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Enhancers1





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Division of Clinical Immunology, Karolinska Institutet at Huddinge Hospital and Center for Oral Biology, Novum, Huddinge, Sweden;
Department for Cell and Molecular Biology, Umeå University, Umeå, Sweden; and
Division of Therapeutic Proteins, Center for Biologic Evaluation and Research, Food and Drug Administration, Bethesda, MD 20892
| Abstract |
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genes, modulate germline (GL) transcription of the IgH genes by
influencing the activity of promoter-enhancer complexes upstream of the
switch and intervening (I) regions. The regulation of GL
1 and
2
promoters by different human 3' enhancer fragments was investigated in
cell lines representing various developmental stages. Both
1HS1,2
and
2HS1,2 fragments show equally strong enhancer activity on the GL
1 and
2 promoters in both orientations when transiently
transfected into a number of mature B cell line (DG75, CL-01, and HS
Sultan). However, there is no activity in a human pre-B cell line
(NALM-6) nor a human T cell line (Jurkat). HS3 shows no enhancer
activity by itself in any of the cell lines, whereas a modest effect is
noted using HS4 in the three mature B cell lines. However, the
combination of the
2HS3-HS1,2-HS4 fragments, which together form a
potential locus control region, displays a markedly stronger enhancer
activity than the individual fragments with a differential effect on
the
1 and
2 promoters as compared with the
3 promoter. Our
results suggest that the human GL
promoter may be regulated by two
independent pathways. One pathway is induced by TGF-ß1
which directs IgA isotype switch through activation of the GL
promoter and no TGF-ß1-responsive elements are present in
the different 3' enhancer fragments. The other route is through the
human 3' enhancer regions that cis-up-regulate the GL
promoter activity in mature B cells. | Introduction |
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-
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genes, giving rise to
two IgA subclasses: IgA1 and IgA2 (1). Both participate in
the mucosal immune defense (2) but are expressed to
varying degrees at different anatomical sites. However, the basic
molecular mechanism regulating the production of IgA1 vs IgA2 is still
unknown.
IgM-positive B lymphocytes switch to IgG, IgA, or IgE production upon
Ag or mitogen stimulation (3, 4). The transition, known as
the heavy chain class switch, does not alter the variable region of the
Ig molecule produced and therefore it does not change the Ag binding
specificity. The genetic basis of the isotype switch is a DNA looping
out and deletion recombination event, which replaces the expressed
Cµ-C
gene complex with one of the seven downstream heavy chain
genes and removes the intervening DNA (5, 6). This
recombination occurs between regions of repetitive DNA sequences,
switch regions (S), which are located 5' of each heavy chain constant
region gene, except
. The Ab isotype is not utilized randomly and
specific stimuli induce B cell responses with characteristic isotype
profiles (7, 8, 9, 10, 11).
Cytokine-directed isotype switching is preceded by expression of the
corresponding I region and IgH constant region (CH) gene. The
cytokine-induced germ line (GL)3 transcripts promote switch
recombination by increasing the accessibility of the switch region to a
recombinase (12, 13). TGF-ß is a factor that can direct
switching from IgM to IgA in humans (14, 15) and mice
(16, 17) by inducing GL
transcripts (15, 18) through activation of its
corresponding promoter/enhancer elements in the I
region
(19, 20, 21, 22) and it also increases the half life of
mRNA
(17). The GL
promoter regions both contain a putative
cAMP-responsive element-binding protein site, Pu.1 and Sp1 binding
sites, that are highly homologous to each other and act as
basal promoters, and the transcription factor AML1 is able to
mediate the TGF-ß1-induced
activation of the GL
promoter (23). Upstream of the
basal promoter elements there are two silencers which regulate the
basal promoter activity (18).
cis-Regulatory elements have been described within the IGHC
gene locus and participate in the regulation of IgH gene expression and
isotype switch. The intronic Eµ enhancer, located between the J
segments and the µ-chain gene (24, 25) regulates the
assembly of VDJ and µ-chain genes (26, 27) and may act
as a promoter regulating µ GL transcripts (28). A large
deletion extending from the JH segments through
Eµ results in a significant block of switch recombination at the µ
locus, possibly by shutting down transcription through Sµ
(27). More recent data have shown that switching is
affected but not abolished by deletion of Eµ and its flanking region
(29) or Eµ core sequences alone (30). This
phenomenon, taken together with data of Gu et al. (27),
suggests retained switching capacity at the
locus (27, 31) and implies that there could be another
cis-regulatory element within the IGHC gene locus that is
involved in the regulation of IgH transcription and gene
rearrangement.
