Introduction

Carcinogenesis depends on redeployment, misuse, and dysregulation of numerous normal molecular and cellular programs. These normal programs also regulate two fundamentally important processes: embryonic development and inflammatory/injury responses. Both processes involve basic cell behaviors (e.g., cell proliferation and migration) and more complex multi-cellular processes (e.g., angiogenesis and stromal/tissue remodeling) that are misappropriated during cancer initiation and progression (reviewed in1,2,3,4,5).

Cancer-associated genetic alterations can modify both inflammatory/injury-associated and developmental processes. Tumors are often described as “wounds that do not heal”6, and there is compelling evidence that chronic injury and inflammation can cause cancer2. Multiple tissues exhibit an intimate and synergistic association between heritable or somatically acquired genetic mutations, cellular injury and inflammation, and cancer predisposition7,8,9,10. On the other hand, mutation or loss of cancer-associated genes can induce developmental effects in embryos that differ significantly from effects in adult animals. This frequently manifests as paradoxical embryonic lethality versus adult cancer susceptibility; examples include well-known tumor suppressor genes (Pten11,12, Rb13,14,15), mediators of the DNA damage response (Atr16,17, Rad5118,19, Chek120), and others21,22. The constraints imposed by early embryonic lethality in these models is a limitation for investigations into how and why embryonic and adult cell populations respond so differently to certain cancer-associated genetic mutations.

The tumor suppressor gene BRCA2 exemplifies this conundrum: while BRCA2 mutation is associated with cancer susceptibility in humans and animals, mouse models with homozygous Brca2 mutation exhibit early embryonic lethality23,24. The zebrafish (Danio rerio) is a freshwater fish species that provides an excellent complement to traditional mouse models for comparative cancer research. We have previously described a brca2-mutant zebrafish model in which the brca2Q658X mutation (nonsense mutation; RAD51 binding domain) is similar in location and type to pathologic BRCA2 mutations associated with human cancer25. The resultant truncated protein lacks the majority of domains required for BRCA2 function. Despite this, brca2 homozygous zebrafish derived from heterozygous parents are fully viable and survive to adulthood. Since cancer susceptibility in zebrafish with brca2 mutation alone is low25, we use zebrafish with combined mutations in brca2 and tp5326 for carcinogenesis studies25,27,28,29. The brca2-mutant zebrafish model provides a unique in vivo system for determining how loss of functional BRCA2 affects various developmental, adult, and cancer-associated phenotypes25,27,28,29 .

In the current investigation, we used our zebrafish model to further define the role for BRCA2 in embryogenesis and to determine how BRCA2 mutation affects adult cell phenotypes in the context of tissue injury/inflammation. The response to injury in zebrafish is distinguished by robust regenerative capacity in multiple adult tissues, including heart, tail fin, retina and optic nerve, and others30,31. We focused on the optic nerve pathway (ONP) to evaluate the relationship between BRCA2 mutation, injury response, and cancer risk because we recently reported that brca2-mutant/tp53-mutant zebrafish are at high risk for cancers in this site27. Interestingly, the ONP in adult fish also exhibits several characteristics that promote nerve regeneration and remyelination after injury32,33,34,35. Included among these is a permissive microenvironment in which multiple non-neuronal cell populations, including astrocytes, oligodendrocytes, and local inflammatory cells, support axonal sprouting and regrowth to enable optic nerve regeneration32,33,36,37,38. We thus speculated that these features of the ONP might contribute to increased potential for tumorigenesis.

Our investigations revealed that although brca2 homozygous embryos derived from heterozygous mutant parents are fully viable and survive to adulthood, embryos lacking maternally provided brca2 exhibit profound proliferation arrest and embryonic lethality. We further determined that oocytes from brca2-mutant females exhibit abnormal nuclear morphology, suggesting that brca2-associated disruptions during meiosis contribute to embryonic developmental defects. In adult zebrafish, we identified aberrant proliferative responses associated with brca2 mutation in the cancer-prone ONP in both unperturbed and post-injury states. This includes the identification of a putative precancerous population that is highly prevalent in brca2-mutant/tp53-mutant zebrafish. Finally, we show that precancerous and cancerous lesions affecting the ONP occur at high prevalence in brca2-mutant/tp53-mutant zebrafish and are frequently bilateral. This unique vertebrate model thus allows us to identify BRCA2-associated phenotypes that are influenced by temporal, contextual, and tissue-specific factors.

Results

Proliferative and developmental defects occur in zebrafish embryos and oocytes lacking brca2

We have previously shown that zebrafish embryos receive abundant maternal RNA for brca2, which is present at the two-cell stage and persists to at least the onset of zygotic gene activation25. As a result, the effects of brca2 loss during early zebrafish embryogenesis are not captured in brca2 m/m zebrafish embryos derived from incrosses of brca2 + /m parents. Adult brca2 homozygotes cannot be used for breeding because they develop exclusively as sterile males, reflecting the requirement for brca2 in spermatogenesis25 and the influence of germ cell survival on zebrafish sex differentiation39,40,41. However, concomitant homozygous mutations in brca2 and tp53 (tp53M214K mutation; missense mutation in p53 DNA binding domain26) rescue female development25. We therefore outcrossed brca2 m/m;tp53 m/m female zebrafish to wild type males in order to generate embryos lacking maternal RNA for brca2 (Fig. 1). Similarly, tp53 m/m female zebrafish were outcrossed to wild type males (Fig. 1); the tp53 m/m zebrafish line exhibits normal fertility26.

