Peer review process

Not revised: This Reviewed Preprint includes the authors’ original preprint (without revision), an eLife assessment, and public reviews.

Read more about eLife’s peer review process.

Editors

  • Reviewing Editor
    Patrick Hu
    Vanderbilt University Medical Center, Nashville, United States of America
  • Senior Editor
    Wendy Garrett
    Harvard T.H. Chan School of Public Health, Boston, United States of America

Reviewer #1 (Public review):

Summary:

The imaging pipeline presented in this paper is a useful tool for visualizing and dynamically tracking bacterial colony formation at the individual worm level, enabling the study of microbiome colonization's association with host physiology, including lifespan, infection severity, and genetic mutations in real-time. This technique allows for certain biological information to be obtained that was previously missed such as pmk-1 mutants exhibiting a higher rate of colonization by E. coli OP50 than wild-type animals. Overall, this platform could be of interest to many labs studying C. elegans interactions with their microbiome and with bacterial pathogens.

Strengths:

This platform allows for unbiased quantifications of microbe colonization of bacteria at scale. This is particularly important in a field studying dynamic responses or potentially more subtle or variable phenotypes.

Platform could be adapted for multiple uses or potentially other species of nematodes for evolutionary comparisons.

The platform allows researchers to correlate bacterial colonization with predicted lifespan.

Weaknesses:

Platform will require optimization for any given bacteria species which restricts its ease of use for researchers that won't regularly be studying the same bacteria.

Requires the bacteria to be genetically tractable so cannot be easily adapted to microbes that do not have established ways of expressing GFP or other reporters.

This platform requires the use of relatively older adult animals that are more prone to larger gut colonies of bacteria. Thus, studies using this platform are restricted to studying older populations.

The relationship between bacterial colonization and host lifespan requires further investigation. The current SICKO platform and experimentation cannot fully address whether animals in poorer health are more susceptible to colonization, or whether colonization casually contributes to a decline in health. Furthermore, while such effects are statistically significant their effect size in some cases is modest.

Reviewer #2 (Public review):

Summary:

In this manuscript, Espejo et al describe a method, SICKO, that allows for long-term longitudinal examination of bacterial colonization in the gut of C. elegans. SICKO utilizes a well-plate format where single worms are housed in each well with a small NGM pad surrounded by an aversive palmitic acid barrier to prevent worms from fleeing the well. The main benefit of this method is that it captures longitudinal data across individual worms with the ability to capture tens to hundreds of worms at once. The output data of SICKO in the heatmap is also very clear and robustly shows bacterial colonization in the gut across a large sample size, which is far superior to the current gold standard of imaging 10-20 worms in a cross-sectional matter at various timepoints of aging. They then provide a few examples of how this method can be applied to understand how colonization correlates with animal health.

Strengths:

-The method presented in this manuscript is sure to be of great utility to the host-pathogen field of C. elegans. The method also allows for utilization of large sample sizes and a way to present highly transparent data, both of which are excellent for promoting rigor and reproducibility of science.
-The manuscript also does a great job in describing the limitations of the system, which is always appreciated.
-The methods section for the SICKO data analysis pipeline and the availability of the code on Github are strong pluses.

Weaknesses:

-There are minor weaknesses in the methods that could be addressed relatively easily by expanding the explanation of how to set up the individual worm chambers (see comment 1 below).

I am making all my comments and suggestions to the reviewers public, as I believe these comments can be useful to the general readership as well. Comment 1 is important to make the methods more accessible and comment 2 is important to make the data presentation more accessible to a broader audience. However, comments 3-4 are things/suggestions that should be considered by the authors and future users of SICKO for interpretation of all the data presented in the manuscript.

(1) The methods section needs to be described in more detail. Considering that this is a methods development paper, more detailed explanation is required to ensure that readers can actually adapt these experiments into their labs.
(a) What is the volume of lmNGM in each well?
(b) Recommended volume of bacteria to seed in each well?
(c) A file for the model for the custom printed 3D adaptor should be provided.
(d) There should be a bit more detail on how the chambers should be assembled with all the components. After reading this, I am not sure I would be able to put the chamber together myself.
(e) What is the recommended method to move worms into individual wells? Manual picking? Pipetting in a liquid?
(f) Considering that a user-defined threshold is required (challenging for non-experienced users), example images should be provided on what an acceptable vs. nonacceptable threshold would look like.

(2) The output data in 1e is very nice - it is a very nice and transparent plot, which I like a lot. However, since the data is complex, a supplemental figure to explain the data better would be useful to make it accessible for a broader audience. For example, highlighting a few rows (i.e., individual worms) and showing the raw image data for each row would be useful. What I mean is that it would be useful to show what does the worm actually look like for a "large colony size" or "small colony size"? What is the actual image of the worm that represents the yellow (large), versus dark blue (small), versus teal (in the middle)? And also the transition from dark blue to yellow would also be nice to be shown. This can probably also just be incorporated into Fig. 1d by just showing what color each of those worm images from day 1 to day 8 would represent in the heat map (although I still think a dedicated supplemental figure where you highlight a few rows and show matching pictures for each row in image files would be better).

(3) I am not sure that doing a single-time point cross-sectional data is a fair comparison since several studies do multi-timepoint cross-sectional studies (e.g., day 1, day 5, day 9). This is especially true for using only day 1 data - most people do gut colonization assays at later timepoints since the gut barrier has been shown to break down at older ages, not day 1. The data collected by SICKO is done every day across many individuals worms and is clearly superior to this type of cross-sectional data (even with multiple timepoints), and I think this message would be further strengthened by comparing it directly to cross-sectional data collected across more than 1 timepoint of aging.

(4) The authors show that SICKO can detect differences in wild-type vs. pmk-1 loss of function and between OP50 and PA14. However, these are very dramatic conditions that conventional methods can easily detect. I would think that the major benefit of SICKO over conventional methods is that it can detect subtle differences that cross-sectional methods would fail to visualize. It might be useful to see how well SICKO performs for these more subtle effects (e.g., OP50 on NGM vs. bacteria-promoting media; OP50 vs. HT115; etc.).
(a) Similar to the above comment, the authors discuss how pmk-1 has colonization-independent effects on host-pathogen interactions. Maybe using a more direct approach to affect colonization (e.g., perturbing gut actin function like act-5) would be better.

  1. Howard Hughes Medical Institute
  2. Wellcome Trust
  3. Max-Planck-Gesellschaft
  4. Knut and Alice Wallenberg Foundation