“…One possibility we consider envisions the Ighm/ c-myc exchange in a mature, class switch competent Bcell that has encountered antigen and other appropriate signals and prepares itself for isotype switching. In this situation, the initial lesion that provokes illegitimate recombination between Ighm and c-myc may be a DNA double-strand break in Sm due to internal rearrangements of Sm, mostly deletions and occasionally inversions, known to occur prior to class switching (Radbruch et al, 1986;Dunnick et al, 1989). The interruption of Sm may lead to Ighm/c-myc recombination and chromosomal translocation t(12;15) on the non-productive Igh allele, followed by deletional remodeling' of the t(12;15) by aberrant class switch recombination and normal class switching on the productive Igh allele (see Figure 7 for more details).…”