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Proc. Natl. Acad. Sci.

USA
Vol. 94, pp. 10827–10832, September 1997
Immunology

Telomere lengthening and telomerase activation during human B


cell differentiation
NAN-PING WENG*†‡, L AWRENCE GRANGER*, AND RICHARD J. HODES*†
*Experimental Immunology Branch, National Cancer Institute, and †National Institute on Aging, National Institutes of Health, Bethesda, MD 20892

Edited by Irving L. Weissman, Stanford University School of Medicine, Stanford, CA, and approved August 4, 1997 (received for review May 6, 1997)

ABSTRACT The function of the immune system is highly mature B cells, and of naive B cells to GC to memory or plasma
dependent on cellular differentiation and clonal expansion of cells. However, less is known about the mechanisms underlying
antigen-specific lymphocytes. However, little is known about the replicative lifespan of lymphocytes and immunologic mem-
mechanisms that may have evolved to protect replicative poten- ory.
tial in actively dividing lymphocytes during immune differenti- Telomerase and the regulation of telomere length have re-
ation and response. Here we report an analysis of telomere length cently drawn considerable attention for their potential roles in
and telomerase expression, factors implicated in the regulation critical biological functions, including the control of cellular
of cellular replicative lifespan, in human B cell subsets. In replication (9). Telomeres are specialized terminal chromosomal
contrast to previous observations, in which telomere shortening structures that consist of tandem hexanucleotide repeats
and concomitant loss of replicative potential occur in the process (TTAGGG)n in vertebrates (10, 11) and telomere binding pro-
of somatic cell differentiation and cell division, it was found that teins (12, 13). The primary function of telomeres appear to be in
germinal center (GC) B cells, a compartment characterized by maintaining the integrity of chromosomes and completing chro-
extensive clonal expansion and selection, had significantly longer mosomal replication. Telomeres have also been implicated in
telomeric restriction fragments than those of precursor naive B determining cellular replicative capacity. Due to the inability of
cells. Furthermore, it was found that telomerase, a telomere- DNA polymerase to replicate the ends of eukaryotic chromo-
synthesizing enzyme, is expressed at high levels in GC B cells (at somes completely (14, 15), each cell division results in a loss of
least 128-fold higher than those of naive and memory B cells), 50–200 bp of telomere repeats in normal human somatic cells
correlating with the long telomeres in this subset of B cells. (16–21). If a minimal length of telomeres is essential for chro-
Finally, both naive and memory B cells were capable of up- mosomal integrity and replication, telomere length could limit the
regulating telomerase activity in vitro in response to activation replicative lifespan of cells. Telomerase is a ribonucleoprotein
signals through the B cell antigen receptor in the presence of enzyme that is capable of synthesizing telomeric repeats (22, 23).
CD40 engagement andyor interleukin 4. These observations It has been proposed that telomerase is expressed in germ-line
suggest that a novel process of telomere lengthening, possibly and malignant cells but not in most normal human somatic cells
mediated by telomerase, functions in actively dividing GC B (24–26), and this selective expression of telomerase has been
lymphocytes and may play a critical role in humoral immune hypothesized as a basis for the immortality of the germ line and
response by maintaining the replicative potential of GC and of malignant cells (27, 28). However, recent studies indicate that
descendant memory B cells. telomerase activity is also detected in normal human somatic cells
that have self-renewal capability, such as hematopoietic stem cells
A hallmark of the immune system is its ability to respond (29–31), lymphocytes (29, 32–34), and skin epithelial cells (35–
effectively to the constantly changing antigenic and pathogenic 37). Moreover, the expression of telomerase in T lymphocytes is
challenges in its environment. In the case of antibody-mediated highly regulated during development and activation (33, 38, 39).
humoral responses, this ability is achieved by the existence of a We report here the analysis of telomere length and telomerase
diverse repertoire of naive B cells and by an adaptive process that expression in tonsil B cell subsets. Telomere length and telom-
allows extensive receptor diversification by somatic hypermuta- erase activity were found to be closely regulated in the course of
tion, clonal expansion, and selection to generate optimized bind- B cell differentiation. In contrast to previously characterized
ing affinity of antibody to antigen (1). B lymphocytes derive from models of telomere shortening during somatic cell division,
bone marrow progenitor cells and undergo an ordered sequence telomeres are significantly longer in GC B cells than in either
of differentiation with phenotypically distinct stages during lin- precursor naive or descendant memory B cells. Telomerase
eage development and during activation of an immune response activity was markedly increased in GC B cells relative to these
(2). During T cell-dependent immune responses, mature antigen- other B cell populations, correlating with increased telomere
naive B lymphocytes differentiate in a unique germinal center length. Furthermore, high levels of telomerase activity are in-
(GC) environment into GC B cells, then to memory B cells or duced in naive and memory B cells by in vitro activation. These
plasma cells (3). In the GC, substantial cell division occurs during results suggest that telomerase may play a critical role in immune
a differentiation process that comprises several important pro- responses by elongating telomeres and thus preserving the rep-
cesses, including somatic hypermutation of variable domains of licative lifespan of GC and progeny memory B cells.
immunoglobulin (Ig) genes (4–6), clonal selection of mutated
antibody-producing B cells with high antigen-binding affinity (7), MATERIALS AND METHODS
and Ig isotype switching (8). In recent years, substantial progress Antibodies. Monoclonal antibodies used for immunomag-
has been made in understanding the process of Ig variable gene netic cell separations: anti-CD3 (OKT-3), CD4 (0516), CD8
rearrangement, the structure and function of GCs, and the (B9.8), CD14 (63D3), CD16 (3G8), CD44 (NIH44–1), platelet
phenotypic changes that occur in the transition of immature to
This paper was submitted directly (Track II) to the Proceedings office.
The publication costs of this article were defrayed in part by page charge Abbreviations: GC, germinal center; TRF, telomeric restriction frag-
ment; SAC, Staphylococcus aureus Cowan strain.
payment. This article must therefore be hereby marked ‘‘advertisement’’ in ‡To whom reprint requests should be addressed at: Experimental
accordance with 18 U.S.C. §1734 solely to indicate this fact.
Immunology Branch, National Cancer Institute, National Institutes
0027-8424y97y9410827-6$0.00y0 of Health, Building 10, Room 4B17, 10 Center Drive, MSC 1360,
PNAS is available online at http:yywww.pnas.org. Bethesda, MD 20892-1360. e-mail: wengn@exchange.nih.gov.

