Abstract
Zebrafish larvae are transparent and the entire gastrointestinal (GI) tract is easily visualized. Application of a new image analysis technique is reported in this issue of Neurogastroenterology and Motility1. The technique quantifies movement in images collected in a timed sequence, and characterizes smooth muscle contractions based on contraction distance and frequency. The technique also reports the contraction amplitude, or the distance moved. This technique, as well as current spatiotemporal mapping techniques, are essential tools enabling characterization of GI motility patterns in intact physiological settings. Advances and development of transgenic zebrafish that lack pigmentation, with calcium reporters expressed in specific cell types, or with inactivation of specific genes contribute to our understanding of the generation, and regulation of GI motility at the molecular, cellular, and systemic level. Finally, development of chambers that immobilize zebrafish larvae for long-duration imaging will contribute to our technique toolbox, and will provide an increased experimental throughput.
Keywords: zebrafish, velocimetry, spatiotemporal maps, gastrointestinal motility
Abbreviated abstract
This minireview reports an new imaging technique suitable for quantifying gastrointestinal motility patterns in transparent zebrafish larvae. Advancements in transgenic zebrafish and chamber design applicable to motility measurements are described. Current techniques for Code for the technique is publicly available.

Generation and regulation of coordinated muscular contractions of the gastrointestinal (GI) tract results from complex interactions between smooth muscle cells, enteric neurons and interstitial cells of Cajal. Regulators external to the GI tract, such as the autonomic nervous system, mast and macrophage cells, as well as endocrine factors match GI motility patterns to other body systems 2. Luminal contents and microbiota can also influence motility patterns3. This level of complexity supports efficient nutrient absorption and waste elimination, and helps to prevent damage to the intestinal epithelial barrier thereby preventing infection 4. Unraveling control of GI motility is difficult because control mechanisms overlap, are interrelated, and in combination result in a robust system that remains functional despite injury 5, 6. This complexity is an excellent rational for a reductionist approach, isolating cells or knocking out single genes, to better understand regulatory mechanisms in isolation. The complexity also underscores the relevance for in-vivo approaches in unperturbed animals to better understand the complete system underlying generation and regulation of GI motor patterns, and to not miss potential interactions between regulatory pathways. Imaging GI motility in transparent zebrafish larvae provides an opportunity to examine GI motor function and regulation in an anesthetized, but otherwise unperturbed animal. Developing treatments to restore GI motility in the presence of a regulatory deficit, possible by removing ICC or enteric neurons, requires in-vivo models. Ultimately, our ability to restore GI motility clinically requires a deep understanding of intact and damaged GI systems. This mini-review will describe development of the zebrafish model for GI motility, focusing on imaging performed in developing larvae.
An article published in this issue of Neurogastroenterology and Motility entitled Image velocimetry and spectral analysis characterizes larval zebrafish gut motility using a new image analysis method that measures contraction frequency, amplitude, velocity, and distance 1. Smooth muscle contractions that result in ring-like lumen constriction and shortening of the digestive tract are quantified from time lapse images and presented as quantitative spatiotemporal maps (QSTMaps, see figure 1)1. Propagating contractions are easily observed in the QSTMap, and the repeating pattern indicates that contractions are organized. Contraction cycles occur slightly more than 2 per minute, or ~25 seconds between contractions. QSTMaps also reveal the correlation between circular and longitudinal smooth muscle contractions, and show circular contractions leading longitudinal contractions by 1 or 2 seconds (figure 2). Application of acetylcholine increased contraction frequency and contraction amplitude in 6 day old zebrafish larvae, as expected, contributing to validation of this technique 7. Feeding larvae for 2 days increased contraction frequency and amplitude when compared to fasted larvae, also as expected 8, 9. Interestingly, feeding appears to increase the variability in contraction amplitude. It is important to know that for this analysis contraction amplitude refers to the overall shortening of smooth muscle, and it does not measure contraction strength1.
Figure 1.