Figure 1
figure 1

Embryos from brca2 m/m;tp53 m/m female zebrafish undergo proliferation arrest and death and oocytes exhibit abnormal nuclear morphology. (a) Most eggs derived from brca2 m/m;tp53 m/m females are inviable and only a small number of viable embryos are generated, in contrast to tp53 m/m females. Females were outcrossed to fertile wild type males. (b) On day 0, viable embryos derived from brca2 m/m;tp53 m/m embryos are often morphologically abnormal and all undergo developmental arrest at or before sphere stage (approximately four hours post-fertilization). (c) At one day post-fertilization (day 1), greater than 90% of embryos derived from tp53 m/m females are alive and morphologically normal, while all embryos derived from brca2 m/m;tp53 m/m females are dead. (d) Oocytes from brca2 m/m;tp53 m/m females exhibit nuclear abnormalities predominated by aggregated nucleolar material around nuclear margins (black arrowheads). Black box indicates oogonium shown at higher magnification in panel f. (e) Oocytes with massive nucleolar condensation are often degenerate. (f) Infrequent binucleation occurred in oogonia and oocytes from brca2 m/m;tp53 m/m females. Og, oogonia; IA, stage IA oocyte; IB, stage IB oocyte; II, stage II oocyte; III, stage III oocyte. Scale bar = 20 µm.

A total of 3,251 eggs from tp53 m/m females and 1,670 eggs from brca2 m/m;tp53 m/m females produced from two separate outcrosses were evaluated. Both outcrosses generated a relatively large number of unfertilized eggs, identified as eggs with a single clear cell that failed to undergo division (tp53 m/m females, n = 2,126 eggs; brca2 m/m;tp53 m/m females, n = 748 eggs). The numbers of viable embryos, identified as fertilized eggs undergoing cell division, and inviable eggs, identified as dark brown and degenerating eggs, were quantified for each genotypic group upon collection on day 0 (Fig. 1a). brca2 m/m;tp53 m/m females generated significantly fewer viable embryos (brca2 m/m;tp53 m/m, 11% (n = 100); tp53 m/m, 84% (n = 945)) and significantly more inviable eggs (brca2 m/m;tp53 m/m, 89% (n = 822); tp53 m/m, 16% (n = 180)) compared to tp53 m/m females (p < 0.0001; Fig. 1a and Table S1). The 100 viable embryos derived from brca2 m/m;tp53 m/m female zebrafish exhibited a variety of phenotypes on day 0 (Fig. 1b). These ranged from apparently normal embryonic cell mass (29%, n = 29), reduced cell mass (27%, n = 27), abnormally formed cell mass (12%, n = 12), or degenerating cell mass (32%, n = 32). Regardless of phenotype, all 100 viable embryos derived from brca2 m/m;tp53 m/m zebrafish exhibited an arrest in developmental progression at or before approximately sphere stage (four hours post-fertilization). In comparison, all viable embryos derived from tp53 m/m females exhibited a normal phenotype and did not undergo developmental arrest on day 0 (n = 945). At one day post-fertilization, over 90% (n = 874) of embryos derived from tp53 m/m females were alive and morphologically normal (Fig. 1c). However, no embryos derived from brca2 m/m;tp53 m/m females survived to one day post-fertilization. These outcomes at one day post-fertilization were statistically significantly different (p < 0.0001; Table S1).

Given that BRCA2 is essential for meiotic progression in vertebrate germ cells25,42,43, abnormalities in oocyte development might contribute to the phenotype observed in embryos derived from brca2 m/m;tp53 m/m zebrafish. We therefore analyzed ovaries from wild type, tp53 m/m, and brca2 m/m;tp53 m/m zebrafish by histology (n = 4 per genotype). Oogonia and oocyte stages were identified as previously described44. Ovaries from wild type and tp53 m/m zebrafish were histologically similar, and oogonia and oocytes exhibited normal morphology at all stages (Fig. 1d). In comparison, meiotic oocytes from brca2 m/m;tp53 m/m zebrafish exhibited nuclear abnormalities that were first detectable by histology at stage I and persisted throughout subsequent stages (Fig. 1d). Nucleoli were increased in size and decreased in number and were irregularly dispersed around nuclear margins, suggesting aberrant aggregation and distribution of chromosomal material in brca2 m/m;tp53 m/m zebrafish oocytes (Fig. 1d, arrowheads). Less commonly, brca2 m/m;tp53 m/m oocytes exhibited massive consolidation of nuclear material, often in association with oocyte degeneration (Fig. 1e). Infrequent binucleation was identifiable in mitotic oogonia and all stages of meiotic oocytes from brca2 m/m;tp53 m/m zebrafish (Fig. 1f). The extent of nuclear abnormalities in brca2 m/m;tp53m/m ovaries was most variable in stage III oocytes (compare panels in Fig. 1d–f).

brca2 mutation is associated with exhibit aberrant adult cell proliferation in a cancer-prone tissue

To determine brca2-associated effects on adult cell phenotypes prior to cancer onset, we focused on the optic nerve pathway (ONP). The natural, well-defined anatomic boundaries of this tissue are ideal for achieving consistent tissue collection, orientation, and histologic sectioning between specimens. Furthermore, the ONP is a predilection site for sarcoma development in both tp53 m/m and brca2 m/m;tp53 m/m zebrafish25,26,27, with brca2 m/m;tp53 m/m zebrafish at significantly increased risk for ocular tumors compared to tp53 m/m zebrafish27.

