Non-conventional preclinical models


FROM PROOF OF CONCEPT TO REGULATORY ASPECTS: ADVANTAGES, LIMITS AND APPLICABILITY

The new global rules and greater ethical awareness imply increasingly stringent controls on the use of vertebrates in “in vitro” studies. This situation has increased the costs and time required to obtain the authorizations. However, not all studies can be performed in vitro. In recent years, new alternative models have been proposed, eg. useful insects and gastropods in the microbiological field, to study: the host-parasite relationship, some aspects of innate immunity,
the screening of antimicrobial drugs and for an initial toxicological screening.



Tenebrio molitor

The larva of Tenebrio molitor, commonly known as the "mealworm," represents an alternative animal model of growing interest in preclinical research, particularly in the context of host-pathogen interactions. This interest stems from its suitability as a study model, characterized by an immune system capable of mirroring some dynamics present in mammals, along with a range of practical and economic advantages.
The larvae of Tenebrio molitor exhibit a complex and dynamic immune system, characterized by both humoral and cellular responses. The presence of antimicrobial peptides in the larvae offers an intriguing parallel with the innate immune response of mammals, contributing to their utility as an experimental model.
Management of the larvae is facilitated by their appropriate size, allowing precise injections of substances to be tested without the need for anesthesia, and enabling manipulation and collection of tissues and hemolymph for detailed analyses, such as proteomics.

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From a practical standpoint, larval rearing is relatively simple and economical, with widespread commercial availability globally. This aspect makes Tenebrio molitor larvae accessible to a broad scientific community and renders them a valuable resource for preclinical research.
A significant advantage of this model is its short lifespan, allowing for rapid results and contributing to reducing research times and costs. Additionally, the larvae's survival across a range of temperatures enables the study of host-pathogen interactions under conditions that more closely reflect the human physiological environment.
The increasingly widespread adoption of Tenebrio molitor larvae as a study model for human pathogenic microorganisms has been accompanied by the discovery of new antimicrobial peptides and inhibitors of virulence factors, suggesting potential therapeutic applications in the future.

References

Petronio Petronio G, Pietrangelo L, Cutuli MA, Magnifico I, Venditti N, Guarnieri A, Abate GA,
Yewhalaw D, Davinelli S, Di Marco R. Emerging Evidence on Tenebrio molitor Immunity: A Focus on Gene Expression Involved in Microbial Infection for Host-Pathogen Interaction Studies. Microorganisms. 2022 Oct 7;10(10):1983. doi: 10.3390/microorganisms10101983. PMID: 36296259; PMCID: PMC9611967.

Lozoya-Pérez NE, García-Carnero LC, Martínez-Álvarez JA, Martínez-Duncker I, Mora-Montes HM. Tenebrio molitor as an Alternative Model to Analyze the Sporothrix Species Virulence. Infect Drug Resist. 2021 Jun 3;14:2059-2072. doi: 10.2147/IDR.S312553. PMID: 34113132; PMCID: PMC8184153.








Galleria mellonella

The moth larva Galleria mellonella is now widely used in pre-clinical research as an alternative animal model to mammals. The reasons for its success lie both in the numerous similarities with the “standard” models, such as the presence of a humoral and cellular immune system, and in the peculiar characteristics of this species, such as the size of the larvae, the ease of breeding and the ability to survive even at 37 ° C.

  • Petronio Petronio, G., Cutuli, M. A., Magnifico, I., Venditti, N., Pietrangelo, L., Vergalito, F., … & Di Marco, R. (2020). In Vitro and In Vivo Biological Activity of Berberine Chloride against Uropathogenic E. coli Strains Using Galleria mellonella as a Host Model. Molecules, 25(21), 5010.
  • Venditti, N., Vergalito, F., Magnifico, I., Cutuli, M. A., Pietrangelo, L., Cozzolino, A., … Petronio Petronio, G. & Di Marco, R. (2020). The Lepidoptera Galleria mellonella “in vivo” model: a preliminary pilot study on oral administration of Lactobacillus plantarum (now Lactiplantibacillus plantarum). The new Microbiologica44(1).
  • Cutuli, M. A., Petronio Petronio, G., Vergalito, F., Magnifico, I., Pietrangelo, L., Venditti, N., & Di Marco, R. (2019). Galleria mellonella as a consolidated in vivo model hosts: new developments in antibacterial strategies and novel drug testing. Virulence10(1), 527-541.
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Galleria mellonella (“greater wax moth”) is part of the subfamily of Galleriinae belonging to the Pyralidae family of Lepidoptera. It lives in hives, feeding on wax and pollen. Its life cycle is about 7-8 weeks and consists of different phases: the egg, the larva that undergoes 6 larval stages before reaching the last instar, which takes about 5-6 weeks at a temperature between 25 ° -28 ° C, the pupa (chrysalis) and finally, after a further two weeks, the adult. The larvae develop from the egg in about five weeks and have a length of between 2 and 2.5 cm with a cream colour.