Dual staining shows the relative positions of ICC and enteric neurons in adult zebrafish (A, B), and smooth muscle and enteric neurons in larvae (C). Anti anoctamin 1 antibody (magenta) identifies ICC and anti tubulin antibody (green) identifies enteric neurons. Stellate ICC (A) are located between circular and smooth muscle layers. Bipolar ICC (B) are located within the circular smooth muscle layer close to the mucosal border. Close appositions between ICC and enteric neurons are observed for both types of ICC. Anti SM 22 antibody (magenta) identifies smooth muscle cells and anti-tubulin identifies enteric neurons (green, C) in the intestinal bulb. Scale bars are 50 μm.
Figure 2.

Spatiotemporal map lasting 1 hour. 8 days post fertilization larvae was immobilized in a Neofluidics perfusion chamber and images were collected at 4 frames/second. The top panel shows the region of interest extending from the intestinal bulb to the anus and the bottom panel shows the spatiotemporal map for 60 minutes. Consistent propagating contractions are apparent in the mid to distal intestine for the duration of this recording. A different pattern is observed in the intestinal bulb, with occasional changes in frequency and appearance.
Looking back, characterization of GI motility took the straightforward approach of counting spontaneous contractions and reporting contraction frequency in zebrafish larvae 10. These studies anesthetized and immobilized larvae using warmed agarose with tricaine (0.1g/L), and quickly positioning larvae for a optimal lateral view before the agarose solidifies, and covering with a layer of embryo medium7, 10. This remains the most common immobilization technique 11. Time lapse imaging collects images and contraction frequency at a specific point along the GI tract is determined by simply watching images playback at a high frame rate. Holmberg and co-workers reported 0.97±0.2 contractions/min in 6–8 dpf larvae 12. Spatiotemporal mapping techniques were applied later to zebrafish GI motility by Holmberg, Olsson, and Hennig where they showed the role of enteric neurons using tetrodotoxin13. They reported contraction frequency of 1.05±.09 contractions/minute, contraction distance as 720±33 μm, and contraction velocity of 28±4 μm/sec 13. Inhibition of enteric neural activity using tetrodotoxin decreased both contraction frequency and contraction distance by ~50%. Spatiotemporal maps for this work averages pixels in the vertical axis over a region of interest drawn over the intestine beginning after the swim bladder. Spatiotemporal maps are constructed using the averages, and each horizontal line in the map corresponds to a single timepoint. This spatiotemporal analysis technique was an important advance and provided quantitative measures to characterize GI motility for the first time.
ICC were first identified in zebrafish using anti-Kit antibodies14. The KIT protein is a receptor tyrosine kinase and is necessary for ICC development in humans, mice, and zebrafish 15–17. The functional role for ICC in zebrafish was shown using imatinib mesylate to inhibit KIT function, and therefore preventing ICC development 17. Spatiotemporal maps showed that imatinib mesylate-treated larvae had fewer spontaneous coordinated contractions, and when contractions occurred they were shorter distance and slower propagation velocity. A second advance for larvae positioning also contributed to this analysis using an ethylene propylene tube18. Drawing the larvae into the tube, in agarose, provides a simple and convenient method to easily rotate larvae to optimize lateral imaging position 7 dpf larvae with little to no distortion.
Ganz and coworkers describe a novel analysis technique using particle image velocimetry to measure gut motility. Particle image velocimetry is a technique that is more commonly used to characterize fluid flow by tracking movement of particles suspended in the fluid from frame to frame 19. One intriguing advantage of the technique is that it quantifies movement of each pixel in each frame, which is visualized using vectors superimposed on the image data (see Ganz supplemental movie). Using this analysis it if feasible to quantify and correlate movement of luminal contents with smooth muscle contractions. Software developed for this analysis is publicly available allowing the possibility for implementation of this methodology. The authors describe the complex analysis method succinctly, and the end product is a QSTMap which displays GI motility in a straightforward manner that allows coordinated patterns to be recognized. A custom built differential interference contrast microscope that allows simultaneous light sheet fluorescence microscopy and differential interference contrast microscopy (DIC) enhaces the image data20. DIC imaging excels at highlighting edges between cells or between the lumen and the mucosa.
