V H replacement in rearranged immunoglobulin genes IntroductionFaced with selective pressure to change the specificity of a rearranged immunoglobulin gene (or rescue itself from two non-functional rearrangements) a B cell may make a secondary rearrangement on the same chromosome. [1][2][3][4] Some authors divide this into 'receptor editing' when it occurs centrally (in the bone marrow), and 'receptor revision' when it occurs in the periphery (in germinal centres) the former thought to be largely tolerance-driven and the latter mainly diversity-driven. Most rearranged light-chain genes will have both unrearranged V L gene segments upstream and unrearranged J L segments downstream, so it is possible for an upstream V L segment to recombine with a downstream J L segment to form a new V L J L exon with deletion of the original rearrangement. At the heavy-chain locus the situation is different because the rearranged gene contains a D segment and in humans all the unused D segments are deleted during the D-J H and V H -DJ H rearrangements. Several possible varieties of secondary rearrangement at the heavy chain locus have been suggested, but the ones for which there are the most evidence are replacement of all or part of the primarily rearranged V H segment by all or part of an upstream V H gene segment, and these comprise the subject of this article.Two quite different mechanisms of V H replacement have been reported. We refer to these as Types 1 and 2. We review the evidence for both types of replacement, describe examples of confusion between the two, and consider what is the most likely explanation for the Type 2 sequences in the light of other recent findings and our own re-examination of the sequences. We begin with a summary of current understanding of primary V(D)J recombination.
SummaryExamples suggesting that all or part of the V H segment of a rearranged V H DJ H may be replaced by all or part of another V H have been appearing since the 1980s. Evidence has been presented of two rather different types of replacement. One of these has gained acceptance and has now been clearly demonstrated to occur. The other, proposed more recently, has not yet gained general acceptance because the same effect can be produced by polymerase chain reaction artefact. We review both types of replacement including a critical examination of evidence for the latter. The first type involves RAG proteins and recombination signal sequences (RSS) and occurs in immature B cells. The second was also thought to be brought about by RAG proteins and RSS. However, it has been reported in hypermutating cells which are not thought to express RAG proteins but in which activation-induced cytidine deaminase (AID) has recently been shown to initiate homologous recombination. Re-examination of the published sequences reveals AID target sites in V H -V H junction regions and examples that resemble gene conversion.