10827
10828 Immunology: Weng et al. Proc. Natl. Acad. Sci. USA 94 (1997)

(37F9), and erythrocyte (10F7) antibodies were gifts from single primer, Ts or Cx alone, (Genosys, Woodlands, TX), and
Steve Shaw (National Institutes of Health). Purified anti-IgD, lysate buffer as template for PCR.
IgG, and IgA antibodies, fluorescein isothiocyanate (FITC)- Activation of Naive and Memory Tonsil B Cells in Vitro. Freshly
conjugated anti-CD20, and phycoerythrin (PE)-conjugated isolated naive and memory tonsil B cells were stimulated as
anti-IgG were purchased from PharMingen. Purified anti- follows: Cells were suspended at 2–5 3 106 cells per ml in RPMI
CD38 and CD40, FITC-conjugated anti-CD23, CD38, and 1640 (BioWhittaker) with 10% fetal bovine serum (Biofluids,
IgD; PE-conjugated anti-CD38, CD40, CD44, and IgD; and Rockville, MD) in the presence of one of the following: 0.2 mgyml
Tri-color (TC)-conjugated anti-CD19, CD38, and CD2 anti- (1:10,000 dilution) of Staphylococcus aureus Cowan strain (SAC;
bodies were purchased from Caltag (South San Francisco, Pansorbin cell, Calbiochem), or 12 mgyml purified goat F(ab9)2
CA). Purified anti-CD77 was purchased from Immunotech fragment against human IgM Fc5m (Jackson ImmunoResearch)
(Westbrook, ME). FITC-conjugated mouse anti-rat IgM was (44), or 0.5 mgyml anti-CD40 (45), or 10 unitsyml recombinant
purchased from Jackson ImmunoResearch. interleukin 4 (rIL-4; Genzyme), or combinations of anti-IgM and
Isolation of B Cell Subsets from Tonsils. Human tonsils rIL-4, or anti-CD40. Cells were collected at day 2 after stimula-
were obtained from tonsillectomies for chronic tonsillitis on tion for the analysis of telomerase activity and hTR expression.
children and adults aged 3–31 years and mononuclear cells Cell proliferation was assayed by [3H]thymidine incorporation as
were isolated by Ficoll gradient centrifugation (Organon previously described (46). In brief, 1–3 3 105 naive and memory
Teknika–Cappel). B cells were isolated by binding to anti- B cells were cultured in triplicate samples in flat-bottomed
CD19 beads (Dynal, Great Neck, NY) and subsets of B cells 96-well microtiter plates in RPMI 1640 medium containing 10%
were further isolated by negative immunomagnetic cell sepa- fetal bovine serum. Cells were incubated for 24 hr, 1 mCi (1 mCi 5
ration as described (40). Monoclonal antibodies against CD38, 37 kBq) of [3H]thymidine was added, and incubation was con-
IgG, and IgA were used for isolation of naive B cells tinued for another 24 hr before harvest. [3H]Thymidine (New
(CD191IgD1IgG2IgA2CD382); antibodies against CD44 and England Nuclear) incorporation was measured by liquid scintil-
IgD, for isolation of GC B cells (CD191IgD2CD381CD442), lation counting.
and antibodies against CD38 and IgD for isolation of memory Northern Blot Analysis of Telomerase RNA Template (hTR)
B cells (CD191IgD2CD382). For telomerase activity analysis, Expression. Total RNA was isolated and probed with hTR and
subsets of B cells were isolated by fluorescent cell sorting 7SK as described previously (47). In brief, 10 mg of total RNA was
(FACStar; Becton Dickinson). Bm1 (CD191IgD1CD382- used for each sample. The membranes were hybridized first with
CD232) and Bm2 (CD191IgD1CD382CD231) subsets were hTR probe in Quickhyb solution (Stratagene) and then with 7SK
isolated from enriched naive B cells based on CD23 expres- after removal of hTR probe. The washed membranes were then
sion; Bm29 (CD191IgD1CD381) and Bm5 (CD191IgD2- exposed to PhosphorImager screens and the results were ana-
CD382) were directly sorted from CD191 B cells; Bm3 lyzed using ImageQuant (Molecular Dynamics).
(centroblast, CD191IgD2CD381CD771) and Bm4 (centro-
cyte, CD191IgD2CD381CD772) were isolated from enriched RESULTS
GC B cells based on CD77 expression. Plasma cells Telomere Length in Naive, GC, and Memory B Cells. The
(CD32CD142CD38hiCD20lo) were isolated directly either from process of somatic hypermutation and subsequent clonal selec-
mononuclear cells after depleting T cells (CD31, CD41 and tion in GC occurs in the context of substantial cell division and
