A highly informative probe for two polymorphic
Vh gene regions that contain one or more
autoantibody-associated Vh genes.
P P Chen, … , R A Erger, D A Carson
J Clin Invest.
1989;84(2):706-710. https://doi.org/10.1172/JCI114218.
Efforts to determine the role of specific Ig variable region (V) genes in human autoimmune
responses have been hampered by the lack of suitably polymorphic probes. Recently we
isolated a heavy chain V (Vh) gene, designated Humhv3005, that is 99% homologous to the
1.9III Vh gene and can encode an anti-DNA antibody. To study the relation between these
two genes, different DNA fragments from the isolated Humhv3005 clone were used to probe
Southern blots of human genomic DNA. A 1.6-kb Eco RI fragment (designated
hv3005/E1.6) was found to hybridize with only one band in Eco RI-digested DNA, and with
two major bands in Bam HI-digested DNA. Importantly, the sizes of the latter two bands
were indistinguishable from the corresponding Bam HI fragment sizes of the isolated
hv3005 clone and the isolated 1.9III clone, respectively. Population and family studies with
the hv3005/E1.6 probe revealed five different hybridization patterns of these two
characteristic bands, which defined nine possible genotypes for two human Ig Vh gene loci.
Together the data demonstrate that hv3005/E1.6 is a highly informative probe for an
autoantibody-associated Vh gene(s), and should prove useful in elucidating the role of Ig Vh
genes in autoimmune diseases.
Research Article
Find the latest version:
http://jci.me/114218/pdf
Rapid Publication
A
Highly Informative
Probe for Two
Polymorphic Vh
Gene
Regions
That Contain One
orMore Autoantibody-associated
Vh
Genes
Pojen P. Chen, KatherineA.Siminovitch,*Nancy J.
Olsen,*
Rochelle A. Erger, and Dennis A. CarsonDepartmentofMolecular and ExperimentalMedicine, ResearchInstituteofScripps Clinic, LaJolla, California92037; *Department of
Medicine, University ofToronto, Toronto, Ontario, CanadaM5T2S8;and *DepartmentofMedicine, Vanderbilt University,
Nashville,Tennessee 37232
Abstract
Efforts
todetermine
the roleof
specific Ig
variableregion
(V)
genes in human autoimmune responses have been
hampered
by
the
lackof
suitably
polymorphic
probes. Recently
weisolated a heavychain
V(Vh)
gene,designated Humhv3005, that is 99%
homologous to the
l.9III
Vh geneand
can encode ananti-DNA
antibody.
Tostudy
therelation
betweenthese twogenes,different
DNAfragments
from the isolatedHumhv3005 clone
were
used
toprobe Southern
blots of humangenomic
DNA. A1.6-kb
Eco RIfragment (designated hv3005/E1.6)
was found tohybridize with only
oneband
inEcoRI-digested DNA,
andwith
twomajor bands
inBam
HI-digested
DNA.Importantly,
the
sizes of
the latter two bandswereindistinguishable from
the
corresponding
Bam
HIfragment
sizes
of theisolated
hv3005
cloneand the isolated 1.9III clone,
respectively.
Popu-lation and family studies with the hv3005/El.6 probe revealed
five
different hybridization
patternsof
thesetwocharacteristic
bands, which
defined
ninepossible
genotypes fortwohumanIg
Vh gene
loci. Together the
datademonstrate that
hv3005/E1.6
is
ahighly informative probe for
anautoantibody-associated
Vh
gene(s), and should
proveuseful
inelucidating
the roleofIg
Vhgenes in
autoimmune
diseases.Introduction
A
major
aim of
immunopathology
research
istoidentify
the
genetic
factors that
promoteabnormal
orsustainedautoanti-body
production. Although
autoantibodies
werefirstdiscov-ered in
patients
with various
autoimmunediseases, they
havealso been detected
amonghealthy
individuals(1-3).
Whilethe
inherited structural genes for
Ig
light
andheavy
chainsdictate
the
potential
antibody
repertoire
of
anyindividual, Ig
genesThis ispublication 5809-BCR from the Research Institute ofScripps
Clinic.
