a suitable system to model human bone disorders

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DRUG DISCOVERY
TODAY
DISEASE
MODELS
Vol. xxx, No. xx 2014
Editors-in-Chief
Jan Tornell – AstraZeneca, Sweden
Andrew McCulloch – University of California, SanDiego, USA
Bone biology in animal models, including testing of bone biomaterials
Fish: a suitable system to model human
bone disorders and discover drugs with
osteogenic or osteotoxic activities
Vincent Laizé1,3, Paulo J. Gavaia1,3, M. Leonor Cancela1,2,3,*
1
2
Centre of Marine Sciences, University of Algarve, 8005-139 Faro, Portugal
Department of Biomedical Sciences and Medicine, University of Algarve, 8005-139 Faro, Portugal
This review discusses the suitability and advantages of
teleost fish for studying underlying mechanisms of
normal and pathological development and mineralization of vertebrate skeleton, presents a selection of
zebrafish mutants and transgenic lines modeling hu-
Section editors:
Oskar Hoffmann – Pharmacology and Toxicology, UZA II
Pharmacy Center, Vienna, Austria.
Wilhelm Hofstetter – Clinical Research Department,
University of Bern, Bern, Switzerland.
man skeletal diseases and highlights currently available
fish systems for identifying and characterizing novel
osteogenic and osteotoxic molecules.
Introduction
The last decade has seen an exponential interest in the use of
model organisms capable of providing suitable alternatives to
mammalian models and allowing quicker and less expensive
approaches, leading to significant improvements in our
knowledge on the molecular basis of human pathologies.
In this respect, the study of skeletal diseases has not been
an exception but requires the use of vertebrates for obvious
reasons. Fish, in particular zebrafish and medaka, have been
used with a growing success due to their many similarities
with mammals in molecular pathways and mechanisms involved in the onset of patterning and development of skeletal
structures. Many reports have confirmed the suitability of fish
systems to model many of the pathological defects affecting
human skeletal formation, osteoclastic bone resorption, osteoblastic bone mineralization and extracellular matrix
maintenance, but also to visualize the onset of normal and
*Corresponding author.: M.L. Cancela ([email protected], [email protected])
3
All authors contributed equally.
1740-6757/$ ß 2014 Elsevier Ltd. All rights reserved.
abnormal skeletal structures, and the possibility of rapidly
detecting drug-induced osteogenic or osteotoxic effects in
phenotype-based assays.
Teleost fish and human skeletons are remarkably
similar
Despite some small differences that can be attributed to evolutionary distance (their last common ancestor existed approximately 420 million years ago), anatomic and developmental
features of teleost fish and mammalian skeletons are remarkably similar, with much of the skull, axial and appendicular
skeleton formed by identical bones, and with a high conservation of the developmental events and underlying mechanisms
of skeletogenesis, including the early formation of a cartilaginous anlage followed by bone formation through endochondral and dermal ossification [1,2]. Main differences and
similarities between fish and mammalian bone are summarized in Table 1 (see [3] for a more comprehensive comparison).
The most striking difference is probably the occurrence of
acellular bone (devoid of osteocytes) and mononucleated
osteoclasts in most teleost fish species, while mammals have
exclusively cellular bone and multinucleated osteoclasts. Interestingly, osteocytic bone and multinucleated osteoclast
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Table 1. Features of fish and human bone: similarities and differences
Fish skeleton
Human skeleton
Endochondral and membranous ossification
Hydroxyapatite-like calcium-phosphate crystals
Bone formation by osteoblasts positive for alkaline phosphatase
Bone resorption by osteoclasts positive for tartrate-resistance acid phosphatase
Mesenchymal origin of osteoblasts; hematopoietic origin of osteoclasts
Osteocytic and anosteocytic bone
Osteocytic bone
Dendritic processes in a well-developed lacunocanalicular system
Dendritic processes mostly absent and no lacunocanalicular system
Mono- and multinucleated osteoclasts
Multinucleated osteoclasts
Mechanosensing by osteoblasts and lining cells
Mechanosensing by osteocytes
Collagen I and II in bone
Collagen I in bone
Perichordal ossification of the vertebral column
Endochondral ossification of the vertebral column
16 types of cartilage
3 types of cartilage
occur in zebrafish [4,5]. Also noteworthy is the fact that most
teleost fish ossify the vertebrae directly over the notochord,
while mammals have a cartilaginous precursor [6,7]. Fish also
have a much higher diversity of cartilage types and intermediate tissues than what is found in adult mammals [4,8,9].
