Candida albicans is a human commensal and a clinically important fungal pathogen that grows in both yeast and hyphal forms during human infection. Although Candida can cause cutaneous and mucosal disease, systemic infections cause the greatest mortality in hospitals. Candidemia occurs primarily in immunocompromised patients, for whom the innate immune system plays a paramount role in immunity. We have developed a novel transparent vertebrate model of candidemia to probe the molecular nature of Candida-innate immune system interactions in an intact host. Our zebrafish infection model results in a lethal disseminated disease that shares important traits with disseminated candidiasis in mammals, including dimorphic fungal growth, dependence on hyphal growth for virulence, and dependence on the phagocyte NADPH oxidase for immunity. Dual imaging of fluorescently marked immune cells and fungi revealed that phagocytosed yeast cells can remain viable and even divide within macrophages without germinating. Similarly, although we observed apparently killed yeast cells within neutrophils, most yeast cells within these innate immune cells were viable. Exploiting this model, we combined intravital imaging with gene knockdown to show for the first time that NADPH oxidase is required for regulation of C. albicans filamentation in vivo. The transparent and easily manipulated larval zebrafish model promises to provide a unique tool for dissecting the molecular basis of phagocyte NADPH oxidase-mediated limitation of filamentous growth in vivo.Candida albicans is a human commensal that causes lifethreatening invasive infections in immunocompromised patients. Disseminated candidiasis is the 4th leading infection in hospitalized patients in the United States, and despite antifungal therapy, the mortality associated with candidemia can reach 30 to 40% (62). Innate immunity is a key mediator of resistance to disseminated infection in both mice and humans, and defects in professional innate immune cells predispose individuals to invasive candidemia (5,26,68).The zebrafish larva is a unique and powerful model for noninvasively visualizing and understanding the interactions of pathogens with the innate immune system (17,48,56). Notably, zebrafish have similar signaling through Toll-like receptors to that in humans, express similar cytokines, and have macrophages, neutrophils, dendritic cells, mast cells, eosinophils, T cells, and B cells (78). The delayed development of T cells and B cells, which do not mature until approximately 30 days postfertilization, permits a natural focus on innate immunity in embryonic and larval infection models. A larval model of candidemia offers several advantages compared to other recently described models of zebrafish infection with C. albicans. Specifically, the adult zebrafish candidemia model does not permit real-time visualization of infection or morpholino (MO)-directed gene knockdown, both of which are techniques available with the larval host (19). Also, while others have described a localized embry...