Modeling tuberculosis meningitis in the zebrafish

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78 Abstracts ingediend voor het Amsterdam Kindersymposium 2013. Modeling tuberculosis meningitis in the zebrafish-. Mycobacterium marinum infection ...
Modeling tuberculosis meningitis in the zebrafishMycobacterium marinum infection model L.M. van Leeuwen (1,2), M. van der Kuip (1), W. Bitter (2), A.M. van der Sar (2), A.M. van Furth (1) (1) VU University medical center, Dept. of Pediatric Infectious Diseases, Immunology and Rheumatology, Amsterdam, The Netherlands (2) VU University medical center, Dept. Medical Microbiology and Infection control, Amsterdam, The Netherlands

INTRODUCTION Tuberculosis meningitis (TBM) is a severe extra-pulmonary manifestation of tuberculosis (TB). It occurs especially in early childhood, has a high morbidity and mortality and is often only considered when irreversible neurological damage has occurred. Characteristic pathological features of TBM are Rich foci, brain-specific granuloma formed after hematogenous spread of pulmonary TB. Little is known about the role of these foci during TBM, our aim is to unravel the pathogenesis. METHODS

To study pathogenesis we use the Danio rerio – Mycobacterium marinum infection model. Zebrafish naturally develop granuloma after infection with M. marinum, the closest genetic relative to M. tuberculosis. Embryos were infected via injection with fluorescent M. marinum in the caudal vein, hindbrain ventricle or parenchyma. Infection was analyzed 5 days later. After fixation, embryos were stained with anti-acetylated tubulin, labeling axons or anti-L-plastin, labeling phagocytes. Granuloma localization and composition was analyzed with confocal microscopy.

RESULTS

We show that after infection via different routes, clustering of bacteria and phagocytes occurs in the brain parenchyma. Infection via the bloodstream leads to granuloma formation in the brain in 50-80% of the cases. All embryos develop granuloma in the brain after direct injection of bacteria into the parenchyma. After infection via the ventricle, clusters are present in the meninges in every case and bacteria migrate to the parenchyma in 60% of the embryos.

CONCLUSION

The Zebrafish – Mycobacterium marinum infection model is a useful model to study granuloma formation in the brain. Different inoculation routes can be used for different research questions. Bacterial and host features will be further investigated in the future.

78 Abstracts ingediend voor het Amsterdam Kindersymposium 2013

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