We performed a time-course analysis of the ONP in wild type, tp53 m/m, and brca2 m/m;tp53 m/m between the ages of three and seven months (the mean age at tumor onset in brca2 m/m;tp53 m/m zebrafish is 8.7 months25). During this period, we noted an abnormality of the choroid rete (CR) in brca2 m/m;tp53 m/m zebrafish. The CR is a vascular plexus located subjacent to the retinal choroid that forms a countercurrent capillary system45 (Fig. 2a). It is derived from the ophthalmic artery and vein and contributes to maintaining oxygen pressure in the retina46. In routine hematoxylin and eosin sections, vascular channels of the normal CR are filled with red blood cells and the cellular meshwork forming this structure is largely obscured (Fig. 2b). However, the CR in brca2 m/m;tp53 m/m zebrafish frequently contained a population of robust spindle cells that were readily apparent between vascular channels (Fig. 2c). The incidence of this lesion progressively increased over time (Fig. 2d). Notably, this lesion was detectable in all brca2 m/m;tp53 m/m specimens after 5.1 months of age. In comparison, incidence was lower and age at onset was higher in tp53 m/m zebrafish (Fig. 2d). No atypical spindle cells were detected in the CR of wild type zebrafish at any time point examined. Similarly, no atypical spindle cells were present in the CR of brca2 m/m zebrafish without concomitant tp53 mutation (Table S4).

Figure 2
figure 2

Atypical spindle cells accumulate in the choroid rete of brca2 m/m;tp53 m/m zebrafish. (a) The choroid rete (outlined in green) is a vascular plexus located subjacent to the choroid. (b) Normal choroid rete. (c) Choriod rete containing numerous atypical spindle cells (green arrows). (d) Numbers of zebrafish that developed atypical spindle cells in the choroid rete over time (n = 4 per genotype at each time point analyzed). (e) Numbers of zebrafish that received optic nerve injury and developed atypical spindle cells in the choroid rete. (f) Atypical spindle cells in the choroid rete are sox10-positive (brown chromogen). Red arrows delineate margins of choroid rete. Area boxed in red is shown at higher magnification to the right. (g) Small numbers of sox10-positive cells (brown chromogen) are present in the normal choroid rete. Red arrows delineate margins of choroid rete. Area boxed in red is shown at higher magnification to the right. Red circles identify sox10-positive cells. Ret, retina; RPE, retinal pigmented epithelium; CR, choroid rete; ON, optic nerve. Scale bar = 50 µm (panel a); 20 µm (panels b, c, f, h).

Optic nerve injury (ONI) induces an enhanced proliferative response in brca2 m/m;tp53 m/m zebrafish

As described above, the ONP is a cancer predilection site in tp53 m/m and brca2 m/m;tp53 m/m zebrafish25,26,27 and is also notable for unique properties that support complete regeneration of the injured retina and optic nerve32,33,36,37,38. We therefore sought to determine how proliferative and neoplastic phenotypes in the ONP might relate to injury response and regenerative capacity. We first assessed the short-term effects of ONI by performing unilateral ONI in wild type (n = 11), tp53 m/m (n = 11), and brca2 m/m;tp53 m/m (n = 14) zebrafish and assessing the injury response at three days and two weeks post-injury (Fig. 3a, Fig. S1a–c, Tables S2S3). At both three day and two week time points, the total cellularity of the injured optic nerve was significantly increased compared to the uninjured optic nerve in brca2 m/m;tp53 m/m zebrafish (p = 0.0001 and p < 0.0001, respectively; Fig. 3b,c and Table S2). In comparison, total cellularity was significantly increased in wild type and tp53 m/m zebrafish only at two weeks post-injury (p = 0.0464 and p = 0.0130, respectively; Fig. 3b,c and Table S2). Comparison between genotypes indicated that the injury effect in brca2 m/m;tp53 m/m was significantly greater than in wild type or tp53 m/m cohorts at both three days and two weeks post-injury (Fig. 3b,c and Table S2).

Figure 3
figure 3

brca2 m/m;tp53 m/m zebrafish exhibit increased proliferative responses in the injured optic nerve. (a) Representative histologic section of the optic nerve pathway after unilateral optic nerve injury. (b,c) Quantitative analysis of the total cellularity in the uninjured versus injured optic nerve three days (b) and two weeks (c) post-injury. (d) Representative examples of blbp expression (red chromogen), a marker for radial glial cells, in the uninjured and injured optic nerves. (e,f) Quantitative analysis of blbp-positive area in the uninjured versus injured optic nerve three days (e) and two weeks (f) post-injury. (g) Representative examples of lcp1 expression (purple chromogen), a marker for monocytes/macrophages, in the uninjured and injured optic nerves. (h,i) Quantitative analysis of lcp1-positive area in the uninjured versus injured optic nerve three days (h) and two weeks (i) post-injury. Ret, retina; SM, skeletal muscle; CR, choroid rete; ON, optic nerve; UI, uninjured; I, injured. Scale bar = 50 µm (panels a, g); 100 µm (panel d). All images depict specimens collected at three days post-injury except panel g, in which the brca2 m/m;tp53 m/m specimen shown was collected at two weeks post-injury.

To identify specific cell types that contribute to the increased cellularity observed in injured optic nerves, we performed a series of quantitative analyses by immunohistochemistry and in situ hybridization (details of statistical analyses are in Tables S2 and S3). First, we analyzed injured and uninjured optic nerves from four zebrafish at each time point (three days and two weeks post-injury) for the presence of stem and progenitor cell populations. We assessed the expression of blbp, a marker for radial glial cells47 (Fig. 3d); sox2, a marker for neural stem cells48 (Fig S2a); and sox10, a marker for neural crest progenitor cells49,50, oligodendrocytes and oligodendrocyte precursors51, and Schwann cells and Schwann cell precursors52 (Fig S2d). As blbp expression is cytoplasmic, we could not reliably identify and count individual blbp-expressing cells. We therefore quantified the total area of blbp expression in the optic nerve. At three days post-injury, blbp expression was significantly increased in the injured optic nerve compared to the uninjured optic nerve in all cohorts (wild type, p = 0.0039; tp53 m/m, p = 0.0179; brca2 m/m;tp53 m/m, p = 0.0001; Fig. 3e). brca2 m/m;tp53 m/m exhibited a sustained and significant increase in blbp expression at two weeks post-injury that was not observed in wild type or tp53 m/m zebrafish (p = 0.0071; Fig. 3f). On the other hand, neither sox2-expressing cells (Fig. S2b,c) nor sox10-expressing cells (Fig. S2e,f) appeared to contribute to the significant increases in cellularity observed in the injured optic nerve in brca2 m/m;tp53 m/m zebrafish. There were generally no significant differences observed in comparisons between genotypes, indicating that the significant injury effect observed in brca2 m/m;tp53 m/m zebrafish based on total cellularity (Fig. 3b,c) was not attributable to a single cell type.

