Oncogene activating chromosomal translocations that interrupt IGH switch (S) regions at 14q32 are thought to be caused by misguided IGH isotype switching in postgerminal center B-cell lymphomas and plasma cell myelomas in humans. Aberrant switching also seems to be involved in altering the fine structure of the translocation in some of these tumors, but the significance of these changes is not known. Here we report on 3 cases of IL-6 transgenic mouse plasmacytomas (PCT) that harbor T(12;15) translocations that had been modified by frustrated switch attempts that result in C H deletions. When considered together with 6 similar cases of PCT described previously, our observations suggest that secondary deletions in C H are a regular feature in the molecular evolution of T(12;15) translocations and, thereby, in the progression of PCT. We propose that the T(12;15)؉ mouse PCT offers a uniquely valuable model system for elucidating the dual role of abnormal isotype switching in causation and 'remodeling' of chromosomal translocations. © 2002 Wiley-Liss, Inc. Aberrant isotype switching in human germinal center B cells can lead to chromosomal translocations that recombine IGH switch (S) regions at 14q32 with a variety of oncogenes. Translocation breakpoints in S regions were first detected in MYC-activating t(8;14)(q24;q32) exchanges in sporadic Burkitt's lymphoma and later found in B-cell chronic lymphocytic leukemia [t(14; 19)(q32;q13), BCL3], diffuse large-cell lymphoma [t(3;14)(q27; q32), BCL6; t(10;14)(q24;q32), NFKB2; t(1;14)(q21;q32), MUC1], lymphoplasmacytoid lymphoma [t(9;14)(p13;q32), PAX5] and, with a surprising diversity, multiple myeloma [t(11;14)(q13;q32), CCND1 (cyclin D1); t(4;14)(p16.3;q32), FGFR3 and MMSET; t(14;16)(q32;q23), C-MAF; t(6;14)(p25;q32), IRF4; t(6;14)(p21; q32), CCND3 (cyclin D3)]. [1][2][3] The uniform location of all these breakpoints in S regions strongly implicates misguided IGH isotype switch recombination as an important catalyst of recurrent translocations in postgerminal center B-cell tumors in humans.It is generally less appreciated that aberrant isotype switching can also be involved in some human B and plasma cell tumors in the secondary modification of the fine structure of translocation on the derivative chromosome 14 (der 14). Unproductive switch attempts can cause additional chromosomal breaks that may result in transpositions, 4 complex translocations and amplifications 5,6 and sometimes destabilization of the entire der (14). 7 Another outcome of switching is deletions within the Ig heavy-chain gene cluster, C H . These may occur in the vicinity of the translocation breakpoint if translocation takes place in a S region 8,9 or hundreds of kilobases distant to the translocation breakpoint if translocation occurs far upstream of C H in the V H region. 10 It is not known if the isotype switch-mediated refinement of IGH breakpoint regions plays a role in the progression of human B-cell tumors; however, new insights could be obtained if this process could be studied in a gene...