Despite those differences, the availability of fish mutants
exhibiting features resembling human pathologies has contributed to validate fish as a model organism to study mechanisms underlying skeleton development and skeletal
disorders.
Among teleost fishes, zebrafish Danio rerio (Hamilton,
1822) has been the target of a growing interest from the
scientific community. Zebrafish is a small freshwater fish
from tropical regions of South and Southeast Asia for which
numerous models of human diseases have been identified or
developed during the last decade, leading to its recognition as
a suitable model for biomedical research (reviewed in [10]).
Zebrafish embryos develop externally and are transparent,
allowing for direct observation of embryonic development
and organ growth. Additional features such as small size (3–
4 cm long), high fecundity (mature females can lay hundreds
of non-adhesive eggs every week), short generation time
(adulthood attained in 3–4 months) and rapid development
(most body structures are visible 48 h after fertilization),
robustness (they are easy to manipulate, adapt to a wide
range of environments and can be kept in large shoals)
and availability of genetic techniques, have reinforced the
attractiveness of the zebrafish as a laboratory model. Finally
and importantly, the zebrafish genome has been almost
entirely sequenced and annotated, with most human genes
having orthologs in zebrafish [11]. In addition, it is estimated
that approximately 70% of human disease genes have functional homologs in zebrafish [12]. The key regulators of bone
formation have been highly conserved, and corresponding
zebrafish orthologs share significant sequence similarities
and overlapping of expression patterns [13]. For phenotype-based assays related to skeletogenesis, the transparency
and external/rapid development of fish embryos is a clear
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References
[1,59]
[1]
[5]
[5]
[59]
[5]
[60–62]
[63]
[59,61,64]
[1,8]
[6]
[8]
advantage. It is possible to monitor each stage of skeleton
development and determine at high resolution the role of
single cells in bone and cartilage formation/mineralization.
However, zebrafish is not a mammalian species and the lack
of some organs (e.g. lung or mammary gland) represents a
limitation to the modeling of some human diseases. In
addition, phenotypic characteristics of diseases caused by
orthologous genes can differ between fish and human. Because it suffered the teleost-specific whole genome duplication event, zebrafish genome contains numerous paralogous
genes that resulted in gene sub-functionalization and/or
neofunctionalization, a situation that may limit, in some
cases, the use of zebrafish as a disease model. However, this
is also true in studies using the mouse model [11,14]. Still,
zebrafish is a relevant model organism to study vertebrate
development and human diseases, and is rapidly acquiring
standard prominence worldwide as an alternative and complement to rodent models, which remain the standard system
in pre-human drug tests.
