a b s t r a c t B lymphocytes are essential antibody-producing cells of the immune system. During the development of progenitor B cells to mature B cells that express a membrane-bound antibody, the B cell receptor (BCR), the cells undergo selection at several checkpoints, which ensures that a diverse antibody repertoire is generated and that the BCRs recognise foreign-, but not self-, antigens. In this review, we consider the pre-BCR checkpoint. Mutations or alterations that affect this checkpoint underpin the development of pre-B cell leukemias, primary immunodeficiency, and possibly, systemic autoimmunity. Ó 2010 Federation of European Biochemical Societies. Published by Elsevier B.V. All rights reserved.
The pre-B cell receptorFollowing the discovery of pre-B cells as precursors of B cells, the pre-B cell receptor (pre-BCR) was identified as a 'precursor' of the B cell receptor (BCR) [1][2][3]. The observation that the leukemic cells in most children with acute lymphoblastic leukemia were classified as pre-B cells [4], suggested the importance of this developmental stage. Whereas the BCR is assembled from the immunoglobulin (Ig) heavy (H) and light (L) chains, the pre-BCR is assembled from Ig H and surrogate L (SL) chains, the latter composed of the invariant k5 and VpreB polypeptides and having homology to bona fide Ig L chains [5][6][7][8]. Since the discovery of the pre-BCR, several groups have investigated the roles of the pre-BCR and SL chain [9]. It is clear that the pre-BCR is essential for B cells to develop normally, and that mutations or alterations affecting the pre-BCR underpins the development of cancer and immunodeficiency, and perhaps even autoimmunity [3,10,11].
Antibody diversityAntibodies are mediators of humoral immune responses, which participate in protection against pathogens. An antibody consists of an identical pair of H and L chains, each with a variable and a constant region, which are responsible for antigen recognition and effector functions, respectively (Fig. 1). Within the variable region, three hypervariable regions (known as 'complementarity determining regions'; CDR1-3) determine antigen recognition. This hypervariability is established at the DNA level through a somatic process termed V(D)J recombination, whereby variable (V), diversity (D), and joining (J) gene segments are recombined [12]. The mouse H chain locus, for instance, contains >100 functional V gene segments, >10 D segments, and four J gene segments [13]. Together with recombinations of the L chain loci, this diversity theoretically yields >10 12 different antibodies.The products of the lymphoid-specific recombination-activating genes (RAG1 and RAG2) are required for the recombination process [14,15]. These proteins bind the recombination signal sequences that flank each gene segment, and this is followed by a doublestrand break in the DNA, which is the initial event in the bringing together of the gene segments (Fig. 2).The diversity results from the V H gene segment itself (which encodes CDR1 and CDR2), the rec...