AddresscorrespondencetoP. P.Chen,Department of Molecular and Experimental Medicine, Research Institute ofScripps
Clinic,
10666 NorthTorrey Pines Road,LaJolla,CA92037.
Receivedfor publication 14March 1989 and in revised
form
25April1989.
also undergo extensive somatic diversification during life
(4, 5). Variationsin
the number and structure of inherited Ig genes, aswell
assomatic
changes,
maytherefore influence
the
generation
of
autoantibodies,
and in
some casespredispose
individuals
toautoimmune diseases.
To dissect the relativecontribution
of these
twofactors,
one mustfirst
identify
theautoantibody-associated
Iggene segmentsand
thendetermine
their
polymorphisms in
humanpopulations.
During
the last several years we and others have sought toisolate
humanautoantibody-associated
Ig variable region(V)1
genes. To
date,
two kappalight chain
V (Vk) genes (i.e.,Humkv325 and Humkv328)
and one heavy chain V (Vh) gene(i.e., Vh 783) that
can encoderheumatoid factors
have beencharacterized
(6-8).
Inaddition,
wehave identified
a Vhgene
(i.e.,
Vh26) corresponding
tothe 16/6 crossreactive idiotype
on
anti-DNA
antibodies
(9). Similarly, Cairns
etal. (10)
andMakar
etal.
(1
1)
reported that
the Vhnucleotide
sequencesfor
three
autoantibodies against
DNA,
Sm, and insulin,
respec-tively,
wereidentical
tothree
reported Vh genes.Recently, in
aneffort
todelineate
theunderlying
mecha-nisms for
thepreferential expression of certain
autoantibody-associated human Ig
V genesduring early
ontogeny, weiso-lated a Vh 3 gene,
termed
Humhv3005.3
Itencodes anamino
acid
sequenceidentical
tothe
56Pl
sequence,which
was mostfrequently found in
a130-d fetal liver (12). Interestingly,
thehv3005
sequenceis also 99%
homologous
tothat of the
1.9III
gene,
which is
identical
tothe
Vhnucleotide
sequenceof
ananti-DNA
antibody
(i.e.,
kim
4.6[l10];
reference
13). These
results
suggested
that
hv3005
and 1.9III
either
werealleles
of
asingle
human
Vh genelocus,
orweredistinct but
homologous
Vgenes
in
thehaploid human
genome.Accordingly,
weused
fragments
from the
Humhv3005
clone
toanalyze
Southern
blots ofhuman
genomic
DNA.Population
andfamily
studiesprovided evidence for
polymorphism
in
two Vhgeneregions,
containing
at least oneanti-DNA
autoantibody-associated
Vh gene.Methods
Isolation and characterization oftheHumhv3005-containing clone.2
TheHumhv3005wasrecently isolated fromahumangenomic library
1.Abbreviations usedinthis paper: IgVgene,Ig
variable region
gene; RFLP, restriction fragment lengthpolymorphism;
Vh gene,heavy
chainVgene; Vk gene,kappa lightchainV gene.
2.Chen,P.P. 1989. Structuralanalysesofthe human
developmentally
regulatedVh3 genes.Manuscriptsubmitted for
publication.
706 P. P. Chen,KA. Siminovitch,N.J. Olsen,R. A. Erger,and D. A. CarsonJ.Clin.Invest.
©TheAmericanSocietyfor ClinicalInvestigation, Inc.
0021-9738/89/08/0706/05
$2.00
(Y79, kindlyprovided byDr. W. Lee, UniversityofCalifornia, San Diego, CA) thatwasscreenedwithaVh3 cDNA probe (56PI;from nucleotide positions -124 in the Vregion to408 in theCuregion,
donatedbyDr. H. W.Schroeder and Dr. R.M.Perlmutter, University
of Washington, Seattle, WA) (12, 14). Thepurifiedhv3005 clone was mapped by single and double restriction enzyme digestions of the isolatedrecombinantphage, andby subsequentSouthernblotanalyses of these lysates. AftersubcloningintoM13,thenucleotidesequenceof hv3005wasdetermined by the chain termination method.