Next, we analyzed injured and uninjured optic nerves for the presence of inflammatory and reactive cell populations. We assessed the expression of lcp1, a marker for monocytes and macrophages53 (Fig. 3g), and krt18, a marker for reactive astrocytes in the ONP after injury54 (Fig. S2g). ln addition to monocyte/macrophage populations, lcp1 is reportedly expressed by microglial cells in zebrafish55. However, we were unable to detect lcp1-positive microglial cells in sections of zebrafish brain and therefore considered lcp1 as a marker for monocytes and macrophages. Both lcp1 and krt18 are expressed in the cytoplasm, and therefore the total area of lcp1 or krt18 expression was quantified similar to blbp expression. At both three days and two weeks post-injury, lcp1 expression was significantly increased in the injured optic nerve only in brca2 m/m;tp53 m/m zebrafish (p = 0.0374 and p = 0.0372, respectively; Fig. 3h,i). In comparison, krt18 expression were not significantly different in the injured versus uninjured optic nerves at most time points for any of the three cohorts (Fig. S2h,i).

Finally, we assessed the CR in zebrafish that received ONI for the presence of aberrant spindle cells as observed in uninjured zebrafish. This cell population was present in 7 of 14 brca2 m/m;tp53 m/m zebrafish versus 1 of 11 tp53m/m zebrafish, and was not identified in any wild type zebrafish (Fig. 2e). When present, atypical spindle cells were identified at both three days and two weeks post-injury and there was no clear predilection for the injured or uninjured side. We further found that the atypical spindle cells identified in the CR were uniformly sox10-positive and were distributed both on the periphery and within the body of the CR (Fig. 2f). These expression patterns were similar regardless of whether the spindle cell population had arisen on the injured or uninjured side. In the normal CR, low numbers of sox10-positive cells were present in the CR and were largely confined to the periphery (Fig. 2g).

ONI does not significantly increase ocular tumorigenesis, but affects the incidence and sidedness of ocular lesions in brca2 m/m;tp53 m/m versus tp53 m/m zebrafish

To determine how injury and regenerative responses affect ocular tumorigenesis in zebrafish, we analyzed tumor development in brca2 m/m;tp53 m/m and tp53 m/m zebrafish that received unilateral ONI at five months of age. The ONI group was compared to brca2 m/m;tp53 m/m and tp53 m/m zebrafish from a previously reported cohort, designated as the control group27 (see Methods and Table S4 for details). Tumor development in ONI and control groups is summarized in Table 1. First, we compared the proportion of ocular versus non-ocular tumors in the ONI group versus the control group and in ONI and control groups segregated by genotype. In each comparison, ONI was not associated with an increased proportion of ocular tumors (Table 1 and Table S1). Next, we compared the side of ocular tumor development in ONI versus control groups to determine whether there was a side predilection for ocular tumorigenesis in either population. In each comparison, there was no significant difference in the proportions of ocular tumors arising on the right side (ONI side), left side (non-ONI side), or bilaterally in ONI versus control groups (Table 1 and Table S1).

Table 1 Characteristics of tumor development in zebrafish receiving optic nerve injury (ONI) versus control zebrafish.

We have previously shown that both ocular and non-ocular tumors from brca2 m/m;tp53 m/m and tp53 m/m zebrafish are predominantly sarcomas that exhibit histologic and immunohistochemical features consistent with malignant peripheral nerve sheath tumor25,29. The immunohistochemical expression profile of these tumors is not affected by brca2 genotype29. Ocular tumors arising in both the ONI and control cohorts were histologically similar and consistent with our previous identification of these tumors as sarcomas with features of malignant peripheral nerve sheath tumor. To further characterize these tumors, we analyzed a subset of ocular tumors from ONI and control zebrafish for expression of blbp, sox2, and sox10 (Fig. 4a and Fig. S3). Expression of these markers was similar in tumors derived from ONI and control cohorts. Semi-quantitative analysis of marker expression demonstrated that most tumors exhibited little or no expression of either blbp or sox2 (Fig S3). However, tumors from both ONI and control groups exhibited strong and ubiquitous nuclear sox10 expression (Fig. 4a).

Figure 4
figure 4

Optic nerve injury (ONI) and brca2 genotype exert variable effects on the development of proliferative and neoplastic lesions in the optic nerve pathway. (a) The majority of zebrafish ocular tumors highly express sox10 regardless of ONI status. White arrows indicate dispersed melanin pigment within tumors. Inset shows tumor cells with positive nuclear sox10 expression (brown chromogen). Asterisk indicates a blood vessel containing nucleated erythrocytes that do not express sox10. (b) In zebrafish that received ONI, most brca2 m/m;tp53 m/m zebrafish developed atypical spindle cells in the choroid rete (CR) on the injured side (ONI side) or bilaterally, in contrast to ocular tumor development. (c) In zebrafish that received ONI, brca2 m/m;tp53m/m zebrafish were more likely to develop ocular lesions (ocular tumor and/or hyperplastic spindle cells in the choroid rete) and these lesions were more likely to be bilateral. HE, hematoxylin and eosin; Ret, retina; RPE, retinal pigmented epithelium; ONI, optic nerve injury; CR, choroid rete. Scale bar = 50 µm.

