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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.

© 2003 by The American Society of Hematology.
 

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