A sequence with enhancer activity was previously found about 16 kb
downstream of the C
gene in the mouse (32) and 25 kb
downstream of the C
gene in the rat (33). The potential
function of these 3' enhancers includes regulation of the IGHC gene
locus rearrangements, transcription, isotype switch
(33, 34, 35, 36, 37), and somatic mutation (38). The
presence of an enhancer in the human IgCH locus was long suspected but
the region of interest was difficult to clone due to the presence of a
stretch of tandem repeats (39) sequences. However,
Mills et al. (40) recently cloned three B cell-specific
DNase I-hypersensitive elements (HS1,2, HS3, and HS4) located
downstream of the C
1 and C
2 genes which were homologous to the
four murine HS fragments. These fragments were also independently
described by two additional research groups (41, 42). The
homologous sequences were more conserved in the core sequence rather
than in the flanking repeats and showed enhancer activity in transient
infections (40, 41, 42).
The mouse 3' enhancers have been shown to play an important role in
regulation of the Ig isotype switching through their influence on the
activity of the GL region promoters (43). In this paper,
we present the first data describing the potential function of the
human 3' IgH enhancers in regulation of IgA isotype switching via
interaction with the GL
promoters. Moreover, since the mouse
enhancers have been suggested to function together as a locus control
region (LCR) (44), we have studied the synergy of various
human 3' enhancer combinations.
| Materials and Methods |
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The pGL-2 basal luciferase vector (Promega, Madison, WI) was
modified by inserting a SphI-NotI polylinker at
bp 54515453 to remove the putative TGF-ß-responsive binding site
(Fig. 1
c). The E fragment,
containing the basal promoter element and the D and B fragments
containing silencer elements (Fig. 1
b) (18),
were cut out with the restriction enzymes SalI and
XbaI from chloramphenicol acetyltransferase reporter
constructs (18) and were subcloned between the
XhoI and SphI restriction sites which generated
the "backbone" constructs I
1-E, I
1-D, I
1-B, I
2-E,
I
2-D, and I
2-B. The WT-228 construct was made by inserting the GL
3 promoter fragment (45) into the pGL-3 basal
vector.
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1HS1,2.
A 960-bp fragment was PCR amplified using the construct pGL3-
1HS1,2
(40) as a template. The primers SA2.1A and SA2.2B
(40) were employed although the original MluI
recognition site at the 5' and 3' end of each primer was changed into a
BamHI recognition site. The
1HS1,2 fragment was directly
subcloned into the backbone constructs at a BamHI site in
both orientations. The orientation of the insert in HS1,2-containing
constructs was determined by digestion with EcoRI. The
constructs containing a single copy of the insert were identified by
digestion with HindIII and EcoRI restriction
enzymes.
2HS1,2.
A 1070-bp
2HS1,2 fragment was derived from the construct pE1.3
(40) using PCR. The primers and the subcloning site in the
backbone constructs were the same as in the
1HS1,2.
1HS3.
A 982-bp
1HS3 fragment was generated from the construct pGL-
1HS3
(40) using PCR employing the primers SA2.5A and SA 2.6A
(40). The product was inserted into the intermediate
vector pB-S at a HindIII restriction site and then subcloned
at a SalI site in the backbone constructs in both
orientations (determined by digestion with BamHI).
2HS3.
A 700-bp
2HS3 fragment was derived from the construct pSM 0.7
(40) by digestion with SmaI and inserted at a
SmaI site in the intermediate vector pB-S. The fragment was
then subcloned into the backbone vectors at a SalI site in
both orientations (determined by sequencing).
2HS4.
A 468-bp fragment was generated from the construct pA2E14
(40) using PCR employing primers SA8A and SA9B
(40). The
2HS4 fragment was first cloned at a
SacII site of the pB-S vector and then subcloned at a
SalI site in the backbone constructs in both orientations
(determined by sequencing).
1HS3-HS1,2.