Since we had determined that brca2 m/m;tp53 m/m frequently develop an atypical spindle cell population in the choroid rete of the eye between 3 and 7 months of age (Fig. 2), we investigated the incidence of this lesion in older animals that were followed for tumor development. Because cross-sections of the head were not routinely collected from the control group (derived from a previous study not specifically focused on the ONP; see Methods), our analysis was limited to zebrafish from the ONI group. We first assessed the incidence of atypical spindle cells in the CR in zebrafish from the ONI group that did not develop ocular tumors. Similar to earlier time points, we found that a higher proportion of brca2 m/m;tp53 m/m zebrafish (n = 13 of 25, 52%) exhibited CR atypical spindle cells compared to tp53 m/m zebrafish (n = 12 of 35, 34%), although this increase was not statistically significant (Table S1).

We next compared the side for development of ocular tumors or CR atypical spindle cells in brca2 m/m;tp53 m/m zebrafish versus tp53 m/m from the ONI group (Fig. 4b). There was no significant difference in the proportions of ocular tumors or CR atypical spindle cells arising on the ONI side, non-ONI side, or bilaterally between genotypic groups (Table S1). However, we noted two differences in ocular tumorigenesis versus CR atypical spindle cells in these analyses. First, CR atypical spindle cells in both tp53 m/m and brca2 m/m;tp53 m/m zebrafish were more frequently identified on the ONI side compared to the non-ONI side, in contrast to ocular tumors (Fig. 4b). Second, brca2 m/m;tp53 m/m zebrafish exhibited a relatively greater proportion of bilateral CR atypical spindle cells compared to the proportion of bilateral ocular tumors (Fig. 4b). Lastly, we compared the overall incidence and sidedness of ocular lesions (ocular tumor or CR atypical spindle cells) in brca2 m/m;tp53 m/m zebrafish versus tp53 m/m from the ONI group (Fig. 4c). After ONI, brca2 m/m;tp53 m/m zebrafish were significantly more likely to exhibit an ocular lesion than tp53 m/m zebrafish, and ocular lesions, when present, were more often bilateral in brca2 m/m;tp53 m/m zebrafish (p = 0.0220 and p = 0.1207, respectively; Table S1).

Discussion

The exploration of noncancerous cell phenotypes associated with mutations in cancer susceptibility genes can provide important insights into how such mutations affect cell behaviors and responses to stimuli. In the current study, we analyzed several noncancerous cell phenotypes linked to BRCA2 mutation using a zebrafish model. BRCA2 is required for error-free resolution of double-strand DNA breaks by homologous recombination in both mitotic and meiotic cells, and also participates in processes such as replication fork protection and R loop processing (reviewed in56,57,58). Heritable BRCA2 mutations are associated with significantly increased risk for several cancer types in humans, including breast, ovarian, prostate, and pancreatic cancer56, and impaired capacity for homologous recombination has been identified more broadly across multiple human cancers (“BRCAness”)59,60,61.

The processes of embryonic development and the inflammatory/injury response can be partially recapitulated during carcinogenesis, as molecular and cellular programs that are activated during these processes can be co-opted by cancer cells1,2,3,4,5. Furthermore, these normal processes can be influenced by cancer-associated genetic mutations and thereby directly contribute to cancer initiation and progression. For example, pancreatic cancer can be induced by the cooperating effects of KRAS mutation, inflammation, and tissue injury7, which has been attributed to specific epigenetic alterations that are uniquely driven by these combined genetic and microenvironmetal factors62. Cancer initiation is also associated with the activation of molecular signaling pathways that normally function during embryogenesis. However, developmental effects caused by mutation or loss of cancer-associated genes are often very different than adult phenotypes, as exemplified by early embryonic lethality versus adult cancer susceptibility11,12,13,14,15,16,17,18,19,20,21,22.

Determining how cancer-causing genetic mutations affect adult versus embryonic cell populations is likely to reveal distinct signaling pathways that underlie these phenotypes and are of significant relevance to cancer initiation (i.e., cell proliferation versus cell death). Unfortunately, early embryonic lethality in mouse models for cancer-associated genes such as BRCA2 is a confounding factor. In these cases, zebrafish can provide an excellent complementary model, as they exhibit conserved genetic susceptibility to cancer for many genes63,64,65,66,67,68. The brca2-mutant zebrafish model is fully viable in the homozygous condition and captures the collaborative effects of brca2 and tp53 mutations in carcinogenesis that characterize human BRCA2-associated cancers25,27,28. We thus used this model system to determine how brca2 mutation affects cell phenotypes during embryogenesis and in the response to tissue injury. As the optic nerve pathway (ONP) is a predilection site for cancer development in brca2 m/m;tp53 m/m zebrafish, evaluations of the injury response in adult animals focused on this tissue.

We first assessed the role for maternally provided mRNA for brca2 during early embryonic development in zebrafish. The maternal-to-zygotic transition is characterized by the degradation of maternal mRNA and onset of zygotic gene activation (ZGA)69. While mice initiate ZGA at the 1-cell stage and clear most maternal mRNA by the 2-cell stage, zebrafish do not undergo these processes until the mid-blastula transition at cleavage cycle 1069,70,71. These differences in availability of maternally provided transcripts may be a factor in survival of brca2-mutant zebrafish embryos. We have previously shown that zebrafish embryos possess abundant maternal mRNA for brca225, and brca2 is both maternally and zygotically expressed in early-stage embryos70. In accordance with this, we show here that zebrafish embryos lacking maternally provided mRNA for full-length brca2 exhibit developmental arrest and death at approximately mid-blastula stage. However, detailed analysis of ovaries from female brca2 m/m;tp53 m/m zebrafish reveal abnormalities in developing oocytes that could also contribute to this embryonic phenotype. These include both aberrant localization of nuclear content and evidence for cytokinetic defects; the former observation has been reported in another brca2-mutant zebrafish model, confirming a brca2-specific effect on oocyte development72. Beyond the canonical role for BRCA2 in dsDNA break repair, in vitro analyses in mitotic cells indicate that BRCA2 participates in cytokinesis73 and chromosomal alignment/segregation74,75. Less is known about the role for BRCA2 in meiosis due to the difficulty in establishing Brca2-knockout mouse models, although meiosis-specific binding partners required for BRCA2 localization to chromosomes were recently characterized76,77,78. However, mouse models with oocyte-specific reduction in Brca2 expression43 or Brca2 deletion42 displayed nuclear abnormalities suggesting errors in chromosomal localization in oocytes.