Genomic DNAand Southern blot analyses.Genomic DNAs were preparedfromperipheralbloodpolymorphonuclear cellsofunrelated
subjectsormembersoftwoJewish families involved in thestudy of
Gaucher'sdisease.Of the 32 unrelatedsubjects, 19werepatientswith rheumatoidarthritisand 1was apatient withsystemiclupus
erythema-tosus.Regardingtheir ethnic
origins,
25wereCaucasians,3were His-panics,and 2wereAmerican blacks. DNAsamplesweredigested sepa-ratelywithBamHIand Eco RI,accordingtothemanufacturer'sdirec-tions (New EnglandBiolabs, Beverly, MA). Thelysateswereloaded into wellsof a 0.7% agarose gel. After electrophoresis and transfer of DNA tonitrocellulose, the blots were hybridizedwith the indicated
probes,including a1.6-kbEco RIfragmentof theHumhv3005 clone,
and
Humkv328/pl
(a 1.4-kb Hind IIIfragmentofHumkv328)(15). Hybridizationsweredonein 5X standard saline citrate(SSC;'IXSSC=0.15 MNaCI/0.015 Msodiumcitrate,pH7.0)at65°C, followed by
washingtwice in I XSSC at65°C.
Results
Characterization of the Humhv3005/1.6-kb Eco
RIfragment.
Fig.
1 ashows
the relevant
restriction
enzymesites
of the
Humhv3005
clone, from
2
kb
upstream to12 kb downstream
of the
coding
region.
In
aneffort
toidentify
suitable probes
forthe
hv3005 and
1.91II
Vh genepolymorphisms,
aseries
of
fragments
from the
isolated
Humhv3005 clone
wereused
toanalyze Southern blots
of
human
genomic
DNA.As
illustrated
inFig.
1b, the
Humhv3005/1.6-kb
Eco
RIfragment (designated hv3005/E1.6) hybridized
withonly
asingle
1.6-kb band in human
genomic
DNAdigested
with
Eco RI.This result
indicated
that
hv3005/El.6
wasaveryspecific
probe for the hv3005 locus. When the
samehuman
DNAwasdigested
with
Bam HIand
analyzed
with thehv3005/El .6,
twomajor
bandsof 5.2and 6kb,
respectively,
werevisualized
(Fig.
1b).
Based
onthe
mapof the hv3005
clone,
the 5.2-kb
band
representsthe
hv3005 locus.
Inaddition,
thereported
map
of
the
homologous
Vh
1.911I
geneshowed that there
was aBam HI
fragment
of
6 kb inaposition
similar
tothe 5.2-kbregion
in the hv3005 clone (13).
Thus,
the 6-kb
hybridizing
band
waslikely
to representthe
Vh1.91II locus. Together these
results showed that
hv3005/El.6
is
aregional-specific
probe
that
identifies
twodiagnostic
bands
representing
the
hv3005
and the Vh
1.9III
geneloci.
Restriction
fragment
length polymorphism
(RFLP)
analy-ses
with the hv3005/E1.6
probe.
To
analyze
genetic variation
in the
hv3005
and
1.9III loci,
genomic DNA from 18
unre-latedindividuals
wasdigested with
BamHI,electrophoresed,
blotted,
andhybridized
with thehv3005/El.6.
Theresults
re-vealedvariability
amongindividuals
not only with regard to the presenceof
the 6- and5.2-kb bands,
butalso with
regardto thehybridization intensities of
these tworestriction fragments.
No
allelic
counterparts were detectable for either the 6- or 5.2-kbfragments,
butfive
patterns
of
bandcombinations
were apparent(Fig.
2 a). They consisted of: (a) a 6-kb band alone (lanes3, 12, and 16); (b) a 5.2-kb band alone (lane 1); (c) both 5.2- and6-kb
bandsof
approximately
equal
intensity
(lanes
5-7,
13,
and14);
(d)
astrong
6-kb bandwith
aweak5.2-kb
a
0 2 4
hv3005
5_- B
5' 0
--b
6 8 10 12 14 16 Kb
B B
+1 B
E E
E1.6
Lane: a b marker Enzyme: E B (Kb)
- -2.3
. -2
** -1 6
: 4-1.4
*.
