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Updated: May 13, 2026

Immunoglobulin Gene Sequence Analysis In Chronic Lymphocytic Leukemia: From Patient Material To Sequence Interpretation
Published on: November 26, 2018
BCL6 breaks occur at different AID sequence motifs in Ig-BCL6 and non-Ig-BCL6 rearrangements
Zhengfei Lu1, Albert G Tsai, Takashi Akasaka
1Norris Comprehensive Cancer Center, Department of Pathology, Biochemistry, and Molecular Biology, University of Southern California, Los Angeles, CA, USA.
Insights
BCL6 translocations in B-cell lymphomas often involve immunoglobulin genes and occur during class-switch recombination. Breakpoints suggest activation-induced deaminase activity, with distinct patterns for immunoglobulin versus non-immunoglobulin partners.
Area of Science:
- Genetics
- Molecular Biology
- Cancer Research
Background:
- BCL6 translocations are prevalent in B-cell lymphomas.
- These translocations frequently involve immunoglobulin heavy chain (IgH) switch regions.
- This suggests a role for class-switch recombination in their formation.
Purpose of the Study:
- To analyze the breakpoint distribution and sequence motifs in BCL6 translocations.
- To investigate the mechanisms underlying BCL6 rearrangements in B-cell lymphomas.
- To differentiate between immunoglobulin (Ig) and non-immunoglobulin (non-Ig) translocation partners.
Main Methods:
- Analysis of 120 BCL6 translocation breakpoints within a specific segment of BCL6 intron 1.
- Identification of breakpoint junctions with IgH, Ig light chains, and non-Ig partners.
- Sequence analysis to identify DNA motifs, including activation-induced cytosine deaminase (AID) hotspots and CpG sites.
Main Results:
- A significant portion of BCL6 breaks occurred in Ig regions (62% IgH, 10% Ig light chains).
- BCL6 breaks in Ig-BCL6 translocations favored AID hotspots (WGCW, WRC).
- Non-Ig rearrangements showed breaks at both AID hotspots and CpG/CGC sites, distinct from previously observed CpG breaks in other B-cell stages.
Conclusions:
- BCL6 translocations in germinal center B-cells are likely initiated by AID.
- The differential use of AID hotspots and CpG sites suggests distinct mechanisms for Ig-BCL6 versus non-Ig-BCL6 rearrangements.
- These findings provide insights into the molecular pathogenesis of BCL6-driven lymphomas.
Abstract:
BCL6 translocations are common in B-cell lymphomas and frequently have chromosomal breaks in immunoglobulin heavy chain (IgH) switch regions, suggesting that they occur during class-switch recombination. We analyze 120 BCL6 translocation breakpoints clustered in a 2156-bp segment of BCL6 intron 1, including 62 breakpoints (52%) joined to IgH, 12 (10%) joined to Ig light chains, and 46 (38%) joined to non-Ig partners. The BCL6 breaks in Ig-BCL6 translocations prefer known activation-induced cytosine deaminase (AID) hotspots such as WGCW and WRC (W = A/T, R = A/G), whereas BCL6 breaks in non-Ig rearrangements occur at CpG/CGC sites in addition to WGCW. Unlike previously identified CpG breaks in pro-B/pre-B-cell translocations, the BCL6 breaks do not show evidence of recombination activating gene or terminal deoxynucleotidyl transferase activity. Both WGCW/WRC and CpG/CGC breaks at BCL6 are most likely initiated by AID in germinal center B-cells, and their differential use suggests subtle mechanistic differences between Ig-BCL6 and non-Ig-BCL6 rearrangements.
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