We identified unfertilized eggs by the absence of cell division. We cannot exclude the possibility that some portion of these eggs may have been fertilized, but failed to initiate cleavage due to severe genetic defects. Given that zebrafish eggs can undergo cell divisions even in the absence of nuclear material79, it seems unlikely that genetic perturbations associated with brca2 deficiency would block cell cleavage. Also, eggs derived from zebrafish with genetic mutations that significantly affect genomic integrity (e.g., mlh and mps1) can be fertilized and undergo cell divisions despite demonstrably severe genetic aberrations80,81. Loss of functional BRCA2 is likely to disrupt meiotic progression and early embryonic development through multiple mechanisms. Further studies will be required to segregate and clarify the functions of BRCA2 in meiotic oocytes versus early-stage embryos.

We next determined that loss of functional brca2 in adult zebrafish induces aberrant proliferative responses in the ONP, which is a highly cancer-prone tissue in brca2 m/m;tp53 m/m zebrafish. We identified an anomalous spindle cell population that was highly prevalent in the choroid rete of brca2 m/m;tp53 m/m zebrafish in the unperturbed ONP prior to cancer onset. This population was not identified in brca2 m/m zebrafish without tp53 mutation, consistent with low tumor incidence in this genotypic group25,28. In humans, BRCA2-associated tumors exhibit frequent TP53 mutation, which suggests that altered or lost P53 function may be critical for BRCA2-associated carcinogenesis in both humans and zebrafish82,83. Uniform sox10 positivity suggests that the choroid rete spindle cells are of neural crest, oligodendroglial, or Schwann cell origin. Our current and prior29 immunohistochemical analyses of ocular tumors in brca2 m/m;tp53 m/m zebrafish are consistent with malignant peripheral nerve sheath tumor (MPNST) and demonstrate widespread sox10 expression in tumors, supportive of Schwann cell origin. The zebrafish choroid, and presumably the choroid rete, contains small myelinated nerve processes that are the likely source for Schwann cells in this location84. We therefore hypothesize that tumors in the optic nerve pathway in our model arise from this aberrantly proliferative Schwann cell population. In comparison, conditional deletion of Brca2 in mouse prostatic epithelium induces epithelial hyperplasia and low-grade prostate intraepithelial neoplasia (PIN) that is exacerbated by concurrent Tp53 mutation85. On the other hand, Brca2 knockout in mouse T lymphocytes causes a decline in T cell numbers over time86. These data from zebrafish and mouse models suggests that BRCA2 mutation or loss affects different cell types differently, and can enhance the growth of certain noncancerous cell populations in specific tissues/contexts. An important next step will be to determine why a particular microenvironment promotes cell proliferation and subsequent cancer initiation in the context of heritable BRCA2 mutation.

We subsequently assessed the injury response in the cancer-prone ONP, since numerous studies have demonstrated key similarities between injury responses and cancer progression at the molecular, cellular, and tissue level1,2,3,6. The ONP in zebrafish is uniquely supportive of complete optic nerve regeneration due in part to a permissive microenvironment that supports axonal regrowth. We therefore speculated that cellular responses to optic nerve injury (ONI) might differ in cancer-prone versus non-cancer-prone individuals, and that cancer predisposition might be related to regenerative capacity in this pro-growth environment. In short-term studies, the proliferative response to ONI was significantly enhanced in brca2 m/m;tp53 m/m zebrafish compared to tp53 m/m or wild type cohorts. This included both progenitor cells (radial glia) and inflammatory cells (monocytes/macrophages); other cell populations that were not investigated here may have added to the overall increase in cellularity. Comparisons of some cell populations did not reach statistical significance, although trends in the data were apparent (Fig. S2). A larger study population will be informative in addressing these potential differences in the injured versus uninjured nerve. Interestingly, cardiomyocyte proliferation during heart regeneration in zebrafish increases in the context of homozygous tp53 mutation87. Similar p53-associated effects on cell proliferation are described during early stages of limb regeneration in salamanders88. We are not aware of any studies that test the role for BRCA2 in vertebrate regeneration; however, the orthologue for BRCA2 contributes to axonal regeneration in the nematode Caenorhabditis elegans89. We also noted some differences in cellular responses to ONI in the current study, e.g., sox10-expressing cells, compared to other reports of optic nerve injury in fish90,91. These differences reflect variations in which portion of the injured optic nerve was analyzed, and may also be affected by differences in analytical time points. Together these studies indicate that injury responses are altered by mutations in cancer-associated genes in vertebrate animals.

