Antigen binding to the membrane-bound immunoglobulin (Ig) receptor is crucial for clonal survival during B cell development and antigenic stimulation of mature B cells. 41 Together with co-stimulatory signals (eg, CD40 and cytokines) it controls B cell proliferation and differentiation. 37 In the past, molecular analysis of Ig genes has been used mostly to prove clonality of a malignant lymphoproliferation. A detailed analysis, however, reveals that much more can be learned because clonal development, selection processes by antigen, and Ig variable gene (IgV) hypermutation leave a fingerprint of individual clonal development and current activities.The quality of antigen binding is determined primarily by recombination events during ontogeny involving VH, D, and JH genes and, later in the development, VL and JL genes as well as subsequent somatic hypermutation of IgVH and IgVL genes during antigenic responses of mature B cells. 49 Signaling by the Ig receptor eventually rescues pre-B cells and proliferating mature B cells from apoptotic cell death. It thereby forms the basis of a lifelong recurring selection process that is reflected by the Ig receptor repertoire and molecular composition of the Ig receptors in B lymphocyte populations of individuals at different ages. The molecular recombination of VH, D, and JH genes in developing B lymphocytes is probably a random process that would lead to a random use of functional VH genes as determined by their frequency in seven different VH gene families. 9 However, positive or negative selection due to differences in antibody binding efficiency or antigen availability lead to relative over-or underrepresentation of distinctive VH families and VH genes in the receptor repertoire of fetal B lymphocytes. Subsequent antigenic exposure to environmental, infectious, or self antigens on an individual and genetic basis further influences clonal sizes of mature B cell families by usage and selection of distinct VH genes, thereby affecting their frequencies in the adult B cell population. The mechanism of somatic hypermutation of IgV genes is still not completely understood. Functionally, it represents the molecular basis of affinity maturation of naive B cell populations after antigenic exposure and interactions. On a molecular basis it consists of a site-specific hypermutability linked to the transcription of IgV genes acting from the 5Ј of the IgV gene promotor to around 1.5 kb downstream. The constant region exon, which is separated from the variable region by several kilobases of intron, is not affected. Mutations consisting mainly of point mutations accumulate within the antigen-binding complementary determining regions (CDR) in a nonrandom pattern. Rarely, duplications and deletions are also found. 15,57 The somatic hypermutation process is dependent on B cell differentiation and maturation. Pregerminal center B cells usually exhibit unmutated germline receptors. Antigen-activated proliferating germinal center B cells show high mutation rates and evidence of ongoing mutati...