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invited review ‘‘Physiological genomics’’: mutant screens in zebrafish KERRI S. WARREN AND MARK C. FISHMAN Cardiovascular Research Center, Massachusetts General Hospital, Charlestown 02129; and Harvard Medical School, Boston, Massachusetts 02115 mutagenesis; embryonic physiology; embryonic cardiovasculature; vertebrate genetic screen BY THE YEAR 2000, we will have the sequences of most of the transcribed regions in the human and mouse genomes, but we still will lack a grasp of their functions. One approach to the investigation of function might be to selectively eliminate genes in mice one by one. However, such grand-scale targeted mutagenesis programs would be inordinately expensive. In addition, mouse embryos with severe cardiac malfunction die very early (embryonic days 9–14, see Ref. 56), making functional analysis difficult, if not impossible. An alternative is large-scale mutagenesis screening in a species less dependent on cardiovascular development for early embryonic survival, using screens focused on phenotypes of interest followed by identification of the mutant gene. The key to success in such studies is a sophisticated eye and a clever assay, exemplified by the genetic screens in Drosophila, which leveraged an entire field of developmental biology focused on generation of body plan and pattern (60). In principal, assays of physiology or behavior might serve as the phenotypic targets. This has been successful as part of the hunt for genes involved in circadian rhythmicity (18, 41, 69). Hence, mutagenesis screens start with a biologically significant and specifically interesting defect and move to the hunt for the affected gene, without making assumptions about molecule, cell, or tissue type. Thanks to considerable evolutionary conservation, the studies in Drosophila have shed light on homologous genes with essential roles in vertebrate development. But when questions are asked about the physiology of a process particular to vertebrates, information gleaned from the fly, worm, and yeast will be indirect. Mutagenesis screens in vertebrates are needed to resolve determinants and modulators of vertebrate- specific structure, function, and behavior. Recently, this has been accomplished in the tropical freshwater fish, the zebrafish Danio rerio (19, 20, 31). Here, we review this system, focusing on the set of mutations discovered that reveal unitary aspects of the function of the cardiovascular system. ADVANTAGES OF ZEBRAFISH Recent technological advances have made the measure of many cardiovascular functions feasible even in minute animals and embryos (6). Pulsed Doppler technology is being used for blood flow velocity, impedance measurement for heart rate or change in blood flow, high-resolution videomicroscopy for stroke volume calculations, and servo-null micropressure techniques for blood pressure in many animal models, including chick, rat, and mouse embryos (37, 38, 48), as well as frog and fish larvae (32, 33, 51, 52). Details on these and other attributes of the developing cardiovascular system of amphibians, fish, reptiles, birds, and mammals are well documented (7). There are many advantages for using zebrafish for assaying cardiovascular function in the embryo. Their embryos are transparent and can be monitored without being removed from their natural environment. Heart rate, oxygen consumption, and blood pressure all have been assayed in developing wild-type embryos (Fig. 1; see Ref. 52). In the zebrafish, the cardiovasculature is functional at 24 h postfertilization, but it is not essential for survival of the early embryo, which obtains adequate oxygen by simple diffusion (8, 52, 62, 63). Thus zebrafish mutants that completely lack a circulation still develop relatively normally for a day or two. This distinguishes fish embryos from mammalian em- 0363-6135/98 $5.00 Copyright r 1998 the American Physiological Society H1 Downloaded from http://ajpheart.physiology.org/ by 10.220.33.6 on May 8, 2017 Warren, Kerri S., and Mark C. Fishman. ‘‘Physiological genomics’’: mutant screens in zebrafish. Am. J. Physiol. 275 (Heart Circ. Physiol. 44): H1–H7, 1998.