9Figure1.Characterizationof theHumhv3005/1.6-kbEco RI
frag-ment.(a)Therestriction mapofthe Humhv300S clone,5'to3' from
lefttoright.The enzymes usedareB,BamHI,andE,Eco RI.(b) Southern blotanalysesof humangenomicDNAwith thehv3005/ El.6 probe. DNAwasdigested separatelywith Eco RI(lane a)and Bam HI(laneb),and thelysateswereloadedontoa0.7% agarose gel.Theresultant blotwashybridizedwithhv3005/El1.6.
band(lanes 2, 8-11, 15, 17, and18); and (e)astrong 5.2-kb band andaweak 6-kbband(lane 4). Itispossiblethatthe last
twopatternsmighthave been duetothepartialdigestionof the DNA samples. To address this question, the same blot was
hybridized with a Vk gene probe (Humkv328/pl) that had been characterized extensively in our laboratory. Only one
hybridizingband ofexpected sizewas detected in each geno-mic DNAsample'(Fig. 2 b). Inaddition, wedigested the
left-overDNA(usedinFig.2a)withanadditionalaliquotof Bam HIovernight,andobtainedanessentiallyidentical result(data
notshown).
Subsequently, DNA from members oftwo families were
analyzed. Fig. 2 cshows that in the firstfamilythefather had both bands ofequal intensity, the mother had a 6-kb band
alone,and theson hadastrong6-kb band withaweak 5.2-kb band. In the secondfamily,thefather hada6-kb bandalone,
the mother hadastrong 6-kb band withaweak 5.2-kbband,
and thedaughterhada6-kb band alone. The result from the secondfamilyindicates that the mother had the(6,6,5,0) geno-type,where thetwo"6s" andone"5,'implythat therear'etwo
i.aTne
F
5 6 1.I5. 3 1 '6 1&
_ X
aF 'L . * 0
IKbi ."x;
52,;" ?, e
iw
4. "'4. ~~~~~~~~L
Probe-hv3005 E1b.
b
Lane: 2 3 4 5 6 7 8 9 1i0 1 4 15 16R ½
(Kbi
A.4
6-- p
5.2- %P.v ,"-~~~~~b
sa ITIl' rilLIf
Lane: 19 20 21 22 23 24 25 26 27 28 29 30 32' 33 34 35 36
Alk:~~~~~~~~~~~~~~~~a&, (K~~~~~~~~~~~~~~~~~~~b.
IKb i| ,! t *i ilt5E1.6
Probe-ehv3005ElI6
copies of the
6-kb/1.9III
region andone copyof the5.2-kb/
hv3005regionperdiploidgenome.From the RFLPpatternwededuced that the mother had the (6,5) and the (6,0)
haplo-types.Accordingly, thehv3005and the 1.911I lociarelikelyto
represent twodifferent Vhgeneloci inahaploidgenome.
To differentiate between the (6,6,5,5) and (6,0,5,0) geno-typefor the father in the firstfamily, thesameblotwas
hybrid-ized simultaneously with hv3005/El .6 and a 6-kb Hind III
fragment of the kappaconstantregion (16). A comparison of the intensities of the three bands indicatedthat the father had the(6,6,5,5)genotype(datanotshown).
Discussion
In thisreportwedescribe the identification of RFLPs in the
vicinity oftwohighly homologous human Vhgenes, namely,
Humhv3005 and 1.9III. These Bam HI polymorphisms are
definedby either thepresenceorabsenceofhybridizing bands
atthe6-kb/1.9III region and the 5.2-kb/hv3005 region, and by theintensity of each hybridizing band, which reflects homozy-gosity or heterozygosity for the respective locus. Thus, there
Figure 2.Populationandfamilystudies withthe
hv3005/El.6 probe. GenomicDNAsfrom30
un-related individuals (lanes1-30) and members of twounrelatedfamilies(lanes 31-36)weredigested
with BamHIand thelysateswereloadedontoa
0.7%agarosegel. The resultantblotwas
hybrid-izedsequentially with hv3005/E 1.6 (aand c) and
Humhv328/pl (b).
are nine potential genotypes: (6,6,5,5), (6,6,5,0), (6,6,0,0), (6,0,0,0), (6,0,5,5), (6,0,5,0), (0,0,5,5), (0,0,5,0), and (0,0,0,0). Among 34 unrelated individuals studied here (excludingtwo
children from thefamily studies), the major (6,6,5,0)type
ac-counted for 50% of the observed genotypes, whereas the (6,6,5,5), (6,6,0,0), (6,0,5,0), (6,0,5,5), and (0,0,5,5)typeseach accounted for18, 15, 12,6, and 6%, respectively. The (6,0,0,0), (0,0,5,0), and (0,0,0,0)typeswerenotobserved.
