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Prepublished online as a Blood First Edition Paper on January 9, 2003; DOI 10.1182/blood-2002-10-3175.
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Blood, 15 May 2003, Vol. 101, No. 10, pp. 4029-4032
IMMUNOBIOLOGY
Brief report
Chronic lymphocytic leukemia B cells expressing AID
display dissociation between class switch recombination and somatic
hypermutation
Pablo Oppezzo,
Françoise Vuillier,
Yuri Vasconcelos,
Gérard Dumas,
Christian Magnac,
Béatrice Payelle-Brogard,
Otto Pritsch, and
Guillaume Dighiero
From the Unité d'Immuno-hématologie et
d'Immunopathologie, Institut Pasteur, Paris,
France; Disciplina de Hematologia e Hemoterapia,
Universidade Federal de Sao Paulo, Brazil; and
Departamento de Bioquímica, Facultad de Medicina de Montevideo,
Uruguay.
In B cells, somatic hypermutation (SHM) and class switch
recombination (CSR) depend on the activation-induced cytidine deaminase (AID) gene product, although the precise mode of action of AID remains unknown. Because some chronic lymphocytic leukemia (CLL) B
cells can undergo CSR without SHM, it constitutes a useful model to
dissect AID function. In this work, we have studied AID expression, the
presence of mutations in the preswitch µ DNA region, CSR, and
the SHM in 65 CLL patients. Our results demonstrate that unmutated CLL
B cells can constitutively express AID and that AID expression is
associated with the presence of mutations in the preswitch region and
in clonally related isotype-switched transcripts. They also demonstrate
that in CLL without constitutive AID expression, AID induction on
stimulation results in preswitch mutations and the CSR process. Our
results show a dissociation between SHM and CSR in CLL and suggest
that, in this disease, AID would require additional help for carrying
out the SHM process.

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