—Large-scale mutagenesis screens have proved essential in the search for genes that are important to development in the fly, worm, and yeast. Here we present the power of large-scale screening in a vertebrate, the zebrafish Danio rerio, and propose the use of this genetic system to address fundamental questions of vertebrate developmental physiology. As an example, we focus on zebrafish mutations that reveal single genes essential for normal development of the cardiovascular system. These single gene mutations disrupt specific aspects of rate, rhythm, conduction, or contractility of the developing heart. H2 INVITED REVIEW All the stages of zebrafish heart and vasculature development mentioned above can be appreciated when viewed through a dissecting microscope and observed at the single cell level with a compound microscope. The zebrafish heart and vasculature are thus well suited for screens aimed at identifying developmental disorders. THE BIG SCREENS bryos, whose survival depends on an intact circulation, so that mutations with cardiovascular effects are inevitably complicated by secondary degeneration or death. NORMAL ZEBRAFISH CARDIOVASCULAR DEVELOPMENT The earliest stages of heart formation in zebrafish are quite similar to those of the human heart during the first 3 wk of gestation, from cardiac specification to the formation of a two-chambered looped heart (22). The zebrafish heart forms by fusion of bilateral precardiac populations of the lateral plate mesoderm. Myocardial primitive heart tubes fuse and enclose the endocardial cells to create the bilayered definitive heart tube at the midline (64). The atrial end of this tube juts out from under the neural tube on the animal’s left side as unidirectional peristaltic waves propel blood through the first elements of the circulatory system by 24 h of development. The vasculature at this time encloses a simple circulatory loop; the blood travels from the heart to the trunk and tail via the first aortic arches and the paired dorsal aortas, and it returns by way of the axial vein and the Ducts of Cuvier (for review see Ref. 74). During the next few hours, the heart swings around to the midline of the embryo over the yolk, and the ventricle loops rightward as cardiac activity gradually changes from a peristaltic wave to sequential contractions of the atrium and ventricle. By 36 h, cardiac looping is complete, each chamber has a distinct contractile pulse, and the circulation now extends to the head. Valve morphogenesis follows and cushions become obvious between the chambers by 48 h of development (63). Fig. 2. Schematic outline of zebrafish F2 mutagenesis screens. N-Ethyl-N-nitrosourea (ENU) was used to mutagenize spermatogonia of G0 males. Outcrosses were performed with wild-type females to produce F1 generation, each F1 fish possessing a unique set of mutations. Sibling F1 matings created the F2 generation, and the mutations were driven to homozygosity in the F3 embryos. See text and Refs. 20 and 31 for details. Downloaded from http://ajpheart.physiology.org/ by 10.220.33.6 on May 8, 2017 Fig. 1. Blood pressure recorded in the day 3.5 to day 4 zebrafish embryo using a servo-null micropressure system. [Reproduced from Pelster and Burggren (52) with permission from Circ. Res. 79: 358–362. Copyright 1996, American Heart Association.] The real advantage of zebrafish for genetic research is the ease with which one can carry out large-scale screens. Two classic diploid F2 screens were recently completed in Boston and Tübingen (20, 31) (Fig. 2). N-Ethyl-N-nitrosourea, which creates point mutations in the spermatogonia of adult G0 males, was titered to generate one to two recessive lethal mutations per haploid genome. Mutagenized males were bred with wild-type females, and their offspring (F1 ) interbred to yield heterozygotic carriers of the mutations (F2 ). The phenotypes of the recessive mutations were revealed in the F3 generation embryos, in which the mutated gene was driven to homozygosity. The F3 egg clutches were examined at five stages of development (during the first 6–12 h and on the first, second, third, and fifth days after fertilization) for any signs of abnormal development and deemed a single gene, recessive mutation if evident in 25% of the growing embryos and larvae. Approximately one-half of the mutations from the screens were discarded as ‘‘uninformative’’ because they caused a general retardation, deterioration, or brain necrosis. A total of 1,858 mutations were kept for further characterization; 1,225 were analyzed for