The potential for cancers to arise from regenerating cell populations in vertebrates is variable. In salamanders and newts, regenerative tissues are highly resistant to chemical carcinogenesis and malignant transformation is suppressed92,93,94. Here we found no direct effect (positive or negative) on tumorigenesis following ONI in zebrafish with heritable brca2 and tp53 mutations. Although we did note that bilateral ocular lesions were more common in brca2 m/m;tp53 m/m zebrafish after ONI than might be expected based on the incidence of bilateral ocular tumors in controls, overall our results do not indicate that ONI enhances carcinogenesis in this model. In contrast, a zebrafish model for KRASG12V-driven melanoma subjected to repeated cycles of tail amputation and regeneration developed melanoma at the resection site95. The differences in regeneration-associated tumorigenesis in KRASG12V zebrafish versus brca2-mutant/tp53-mutant zebrafish could reflect the relative impact of chronic repeated injuries versus a single injury event on tumor initiation. Alternatively, differences in the regenerative process might affect tumorigenic potential in zebrafish. While ONI is resolved by regeneration of axonal fibers from surviving retinal ganglion, tail resection is resolved by the more complex process of epimorphic regeneration31. Epimorphic regeneration requires repatterning and regrowth of multiple tissue types and is achieved via dedifferentiation and subsequent redifferentiation of mature cell populations96.

BRCA2 mutations are infrequently reported in human soft tissue sarcomas. However, human sarcomas such as MPNST show evidence of “BRCAness”, including karyotypic complexity, frequent alterations of DNA repair genes, and sensitivity to PARP-inhibitors that includes significant genomic instability and deficient DNA damage repair97,98,99,100. The proliferative and preneoplastic phenotypes we report in this study may have important parallels in human sarcomagenesis, and further investigation into the relationship between DNA repair deficiency and sarcoma initiation in mammalian species is warranted.

In summary, we demonstrate that phenotypes linked to BRCA2 mutation in mammals, ranging from early embryonic death to cancer predisposition, are captured in the brca2-mutant zebrafish model. We find that brca2-associated embryonic lethality is likely to reflect a combination of cellular defects that arise during both mitosis (oogonia, embryos) and meiosis (oocytes). We also identify expansion of several adult cell populations arising under basal conditions and during the post-injury response in a tissue at high risk for cancer onset, including a putative precancerous population. These studies confirm stage- and context-dependent roles for BRCA2 in cell survival and growth that are highly relevant to BRCA2-associated carcinogenesis.

Materials and methods

Zebrafish study cohorts

Experiments were performed with adult wild type (AB) zebrafish and adult zebrafish from the brca2hg5 and tp53zdf1 mutant zebrafish lines, corresponding to brca2Q658X and tp53M214K mutations25,26. Mutant alleles are hereafter referred to as “m”. Details of the experimental groups are included in Table S4. Groups including tp53 m/m and brca2 m/m;tp53 m/m were comprised of siblings genotyped for presence or absence of the brca2Q658X mutation. For analysis of oocyte morphology, groups consisted of age-matched wild type, tp53 m/m, and brca2 m/m;tp53 m/m female zebrafish. For analyses of injury response and tumorigenesis, the ONI group consisted of age-matched cohorts, and zebrafish with brca2 and tp53 mutations were siblings derived from two clutches. For analysis of tumorigenesis, the control group consisted of zebrafish siblings with brca2 and tp53 mutations derived from a single clutch. The control group was previously described in a separate study analyzing tumor ploidy27. All animal studies were approved by the Institutional Animal Care and Use Committee, North Carolina State University, Raleigh, NC, performed in accordance with approved protocols, and complied with ARRIVE guidelines.

Zebrafish husbandry and genotyping

Zebrafish used in this study were raised as previously described27 on a Pentair Z-Hab Duo recirculating aquaculture system and maintained on a 14-h light/10-h dark cycle. The zebrafish colony undergoes routine sentinel testing for infectious organisms and is negative for known zebrafish pathogens. Zebrafish were monitored for gross evidence of tumor development and humanely euthanized with Tricaine methanesulfonate (300 mg/L) in system water buffered with Sodium Bicarbonate to a pH of ~ 7.0 when tumors were visibly apparent. Live adult zebrafish were genotyped for the brca2Q658X mutation at three months of age by sequencing over the mutation site as previously described28. Zebrafish with tp53zdf1 mutation were maintained as a homozygous mutant line.

Optic nerve injury

Optic nerve injury was performed as previously described101,102,103 on randomly selected and anesthetized 5-month-old zebrafish placed in left lateral recumbency on a wet sponge under a stereomicroscope. The right eye was gently displaced, and the optic nerve was crushed with micro-forceps. All zebrafish received equivalent injury and were recovered in system water. Zebrafish were collected and euthanized at 3 days post-injury for short-term analyses and at 2 weeks after injury for long-term analyses. Zebrafish were observed for tumor development for up to 19 months of age.

Tissue collection, immunohistochemistry, and in situ hybridization

Zebrafish from the ONI group were decapitated caudal to the gills after humane euthanasia was performed as described above. Heads were placed in 4% paraformaldehyde for 18–24 h, decalcified in 12% EDTA for two days, and transferred to 70% ethanol. If zebrafish were to be used for tumorigenesis studies, the body was similarly processed. Tissue specimens were embedded in paraffin, and unstained or hematoxylin and eosin stained transverse sections were prepared by the Histology Laboratory, NC State University, College of Veterinary Medicine so that both optic nerves were in the plane of section. Zebrafish tissues from the tumor-bearing control group and from female wild type, tp53 m/m, and brca2 m/m;tp53 m/m zebrafish were collected and processed as previously described27.

