chronic anemia24, followed by DIC as the second acquired cardiomyopathy model in adult zebrafish23. We found that injection of a single bolus of DOX into adult zebrafish induces cardiotoxicity that consists of an acute phase roughly within 1 week post-injection (wpi), followed by a chronic phase of cardiomyopathy up to 6 months post-injection. While haploinsufficiency of the mechanistic target of rapamycin(mtor) ameliorates cardiomyopathy at the chronic phase, it exaggerates fish mortality at the acute phase, underscoring the value of the adult DIC model to discern stage-dependent mechanisms23. We further demonstrated that the adult DIC model can be used to stress a collection of zebrafish insertional cardiac (ZIC) mutants that are being generated via a transposon-based insertional mutagenesis approach27. A pilot screen identified 3 known cardiomyopathy genes as well as DnaJ (Hsp40) homolog, subfamily B, and member 6b (dnajb6b) as new DIC susceptibility genes28. Therefore, the generation of the adult DIC model in zebrafish led to a new methodology that systematically enables identification of genetic modifiers for DIC, which complements the existing genome-wide association study (GWAS) and quantitative trait locus (QTL) analysis.
During the generation and implementation of the adult zebrafish DIC model, we noticed significant variations among different researchers and/or even among different injections performed by the same investigator. The longitudinal nature of the model imposes challenges to registering results from different investigators and to the sequential troubleshooting process. To facilitate the use of this simple cardiomyopathy-inducing stress method by the research community, we describe our protocol in detail, present two types of IP injection, and discuss considerations to reduce variations among different researchers.

<table>
	<tbody>
		<tr>
			<td>Crossing tank</td>
			<td>Aquaneering</td>
			<td>ZHCT100</td>
			<td>Fish breeding</td>
		</tr>
		<tr>
			<td>Incubator</td>
			<td>ThermoFisher</td>
			<td></td>
			<td>Maintaining embryo</td>
		</tr>
		<tr>
			<td>3 L medium tank</td>
			<td>Aquaneering</td>
			<td>ZT280</td>
			<td>Maintaining fish</td>
		</tr>
		<tr>
			<td>Paramecia</td>
			<td>Carolina</td>
			<td>131560</td>
			<td>Food for juvenile fish</td>
		</tr>
		<tr>
			<td>Live hatched brine shrimp</td>
			<td>in house</td>
			<td></td>
			<td>Food for adult fish</td>
		</tr>
		<tr>
			<td>Doxorubicin hydrochloride</td>
			<td>Sigma</td>
			<td>D1515-10MG</td>
			<td></td>
		</tr>
		<tr>
			<td>1.5 ml safe-lock tube</td>
			<td>Eppendorf</td>
			<td>No. 022363204</td>
			<td>For drug storage</td>
		</tr>
		<tr>
			<td>Aluminum foil paper</td>
			<td>Fisher</td>
			<td>1213104</td>
			<td>For preventing light exposure</td>
		</tr>
		<tr>
			<td>Proteinase K</td>
			<td>Roche</td>
			<td>No. 03115887001</td>
			<td>For dechorionating embryo</td>
		</tr>
		<tr>
			<td>Hank&#39;s balanced salt solution (HBBS)</td>
			<td>ThermoFisher</td>
			<td>14025076</td>
			<td>Vehicle for DOX</td>
		</tr>
		<tr>
			<td>100 mm petri dish</td>
			<td>Falcon</td>
			<td>431741</td>
			<td></td>
		</tr>
		<tr>
			<td>10 &#956;L NanoFil micro-syringe</td>
			<td>WPI</td>
			<td>NANOFIL</td>
			<td>For injection</td>
		</tr>
		<tr>
			<td>34 gauge needle&#160;</td>
			<td>WPI</td>
			<td>NF34BV-2</td>
			<td>For injection</td>
		</tr>
		<tr>
			<td>Tricaine</td>
			<td>Argent</td>
			<td>MS-222</td>
			<td>Anesthetizing fish</td>
		</tr>
		<tr>
			<td>96 well plate</td>
			<td>Costar</td>
			<td>3539</td>
			<td>For embryo drug treatment</td>
		</tr>
		<tr>
			<td>Transfer pipette</td>
			<td>Bel-art product</td>
			<td>F37898</td>
			<td>For transfering embryo</td>
		</tr>
	</tbody>
</table>

a doxorubicin-induced cardiomyopathy model in adult zebrafish

The genetically accessible adult zebrafish (Danio rerio) has been increasingly used as a vertebrate model for understanding human diseases such as cardiomyopathy. Because of its convenience and amenability to high throughput genetic manipulations, the generation of acquired cardiomyopathy models, such as the doxorubicin-induced cardiomyopathy (DIC) model in adult zebrafish, is opening the doors to new research avenues, including discovering cardiomyopathy modifiers via forward genetic screening. Different from the embryonic zebrafish DIC model, both initial acute and later chronic phases of cardiomyopathy can be determined in the adult zebrafish DIC model, enabling the study of stage-dependent signaling mechanisms and therapeutic strategies. However, variable results can be obtained with the current model, even in the hands of experienced investigators. To facilitate future implementation of the DIC model, we present a detailed protocol on how to generate this DIC model in adult zebrafish and describe two alternative ways of intraperitoneal (IP) injection. We further discuss options on how to reduce variations to obtain reliable results and provide suggestions on how to appropriately interpret the results.

