Zebrafish (Danio rerio) larvae are widely recognized for studying host-pathogen interactions in vivo because of their optical transparency, genetic manipulability, and translational potential. The development of the zebrafish immune system is well understood, thereby use of larvae enables investigation solely in the context of innate immunity. As a result, infection of zebrafish with natural fish pathogens including Mycobacterium marinum has significantly advanced our understanding of bacterial pathogenesis and vertebrate host defense. However, new work using a variety of human pathogens (bacterial, viral, and fungal) has illuminated the versatility of the zebrafish infection model, revealing unexpected and important concepts underlying infectious disease. We propose that this knowledge can inform studies in higher animal models and help to develop treatments to combat human infection.
Why Use Zebrafish to Study Human Infection?Zebrafish have been used for almost 30 years as a model to study developmental biology because larvae are optically accessible and develop rapidly [1]. Zebrafish are also genetically tractable, and enable investigation of innate immune responses in isolation from adaptive immunity -which does not develop fully until 4 weeks post-fertilization [2][3][4]. Despite anatomical differences between zebrafish and humans, zebrafish can be used to investigate human infection by injecting a corresponding site that best suits the research question (Figure 1A, Key Figure). As a result, zebrafish have become an important animal model to study host-pathogen interactions in vivo. Mycobacterium marinum, a natural pathogen of zebrafish that causes a tuberculosis-like disease, is a paradigm for investigating host-pathogen interactions in vivo and has significantly contributed to our understanding of human infection with Mycobacterium tuberculosis (reviewed in [5]). For example, M. marinum infection in zebrafish has shown that the virulence determinant RD1 (region of difference 1) induces the aggregation of infected macrophages to form granulomas characteristic of tuberculosis [6], that modulation of host tumor necrosis factor (TNF) levels by leukotriene A4 hydrolase (LTA4H) can have both protective and pathological roles [7,8] and that macrophage necrosis in granulomas depends on an inter-organelle signaling circuit induced by TNF [65].Zebrafish share extensive genomic homology to humans, and >80% of human genes associated with diseases are present in zebrafish [4]. Importantly, counterparts of mammalian pathogen recognition receptors (PRRs), such as Toll-like receptors (TLRs) and nucleotide-binding oligomerization domainlike receptors (NLRs), as well as downstream signaling components, have been demonstrated to play important roles in zebrafish host defense [9]. In this opinion article we examine recent literature showing how infection of zebrafish with human bacterial, viral, and fungal pathogens can be used to discover fundamental concepts underlying human infection (Figure 1).