*Patients with the variant form of xeroderma pigmentosum (XPV) syndrome have a genetic deficiency in DNA polymerase (Pol) , and display accordingly an increased skin sensitivity to UV light, as well as an altered mutation pattern of their Ig V genes in memory B cells, alteration that consists in a reduced mutagenesis at A/T bases. We previously suggested that another polymerase with a different mutation signature, Pol , is used as backup for Ig gene hypermutation in both humans and mice in cases of complete Pol deficiency, a proposition supported in this study by the analysis of Pol ؋ Pol double-deficient mice. We also describe a new XPV case, in which a splice site mutation of the first noncoding exon results in a decreased mRNA expression, a mRNA that otherwise encodes a normal Pol protein. Whereas the Pol mRNA level observed in patient's fibroblasts is one-twentieth the value of healthy controls, it is only reduced to one-fourth of the normal level in activated B cells. Memory B cells from this patient showed a 50% reduction in A/T mutations, with a spectrum that still displays a strict Pol signature. Pol thus appears as a dominant enzyme in hypermutation, its presence precluding the use of a substitute enzyme even in conditions of reduced availability. Such a dominant behavior may explain the lack of Pol signature in Ig gene mutations of some XPV patients previously described, for whom residual Pol activity might exist. The Journal of Immunology, 2009, 182: 6353-6359.
S omatic mutation at the Ig locus is initiated by the action of activation-induced cytidine deaminase (AID),4 which generates uracils from cytidine deamination in the DNA domain encoding the rearranged V gene segments (1-3). Uracils produced by DNA deamination are potent mutagens if carried over replication, giving rise to G to A or C to T transition mutations at the targeted site. However, only a fraction of the mutations observed at the H and L chain Ig loci corresponds to such a passive mutagenesis, implying that additional repair processes involving error-prone DNA synthesis, i.e., mutagenic DNA polymerases (Pol), are mobilized to spread and enlarge the mutation spectrum (4).The first experimental evidence for the implication of mutagenic polymerases in hypermutation came from the observation of Ig gene mutations in memory B cells from patients with the variant form of xeroderma pigmentosum (XPV) (5). Classical xeroderma pigmentosum diseases correspond to inactivation of one of the genes involved in nucleotide excision repair, whereas XPV corresponds to the inactivation of Pol , responsible for the error-free bypass of UV-induced thymidine dimers during replication (6, 7). Accordingly, XPV patients show an increased sensitivity to UV light with a high frequency of skin cancers. Analysis of Ig gene mutations in XPV patients showed a marked reduction, but not a suppression, of mutations at A/T bases, clearly suggesting a role for Pol in the generation of these mutations (5, 8).Studies performed in the mouse have further confirmed the major ro...