Fish models of human skeletal disorders
In the last decade, there has been an increasing effort in
producing mutant and transgenic fish lines with the objective
of modeling human skeletal disorders and improving the
visualization of the skeleton. These achievements have decisively contribute to facilitate studies towards uncovering
novel drugs with the potential to treat the many skeletal
pathologies that affect millions of people worldwide and
which incidence is growing due to the increase in human
life span. Human diseases such as osteogenesis imperfecta,
bone loss (osteoporosis and osteopenia), craniosynostosis,
craniofacial defects and spinal deformities (scoliosis, holospondyly) are examples, among many others, of pathologies
for which fish mutants are available and being used to unveil
the corresponding changes in normal molecular pathways,
thus contributing to discover therapeutic molecules capable
of rescuing these pathologies (Table 2). Although medaka and
guppy have also been used to model human bone disorders,
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Table 2. Example of fish models of human bone and skeletal disorders (see also [90])
Human bone/skeletal disorders (bone/skeletal phenotype)
Fish model systems
Affected gene(s)
References
Osteogenesis imperfecta (OI)
(reduced bone density, bone fragility, skeletal deformities)
Osteoporosis
(reduced bone mineral density)
Glucocorticoid-induced osteoporosis (GIOP)
(reduced bone mineral density upon use of steroids)
Iron-induced osteoporosis
(reduced bone mineral density upon iron overload)
Raine syndrome (RNS)
(increased ossification)
Multiple osteochondromas (MO)
(cartilaginous bone tumors leading to skeletal deformities)
Zebrafish chihuahua (chi) mutant
Zebrafish frilly fins (frf) mutant
rankl-induced medaka
col1a1
bmp1
rankl
[65,66]
Mucolipidosis II (ML-II)
(skeletal, craniofacial and joint abnormalities)
Craniosynostosis
(premature fusion of cranial sutures)
Holospondyly
(fusion of vertebral centra)
Fibrodysplasia ossificans progressiva (FOP)
(heterotopic endochondral ossification)
Idiopathic scoliosis
(spinal deformity)
Arterial calcification of infancy
(ectopic mineralization)
Holoprosencephaly (HPE)
(craniofacial defects)
Campomelic dysplasia
(craniofacial defects)
Ehlers-Danlos syndrome (EDS)
(craniofacial defects)
DiGeorge syndrome (DGS)
(craniofacial defects)
Cranio-lenticulo-sutural dysplasia (CLSD)
(craniofacial defects and short stature)
Osteopathy related to mineral homeostasis
(failure to form mineralized bone)
Osteopathy related to abnormal ECM deposition
(craniofacial defects)
Osteopathy related to delayed mineralization
(delayed vertebrae calcification)
Hyperossification
(hyperossification and skeletal overgrowth)
[67]
Prednisolone-treated zebrafish
[56,68]
Iron-overloaded zebrafish
[28]
Zebrafish fam2b mutant
fam20b
[69]
ext2
extl3
papst1
gnptab
[70,71]
[72]
Zebrafish dolphin (dol) and stocksteif (sst) mutants
cyp26b1
[73]
Zebrafish stocksteif (sst) mutant
Retinoic acid-treated zebrafish
Zebrafish lost-a-fin (laf) mutant
cyp26b1
[74]
acvr1/alk8
[75]
Guppy curveback mutant
Not determined
[76]
Zebrafish dragonfin (dgf) mutant
enpp1
[16]
Zebrafish sonic-you (syu) mutant
shh
[77]
Zebrafish jellyfish (jef) mutant
sox9a
[78]
Zebrafish b4galt7 mutant
b4galt7
[79]
Zebrafish van-gogh (vgo) mutant
tbx1
[80]
Zebrafish crusher (cru) mutant
sec23a
[81]
Zebrafish no bone (nob) mutant
entpd5
[16]
Zebrafish
Zebrafish
Zebrafish
Zebrafish
creb3l2
uxs1
sec24d
Not determined
[82–84]
[85]
rpz
[86]
Zebrafish
Zebrafish
Zebrafish
Zebrafish
dackel (dak) mutant
boxer (box) mutant
pinscher (pic) mutant
gnptab morphant
feelgood (fel) mutant
man o’war (mow) mutant
bulldog (bul) mutant
bone calcification slow (bcs) mutant
Zebrafish rapunzel (rpz) mutant
most diseases models have been developed from zebrafish
mutants. Among the first mutants developed and characterized, the zebrafish chihuahua, which lacks a functional type 1
collagen gene, exhibits a skeletal dysplasia resembling human
osteogenis imperfecta characterized by extreme bone fragility. Zebrafish mutants sonic you – lacking a functional sonic
hedgehog gene, which is a key regulator of vertebrate organogenesis – and jellyfish – lacking a functional sox9a gene, which
is a transcription factor involved in chondrocyte differentiation – exhibit skeletal dysplasia resembling human craniofacial syndromes. Guppy is also a model and its mutant
curveback exhibits a skeletal dysplasia resembling idiopatic
scoliosis. Following these first mutants, many more have
been developed and characterized (Table 2) and its numbers
are continuously growing. A simple search in bibliography
using as key words ‘zebrafish’ and ‘human diseases’ can
undoubtedly show the exponential interest in zebrafish in
the last decade. Recently, zebrafish has also been proposed as
a model of excellence to study the molecular and cellular
events underlying the development of ectopic mineralizations, which are observed in a number of human pathologies
such as vascular calcification, skin calcifications, renal
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calcium stones, among others [15]. For example, the dragonfish mutant shows a broad range of ectopic calcifications
around perichondral bone in the craniofacial skeleton as well
as in the brain, the neural tube and the heart. On the
contrary, the no bone mutant fails to produce mineralized
bone [16].