CD81) and monocytes (CD141) by immunomagnetic beads, or clonal expansion (5, 7, 48–50). In the absence of compensating
from CD191 B cells (41). The purity of isolated B cells was mechanisms, clonal expansion would be expected to result in
analyzed by flow cytometry as described previously (33), and it significant loss of telomere repeats; based on the telomere
was generally 90–95% for cells isolated from cell sorting, and hypothesis, such reduction of telomere length during B cell
80–90% for cells isolated by immunomagnetic cell separation. differentiation would in turn decrease the replicative potential of
Measurement of Telomere Length. Mean telomeric restric- memory or effector B cells. To examine the effect of differenti-
tion fragment (TRF) length was analyzed by hybridization in ation and cell division on telomere length in B cell subsets,
dried gels with a telomeric repeat oligonucleotide probe as genomic DNA was isolated from naive, GC, and memory B cells
previously described (42). ImageQuant software was used to of five tonsils, and TRF length was measured (Fig. 1A). It was
measure mean TRF length with compensation for the telo- found that mean TRF was longest in GC B cells, followed by
mere length effect on the intensity of the signals by using DNA memory and naive B cells (Fig. 1B). The mean difference in TRF
standards as previously described (17). The statistical analysis between GC and naive B cells was statistically significant (GC
of TRF lengths difference was done by t test using software longer than naive cell TRF by 0.8 6 0.2 kb, P 5 0.001), with a less
(Statistica, StatSoft, Tulsa, OK) for analysis of difference significant difference between GC and memory B cells (GC
between dependent samples. longer by 0.6 6 0.4 kb, P 5 0.05), and no significant difference
PCR-Based Telomerase Assay. The telomerase assay used here between memory and naive B cells (0.2 6 0.56 kb, P 5 0.4). Thus,
was modified from the telomeric repeats amplification protocol in a model in which naive B cells differentiate into GC cells and
(TRAP) (24) described previously (33). Cell extracts were pre- GC cells into memory cells, a significant increase in telomere
pared from 2 3 105 to 2 3 106 FACS-sorted cells of each of seven length occurred in the transition from naive to GC B cells, and
B cell subsets at a concentration of 100 ml of 3-[(3-cholamido- significant shortening in the transition from GC to memory B
propyl)dimethylammonio]-1-propanesulfonate (CHAPS; Cal- cells. This represents a unique model in which telomere length-
biochem) lysis buffer per 106 cells. Telomere synthesis was carried ening occurs in the course of B cell differentiation concurrent
out starting with 5 3 104 cell equivalents, and PCR amplification with substantial cell division.
was carried out starting with 1 3 104 cell equivalents in a separate Telomerase Activity in Tonsil B Cell Subsets. The increased
tube. The amplified products from 3.3 3 103 cell equivalents were telomere length found in GC B cells relative to other B cell
loaded as the original concentration on a 12% acrylamide gel populations could reflect the existence of a mechanism capa-
(NOVEX, San Diego), and the results were analyzed on a ble of elongating telomeres in these B cells. A known candidate
PhosphorImager (Molecular Dynamics). Telomerase activity was for such activity is telomerase, which is capable of extending
quantitated by serial dilution of cell extracts, and an internal telomeric repeats (22, 23). To determine whether telomerase
competitive control employed to monitor the reproducibility of expression is regulated during B cell differentiation and is
the assay and to serve as a reference for comparing results related to telomere length in B cell subsets, we analyzed
between different experiments (43). Controls for the TRAP assay telomerase activity in tonsil B cell subsets. Analysis revealed
included cell lysates from 293 cells as a positive control, DNase- that telomerase activity was tightly regulated during B cell
free RNase (Boehringer Mannheim) treatment of cell extracts, differentiation: the highest levels of telomerase activity were
Immunology: Weng et al. Proc. Natl. Acad. Sci. USA 94 (1997) 10829

