V(D)J [variable-(diversity)-joining] re-arrangements occur between, as well as within, immune receptor loci, resulting in the generation of hybrid antigenreceptor genes and the formation of a variety of lymphocytespecific chromosomal aberrations. Such hybrid genes occur at a low frequency in the peripheral blood lymphocytes (PBL) of normal individuals but show a markedly increased incidence in the PBL of individuals with the autosomal recessive disease ataxia-telangiectasia. In this manuscript we demonstrate that the frequency of hybrid antigen-receptor genes is 10-to 20-fold increased in the PBL of an occupational group, agriculture workers, with related environmental exposures. Both ataxiatelangiectasia patients and this population of agriculture workers are at increased risk for lymphoid malignancy. This result suggests that the measurement of hybrid antigen receptorgenes in PBL may be a sensitive assay for a type of lymphocytespecific genomic instability. As a corollary, this assay may identify populations at risk of developing common types of lymphoid malignancy.In malignant lymphocytes there are data to suggest that the V(D)J [variable-(diversity)-joining] recombinase, which normally catalyzes recombination of DNA segments within each immunoglobulin and T-cell-receptor locus (1, 2), can play a central role as well in the generation of genetic changes that dysregulate certain growth-affecting genes, such as c-MYC, BCL-2, or SCL (2-7). In addition to the aberrations found in malignant lymphocytes, the V(D)J recombinase can also generate cytogenetic abnormalities seen in peripheral blood lymphocytes (PBL) from normal individuals (8-10). These abnormalities are due to V(D)J recombination between two antigen-receptor loci, and they result in potentially functional hybrid antigen-receptor genes (11-17). In patients with the inherited disease ataxia-telangiectasia (AT), a genomic instability syndrome associated with a high frequency of lymphoid malignancies (18), we have previously shown that the hybrid antigen-receptor gene formed by interlocus recombination between T-cell receptor y (TCRy) V segments and T-cell receptor 1 (TCRf3) J segments occurs in PBL at a frequency 50-to 100-fold higher than normal (17). This frequency is roughly the same as the increase in the risk for lymphoid malignancy of these individuals, so the frequency of hybrid antigen-receptor genes in the PBL of AT patients parallels their predisposition to lymphoid malignancy. There is also an increase in the frequency of the lymphocyte-specific cytogenetic abnormalities thought to be due to interlocus recombination in non-AT patients with non-Hodgkin lymphoma (19,20), further suggesting a relationship between these "innocent" translocations and lymphoid malignancies.Agriculture workers occupationally exposed to pesticides used in the production and storage of grain (such as phosphine, malathion, dichlorophenoxyacetic acid, chloropicrin, and captan) have a high frequency of cytogenetic abnormalities in their PBL (21), and we observed t...