Furthermore, the growing number of transgenic lines
expressing fluorescent proteins under the control of promoters of bone-related genes such as osx (sp7), oc2, runx2, sox9,
sox10, barx1, col2 and col10 among others [17–21], provide a
plethora of in vivo tools which allow studies with a level of
morphological detail and at a temporal scale never achieved
before. Thus it can be anticipated that these improvements,
both technical and in availability of in vivo models with
improved capabilities will lead to new discoveries at a much
higher pace than before. Information on the availability of
mutant and transgenic zebrafish lines can be found at the
European Zebrafish Resource Center (EZRC; http://
www.ezrc.kit.edu) or at the Zebrafish International Resource
Center (ZIRC; http://zebrafish.org).
Fish systems to discover osteogenic drugs
Given the important advances in technology, public in general as well as public and private decision makers expect that
these should accelerate the discovery of novel treatments,
pressing those involved in biomedical research as well as
pharma and biotech companies, to bring new drugs into
the market. Thus, economical as well as political pressures
require more and more the use of high throughput methods
to achieve the expected results. Given the advantages
highlighted above, zebrafish and medaka stand up among
other fish as models of choice to be used in biomedical
research, in particular for this quest for novel drugs suitable
to be used in bone therapeutics. Its importance can be also
measured by the growing number of articles focusing on this
issue in the last decade [10,22–26]. Here we describe available
systems used in screenings for osteogenic and mineralogenic
drugs. The success of these approaches confirms that fish, in
particular the cellular boned zebrafish, is an excellent model
for discovering therapeutic molecules for human skeletal
disorders (Fig. 1). Accordingly, Table 3 presents a number
of relevant studies which used zebrafish as an in vivo model to
uncover, following screening of various panels of drugs,
novel osteogenic and/or mineralogenic drugs, or drugs capable of reverting pathological conditions, thus proving once
more the importance of this model organism for discovering
therapeutic molecules of interest for human skeletal disorders. For example, the recent screening of 320 compounds in
the zebrafish mutant Snca1 led to the identification of clemizole as a potential treatment for Dravet syndrome [27]; in
another study using zebrafish, deferoxamine was found to
effectively counteract iron-overload-induced inhibition of
osteogenesis [28]. Similarly, zebrafish has also been used as
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a choice model to unveil the effects of pollutants and other
toxic molecules on skeletogenesis, with high relevance for
environmental monitoring and ecotoxicology.
