Cardiotoxicity is a major problem with numerous pharmaceutical
agents and industrial chemicals. Use of zebrafish as an animal model
for cardiotoxicity testing can provide more accurate results compared
to cell-based assays. Drug effects on heart rates, heart beat rhythm,
and contractility can be directly assessed in the transparent zebrafish
under a dissecting microscope, providing information on the pharmacological
effects of drugs on cardiac function.
Visual assessment
As a rapid assessment of cardiac toxicity, the morphology of the
heart and the occurrence of edema, hemorrhage, and necrosis are
examined under a dissecting microscope. Cardiac edema may be caused
by venous obstruction, increased vascular permeability, or heart
failure. Hemorrhage may be caused by blood vessel malformation or
rupture of tissues or organs after drug treatment.
Cardiac Function Assessment
Transparency of the zebrafish permits rapid measurement of heart
rate and examination of cardiac rhythm and contractility. The ventricular
and atrial rates, cardiac rhythm, and contractility are assessed.
Changes in relative ventricular
rates after drug treatment. Zebrafish
embryos at 24 hpf were treated with different drugs for 4 hours,
and the ventricular rates were recorded and compared to the control.
Isoproterenol (a b-adrenergic agonist) increased ventricular rate,
while Propranolol (a b-adrenergic antagonist), Dofetilide (an IKr-channel
blocker), Flecainide (a Na+-channel blocker), and Verapamil (an
L-type Ca2+-channel blocker) reduced ventricular rate.
In vivo cardiac function
assessment: 2-day zebrafish
were treated with vehicle (top) or propranolol (bottom), a beta-adrenergic
receptor blocker, for 4 hours, and time-lapse recording was used
to examine cardiac functions. After propranolol treatment, slow
heart rate, irregular atrial/ ventricular beating and prolonged
contraction of the ventricle were observed indicating that propranolol
treatment causes cardiac arrhythmia in zebrafish. Similar side effects
of propranolol have been observed in humans, suggesting the utility
of zebrafish for assessing cardiac function after drug treatment.
Histology
The structure of the cardiac chambers, musculature walls, and morphology
and condition of the cardiac cells and tissues are analyzed by standard
Hematoxylin-Eosin (H&E) staining of sections.
Toxicity on the Vascular System
Microangiography
Fluorescent microspheres are injected into the circulatory system
to assess drug effects on blood vessels.
Zebrafish blood vessels
labeled by microangiography. The
stereotypic pattern of the intersomitic vessels (ISVs) is disrupted
by the anti-angiogenic drug SU5416. (A), Normal zebrafish at 72
hpf. (B), Zebrafish treated with SU5416. Note the severe reduction
of ISVs after SU5416 treatment.