Table 1. DNA synthesis by naive and memory B cells in vitro


[3H]Thymidine incorporation,
cpm
Conditions* Naive Memory
Medium 443 6 48 495 6 19
Anti-IgM 4,694 6 285 1,667 6 184
rIL-4 847 6 52 884 6 88
Anti-CD40 782 6 49 996 6 142
Anti-IgM 1 rIL-4 11,072 6 2,208 6,157 6 120
Anti-IgM 1 anti-CD40 14,977 6 1,376 9,061 6 816
rIL24 1 anti-CD40 3,197 6 70 2,986 6 442
Anti-IgM 1 rIL24 1 anti-CD40 15,355 6 722 11,055 6 2,728
SAC 15,002 6 345 11,330 6 339
The results are expressed as mean 6 SD.
*Cells were incubated at 37°C for 24 hr under various stimulation
conditions. After addition of 1 mCi of [3H]thymidine, cells were
incubated for another 24 hr and harvested for DNA synthesis analysis.

activity 16-fold higher than that in resting naive and memory


B cells, and 16-fold lower than GC B cells (Fig. 2).
Induction of Telomerase Activity in Vitro in Naive and Memory
B Cells. The GC B cells, populations in which the highest levels
of telomerase activity are expressed, consist of activated and
dividing cells as well as cells undergoing apoptosis (51, 52). To
ascertain whether telomerase activity is induced by signals that
induce activation and proliferation, andyor by the signals that
induce apoptosis, freshly isolated naive and memory tonsil B cells,
which expressed low levels of telomerase, were cultured under
various conditions for 2 days and collected for telomerase anal-
ysis. In both naive and memory B cells, SAC treatment resulted
in strong induction of telomerase (32-fold increase), as did
treatment with (anti-IgM 1 anti-CD40 1 rIL-4) (16-fold), (anti-
IgM 1 anti-CD40) (12-fold), and (anti-IgM 1 rIL-4) (8-fold). In
contrast, treatment with anti-CD40, or rIL-4 alone, or (anti-CD40
1 rIL-4) did not induce telomerase activity (Fig. 3). Treatment
with anti-IgM alone induced low levels of telomerase in naive
(4-fold) but not memory B cells (Fig. 3). The induction of
telomerase in naive and memory B cells generally correlated well
with induction of cell proliferation as measured by [3H]thymidine
incorporation under these stimulation conditions (Table 1).
Because apoptotic death is a common phenomenon occurring
in GC B cells, where telomerase activity is highest, it was
determined whether telomerase is induced by apoptosis-inducing
signals in vitro. Although dexamethasone and g-irradiation in-
duced substantial apoptosis in naive and memory B cells, neither
treatment induced telomerase (data not shown).
FIG. 1. Telomere length in tonsil B cell subsets. (A) TRF blot of naive
(N), GC (G), and memory (M) B cells from three tonsils. One microgram hTR Expression in B Cell Subsets. To assess the regulation
of digested genomic DNA from each sample was loaded in a 0.6% agarose of telomerase activity in B cell subsets at a molecular level, we
gel and separated by electrophoresis. Hybridization was carried out in the examined the expression of hTR (53) in naive, GC, and
dried gel with a 32P-labeled (CCCTAA)3 oligonucleotide at 43°C over- memory B cells. It was found that the level of hTR is higher
night. (B) Comparison of mean TRF length of naive, GC, and memory in GC B cells than in naive and memory B cells (Fig. 4A). When
B cells from five patients. The mean TRF was calculated by converting the the level of hTR expression was normalized to a constitutively
intensity of signals to molecular size based on DNA molecular weight expressed 7SK gene (54), hTR in GC B cells was twice as
markers, using ImageQuant (software of PhosphorImager). Telomere
abundant as in naive and memory B cells (Fig. 4B). This result