Skeletogenesis in fish larvae
Looking at the effect of a molecule in the whole-organism is a
preferable approach since it not only allows the identification
of potential pitfalls but also the determination of therapeutic
activity, range of action and general toxicity. Fish, in particular zebrafish, embryos/larvae are small, transparent and
available in large quantities, and thus can be easily accommodated in 96-well plates for high-throughput screening of
molecule libraries. In zebrafish, the onset of bone formation
and mineralization occurs as early as 2 day post-fertilization
(dpf) and is first evident at 3 dpf in the cleithrum then in the
branchial and cranial skeletons [29]. Furthermore, it can be
assessed easily through whole-mount bone-specific staining
due to the transparency of the larvae at these early stages. The
fast development of the fish skeleton allows for short duration assays (few days), something difficult in traditional
mammalian models. Larvae are initially grown in petri dishes
then arrayed in 96-well plates at a density up to five fish per
well. Molecules are added directly to the liquid medium in
which the embryos/larvae develop. In wild-type strains, ossification is detected through alizarin red S staining in 6–11 dpf
zebrafish larvae [30] and quantified from the area and intensity of staining determined from color analysis of ventral
pictures of the head skeleton [31] (Fig. 1b). Zebrafish transgenic lines using fluorescent reporters highlighting particular
structures in the skeleton can also be used to observe specific
bone elements/cells and quantify their area/number without
the need for euthanasia. For example, Tg(oc2:GFP; osx:mCherry) transgenic zebrafish line (Fig. 1c), where GFP and
mCherry production is under the control of osteocalcin 2
and osterix promoters, respectively, can be used to determine
the size of the operculum or the number of pre- versus mature
osteoblasts. Similarly, col10a1:nlGFP transgenic zebrafish
line, where GFP production is under the control of collagen
10 promoter, a marker of early osteoblastic precursors, can be
used to assess events preceding mineralization in cranial and
axial skeleton [21]. In addition to its common use as a
colorant in bone research, Alizarin red S is also used as a
fluorochrome label of mineralized tissues, often as a complement to fluorescent reporters in transgenic fish ([32]; Bensimon-Brito et al., in preparation). In all cases, osteogenic/
osteotoxic effects are determined from the comparative analysis of treated versus control fish.
Osteogenesis in regenerating teleost fish fin
The caudal fin of teleost fish is remarkably simple, accessible
and can be restored upon amputation or damage. Because of
these characteristics, it has logically become an excellent
system for investigating underlying mechanisms of epimorphic
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(a)
Skeletal deformities
Regenerating
fin rays
Developing
operculum
Mineralizing
scales
Mineralogenic vertebraderived cell lines
11 dpf
(b)
Cl
Tg(oc2:GFP; osx:mCherry)
16 dpf
(c)
Op
Operculum
Nc
PT
Ps
Cb5
(d)
(e)
Lepido
-trichia
(f)
AR-S
stained
nodules
5 dpa
Drug Discovery Today: Disease Models
Figure 1. (a) Fish systems used to study/screen molecules for osteogenic effects. (b) Ventral view of whole-mount alizarin red S (AR-S) – alcian blue (AB)
stained zebrafish larvae at 11 days post-fertilization (dpf). Calcified structures appear in red; area and intensity of staining is determined for the notochord
(Nc), operculum (Op), parasphenoid (Ps) cleithrum (Cl), ceratobranchial 5 (Cb5) and pharyngeal teeth (PT). (c) Lateral view of Tg(oc2:GFP; osx:mCherry)
transgenic zebrafish at 16 dpf. Dotted white line indicates operculum area. (d) Lateral view of AR-S stained regenerating caudal fin of a juvenile zebrafish. Black
triangle indicates the amputation plan; Dotted black line indicates regenerated area; Solid black line indicates area of new bone formation. (e) AR-S-stained
elasmoid scale from the dorsal region of a juvenile gilthead seabream (Sparus aurata L.). (f) AR-S stained mineral nodules deposited within the extracellular
matrix of gilthead seabream VSa16 cell line (osteoblast-like cells).
