Prototypical class switching in mouse and human immunoglobulin heavy chains occurs through recombination of tandem blocks of short repeats located 5' to each heavy chain constant region (CH) except C8. Deletion of C, in immunoglobulin D (IgD)-secreting murine plasmacytomas occurs illegitimately. We demonstrate here that in human IgD-secreting myeloma cells freshly isolated from patient bone marrow and in normal peripheral blood B lymphocytes, an IgD switch can occur through homologous recombination of a direct repeat consisting of a 442-bp sequence 1.5 kbp 3' of the JH complex and a 443-bp sequence that is duplicated almost perfectly (96% similarity) 1.7 kbp 5' of the Cc, gene (442/443-base-pair [bp] repeat). This homologous recombination mechanism is not exclusive for IgD switching, since C^deletion endpoints in two established IgD-secreting myeloma cell lines fall outside the 442/443-bp repeat. The 442/443-bp mediated recombination shows cell type specificity, and we propose that it represents a unique mode for increased levels of IgD secretion in humans.The immunoglobulin heavy chain locus is located on chromosome 14 in humans. A heavy chain variable region (VH) gene is composed of one member from each of three gene families designated variable (V), diversity (D), and joining (J). The heavy chain constant region (CH) genes are located downstream of these VH genes in the order C t-CS-Cy3-cyl-C+£-Cal-CyC-y2-cy4-Ce,C.2 (3,12,25). In the primary immune response, the VH gene is transcribed along with the nearest downstream constant region gene, C, , to form a ,u heavy chain mRNA (50). During further B-cell differentiation, however, a given B cell and its progeny may shift from the production of immunoglobulin M (IgM) to one of the other heavy chain isotypes by the expression of downstream CH genes (reviewed in references 28 and 53). Studies primarily with myelomas have indicated that the switch phenomenon is most often the result of an intrachromosomal rearrangement between switch site (S) sequences located upstream of the heavy chain genes. Upon switching, the assembled VDJ gene is brought adjacent to the heavy chain gene to be expressed, resulting in the deletion of the intervening CH genes. Studies, at the DNA sequence level, of mice and humans have demonstrated that these S regions consist of 2 to 10 kilobases (kb) of tandem arrays of repeated sequences (8, 12, 20, 34-36, 41, 42, 48, 56-58). This description of the heavy chain class switch applies to all antibody classes except IgD. To date, the only biological function attributed to IgD with any certainty is serving as an antigen receptor along with IgM on the surface of virgin B cells (22,26,27,33 within the JH-C,, intron some 1.5 kbp 5' of S,, (30).To determine whether either of these sequences is implicated in the secretion of IgD, we have examined primary IgD-secreting myelomas from bone marrow, two established IgD-secreting myeloma cell lines, and normal B lymphocytes from peripheral blood. We found evidence for homologous recombination of the repeat co...