complementation and, although complementation test- INVITED REVIEW ing between the two groups has not been completed, these represent more than 500 genetic loci. The mutations affect an impressively large range of targets: eye, pigment, kidney, notochord, muscle, brain, and fins, to name a few. Although many pleiotropic mutations with early-onset phenotypes also perturb heart shape, size, and function, a combined total of 156 mutations were identified, which primarily affect the heart, vasculature, and blood (10, 55, 63, 75). GENES AFFECTING DEVELOPMENT OF CARDIOVASCULAR FORM WHAT ARE THE KEY STEPS IN THE MATURATION OF CARDIOVASCULAR FUNCTION? One opportunity created by these screens is to use zebrafish to understand the development of normal physiological control. What are the ‘‘units’’ of physiological function? One might be global heart size. It is known that heart size, rate, and cardiac output match the size of the vertebrate embryo (34, 38, 47). Increases in body mass during development are also closely correlated with increases in blood pressure (8, 13, 47, 51, 66). What genes are involved in matching the size of the heart to general metabolic needs and overall body size? Injection of the transcription factor Nkx2.5 into embryonic zebrafish (9) or frogs (14) causes development of a larger-than-normal heart. Nkx2.5 is ex- pressed in the premyocardial and myocardial cells, and its homolog tinman is necessary for heart formation in Drosophila (4), suggesting that it may be part of a pathway whereby allocation of cells to the myocardium is determined. It is of interest, along these lines, that the zebrafish mutations santa, valentine, and heart of glass all cause a globally enlarged heart (10, 63). Hence, this essential attribute of organ development may be amenable to analysis in zebrafish. Another set of programs might serve to set up the genetic components of homeostatic loops, such as those that control blood pressure, osmolarity, and PO2. Hemodynamic flow in the embryo is tightly controlled before innervation of the heart or vessels (12, 37, 48). Are there ‘‘receptor’’ genes and ‘‘feedback’’ genes? How is compensation achieved if one element is abnormal? Preliminary evidence suggests that zebrafish mutations could affect some of these processes and provide some of these answers. The nature of the chamber contraction sequence of the embryonic vertebrate heart is another carefully controlled function. It begins as a slow peristaltic wave and then changes with maturation to sequential atrial and ventricular beats. At that time, the cells of each chamber must contract simultaneously, a coordination imparted by the development of gap junction-mediated rapid conduction of the electrical impulse between cells (16, 29, 68). The cells of the inflow region, the outflow tract, and the atrioventricular junction maintain their slow conducting properties (17, 45), causing a pause between chamber contractions. One consequence of this functional patterning is that unidirectional flow can be maintained even before development of valves or nodes. The molecular basis of this functional patterning is likely to be complex and due to changes in expression and function of channels and pumps in the plasma membrane and the sarcoplasmic reticulum. Studies in several species have revealed region-specific and developmental changes in calcium regulatory mechanisms (30, 40, 43, 67), potassium channel expression patterns (15, 35, 50, 72, 73), and the differential appearance of the fast sodium current (25, 59), all of which affect the characteristics of the action potential. In addition, some components of the contractile apparatus are also specifically restricted to a chamber or junctional regions (28, 42, 46, 49, 71). A genetic dissection would, presumably, reveal not only the function of these elements but, perhaps, genes that serve to coordinate function in a global manner. PHYSIOLOGICAL MUTANTS A localized pacemaker, nodes to delay the beat between atrium and ventricle, and rapid unidirectional impulse propagation are vertebrate-specific innovations (22). The first zebrafish screens have revealed several mutations that perturb cardiac rhythm and contractility. For example, pacemaker function is perturbed in reggae and slow mo mutations (2, 63). In reggae, the local twitching in the sinoatrial (SA) region eventually ‘‘escapes’’ to