Immunoglobulin (Ig) class switch recombination (CSR) is the process occurring in mature B cells that diversifies the effector component of antibody responses. CSR is initiated by the activity of the B cell-specific enzyme activation-induced cytidine deaminase (AID), which leads to the formation of programmed DNA double-strand breaks (DSBs) at the Ig heavy chain (Igh) locus. Mature B cells use a multilayered and complex regulatory framework to ensure that AIDinduced DNA breaks are channeled into productive repair reactions leading to CSR, and to avoid aberrant repair events causing lymphomagenic chromosomal translocations. Here, we review the DNA repair pathways acting on AID-induced DSBs and their functional interplay, with a particular focus on the latest developments in their molecular composition and mechanistic regulation.
Breaking the B Cell Genome to Diversify Antibody ResponsesOur immune system is able to generate a diverse repertoire of antibodies (or Igs, see Glossary) that can collectively recognize and efficiently dispose of an impressive number of pathogens. Antibodies are produced by terminally differentiated B lymphocytes known as plasma cells, and can use different routes to eliminate pathogens. These alternative effector functions are specified by the antibody isotypes (or classes) [1]. A mature B lymphocyte diversifies the class of antibody it expresses via the process of Ig CSR [2,3]. CSR replaces the constant portion of the IgM heavy chain with one of the alternative isotypes (IgG, IgA, or IgE), thus changing the antibody effector function without altering its specificity [1]. At the molecular level, CSR is a somatic recombination reaction that occurs via the programmed formation and repair of DNA double-strand breaks (DSBs) within the Ig heavy chain (Igh) locus (Figure 1) [2,3]. The temporary disruption of genome integrity that CSR entails places the process at the crossroads between the establishment of protective immunity, and the need to maintain genome stability. The inability to introduce or repair these programmed DSBs is responsible for primary antibody deficiencies (CSR immunodeficiencies) [4,5]. Conversely, CSR-dependent DSBs can be the substrate of aberrant repair reactions leading to chromosomal translocations, which are a hallmark of several mature B cell lymphomas [6]. Therefore, isotype diversification is a fundamental aspect of mature B lymphocyte physiology with important implications in health and disease. In view of the recent COVID-19 pandemic, which has brought to worldwide attention the crucial health and societal roles played by protective immunity, a comprehensive understanding of the processes contributing to humoral responses is particularly timely. In this review, we describe the functional interplay between DNA repair pathways operating on CSR DSBs, and we highlight the recent developments on the molecular composition and mechanistic aspects of their regulation. Since CSR has been extensively investigated in mice, we refer primarily to the mouse Igh locus and to the ...