The
1HS1,2 fragment was first subcloned at the BamHI site
of the intermediate vector pB-S-generating pB-S-HS1,2. The
1HS3 was
inserted at the HindIII restriction site of
pB-S-HS1,2-generating pB-S-HS3-HS1,2. The
1HS3-HS1,2 was then
subcloned into the corresponding backbone vectors at the
SalI restriction site. The orientation and copy number of
the
1HS3-HS1,2 in the backbone constructs were determined by
digestion with EcoRI.
2HS3-HS1,2-HS4.
The
2HS1,2 and
2HS4 were inserted into the intermediate vector
pB-S at BamHI and SacII sites, respectively,
generating pB-S HS1,2-HS4. The
2HS3 was inserted at the
SmaI site of construct pB-SHS1,2-HS4-generating
pB-S-HS3-HS1,2-HS4. The orientation of each fragment was determined by
digestion with BamHI (HS3), EcoRI (HS1, 2), or by
sequencing (HS4). The
2HS3-HS1,2-HS4 was subcloned into the
corresponding backbone vectors at the SalI restriction site.
The orientation of the
2HS3-HS1,2-HS4 in the backbone vectors was
determined by digestion with ClaI.
A schematic map of the human 3' enhancer segments (
1HS1,2,
1HS3
and
2HS1,2,
2HS3, and
2HS4) presented by Mills et al.
(40) is shown in Fig. 1
a. A map of the enhancer
containing constructs is shown in Fig. 2
.
The restriction enzymes and T4 ligase were
purchased from Promega.
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The DG75 cell line (EBV- negative Burkitts lymphoma, sIgM+) (37), CL-01 (46) (a germinal center phenotype Burkitts lymphoma, a kind gift from Paolo Casali, Cornell University Medical School, New York, NY), HS Sultan (Burkitts lymphoma, obtained from the American Type Culture Collection, Manassas, VA), Jurkat (37) (a CD4-positive human T cell line), and NALM-6 (37) (a human pre-B cell line, cyIgM+, sIgM-) were all cultured in RPMI 1640 medium supplemented with 100 µg/ml penicillin, 100 µg/ml streptomycin, 2 mM 2-ME, 2 mM L-glutamine, 10 µM sodium pyruvate, and 10% FCS at 37°C in an atmosphere of 5% CO2. TGF-ß1 was purchased from British Biotechnology (Oxford, U.K.) and used at a final concentration of 1 ng/ml.
Transfection
Cells were transiently transfected with the supercoiled plasmids by electroporation. Three to 5 µg of enhancer containing constructs along with 2 µg of human CMV-ß-gal construct were mixed with 107 cells in 500 of µl complete medium. The cells were exposed to a single pulse at 960 µF and at an appropriate voltage for each cell line (300 V for the DG75 cell line, 360 V for the pre-B cell line NALM-6, 180 V for HS Sultan and CL-07, and 380 V for the Jurkat cell line) (18) using either an Electro Cell Manipulator (BTX, San Diego, CA; for HS sultan and CL-07) or a gene pulser transformation apparatus (Bio-Rad, Hercules, CA). The transfected cells were left for 5 min at room temperature and then transferred into 10 ml of complete medium. The cells were harvested after 24 h of growth, washed once with PBS buffer, and resuspended in 100 µl of reporter lysis buffer (25 mM Tris-acetate (pH 7.8), 2 mM DTT, 1 mM EDTA, 10% glycerol, and 1% Triton X-100) for 15 min at room temperature. The cell debris was removed by centrifugation at 12,000 rpm for 2 min. The supernatants were transferred into another tube and used for detecting the luciferase activity and ß-gal activity. Ten microliters of the cell extracts was incubated with 100 µl of luciferase substrate and 100 µl of ATP buffer. The luciferase assay light output was detected in a microplate luminometer (Anthos Labtec Instruments, Salzburg, Austria). The human CMV-ß-gal plasmid carrying the human CMV promoter linked to the ß-gal was used to normalize the cell transfection efficiency. For most experiments, the ß-gal activity was measured by incubating 10 µl of cell lysis along with 250 µl of Z buffer [60 mM Na2HPO4, 40 mM NaH2PO4, 10 mM KCl, 1.0 mM MgSO4, and 50 mM 2-ME pH 8.0)] and 50 µl of o-nitrophenyl-ß-D-galatopyranoside buffer (concentration: 4 mg/ml of Z buffer). The reaction was stopped by adding 250 µl of stop buffer (1 M Na2CO3). Five hundred microliters of the mixture was used to measure at 420 nm in a DU-20 spectrophometer (Beckman Coulter, Fullerton, CA). For some experiments, ß-galactokinase was assayed using the Galacto-Light Plus Chemiluminescent Reporter Assay kit (Tropix, Bedford, MA), according to the manufacturers instructions.
| Results |
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1 and
2
promoters
Both the GL
1 and
2 basal promoter fragments (I
1-E and
I
2-E) and their upstream regions (D and B elements) were inserted 5'
of the modified pGL-2 basic vector and used as targets to detect the
regulatory activity of the 3' enhancer fragments in the DG75 cell line.
