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Zebrafish Models of Human Disease                 Non-Alcoholic Fatty Liver Disease
                Disease is the result of a breakdown or           Fatty liver disease, or overaccumulation of fat in
                perturbation of the systemic homeostasis in an    the liver leading to inflammation and fibrosis, is
                animal. This perturbation may be the result of    usually associated with alcoholism or obesity.
                genetic   mutations    or   variations   or       Globally,  non-alcoholic fatty  liver disease
                environmental pressures. Understanding the        (NAFLD) is found in  those with  high  BMI and
                disease  requires  us  to  look  deeply  into the   body fat. It is thought that high adipose tissue
                organism, the tissues, the cells and sometimes    fat deposits lead to the import of fat for storage
                the molecules. Working with humans, one           into the liver. Higher levels of fat in the liver
                cannot look deep enough or tinker far enough      causes inflammation triggering steatohepatitis.
                to see  cause and  effect relationships.  Animal   The lipid accumulation damages hepatocytes
                models offer a  new  window or a  new tool  to    and fibrosis sets in leading  to  cirrhosis.
                strengthen  our hands and deepen our              However, this pattern is not always observed in
                understanding. We use zebrafish (Danio rerio),    Indians and Southeast Asians.  In this population
                a natural resident of the rivers and paddy fields   there is a higher-than-western-populations
                of India, as a surrogate for humans in our quest   prevalence of NAFLD in lean  non-alcoholic
                to understand disease  pathophysiology. This      individuals. Thus, Indians appear to be prone to
                small vertebrate breeds  well in  captivity  and   a type of fatty liver disease independent of
                their transparent  embryos have offered  us       these two factors.   In our studies in a zebrafish
                many new insights into vertebrate embryonic       model of fatty  liver, we  have been able to
                development.  These chemically permeable          identify inflammation as an independent cause
                embryos  have  also been  instrumental  in        of fatty liver. Through our studies with systemic
                discovering new drugs and chemical modulators     overexpression of the inflammatory  cytokine
                of biological pathways. Over the years, we have   Interleukin 6 (IL6), we find that liver metabolism
                used   genome    editing,  antisense  oligo       gets reset to shunt glucose metabolism into the
                technologies and  transgenics to  perturb gene    fat synthesis pathway. The liver accumulates
                expression  to  create  models  of human rare     large amounts  of  fat  that can compromise
                genetic  disorders, birth  defects and lifestyle   hepatocyte function. We also observe
                disorders in  the  zebrafish. Our studies have    indications of mitochondrial dysfunction. We
                revealed  novel phenotypes, uncovered  new        are attempting to decipher the molecular effect
                molecular pathways, mediators, and regulators     of systemic IL6 overexpression and IL6 receptor
                of these diseases. We have also used chemical     signaling  in the hepatocytes. Using  zebrafish
                screens to identify novel small molecule          chemical  screens,  we are also attempting to
                modulators that can alleviate the phenotypic      identify small molecules that can reverse this
                manifestations of the disease in the model.       metabolic shift and lipid  imbalance  in
                                                                  hepatocytes.
                Publications
                Chronic systemic exposure to IL6 leads to deregulation of glycolysis and fat accumulation in the zebrafish liver.
                Singh MK, Jayarajan R, Varshney S, Upadrasta S, Singh A, Yadav R, Scaria V, Sengupta S, Shanmugam D, Shalimar,
                Sivasubbu S, Gandotra S, Sachidanandan C. Biochim Biophys Acta Mol Cell Biol Lipids. 2021 May;1866(5):158905.


















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