Resolution for QSTMaps is determined by the magnification and the image frame rate. Images were collected with a sCMOS camera, which excels at fast imaging and provides high dynamic range, and a 40X objective providing a frame size of approximately 400 μm (see Ganz, supplemental movie 1). This provides a resolution of approximately 0.2 μm/pixel. For comparison, the GI tract, measured from the intestinal bulb to the anus, of a 7 dpf zebrafish is approximately 1.5 cm (see Ganz, Figure 1A). The STMaps therefore focuses on an approximately 25% of the entire GI tract. At this resolution characterization of interactions between individual smooth muscle cells may be possible. The external muscular layers of the GI tract function as a syncytium and are regulated by ICC and enteric neurons. Examining communication between ICC and enteric neurons or ICC and smooth muscle in vivo is an exciting possibility. For comparison by size, myenteric ICC cell bodies in the zebrafish GI tract are approximately 25 μm apart with stellate processes extending to neighboring ICC and smooth muscle cells (Figure 1).
Increased availability of imaging tools to analyze movement will enable correlations between GI motor patterns and specific roles between individual cells to be realized. A rapidly expanding list of available transgenic zebrafish label specific cell types and specific signaling mechanisms will also accelerate discovery. For example, macrophage influence gastric emptying is diabetic mice 21. Using a transgenic zebrafish line expressing fluorescently labeled macrophage will allow movement of macrophage cells within the smooth muscle layers of the GI tract to be tracked in-vivo, while simultaneously measuring GI motility22. Pigment cells begin to develop at 2 days post fertilization, well before the time when the GI tract develops at 4 days post fertilization, and the pigment cells interfere with imaging. Two fish lines, casper and crystal lack pigmentation 23, 24. Genetically coded calcium indicators driven by tissue-specific promoters enable signaling activity in specific cell populations to collected during GI motility 25. Interactions between the intestinal contents and GI smooth muscles can also be measured. For example, movement of rod-shaped Vibrio cholera bacteria in zebrafish GI tract, with movements tracked using DIC and velocimetry, suggest that it is possible to characterize feedback between the GI tract and the intestinal contents20,26. A connection between intestinal microbial populations and GI motility has already been shown in a simplified system with just 2 microbial species established in a zebrafish larva GI tract 27, 28.
GI motility patterns change over time and understanding how changing patterns is regulated is an important goal. Image analysis over a time period of 70 seconds, as shown in the accompany article, or over several minutes as shown in other publications, show only a few propagating contractions13, 17. Contractions appear to be ring-like propagating contractions, as observed by a distinct streak in the spatiotemporal maps, or as much smaller ripples that may not propagate and may perform a mixing function. Propagating contractions analyzed by Ganz et al may be most similar to the migrating motor complex in humans, a cyclic motility pattern observed during fasting29. Characterizing transitions between motility patterns requires image sequences spanning longer time periods but immobilization in agarose or polyethylene tubes sometimes results in deteriorating larvae health when recordings last more than 20 minutes. Many platforms for medium throughput compound testing on zebrafish embryo have been described 30, 31. We have experimented with a Neofluidics millifluidic chamber that allows perfusion and can hold multiple larvae for several hours. One spatiotemporal map resulting from a 60 minute recording (4 frames/second resulting in a 1.64GB file size) is shown in figure 2. The middle and distal intestine show consistent propagating contractions but the intestinal bulb shows changing contraction patterns. GI motor patterns can be analyzed from image time series while simultaneously measuring GI transit time, or signaling activity in select groups of cells. The chamber enables positioning of multiple embryos with perfusion, and therefore is suitable for medium-throughput compound testing on zebrafish GI motility at the whole organ level, or at cellular resolution.
Improved image analysis, chamber design, and availability of transgenic zebrafish combine to accelerate our understanding of the regulation of GI motility. Basic work to better understand development of ICC and enteric neurons remains to be done, and a better understanding of the similarities and differences between 7 day old and adult GI tracts of this in-vivo vertebrate model system will contribute to understanding regulatory processes. Physiologists are joining developmental biologists, taking advantage of the optical clarity and real-time imaging made possible by transparent zebrafish larvae.
Acknowledgments
I thank Grant Hennig for Volumetry software and useful discussions and Jon Sleeper for the data shown in Figure 2. Research in this publication was supported by NIH grant DK071588 and by a SUNY Research Foundation Collaboration grant.
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