The construction of a large library of single-chain Fv (scFv) antibody
fragments involves a random assortment of heavy and light chains. Alt
hough useful for the production of recombinant antibodies, this method
is not adapted to the study of the autoantibody repertoire formed in
vivo during autoimmune diseases. To attain this objective, we describe
the use of the in-cell PCR together with Cre-recombination applied, t
o our knowledge, for the first time to human B cells to obtain in situ
pairing of the variable (V) region genes of the immunoglobulin heavy
(H) and light (L) chains. Our method is based on amplification and rec
ombination of the VH and VL genes within CD19(+) B cells isolated from
human thyroid tissue. Nested primers were designed to amplify the kno
wn major human VH and VL gene families. After reverse transcription PC
R and three rounds of PCR including recombination between VH and VL us
ing the Cre-loxP system, we obtained a unique 800-bp band correspondin
g in size to scFv fragments. We provide evidence that recombination be
tween VH and VL genes occurred inside the same cell. This in-cell ampl
ification and association procedure is a potentially useful tool for t
he study of autoantibody gene families and the VH/VL pairing that occu
rs during the autoimmune process.