Table 2

Summary of methods for generating stable and transient zebrafish models of genetic human diseases

TechniqueMechanismRequired componentsAdvantages for modelling rare genetic diseases in zebrafishLimitations for modelling rare genetic diseases in zebrafish
Stable models
ENU-mediated mutagenesisRandom mutagenesisDatabase of mutants that have already been generated by ENU-mediated random mutagenesisIf LOF mutants for genes of interest are available, this abrogates need to generate a new modelMutants for genes of interest are not always available. Outcrossing is often required to generate a stable model.
Retroviral-mediated insertional mutagenesisRandom mutagenesisDatabase of mutants that have already been generated by retroviral-mediated insertional mutagenesisIf LOF mutants for genes of interest are available, this abrogates need to generate a new modelMutants for genes of interest are not always available. Outcrossing is often required to generate a stable model.
ZFNs+NHEJ-mediated repairCreates double-stranded DNA break at target site, resulting in repair by NHEJMultiple DNA-binding zinc finger peptides (which each recognise 3 bp of target DNA) fused to FokI nuclease domainEnables targeted frameshift mutations to be introduced in candidate genes of interestTailored protein component needs to be generated for each genomic target. Outcrossing is often required to generate a stable model.
TALENs+NHEJ-mediated repairCreates double-stranded DNA break at target site, resulting in repair by NHEJCustomisable DNA-binding domain (peptide-based) fused to FokI nuclease domainEnables targeted frameshift mutations to be introduced in candidate genes of interestTailored protein component needs to be generated for each genomic target. Outcrossing is often required to generate a stable model.
CRISPR/Cas9+NHEJ-mediated repairCreates double-stranded DNA break at target site, resulting in repair by NHEJSpecific 20 nt guide RNA complementary to target site+Cas9 endonucleaseEnables targeted frameshift mutations to be introduced in candidate genes of interest. gRNAs can easily be designed for different targets. LOF models can be efficiently generated through NHEJ-mediated repairSome off-target effects are possible but can be minimised through appropriate gRNA design. Outcrossing is often required to generate a stable model.
ZFNs, TALENs or CRISPR/Cas9+HDR-mediated repairCreates double-stranded DNA break at target site. Simultaneous addition of DNA repair template results in HDR and incorporation of specific sequences or mutations of interestZinc finger peptides or customisable peptide-based DNA-binding domain fused to FokI nuclease domain, or specific ~20 nt guide RNA complementary to target site+Cas9 endonuclease (+DNA repair template containing sequence of interest)Allows knock-in of specific mutations of interest (most commonly via CRISPR/Cas9)Currently less efficient than NHEJ-mediated LOF model generation. Outcrossing is often required to generate a stable model.
CRISPR/Cas9-mediated base-editingDeaminates cytidine or adenine bases at genomic target site, resulting in single base-pair substitutionsSpecific ~20 nt guide RNA complementary to target site+catalytically inactive Cas9 (dCas9), fused to cytidine or adenine deaminase enzymeAllows introduction of disease-relevant missense mutations arising due to C-T or A-G base substitutionsSome base-pair substitutions cannot be modelled using this approach. Evidence of efficacy in zebrafish is limited. Specificity for target site needs to be established.
Transient models
Morpholino knockdownBlocks mRNA translation or splicing (post-translational)Synthetic 25 bp oligonucleotideAllows for rapid examination of LOF phenotypes. Could be used to rapidly obtain evidence to support causality of LOF candidate variantsEffects are short-lasting. May be associated with significant off-target effects. Cannot be used to model gain-of-function or patient-specific mutations.
CRISPR/dCas9 (CRISPR interference)Blocks transcription (and can be coupled to transcriptional activators or repressors to further control gene dosage)Specific ~20 nt gRNA complementary to target site+dCas9 (which can be fused to a transcriptional activator or repressor)Can be used to model both gain and LOF phenotypes. Has the potential to be used on a large scaleCurrently not widely used in zebrafish. Specificity for target site needs to be established.
  • Cas9, CRISPR-associated protein 9; CRISPR, clustered regularly interspaced repeats; dCas9, catalytically inactive Cas9; ENU, N-ethyl-N-nitrosourea; HDR, homology-directed repair; LOF, loss-of-function; NHEJ, non-homologous end joining; TALENs, transcription activation-like effector nucleases; ZFNs, zinc finger nucleases.