HumanIg Vhgenepolymorphisms defined by RFLP
anal-ysis have been described previously (17-20). However, the probes used in those studies hybridized tomultiple bands in genomic DNA, yielding complex RFLP patterns. Moreover, the identities ofthe hybridizing Vh genes are generally not
known. Compared with the previously used Vh probes, the hv3005/1 .6 probe isveryspecific, hybridizingtotwomajorVh
loci underconditions of mediumstringency (IX SSC washat
55-65°C). More importantly, probing BamHIdigested
geno-mic DNA withhv3005/E 1.6generateshighlyinformativeand
yetsimplepatterns oftwobands. Thisrendersitpossibletouse
the hv3005/El.6 probe for large disease-linkage studies in
clinical laboratories.Finally,sincethe identitiesof thetwoVh
VW-
*
.t l .3*w~~4 -k.28genes
detected
by the
hv3005/1.6 probe
areknown, and
oneof
these
is related
toanti-DNA
antibodies, population
and
fam-ily
studies
using
this
probe
maybe
particularly
useful in
au-toimmune and/or
lymphoproliferative diseases.
Extensive studies in
mice have revealed that
autoantibod-ies
maybe
encoded by
different
Ig
V genesderived from
most(if
notall)
murine
V genefamilies,
and that
atthe
grosslevel
there
is
nounique
RFLPpattern in the
V genesof
mousestrains with genetic forms of
systemic
autoimmune disease
(21-23). These results indicate that
polymorphisms
in
one orafew
V genes areunlikely
to exertapredominant
influence
onautoantibody
production.
However, these studies do
notex-clude
arole for
qualitative and/or
quantitative
differences in
autoantibody-associated
Ig
V genesin
heterogeneous
human
populations
with
sporadic
autoimmune disease. To
date,
this
issue has
notbeen
addressed because
of
the lack
of
suitable
informative Ig
V geneprobes.
In
humans,
certain Ig
constantregion allotypes have been
associated
with
someautoimmune diseases and/or with
au-toantibody formation (24-26).
Since the
Ig
variable and
con-stant
region
gene segmentsarelinked,
and the
V genesulti-mately
dictate
the
potential antibody
repertoire
of
anyindivid-ual, the
autoantibody-associated allotypes
probably
reflect
differences
in Ig
V generepertoires. Accordingly,
it
is essential
to
define
the
major
autoantibody-related Ig
Vregion
geneele-ments,
and
toelucidate their
relationship,
if
any, toautoanti-body
production
and
tothe
autoimmune diseases.
Programmed
expression
of
Vh genesduring
Bcell
develop-ment
has been
clearly documented in
mice
(27, 28).
Murine
genes
of the 7183-Vh
family
arepreferentially expressed early
in
ontogeny.Interestingly, the
same7183-Vh
genes arecom-monly used by antibodies reactive with self
determinants (29).
Recently,
Schroeder
etal.
found
similar
patterns of
develop-mentally restricted
Vh
geneexpression
in humans
(12).
One
of
the
nine
Vh
genesthat
is predominant
in
fetal liver (i.e., 30Pl),
is identical
tothe Vh
sequenceof
ananti-DNA
antibody,
while another
(i.e.,
51Pl)
is
likely
toencode
rheumatoid
fac-tors
that
expressthe G6 crossreactive
idiotype (8, 9).
Inaddi-tion,
Makar
etal.
showed that
athird Vh
geneexpressed
in
fetal liver
(i.e.,
20P1/M26)
has
anidentical
sequence tothat
of
an
anti-Sm
antibody
(11).
By
analogy, it
seemslikely
that
Humhv3005, which
encodes
anamino
acid
sequenceidentical
to
the
frequently expressed
56P1
gene,is
likely
toencode
anautoantibody.
