SummaryAnalysis of VH gene segments deleted in the process of immunoglobulin heavy chain (IGH) variable region assembly in three series of monoclonal B cell lines has been used to determine the human VH region organization . A deletion map of the relative positions of 21 different VH gene segments has been determined . The characterization of B cell lines from three unrelated adults of two racial groups yielded the same relative VH gene segment order, suggesting that the overall order of VH genes in the normal population is constant . This VH gene segment order was consistent with what we had previously generated from physical mapping techniques . DH segments from the second DH cluster, distinct from the major D H locus 3' of the VH region, were not observed to be used in 32 different rearrangements. Approximately 77% of the VH (D)JH rearrangements involved VH gene segments within 500 kb of the JH region, indicating that human B cell lines preferentially rearrange J.-proximal VH gene segments. The switch, observed in mice, from the fetal use of J. -proximal VH gene segments to an adult VN use dependent upon VH family size may therefore not occur in humans. This detailed map of the VH gene segments is a necessary prerequisite for understanding V N usage in development and disease .T he human immunoglobulin heavy chain (IGH) gene complex is comprised of -100 heavy chain variable (VH) gene segments, at least 24 diversity (DH) elements, six functional joining aH) segments, and a constant (CH) region composed of nine genes and two pseudogenes . The IGH gene complex maps to the most distal band of chromosome 14, at 14832.33 (1, 2). The order telomere-VH JH-CH-centromere has been determined by analysis of Burkitt lymphoma cells having 8 ;14 translocations between the IGH locus and the oncogene c-myc (3) .The VH gene segments, coding for the first 95-101 amino acids of the heavy chain peptide, have been subdivided into six families (V 1 to VH 6) based upon DNA homology (4-9) . The organization of portions of the VH region has been determined from examination of cloned regions (10) and from long-range restriction mapping (4, 11) . The human Ig VH gene families are interspersed. This is in marked contrast to the murine V H organization, which has some interspersion of the members of different Vx families, but appears to be characterized predominantly by the clustering of VH families (reviewed in references 12 and 13) .The major D H region, between VH 6 (the most 3' VH gene segment) and the JH region, is composed of four 9-kb intervals (14, 15). Each 9-kb repeating unit contains six different D H gene families (16). A second DH cluster is located within the VH region (17, 18), but its functional significance, if any, is unknown . VH, DH, J., and CH gene segments are juxtaposed in the course of B cell development . IGH variable region assembly is an ordered process that begins with DH-toJH rearrangement, usually at both IGH alleles (19). The DH-to-J,, complex then may recombine with a VH gene segment . If the first IGH alle...