V(D)J recombination in lymphocytes is (Ig) and T-cell receptor (TCR) genes is mediated by the products of 2 recombinationactivating genes (RAG1 and RAG2) which recognize specific recombination signal sequences (RSS) flanking the V, D, and J gene segments. 1,2 The RAGs are transiently and coordinately expressed during B-cell and T-cell ontogeny in bone marrow and thymus, respectively. [3][4][5] Upon completion of V(D)J rearrangement, RAG expression is shut down. 3 IgM-expressing immature bone marrow B cells recognizing self antigens can re-express the RAGs, leading to further rearrangement of the light chain locus. 6 This process, termed receptor editing, is thought to play a role in the elimination of autoreactive B cells. 6 Mature lymphocytes were generally believed to be incapable of expressing the RAG, thus maintaining allelic exclusion. A number of recent studies, however, have raised the possibility that secondary V(D)J recombination may occur in peripheral lymphoid tissue B cells in the context of germinal center reactions. Thus, RAG transcripts and proteins have been detected in germinal center B cells from lymph nodes, spleens, and Peyer patches in mice. 7,8 Using polymerase chain reaction (PCR), RSS DNA strand breaks characteristic of V(D)J recombination were detected in interleukin 4 (IL-4)-stimulated mature mouse B cells and in germinal center B cells from immunized mice. 9,10 Han et al have suggested that reinduction of RAG expression may occur in germinal center B cells as a result of diminished or abolished antigen binding, thus rescuing cells which would otherwise have been lost to apoptotic cell death. 10 Although initial studies have used mouse models, subsequent reports have provided evidence that similar mechanisms may operate in humans. RAG1 and RAG2 transcripts have been detected in human germinal center B lymphocytes by reverse transcriptase (RT)-PCR. 11 In human tonsils, RSS DNA breaks were detectable in germinal center centrocytes but not in follicle mantle cells. 12 Moreover, RAG, terminal deoxynucleotidyl transferase (TdT), VpreB, and -like transcripts were detected in centrocytes by PCR analysis of fluorescence activated cell sorting (FACS) sorted cell populations. 12,13 Nevertheless, the exact nature and localization of RAG-expressing cells in peripheral lymphoid tissues is still controversial and immunohistochemical studies have not clarified this issue. Expression of RAG genes has been variably reported in the light zones of germinal centers, 8 in germinal center apoptotic bodies, 14 and in scattered cells of germinal center, mantle zone, and extrafollicular area. 13 To resolve this issue, we have examined the expression of RAGs and TdT in human lymphoreticular tissues using in situ hybridization and immunohistochemistry, respectively.
Materials and methods
TissuesFormalin-fixed and paraffin-embedded tonsillectomy specimens from 25 patients aged 3 to 49 years were studied. All cases showed prominent follicular hyperplasia but no evidence of neoplastic disease. In addition, paraffin ...