The enhancer fragments (
1HS1,2,
2HS1,2,
1HS3,
2HS3, and
2HS4) were inserted about 2 kb downstream of the promoter region
(Fig. 1
c). The basal promoter of the construct I
1-E was
more active than the I
1-B and I
1-D constructs due to silencer
activity within the B and D elements (18). Similar results
were seen using the GL
2 promoter (Figs. 3
and 4).
The silencers upstream of the GL
1 basal promoter, although highly
homologous to the silencers in the I
2 region, were stronger than
those of the GL
2 basal promoter (Figs. 3
and 4
), a finding which
agrees with previous results (18). Fragments containing
HS1,2 increased the activity of I
1-E about 8-to 10-fold and the
activity of the I
1-B and I
1-D about 5- to 6-fold in both
orientations (Fig. 3
). The enhancer effect on the I
1-E promoter
fragment was also observed in the additional B cell lines tested
(CL-01, data not shown and Sultan, Fig. 5
B). It is likely that the
silencers within the I
1-D and I
1-B fragments caused the reduced
enhancement by
1HS1,2 and
2HS1,2 relative to that seen in
1HS1,2/I
1-E and
2HS1,2/I
2-E constructs. The up-regulation
of the GL
2 promoter region by
1HS1,2 and
2HS1,2 was similar
to that of the GL
1 promoter (Fig. 4
). Taken together, these results
demonstrated that the
1HS1,2 and
2HS1,2 enhancers can activate
the basal promoter fragments I
1-E and I
2-E. The
1HS3 fragment
showed no enhancer effect on the GL
1 promoters in either
orientation and neither
1HS3 nor
2HS3 fragments showed any
enhancer activity with the GL
2 promoter (data not shown), whereas
the
2HS4 fragment has a low effect on both GL
promoters.
Constructs containing I
1-E-
2HS1,2 and I
1-E-
2HS3-HS1,2-HS4
showed no enhancer activity (measured as relative fold induction as
compared with promoter only constructs) in either the NALM-6 human
pre-B cell line (1.06 ± 0.17 and 0.72 ± 0.16, respectively)
or the Jurkat human T cell line (1.01 ± 0.26 and 0.66 ±
0.12). HS3 and HS4 showed no enhancer activity in either cell line.
Thus, for constructs containing a single enhancer, only those with
1
or
2 HS1,2 are capable of activating the GL
1 and
2 promoters,
and the activation is restricted to the mature B cell lineage.
