“…50 Based on sequence homology, the 27 DH segments can be grouped into seven families: DH1 (formerly known as DM), DH2 (DLR), DH3 (DXP), DH4 (DA), DH5 (DK), DH6 (DN), and DH7 (DQ52); all families comprise at least four members, except for the seventh that consists of the single DH7-27 segment just upstream of the JH region ( Figure 4a). 50,51 Recombination between any of the DH and JH segments will result in the formation of incomplete DH-JH joints, which can easily be detected in BM-derived CD10 þ /CD19 À precursor B cells, 52,53 and hence also in a subset (20-25%) of precursor Bcell ALLs, which show an immature genotype. 54 Sequencing revealed a predominance of DH2 (DH2-2), DH3 (DH3-9), and DH7-27 gene segments in precursor B-ALL, comprising 36, 33, and 19% of all identified segments, respectively.…”