Ted screening, cell-based assays yield effectors of specific molecules and pathways that do not necessarily translate to clinical efficacy due to dissimilar physiology compared to humans. Mammalian models, while physiologically similar to humans, present difficulty when assaying large numbers of organisms[7]. The zebrafish model strikes an ideal balance NT 157 web between cell-culture and mammalian assay systems, having complex vertebrate organ systems including cardiovascular, nervous and enteric systems. The relative simplicity and small size of these organ systems, along with high fecundity make analyzing them in a high throughput manner readily accessible [8]. Zebrafish models also present the opportunity to assay for food-based disease treatments with organ system genetics as well asphysiology that displays remarkable similarity to the human condition [9]. The transparency and small size of the embryonic zebrafish allows microscopic visualization and quantification of fluorescent lipids within vertebrate organ systems. Several studies have taken advantage of this prospect to investigate fundamental mechanisms of lipid metabolism as well as test for new treatments that alter lipid absorption [10], [11]. With respect to hypercholesterolemia, larval zebrafish fed a high-cholesterol diet (HCD) have increased endothelial layer thickening and disorganization, vascular leukocyte recruitment, vascular leakage, and vascular neutral fat deposition [12]. zetimibe treatment resolved endothelial thickening, disorganization and leakage due to an HCD. HCD-fed larval zebrafish also have a 4-fold increase in total cholesterol and triglycerides, a 10?06 increase in cholesterylesters, and increased levels of ApoB and ApoAI [13]. Therefore, lipid profiles, lipid level alterations, immunological response and vascular changes associated with an HCD in zebrafish are similar to those seen in mammalian models of atherosclerosis. get Solvent Yellow 14 Besides numerous studies demonstrating that treatment of zebrafish with antihyperlipidemic drugs mirrors the response of humans to those drugs [14], [15], scientists are also beginning to test the ability of natural products to treat hypercholesterolemia. In the adult zebrafish, turmeric, laurel, cinnamon and clove reduced blood serum lipid and cholesterol levels [16], [17]. Additionally, BODIPY- cholesterol (BOD-CH) has been established as a marker of intravascular cholesterol levelsAutomated In Vivo Hypercholesterolemia Screenin the zebrafish and it was demonstrated that ground hawthorn leaves and flowers administered in the diet decrease intravascular BOD-CH fluorescence in zebrafish larvae [18]. Until recently, the ability to test natural product treatments in a food-based treatment paradigm via high-throughput screening has not been possible [2]. Here we develop and test an automated, zebrafish-based hypercholesterolemia treatment screen focused on natural product drug discovery and amenable to high-throughput testing, which can also be utilized to test the efficacy of purified molecular pharmaceuticals. We utilize this method to test the ability of a methanolic hawthorn (Crataegus laevigata) leaf and flower extract (MHE) to impact hypercholesterolemia. Analyzing time varying cardiac variables is one of the most valuable assessments of a treatment’ overall physiological effects [19]. A treatment that influences cardiac function impacts flow throughout the entire organism. Manually analyzing and quantifying these data sets is time consumi.Ted screening, cell-based assays yield effectors of specific molecules and pathways that do not necessarily translate to clinical efficacy due to dissimilar physiology compared to humans. Mammalian models, while physiologically similar to humans, present difficulty when assaying large numbers of organisms[7]. The zebrafish model strikes an ideal balance between cell-culture and mammalian assay systems, having complex vertebrate organ systems including cardiovascular, nervous and enteric systems. The relative simplicity and small size of these organ systems, along with high fecundity make analyzing them in a high throughput manner readily accessible [8]. Zebrafish models also present the opportunity to assay for food-based disease treatments with organ system genetics as well asphysiology that displays remarkable similarity to the human condition [9]. The transparency and small size of the embryonic zebrafish allows microscopic visualization and quantification of fluorescent lipids within vertebrate organ systems. Several studies have taken advantage of this prospect to investigate fundamental mechanisms of lipid metabolism as well as test for new treatments that alter lipid absorption [10], [11]. With respect to hypercholesterolemia, larval zebrafish fed a high-cholesterol diet (HCD) have increased endothelial layer thickening and disorganization, vascular leukocyte recruitment, vascular leakage, and vascular neutral fat deposition [12]. zetimibe treatment resolved endothelial thickening, disorganization and leakage due to an HCD. HCD-fed larval zebrafish also have a 4-fold increase in total cholesterol and triglycerides, a 10?06 increase in cholesterylesters, and increased levels of ApoB and ApoAI [13]. Therefore, lipid profiles, lipid level alterations, immunological response and vascular changes associated with an HCD in zebrafish are similar to those seen in mammalian models of atherosclerosis. Besides numerous studies demonstrating that treatment of zebrafish with antihyperlipidemic drugs mirrors the response of humans to those drugs [14], [15], scientists are also beginning to test the ability of natural products to treat hypercholesterolemia. In the adult zebrafish, turmeric, laurel, cinnamon and clove reduced blood serum lipid and cholesterol levels [16], [17]. Additionally, BODIPY- cholesterol (BOD-CH) has been established as a marker of intravascular cholesterol levelsAutomated In Vivo Hypercholesterolemia Screenin the zebrafish and it was demonstrated that ground hawthorn leaves and flowers administered in the diet decrease intravascular BOD-CH fluorescence in zebrafish larvae [18]. Until recently, the ability to test natural product treatments in a food-based treatment paradigm via high-throughput screening has not been possible [2]. Here we develop and test an automated, zebrafish-based hypercholesterolemia treatment screen focused on natural product drug discovery and amenable to high-throughput testing, which can also be utilized to test the efficacy of purified molecular pharmaceuticals. We utilize this method to test the ability of a methanolic hawthorn (Crataegus laevigata) leaf and flower extract (MHE) to impact hypercholesterolemia. Analyzing time varying cardiac variables is one of the most valuable assessments of a treatment’ overall physiological effects [19]. A treatment that influences cardiac function impacts flow throughout the entire organism. Manually analyzing and quantifying these data sets is time consumi.