the rest of the atrium and is Downloaded from http://ajpheart.physiology.org/ by 10.220.33.6 on May 8, 2017 One unexpected conclusion from the screens is that the cardiovascular assembly appears to be ‘‘modular’’ (23). In other words, discrete components or attributes are eliminated by single gene mutations as though the vertebrate heart is the sum total of sets of independent structures. This is important because if all cardiovascular developments were to have been interdependent, all mutations might have had indistinguishable or uninformative phenotypes. Instead, for example, the cloche mutation eliminates endocardium but does not block assembly of the primitive heart tube or its division into chambers; the pandora and lonely atrium mutations truncate the ventricle, although atrial formation is relatively unimpaired; the jekyll mutation blocks valve formation, but the atrioventricular junction is properly placed (10, 61, 63). Of course, ‘‘modularity’’ does not imply autonomy. Tissue-to-tissue interactions are quite important for heart formation and function. The assembly of a seamless vascular system also is selectively perturbed by different mutations, which speak to regional identity of otherwise apparently homogeneous endothelium. For example, the notochord appears to be required for assembly of the aorta but not of the caudal vein, which may be dependent on endoderm (B. M. Weinstein and M. C. Fishman, unpublished results and Ref. 24). The gridlock mutation perturbs one particular vascular branch point where the two dorsal aortas merge (63, 76). A similar defect is found in the kurzschluss mutant (10). The mutations bubblehead, migraine, and mush for brains lead to localized cranial hemorrhage, whereas the leaky heart mutation causes pooling of blood in the pericardial cavity (63). H3 H4 INVITED REVIEW followed by normal beat propagation, suggesting that there is a block in the region of the SA node, perhaps similar to the human disorder known as sinus exit block. In slow mo, the heartbeat is rhythmic but slow (Fig. 3A and Ref. 2). Dissociated slow mo cardiomyocytes beat at one-half the rate of wild-type cardiomyocytes. All currents contributing to diastolic depolarization (the pacemaker potential, Ih ) are normal in slow mo cardiomyocytes except Ih, which is greatly diminished (Fig. 3B and Ref. 2). This strongly implicates Ih as crucial to normal cardiac pacemaking. The slow mo defect may be in the Ih channel (which has not been CLONING THE MUTANT GENES The zebrafish genome size is ,2,700 centimorgans (cM) (53) and at 1.7 3 109 bp, it is a little more than one-half the physical size of the human genome. The positional cloning of a mutant gene is a task of similar magnitude in the zebrafish, mouse, or human. One current disadvantage in using zebrafish for genetic studies is that the infrastructure for cloning, while currently usable, is still under construction. However, Table 1. Zebrafish mutations for which the disrupted gene has been identified Cloning Approach Candidate gene Mutant Name no tail (ntl) floating head (flh) no isthmus (noi) Affected Gene ntl/brachyury flh/Not-1 pax-b Mutant Phenotype Notochord fails to differentiate fully, body shortened Notochord absent, floorplate absent, body shortened Midbrain-hindbrain boundary, cerebellum, optic tectum, pronephric ducts all missing chordino (dino) chordin homolog Ventral fates expanded, tail enlarged, head reduced swirl (swr) BMP2 Dorsal fates expanded, affecting notochord and somites; ventral fates deleted, affecting blood and nephros valentino (val) kreisler Hindbrain segregation for rhombomeres 5 and 6 absent Proviral tag recovery pescadillo (pes) Conserved, novel Eye and head reduced, failure of gut and liver expansion dead eye (dye) NIC96-like Necrosis of eye and optic tectum no arches (nar) clipper homolog Eye and head reduced, near absence of pharyngeal arches Positional cloning one-eyed pinhead (oep) EGF-related ligand Cyclopia, with defects in ventral neurectoderm, prechordal plate, and endoderm Reference No. 58 65 5 57 39 44 1 1 27 77 Downloaded from http://ajpheart.physiology.org/ by 10.220.33.6 on May 8, 2017 Fig. 3. A: slow mo mutation causes a slow heart rate. Representative tracings of cardiac activity from slow mo (smo) and wild-type 72-h embryos. Heart motion was recorded at 22°C, using a patch-clamp electrode positioned close to