Here, two methods to perform IP injection to model DIC in adult zebrafish are presented. While using the classic, established IP injection method29, it was noted that the injected DOX solution (red color) could sometimes ooze out from the location where the needle penetrated. The alternative IP injection uses a different location for needle penetration that is 3-4 mm away from the peritoneum where the DOX is released (Figure 1A), which...

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A Doxorubicin-induced Cardiomyopathy Model in Adult Zebrafish

A method to generate a doxorubicin-induced cardiomyopathy model in adult zebrafish (Danio rerio) is described here. Two alternative ways of intraperitoneal injection are presented and conditions to reduce variations among different experimental groups are discussed.

The genetically accessible adult zebrafish (Danio rerio) has been increasingly used as a vertebrate model for understanding human diseases such as ...

This method can help determine key factors affecting viral agents during the development of an adaptive model for ensocycline induced catatoxicity. The main advantage of this technique is that it is a simple ensocycline induced catatoxicity model which can be used for high-throughput genetic and drug-based screenings. When making DOX stock solution, thoroughly dissolve the DOX powder in deionized water until absolutely no clumps are visible.For quality control testing, collect a wild-type Zebra fish embryos from at least two pair of fish in two separate collections. Manually dechorionate the embryos 24 hours post-fertilization using fine needles. After the dechorionation, refresh the embryo water and remove any dead embryos.Each collection of embryos must have at least 36 embryos for a quality control test. Now, dilute the stock DOX solution in fresh embryo water to a final concentration of 100 micromolar. Prepare at least 100 microliters per three embryos.Mix the dilution using a vortex. The final dilution should have a light red color. Next, load the wells of a 96 well plate with 100 microliters of diluted DOX solution.Prepare one well per three embryos. Then, transfer the embryos to the wells using a plastic transfer pipette. While transferring embryos, keep the embryos close to the end of the pipette tip.Then, put the pipette tip into solution and allow the embryos to swim naturally into the well. Do not eject the embryos with solution as this will alter the DOX concentration. 48 hours post-fertilization, refresh the DOX solution.At this time, look under 10X magnification to identify dead embryos, which have no heartbeat and identify embryos with edema. Be quick to count and remove any dead embryos, otherwise the remaining embryos in the well will also die. Repeat the dead count at 72 hours post-fertilization.If there is at least 25%death then the DOX solution has a good drug efficacy and can be used for the experiment. Prior to injecting the fish with DOX, fast the fish for 24 hours. Next, group the fish.While anesthetized, use a clean filter paper to dry each fish and measure its body weight. Make groups of fish that are all within 10%of the same body weight, so each group can be injected with the same dose of DOX. Next, calculate the working concentration of DOX for each group so that each group is injected with five microliters of solution and receives the same dose of DOX by body weight.Then, dilute the stock of DOX in 1X HBSS. Mix the dilution with a vortex and then pulse spin the dilution to keep it cooled together in the tube. For the injection, prepare an injecting platform.In a clean, 100 milliliter Petri dish, place a sponge. With the aid of a dissection microscope, cut a cavity into the sponge to hold one fish. Four centimeters usually works.Next, unto a 34-gage needle, attach a 10 microliter microsyringe. Then, rinse the needle with one 1X HBSS to remove any bubbles or blocks from the syringe and tubing. Now, briefly anesthetize the adult fish with tricaine.Then, soak the sponge in the embryo water with tricaine and transfer a fish onto the sponge with its abdomen up for the injection. Now, intraperitoneally inject DOX solution by quickly inserting the needle at a 45 degree angle into the midline between the pelvic fins about one to two millimeters deep. Then, slowly release all of the DOX solution.Before retracting the needle, wait five seconds. Alternatively, the fish can be positioned laterally, with the anterior to the right. Then, inject at the lateral line above the pelvic fin, with the bevel up pointing towards seven o'clock at a 45 degree angle and three to four millimeters deep.If either method for injection was successful, there will be a red tint in the belly. After the injection, quickly transfer the fish to a clean crossing tank filled with fresh system water where it can recover. Then, rinse the needle with HBSS and proceed to the inject the next fish.Later, return the injected fish to a system with running circulation, but separate from the main system to avoid cross-contamination. For the next 24 hours, continue to fast the fish. Over the first week post-injection, be certain to check the fish daily and remove any dead fish.When using the classic belly-up IP injection method, it was noted that the injected DOX solution could sometimes ooze out from the location where the needle penetrated. The alternative lateral IP injection effectively prevented the leakage. Injection of DOX dosed at 50 milligrams per kilogram led to severe toxicity where the majority of fish died within one week.However, at a lower dose of 20 milligrams per kilogram, the injected Zebra fish could be maintained for chronic observation. With the alternative injection, there was no fish death during the first two weeks, and only about 10%death at four weeks. The classic method for injection at the same dose led to about 30%dead by four weeks.Next, transgenic fish with a casper background expressing DsRed and cardiomyocytes were used to assess the progression of cardiac dysfunction in the DIC model. Their red heart could be viewed at both the systolic and diastolic stages under a fluorescent microscope. After injection of 20 milligrams per kilogram of DOX using the alternative lateral injection method, ventricular function decline was detected beginning after four weeks.Once mastered, delivery of Doxorubicin with either technique can be performed on about 30 to 50 fish an hour. Following this procedure, other methods like echocardiography, electrocardiography or ex vivo heart function essay can be performed in order to profile heart function of this DIC model at different stages. While attempting this procedure, it is important to remember to use freshly prepared Doxorubicin and to test its drug efficacy after long-term storage, before the injection.Also, always handle Doxorubicin taking the appropriate safety precautions.

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