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1 promoter
Because the combination of mouse HS3B, HS1,2, and HS4 enhancers
possesses LCR activity (44), we next investigated
potential synergistic effects by linking the three human HS fragments
together. The schematic map of the
1HS3-HS1,2 (
1HS4 is not yet
available),
2HS3-HS1,2-HS4, and
2HS3-HS1,2 complexes are shown in
Fig. 1
a. The recombinants were transiently transfected into
the three mature B cell lines (DG75, CL-01, and HS Sultan). There was
no difference between the
1HS1,2 and
1HS3-HS1,2 or
2HS1,2 and
2HS3-HS1,2 constructs with regard to activation of the GL
1 or
2 promoter in the cell line tested (DG75) (Fig. 5
A and
data not shown). Similarly, there was no appreciable difference between
2HS1,2 and
2HS3-HS1,2 in HS Sultan (Fig. 5
B) or in
CL-01 (data not shown). Although constructs containing the GL
1
promoter in combination with
2HS1,2 and
2HS3-HS1,2 and
2HS3-HS1,2-HS4 all showed similar activity in CL-01 (data not
shown), in DG75 the
2HS3-HS1,2-HS4 complex induced a markedly
stronger activity on both GL
1 and GL
2 promoters than the
2HS3-HS1,2 complex,
2HS1,2,
2HS3, or
2HS4 (Fig. 5
A). A similar increase with the
2HS3-HS1,2-HS4 complex
was observed in HS Sultan (Fig. 5
B). A synergistic
enhancement in the DG75 cell line was also observed in the silencer
containing I
1-D constructs but with lower fold induction as compared
with the I
1-E constructs (Fig. 5
A). Since the mouse 3'
enhancer fragments show a more pronounced effect on switching to IgG
than IgA (43), we also investigated the effect of the
2HS3-HS1,2-HS4 enhancer combination on the activity of the GL
3
promoter. GL
3 promoter activity is not detectable when 3 µg of
the enhancerless construct was used, a finding in contrast to results
using the GL
promoter constructs. When 5 µg of the constructs was
transfected, the activity of the GL
3 promoter itself (measured as
relative fold induction) (0.26 ± 0.02) is only half of that of
the GL
1 promoter (0.65 ± 0.01) (Fig. 6
). However, the increase in GL
3
promoter activity for the
2HS3-HS1,2-HS4-GL
3 construct relative
to the enhancerless GL
3 promoter construct was approximately twice
the relative increase observed for the corresponding GL
1 promoter
constructs. These results imply that the GL promoter of each isotype
may be differentially regulated by the 3' enhancers.
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1 and
2 promoters by the human 3' C
1
and C
2 enhancer is TGF-ß1 independent
TGF-ß1 is able to induce C
GL
transcripts in human B cells and to induce subsequent switch to IgA
production by up-regulating the GL
promoters (14, 18).
Since our results showed that the human 3' enhancers could up-regulate
the activities of both human GL
promoters, the interaction between
TGF-ß1 and the 3' enhancers in the regulation
of both human GL
promoters was investigated in the DG75 cell line.
TGF-ß1 induced GL
1 promoter activity
3-
to 7-fold, which agrees with previous results (18). A
similar fold induction was observed after
TGF-ß1 stimulation using the
enhancer-containing constructs (Fig. 7
),
suggesting that there are no TGF-ß1-responsive
elements in the enhancer and a sequence analysis showed no
TGF-ß1-responsive elements in the enhancer core
sequences. Furthermore, stimulation with TGF-ß1 did not influence the
activity of a construct containing the human GL
3 promoter (a
TGF-ß1-nonresponsive promoter) and the
2HS3-HS1,2-HS4 enhancer elements (data not shown).
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| Discussion |
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1 and C
2 genes contain similar HS3, HS1,2, and HS4 elements that
function as enhancers, it is reasonable to hypothesize that these
elements may also function as LCRs. However, there are potentially
significant differences between the structures of the human and mouse
3' enhancer regions. The human
1 and
2 HS1,2 enhancers both
reside near the centers of
10-kb palindromes, with each palindrome
closely flanked by a single copy of HS3 immediately adjacent to the 5'
end and an HS4 unit located
4 kb downstream (ref. 42 ;
F. C. Mills, unpublished results). By comparison, mouse HS1,2 is
centrally positioned in a considerably larger (
24-kb)
palindrome that contains a copy of HS3 on each end, with HS4 once again
located
4 kb downstream of the palindrome (48). Certain
functional elements in the murine enhancers, including BSAP sites, do
not appear to be conserved in the human HS1,2 or HS4 (40).
Finally, there are two potential human 3' C
LCRs, which might
interact with one another.
LCRs are defined in terms of their ability to confer
position-independent activation of mouse transgenes (49)
or stable integrants in cell lines (44). Similar to the
enhancers comprising the mouse 3' IgH LCR (32, 43, 50),
human HS3, HS1,2, and HS4 interact synergistically with each other in
transient transfections and all three enhancer elements may be needed
in the activation of the C
genes before switching.
The two human GL
promoters are 98% homologous (14),
with identical TGF-ß1-responsive elements
(51), and this cytokine induces GL transcripts of both IgA
subclasses in human B cells (21). These observations
suggest that the GL
promoter itself may not contain enough sequence
information to ensure subclass-restricted expression and additional
cis-elements such as the different enhancer elements,
independent of the TGF-ß1 pathway, may be
needed. However, additional factors such as sequences upstream of the
promoters, the chromatin configuration, or the presence of insulators
may also affect the transcriptional rate.