the heart on external surface of each embryo. Heart rates shown were 96 beats/min for wild type, and 48 beats/min for slow mo embryos (K. Baker, K. S. Warren, G. Yellen, and M. C. Fishman, unpublished results). B: slow mo causes a reduction in pacemaker current (Ih ). Whole cell voltage-clamp recordings of Ih from smo and wild-type embryonic cardiomyocytes show that reduction of Ih in smo is due to absence of a fast component normally seen in wild type. [Reproduced from Baker et al. (2) with permission from Proc. Natl. Acad. Sci USA 94: 4554–4559. Copyright 1997, The National Academy of Sciences, USA.] cloned in any species) or in a regulator of the channel. Because slow mo mutant embryos also show an inability to elevate heart rate with increased temperature, slow mo may also help define an important component of intrinsic heart rate variability and response to temperature. Other zebrafish mutations perturb impulse conduction or atrioventricular nodal function. Cell-to-cell comunication appears blocked in island beat and polka mutant genes, where individual cardiomyocytes contract but fail to excite neighboring cells. Atrioventricular junction block develops in ginger, breakdance, and hiphop mutants, so that atrial beats outnumber ventricular beats. Uncoordinated fibrillating hearts are found in tremblor, apparent from the first visible motions of the heart, and in legong and slip jig mutant genes, which progress from weak contractions to fibrillation on day 2. These mutant genes may lie in the pathway to proper cell coupling, ionic means of orchestrating membrane potential, or differentiation of specialized cells at chamber borders. There are also mutants that perturb normal development of contractility, without affecting heart rate or rhythm. For example, weak atrium is a chamberspecific defect affecting the atrium. Sisyphus, main squeeze, hal, weiches herz, low octane, dead beat, pipe heart, and tango mutants show ventricle-specific contractility defects. The remaining contractility mutants exhibit weakness in both chambers. These mutants progress to different end points, including some with dilated thin walls and others with an apparently stiff and hypertrophic myocardium (10, 63). These may provide systems in which to study heart failure in an intact organism. Once cloned, the genes will become candidates for heart failure propensity genes. INVITED REVIEW MEDICAL RELEVANCE The constellation of zebrafish mutations speak to all of the most common cardiovascular disorders. For example, some mutations disturb the essential structure or pattern of the heart, including abnormalities in left-right looping (11), problems that underlie many congenital heart malformations. In others, the overall structure of the heart is patterned correctly, but there is markedly diminished cardiac output. In some, the heart is dilated and in others, the heart is thick walled, the former similar to dilated and the latter to hypertrophic cardiomyopathies. Single gene mutations cause disturbances in rate (slow mo and reggae), rhythm (tremblor, slip jig, legong), and conduction (island beat, tell tale heart, polka). Mutations in these genes, which likely have human homologs, are themselves candidates for genes that contribute propensity to clinical disorders and provide handles on genetic pathways involving other genes that may also be critical in the establishment of normal function. Additionally, mutant fish, in principal, could serve as targets for development of new, more effective pharmaceuticals. FUTURE DIRECTIONS Future screens can be designed to examine specific physiological parameters or to follow, using in situ hybridization or immunohistochemical techniques, the expression of particular genes. The task of cloning will be expedited by denser maps and, hopefully, strategies for genetic complementation in which phenotypes may be rescued by injection of DNA. Additionally, insertional mutagenesis, using pseudotyped retroviruses (1, 26, 27) or transposable elements (36), will facilitate cloning by tagging the region affected by the insertion. Address reprint requests to M. Fishman, Cardiovascular Research Center, Massachusetts General Hospital, 149 13th St., Charlestown, MA 02129. REFERENCES 1. Allende, M. L., A. Amsterdam, T. Becker, K. Kawakami, N. Gaiano, and N. Hopkins. 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