All procedures involving animal models have been reviewed by the local institutional animal care committee and the JoVE veterinary review board.
1. Injection of Stained Clostridioides difficile into Zebrafish Larvae
- Anesthetize 20–30 zebrafish larvae at 5 days post-fertilization (referred to here as 5 dpf) with 0.02%–0.04% tricaine (tricaine powder is dissolved in double-distilled water and adjusted to pH = 7 with 1 M Tris-HCL solution) in 30% Danieau's medium ~10 min before injection. Transfer the anesthetized larvae to a fresh 10 cm Petri dish and remove any excess 30% Danieau's medium.
- Place a drop of 0.8% low-melting agarose onto the zebrafish larvae to cover. Gently adjust the larvae to a lateral position. Place the Petri dish on ice for 30–60 s to allow the low-melting agarose to solidify. Add 30% Danieau's medium containing 0.02%–0.04% tricaine to cover the agarose.
- Prepare the injection solution. Add 1 µL of 0.5% phenol red in phosphate-buffered saline (PBS) solution into 9 µL of the dye-stained Clostridioides difficile inoculum to visualize the injection process.
- Load a calibrated microinjection needle with the injection solution using a microloader. Mount the loaded needle onto a micromanipulator and position it under a stereomicroscope.
- Adjust the injection pressure between 600–900 hPa. Set the injection time to 0.1–0.3 s to obtain 0.5–1.0 nL. Set the needle in the micromanipulator at a ~45° angle pointing toward the embedded larvae.
- Place the needle tip above the gastrointestinal tract, close to the urogenital pore. Pierce through agarose, then the muscle with the needle tip, then insert it into the intestinal lumen and inject 0.5–1.0 nL of Clostridioides difficile. Use a fluorescence microscope to monitor the injected larvae and pick up the properly injected larvae for confocal imaging.