Thus, the currently
characterized polymorphic
Vh
regions
mayactually
contain
morethan
oneautoanti-body-associated
Vh
gene.Accumulated data from
twolaboratories
indicate
thatthe
total human Vh
genenumber
is
likely
tobe
>120, spread
over aregion
of 1,500-2,000 kb
(13,
30).
Inthe
future it
mayprove necessary togenerate apanel
of
other probes that
arespecific
for
Vhlocations
at300-500-kb
intervals,
and that
identify
autoantibody-associated
Vhgenes. Used together, such probes wouldpermit
thelinkage analysis of autoimmune disease to the Vhregion
and thepossible
identification
ofdisease-asso-ciated Ig
gene segments. The current report represents our first step inthis direction.
Acknowledgments
We thank Dr. W. Lee for the human genomic library, Dr. H. W. SchroederandDr. R. M.Perlmutterfor the Vh3 cDNA clone 56PI andthepreprint (20), and Dr. E. Beutler for DNA samples from two
families. The technical assistance of S. Sinha is gratefully acknowl-edged. We thank Ms.Nancy Noon and the Basic and Clinical Research WordProcessing Centerforhelpinpreparingthismanuscript.
Funding forthis research is supported in part by grants AR-39039, AR-33489, AR-25443, RR-00833, and BRSG 2S07-RR-05424 from the National Institutes of Health.
References
1. Schwartz, R.S., and B. D. Stollar. 1985. Origins of anti-DNA
autoantibodies.J.Clin.Invest.75:321-327.
2. Cohen, I. R.,and A. Cooke.1986. Natural autoantibodies might preventautoimmune disease. Immunol. Today. 7:363-364.
3. Chen, P. P., S. Fong, and D. A. Carson. 1987. Rheumatoid factor. Rheum. Dis. Clin. NorthAm. 13:545-568.
4.Rajewsky, K., and T. Takemori. 1983. Genetics, expression, and function ofidiotypes. Annu. Rev. Immunol. 1:569-607.
5. Tonegawa, S. 1983. Somaticgeneration of antibody diversity. Nature(Lond.). 302:575-581.
6.Chen, P. P., K.Albrandt, T. J. Kipps, V. Radoux, F.-T.Liu,and D.A. Carson. 1987. Isolation and characterization of human VkIII germline genes:implications for the molecular basis of human VkIII lightchaindiversity.J.Immunol. 139:1727-1733.
7.Chen,P.P., D. L. Robbins,F.R.Jirik,T. J. Kipps,and D.A.
Carson. 1987. Isolation and characterization ofalightchain variable
regiongeneforhumanrheumatoidfactors.J.Exp. Med. 166:1900-1905.
8.Chen, P. P., M.-F. Liu, C.A.Glass, S. Sinha, T. J. Kipps, and
D. A.Carson. 1989. Characterization oftwoIg Vh genes whichare
homologous to human rheumatoid factors. Arthritis Rheum. 32:72-76.
9.Chen,P.P., M.Liu,S.Sinha,and D.A.Carson. 1988.A16/6 idiotype positiveanti-DNAantibodyis encoded byaconserved Vh gene withnosomaticmutation.Arthritis Rheum. 31:1429-1431.
10.Cairns,E., P.C. Kwong, V.Misener,P. Ip, D.A.Bell, and K.A.
Siminovitch. 1989. Analysis of variable regiongenesencodinga
humananti-DNA antibody ofnormal origin: implications for the molecular basis of human autoimmune responses. J. Immunol. In press.
11. Makar, R., I.,Sanz,J. W.Thomas,and J. D.Capra. 1988.A
structuralbasis for humancross-reactingidiotypes.Ann.Inst.Pasteur Immunol. 139:651-657.
12.Schroeder, H. W., Jr., J. L. Hillson, andR. M. Perlmutter. 1987. Early restriction of the human antibody repertoire. Science
(Wash.
DC).238:791-793.13. Berman, J. E., S. J.Mellis,R.Pollock, C. L.Smith,H.Suh,B.
Heinke,C. Kowal, U.Surti,L.Chess, C. R. Cantor, and F. W. Alt. 1988. Content andorganizationof the human Ig VH locus: definition of threenewVHfamiliesandlinkagetotheIg CH locus. EMBO(Eur. Mol.Biol. Organ.)J.7:727-738.