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Table 3. Examples of fish systems to discover molecules affecting skeleton and bone formation
Molecules
Fish systems
Skeletal and bone effects
References
2,3,7,8-Tetrachlorodibenzo-p-dioxin (TCDD)
17b-Estradiol
3-Methylcholanthrene
Developing medaka
Cultured goldfish scales
Developing zebrafish
Regenerating zebrafish
Cultured gilthead seabream bone cells
Cultured goldfish scales
Cultured gilthead seabream bone cells
Cultured goldfish scales
Developing zebrafish
Impaired chondro- and osteogenesis
Increased osteoclastic activity
Increased rate of skeletal deformities
Reduced de novo bone formation
Reduced ECM mineralization
Suppressed osteoclastic activity
Reduced ECM mineralization
Suppressed osteoclastic and osteoblastic activites
Craniofacial defects
[87]
[58]
[36]
Developing zebrafish
Iron-overload zebrafish
Developing zebrafish
Developing zebrafish
Increased bone formation
Rescued iron-induced osteoporosis
Bone loss
Reduced bone mineralization
[31]
[28]
[31]
[89]
Calcitonin
Vanadium
Bisphenol A
Ethyl tert butyl ether (ETBE)
Tertiary amyl methyl ether (TAME)
Vitamin D3 analogs
Deferoxamine
Parathyroid hormone (PTH)
Dorsomorphin
regeneration, that is the complete reformation of missing tissues
[33–35]. When caudal fin tissues are amputated, a thick wound
epidermis is formed at the amputation plane, then a mass of
undifferentiated mesenchymal cells, called blastema, proliferate
beneath the wound epidermis and will later differentiate into
the various cell types necessary to the faithful restoration of
missing fin structures. Full regeneration is usually achieved after
10–15 days depending on the fish species, the level of amputation and culture conditions. Although zebrafish are raised at
28 8C, assays of fin regeneration are typically performed at
33 8C to speed up regeneration process, which is well advanced
after only 5 days. Fin regeneration and de novo bone mineralization is determined after alizarin red staining, imaging and
morphometric analysis of regenerated areas (Fig. 1d; see brief
protocol in [36])
Mineralogenesis in cell and scale cultures
In addition and as a complement to in vivo studies, mineralogenic cell lines developed from several fish species [37–39]
can be used to study more in depth mechanisms affecting
bone and cartilage cell function and metabolism and the
molecular pathways involved in various processes such as
extracellular matrix mineralization [40–46] or the mineralogenic effect of various molecules, for example retinoic acid
[47,48], polyunsaturated fatty acids [49], vanadate [46,50–52]
and polycyclic aromatic hydrocarbon [36]. In vitro mineralization is easily detected and quantified through the alizarin
red S staining of hydroxyapatite-like crystals deposited within
the extracellular matrix of fish bone-derived cell lines upon
exposure to a mineralogenic cocktail ([37]; Fig. 1f).
While cell cultures have been used to study mechanisms of
extracellular matrix mineralization, they have limited value
in the study of cell–cell and cell–matrix interactions. Elasmoid scales of teleost fish (Fig. 1e) are dermal bone elements
that develop late (30 dpf in zebrafish) and serve as a reservoir
of calcium [53,54]. They are small, easily accessible, abundant
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[58]
[52]
[57]
[88]
(hundreds of highly similar scales per fish), transparent and
have the ability to quickly regenerate (4 weeks in zebrafish),
when lost or removed [25,55]. As for regenerating fin rays,
scales have been recently used in biomedical studies aiming
at the better understanding of mechanism of bone regeneration [25,55] but also as an in vivo disease model for osteoporosis studies [56]. The possibility of culturing fish scales in
vitro as a bone unit, where osteoclasts and osteoblasts cohabit
on both sides of the mineralized matrix and interact in a way
resembling in vivo conditions, has allowed their use to assess
effects of anti/pro-osteogenic molecules [57,58] and as a
valuable ex vivo system to discover new drugs affecting bone
formation and/or resorption.
Conclusions
Through the availability of mutant and transgenic lines, fish
has become an attractive model system to study bone disorders. Furthermore, fish provide unique insights into underlying molecular mechanisms that cannot be gained in
traditional mammalian systems due to shortcomings, morphological constrains and technical limitations. Fish are also
cost-effective models with the potential to identify, in a
shorter time, novel drugs to treat bone disorders as well as
screening for osteotoxic molecules. Finding new treatments
for human diseases is challenging and future works should
aim at developing novel fish systems capable of modeling
more bone disorders and at automating screening processes.
Conflict of interest
The authors have no conflict of interest to declare.
Acknowledgements
This work was supported by the Portuguese Funding Agency
for Science and Technology (FCT) through AQUATOX
(PTDC/MAR/112992/2009) research project, by the Atlantic
Area Transnational Cooperation Programme of the European
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Community through MARMED (2011-1/164) project, and by
the National Strategic Reference Framework (QREN I&DT)
through ZEBRAFEEDS (QREN 23000) project.
[22]
[23]
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