Selection of immunoglobulin variable region genes for recombination in
B cells takes place from among those V-H and V-L gene segments availa
ble in the unrearranged germ line repertoire. in the case of neoplasti
c B cells, there is apparent deviation in the use of V-genes from that
expected on a random basis, both for V-H and for V-L Also, the prefer
red V-genes, and their patterns of mutation, differ among the various
categories of B-cell tumor possibly reflecting the distinct origins an
d clonal histories on the individual tumor cells. This review focuses
on a single V-H gene, V(H)4-21, which is a member of the V(H)4 family,
and which appears selectively to encode immunoglobulins with autoanti
body activity, particularly anti-red cell antibodies. The pattern of u
sage of this V-H gene by B-cell tumors demonstrates clear asymmetry am
ong different tumor types. Also, the mutations detected in this relati
vely non-polymorphic gene indicate that antigen, possibly autoantigen,
may influence the behavior of the tumor cell.