As an alternative model to mammals, larvae have numerous advantages for pre-clinical research, the study of host-pathogen interactions, toxin screening and toxicity studies. Among these, we find the presence of a humoral and cellular immune system; in addition, there are antimicrobial peptides similar to those found in the activation of the innate immune system of mammals. Finally, haemocytes are the primary cellular defence mediators with functions similar to human macrophages and neutrophils.

The large size of G. mellonella larvae allows a precise injection, without the need for anaesthesia, of substances to be tested (such as antibiotics, chemicals and pathogens), easy manipulation and collection of tissues and hemolymph that allow the study of the pathophysiology through, for example, proteomics approaches. All this is added to the low overall costs of livestock, even large ones, which provides a high-yield and economical experimental system. Their commercial availability expands worldwide. They are sold, for example, as bait for sport fishing, as food for pets. For these reasons, they are cheap, easy to find and do not require special equipment and premises such as animal enclosures used to breed mammals.

Furthermore, the use of G. mellonella does not require ethical approval. Thanks to the short duration of their life cycle, it is also possible to carry out studies and obtain relevant results in short periods, allowing to reduce the time and consequently the costs of research. Finally, unlike other invertebrate models such as Caenorhabditis elegans and Drosophila melanogaster, G. mellonella can survive at 37 ° C, thus mimicking conditions similar to human physiology. Human pathogens have evolved to adapt to the physiological temperature of their host for the synthesis and release of virulence factors. This makes G. mellonella a suitable model for screening for temperature-dependent host-pathogen interactions.

These advantages have convinced an increasing number of researchers to use G. mellonella larvae as a mini-host model for human-pathogenic microorganisms such as Bacillus cereus, Enterococcus faecalis, Listeria monocytogenes, Pseudomonas aeruginosa, Staphylococcus aureus, Candida albicans, Escherichia coli, etc. In addition, over the past ten years, several antimicrobial peptides and virulence factor inhibitors have been discovered in G. mellonella. Their therapeutic potential in medicine and plant protection is currently being tested.

mellonella

The eggs

Le larve di G. Mellonella si sviluppano dall’uovo in circa cinque settimane


The larvae

Vive nella maggior parte dei casi in alveari, dentro nidi di api, e si nutre di cera e polline

mellonella

The pupa

Gli insetti hanno un sofisticato sistema immunitario di tipo umorale e cellulare

mellonella

The adult insect

La grande dimensione dei bruchi Galleria permette una precisa iniezione di antibiotici o un certo numero di agenti patogeni


The Limacus flavus snail for the Slug mucosal assay or the mucosal toxicity assay

Main characteristics that make the mucous membrane of snails superimposable to human mucous membranes:

  • Soft and non-keratinized mucosa
    – The outer epithelium is single-layered, consisting of epithelial cells with microvilli and glandular cells secreting mucus.

Strengths of the model:

–  Advantages over in vitro toxicity tests
– Readouts easily observable
– Bioethical advantage

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Slug mucosal assay

The oral, nasal, ocular, genital and rectal mucous membranes are natural barriers that have a crucial protective function, preventing the entry of microorganisms and harmful substances from the environment into our body. These epithelia can be exposed to drugs, medical devices, surgical and cosmetic medical devices, inducing potential irritation and micro-lesions that increase susceptibility to infections.

The Drugs toxicity tests and biocompatibility studies are fundamental tools for selecting, developing, and marketing drugs and medical devices.

An alternative in vivo model for assessing mucosal toxicity of chemicals and formulations is the Slug mucosal Irritation (SMI) assay.

Bibliografia

A. Cutuli; A. Guarnieri; L. Pietrangelo; I Magnifico; N. Venditti; L. Recchi; K. Mangano; F. Nicoletti; R. Di Marco; and G. Petronio Petronio). Potential Mucosal Irritation Discrimination of Surface Disinfectants Employed against SARS-CoV-2 by Limacus flavus Slug Mucosal Irritation Assay. Biomedicines, 2021, 9(4), 424.

Dhondt, M. M., Adriaens, E., Pinceel, J., Jordaens, K., Backeljau, T., & Remon, J. P.. Slug species-and population-specific effects on the end points of the Slug Mucosal Irritation test. Toxicology in vitro, 2006, 20(4), 448-457.

Lenoir, J.; Bachert, C.; Remon, J.-P.; Adriaens, E., The slug mucosal irritation (SMI) assay: A tool for the evaluation of nasal discomfort. Toxicology in Vitro 2013, 27, (6), 1954-1961.

Kendall, R.; Lenoir, J.; Gerrard, S.; Scheuerle, R. L.; Slater, N. K.; Tuleu, C., Using the Slug Mucosal Irritation assay to investigate the tolerability of tablet excipients on human skin in the context of the use of a nipple shield delivery system. Pharmaceutical research 2017, 34, (4), 687-695.

Adriaens, E.; Guest, R.; Willoughby Sr, J.; Fochtman, P.; Kandarova, H.; Verstraelen, S.; Van Rompay, A., CON4EI: Slug Mucosal Irritation (SMI) test method for hazard identification and labelling of serious eye damaging and eye irritating chemicals. Toxicology in Vitro 2018, 49, 77-89.