CD40-CD40L independent Ig gene hypermutation suggests a second B cell diversification pathway in humans

Proc Natl Acad Sci U S A. 2001 Jan 30;98(3):1166-70. doi: 10.1073/pnas.98.3.1166.

Abstract

Somatically mutated IgM(+)-only and IgM(+)IgD(+)CD27(+) B lymphocytes comprise approximately 25% of the human peripheral B cell pool. These cells phenotypically resemble class-switched B cells and have therefore been classified as postgerminal center memory B cells. X-linked hyper IgM patients have a genetic defect characterized by a mutation of the CD40L gene. These patients, who do not express a functional CD40 ligand, cannot switch Ig isotypes and do not form germinal centers and memory B cells. We report here that an IgM(+)IgD(+)CD27(+) B cell subset with somatically mutated Ig receptors is generated in these patients, implying that these cells expand and diversify their Ig receptors in the absence of classical cognate T-B collaboration. The presence of this sole subset in the absence of IgM(+)-only and switched CD27(+) memory B cells suggests that it belongs to a separate diversification pathway.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Alternative Splicing
  • B-Lymphocyte Subsets / immunology
  • B-Lymphocytes / immunology*
  • CD40 Antigens / genetics*
  • CD40 Antigens / immunology
  • CD40 Ligand / genetics*
  • CD40 Ligand / immunology
  • Child
  • Child, Preschool
  • Codon, Terminator
  • Fetal Blood / immunology
  • Gene Rearrangement
  • Genes, Immunoglobulin*
  • Humans
  • Immunoglobulin A / blood
  • Immunoglobulin D / genetics
  • Immunoglobulin G / blood
  • Immunoglobulin M / blood
  • Immunoglobulin M / genetics*
  • Immunologic Deficiency Syndromes / blood
  • Immunologic Deficiency Syndromes / genetics*
  • Immunologic Deficiency Syndromes / immunology
  • Infant, Newborn
  • Mutation*
  • Reference Values
  • Sequence Deletion

Substances

  • CD40 Antigens
  • Codon, Terminator
  • Immunoglobulin A
  • Immunoglobulin D
  • Immunoglobulin G
  • Immunoglobulin M
  • CD40 Ligand