14. Lee,W.-H., R.Bookstein,F.Hong, L.-J. Young, J.-Y. Shew, and Y.-H. P. Lee. 1987. Humanretinoblastoma susceptibilitygene:
cloning,identification,and sequence. Science(Wash.DC). 235:1394-1399.
15.Liu,M.-F., D. L. Robbins,J.J.Crowley, S.Sinha, F. Kozin,
T. J.Kipps,D. A.Carson,and P. P.Chen. 1989.Characterization of four homologouslightchainvariable region genes whicharerelatedto
6B6.6idiotype positivehumanrheumatoid factorlightchains. J.
Im-munol. 142:688-694.
16.Hieter,P.A.,E.E.Max, J. G.Seidman, Jr., J. V. Maizel, and P. Leder. 1980. Cloned human and mouse kappa immunoglobulin
con-stantand Jregion genes conserve homology infunctionalsegments.
Cell.22:197-207.
17.Johnson,M.J.,A. M.Natali,H.M. Cann, T. Honjo, and L. L. Cavalli-Sforza. 1984.Polymorphisms ofa humanvariableheavychain gene showlinkage withconstantheavychain genes. Proc.Nati. Acad.
Sci. USA. 81:7840-7844.
18.Turnbill, I., 0. Bernard,K. S.Sriprakash, andJ. D.Mathews. 1987. Humanimmunoglobulin variable region genes:a newVH
se-quenceused to detectpolymorphism. Immunogenetics. 25:184-192. 19. Walter, M. A., and D. W. Cox. 1988. Analysis of genetic varia-tion reveals human immunoglobulin VH-region gene organizavaria-tion. Am. J. Hum. Genet. 42:446-451.
20. VanDijk, K. W., H. W. Schroeder, Jr., R. M.Perlmutter,and E.C. B.Milner. 1989. Heterogeneityin the humanimmunoglobulin
V-H locus. J. Immunol. 142:2547-2554.
21. Painter, C., M. Monestier, B. Bonin, and C. A. Bona. 1986. Functional and molecular studies ofVgenesexpressed in autoantibod-ies.Immunol. Rev. 94:75-98.
22.Kofler,R., R. M.Perlmutter,D.J.Noonan,F.J.Dixon,and A.N.Theofilopoulos. 1985. Ig heavy chain variable region gene
com-plex of lupus mice exhibits normal restriction fragment length poly-morphism.J. Exp. Med. 162:346-351.
23.Trepicchio,W.,A.Maruya, and K. J. Barrett. 1987. Theheavy
chain genes ofalupusanti-DNAautoantibodyareencoded in the germ line ofanonautoimmune strain ofmouseandconserved in strains of micepolymorphicfor this gene locus. J. Immunol. 139:3139-3145.
24.Schur, P. H., J. P. Pandey, and J.A. Fedrick. 1985. Gm
allo-types in whitepatients with systemic lupus erythematosus. Arthritis Rheum. 28:828-830.
25.Demaine, A. G., D. H. Taube, R. W. Vaughan, L. A. P. Kerr, and K. I. Welsh. 1986. Immunoglobulin heavy chain switch region restriction fragment length polymorphisms are associated with renal disease. Clin. Exp. Immunol. 66:406-413.
26.Gaiser, C. N., M. J. Johnson, G. DeLange, L Rassenti, L. L. Cavalli-Sforza, and L. Steinman. 1987. Susceptibility to multiple scle-rosis associated with an immunoglobulin gamma 3 restriction frag-mentlengthpolymorphism. J. Clin. Invest. 79:309-313.
27. Alt, F. W., T. K. Blackwell, and G. D. Yancopoulos. 1987. Developmentof the primary antibody repertoire. Science (Wash. DC). 238:1079-1087.
28. Perlmutter, R. M. 1987. Programmed Development of the antibody repertoire. Curr. Top. Microbiol. Immunol. 135:96-109.
29. Bona, C. A. 1988.Vgenesencoding autoantibodies: molecular andphenotypic characteristics. Annu. Rev. Immunol. 6:327-358.