The products of the first IGHC (
3-
1-
-
1) locus are
expressed to a much higher degree than those of the second block
(
2-
4-
-
2). The 3'
1 and 3'
2 enhancer regions are
possible candidates that could differentially control the genes within
the respective blocks. However, we did not find any difference in the
effect of the enhancers in our transient transfection experiments. As
the mouse Eµ has been shown to synergize with the 3' C
enhancer
(47, 50), it is possible that human Eµ and
VH promoters interact positively with the 3'
1
enhancer, stimulating genes within the upstream IGHS block, whereas an
Eµ-3'
2 enhancer interaction is prevented by the larger distance
involved, by an insulator, by other inhibitory element(s) downstream of
the 3' C
1 enhancer or by the chromatin context.
Differential effects of the enhancer on the expression of mouse Ig
isotypes have previously been observed, as replacement of the HS1,2 and
HS3A elements by a pgk-neor cassette only
impaired switching to some of the isotypes (IgG2a, IgG2b, IgG3, and
IgE) (32, 50). Inclusion of the human GL
3 promoter in
the present study enabled us to make some interesting comparisons. The
GL
3 promoter shows a weaker basal activity as compared with the GL
promoters. However, introduction of the linked enhancer elements
(HS31,24) resulted in a greater stimulation index for the
3
promoter. In view of the recently described "promoter competition"
hypothesis (32, 43, 50) which proposes that transcription
from at least a subset of GL promoters is based on the ability of the
local GL promoter to "interact" with the putative 3' LCR, adding
the factors that facilitate GL
transcription, such as
TGF-ß1, would allow the GL
1 promoter to
compete effectively with the
promoters for 3'
1 enhancers,
perhaps because of promoter strength, the more 3' position, or both.
However, when adding up-regulating factors for GL
3 transcription,
such as IL-4 and PMA, the
3 promoter would compete effectively with
the
1 promoter for the enhancers, possibly due to its stronger
interaction with the 3'
1 enhancer. Promoter competition may
therefore be a general mechanism employed for modulation of GL
transcription and differential regulation of isotype switching in the
IGHC locus.
In individuals with homozygous deletions of a block of IGHC genes,
including the 3'
1 enhancers (
1-
2-
4-
), the IgG1 and IgG3
levels are normal or even elevated, suggesting that the enhancer
downstream of the
2 may replace the function of the 3'
1 enhancer
(52). The finding of a natural deletion of either of the
3'
enhancer regions may be needed to fully understand the role of
these elements in the regulation of switching to IgA and other
isotypes. An alternative approach involves deleting all or part of the
putative 3' C
LCRs in a human cell line undergoing isotype switching
(46), an approach that is being actively pursued in one of
our laboratories.
| Acknowledgments |
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| Footnotes |
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2 Address correspondence and reprint requests to Dr. Lennart Hammarström, Division of Clinical Immunology, Karolinska Institutet at Huddinge Hospital, SE-141 86 Huddinge, Sweden. ![]()
3 Abbreviations used in this paper: GL, germline; LCR, locus control region; ß-gal, ß-galactosidase. ![]()
Received for publication October 26, 1999. Accepted for publication April 6, 2000.
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K. Zhang Accessibility control and machinery of immunoglobulin class switch recombination J. Leukoc. Biol., March 1, 2003; 73(3): 323 - 332. [Abstract] [Full Text] [PDF] |
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H. Spieker-Polet, P.-C. Yam, and K. L. Knight Functional Analysis of I{alpha} Promoter Regions of Multiple IgA Heavy Chain Genes J. Immunol., April 1, 2002; 168(7): 3360 - 3368. [Abstract] [Full Text] [PDF] |
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J. Laurencikiene, V. Deveikaite, and E. Severinson HS1,2 Enhancer Regulation of Germline {epsilon} and {gamma}2b Promoters in Murine B Lymphocytes: Evidence for Specific Promoter-Enhancer Interactions J. Immunol., September 15, 2001; 167(6): 3257 - 3265. [Abstract] [Full Text] [PDF] |
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V. V. Volgina, M. Kingzette, S.-K. Zhai, and K. L. Knight A Single 3'{alpha} hs1,2 Enhancer in the Rabbit IgH Locus J. Immunol., December 1, 2000; 165(11): 6400 - 6405. [Abstract] [Full Text] [PDF] |
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