Immunohistochemistry on paraffin-embedded sections was performed for expression of zebrafish sox2, sox10, lcp1, and krt18 as previously described29 with minor modifications. Antibodies used included rabbit anti-SOX2 (Abcam ab97959); rabbit anti-SOX10 (GeneTex GTX128374); rabbit anti-lcp1 (Genetex GTX134697); and mouse anti-KRT18 (Abcepta AT2655a). Detection was achieved with ImmPACT DAB peroxidase substrate (sox2, sox10; Vector #SK-4105) or ImmPACT VIP peroxidase substrate (lcp1, krt18; Vector Labs #SK-4605) and sections were counterstained with Mayer’s hematoxylin (sox2, sox10) or methyl green (lcp1, krt18). ACD RNAscope RNA in situ hybridization was performed according to manufacturer specifications to determine expression of zebrafish blbp (ACD probe 414651). The RNAscope 2.5 HD Assay—RED (ACD 322350) was used for detection. The brain and retina served as internal positive controls for sox2, sox10, and blbp expression (Fig. S1). A sample of zebrafish spleen served as a positive control for lcp1 expression (Fig. S1). As krt18 is reportedly only expressed by reactive astrocytes in response to injury54, there was no additional positive control tissue other than the injured optic nerve in tissue specimens. Negative controls included slides incubated with secondary antibody only and slides incubated with an RNA probe against Bacillus subtilis dihydrodipicolinate reductase (dapB) (Fig. S1).

Imaging and image analysis

For quantitative analyses of ONI specimens, slides were scanned at 20X magnification to generate 5976 × 7740 digital images (Translational Pathology Lab, University of North Carolina) or imaged at 20X magnification on an Olympus brightfield microscope with Olympus cellSens Imaging Software, version 2.3 (https://www.olympus-lifescience.com/en/software/cellsens/#!cms[focus]=cmsContent6017). The injured nerve and contralateral uninjured nerve were analyzed for each specimen. Quantitative analyses were performed using either a single digital image or multiple aligned digital images captured from hematoxylin and eosin-stained sections. Images were minimally and globally processed with the GNU Image Manipulation Program, version 2.8.6 (http://www.gimp.org/) and the line tool was used to outline the optic nerve area in each tissue section. Quantitation of total cellularity, total positive cells (sox2, sox10), or percent positive area (blbp, lcp1, krt18) was performed with ImageJ, using the outlined area for each optic nerve to define a region of interest. Total cellularity was determined using the ImageJ Fiji Cell Counter tool (https://fiji.sc/). Red blood cells were excluded from cell counts based on their appearance as ovoid, nucleated cells with brightly eosinophilic cytoplasm. Expression of blbp, sox2, sox10, lcp1, and krt18 were determined with the IHC Toolbox plugin for ImageJ (https://imagej.nih.gov/ij/plugins/). A positive control specimen was used during the training process to generate a model that identified positive pixels in digital images for each marker. Since there was no positive control for krt18, the model generated for lcp1 expression was used because krt18 and lcp1 expression were detected with the same chromogen. sox2 and sox10 expression were determined by quantifying the total cells versus sox2-or sox10-expressing cells, based on nuclear expression of these markers, and calculating the ratio of positive cells to total cells within the outlined nerve. blbp, lcp1, and krt expression were determined by quantifying the percent positive area within the total area of the outlined nerve.

Histologic analyses and imaging of tissue specimens were performed by a board-certified veterinary pathologist (HRS) using an Olympus BX43 light microscope with Olympus DP27 digital camera and Olympus cellSens Imaging Software. Images were minimally and globally processed with the GNU Image Manipulation Program, version 2.8.6 (http://www.gimp.org/). Semi-quantitative analyses of sox2, sox10, and blbp expression were performed in a subset of tumors arising on the right (ONI) side and left (non-ONI) side from optic nerve injury and control cohorts. Tumor expression of these markers was analyzed and scored with an Olympus BX51 light microscope by a single investigator (VAK). Marker expression was scored as a percentage of total tumor tissue in each section (0–25%, 25–50%, 50–75%, or 75–100%) by visual assessment of the entire tumor at 40×, 100×, and 200× magnification.

Embryo phenotyping

Embryos were derived from tp53 m/m and brca2 m/m;tp53 m/m female zebrafish outcrossed to fertile wild type males in two independent experiments. Zebrafish were maintained overnight in breeding chambers without dividers in groups of three to four females per two males, and eggs were collected the following morning upon cessation of breeding behavior. Every egg derived from each clutch was assessed using a Nikon SMZ1000 stereomicroscope and counted as either fertilized (intact egg undergoing cell division), unfertilized (intact egg without cell division), or inviable (degenerate egg). Fertilized eggs were sorted into 100 mm Petri dishes in egg water (60 ug/ml “Instant Ocean” sea salts and 0.0002% methylene blue in distilled water) at a density of up to 55 embryos per dish and incubated at 28 °C degrees in a dedicated incubator. Embryos were periodically observed at zero days post-fertilization to assess developmental progress. At one day post-fertilization, embryos were scored as exhibiting normal phenotype, abnormal phenotype, or inviable using established staging criteria104. For one group of embryos derived from tp53 m/m females, 35 fertilized embryos were removed from a total of 522 fertilized embryos on day 0 for an unrelated experiment and are not included in the total on day 1.

Criteria for exclusion

Individual zebrafish that were (1) found dead; (2) lost the right eye after injury or (3) had histological evidence of unusually severe tissue damage after ONI were excluded from analysis. In addition, specimens for which both optic nerves or both choroid rete could not be identified in tissue sections were excluded from the relevant analyses. See Table S4 for additional details.

Statistical analyses

Statistical analyses were performed using SAS software version 9.4 (SAS Institute Inc., Cary, NC) with statistical significance set at an alpha value of p ≤ 0.05. Comparisons of cellularity and marker expression (sox2, sox10, blbp, lcp1, krt18) were performed using a mixed effect model. Fisher’s Exact test was used to compare population proportions for the following assessments: tumor location; sidedness of ocular tumors; presence of atypical spindle cells in the choroid rete; presence of any ocular lesion; sidedness of ocular lesions. Details of statistical analyses and outcomes are shown in Table S1S3.