size effect on the signal intensity was taken into consideration in calcu-
lation as previously described (17). indicates that regulation of hTR correlates with the levels of
telomerase activity in these B cell subsets. Up-regulation of
hTR expression was also observed in both naive and memory
found in centrocytes (Bm4) and centroblasts (Bm3), followed B cells after 2-day in vitro activation with either (anti-IgM 1
by the naive to GC transition population (Bm29); and low to anti-CD40 1 rIL-4) or SAC (data not shown).
undetectable levels of telomerase were found in memory B
cells (Bm5), activated naive B cells (Bm2), and virgin naive B DISCUSSION
cells (Bm1) (Fig. 2). Based on serial dilution analysis and The T cell-dependent response of mature B cells to antigenic
competition of an internal PCR standard (42), and compared stimulation is marked by a complex set of differentiation events
with the level of telomerase activity in Bm1 cells, telomerase coupled to proliferation, somatic hypermutation, Ig class switch-
activity was at least 128-fold higher in Bm3 and Bm4, 16-fold ing, clonal selection, and clonal expansion. It has been estimated
higher in Bm29, and 2-fold higher in Bm2 and Bm5 (Fig. 2B). that antigen-naive B cells undergo at least 4 cell divisions in the
Plasma cells, which represent terminally differentiated B cells, transition to GC B cell phenotype (51) and that GC B cells
were also isolated and were found to express telomerase undergo at least 20 cell divisions to generate effector or memory
10830 Immunology: Weng et al. Proc. Natl. Acad. Sci. USA 94 (1997)

FIG. 2. Telomerase activity in tonsil B cell subsets. (A) Representative results of telomerase activity in B cell subsets. Seven subsets of B cells
[Bm1–5 and plasma cell (PC)] were isolated from two donors by a combination of immunomagnetic cell separation and fluorescent cell sorting,
and three subsets (naive, GC, and memory) were isolated from five donors by immunomagnetic cell separation alone. The relative activity of
telomerase was consistent and reproducible among subsets of B cells from these different donors and cell separations. A transformed cell line, 293,
was used as a positive control and standard for quantitation of relative levels of telomerase activity. (B) Comparison of the levels of telomerase
activity in tonsil B cell subsets. The relative levels of telomerase activity were determined by serial dilution and are minimal estimates, compared
with the levels of telomerase activity of Bm1 B cell subsets. The internal standard was used to monitor the reproducibility of the assay and served
as a reference for comparing results among experiments.

B cells (55). Memory B cells are believed to be generated of normal human somatic cells over the past several years,
predominantly from a GC-dependent pathway, whereas plasma including fibroblasts (17, 19), endothelial cells (21), lymphocytes
cells are probably derived from both GC-dependent and -inde- (41, 57, 58), and hematopoietic stem cells (20). If telomere length
pendent paths (3). The persistence of memory B cells ensures the serves as a mitotic clock as proposed (19), the capacity for cellular
capacity to generate an accelerated response to a subsequent replication will be restricted by the telomere length. Evidence
encounter with the same antigen, with production of antibody supporting this model has included the observation that the
previously selected for high affinity and isotype (56). However, replication potential of human fibroblasts is better correlated with
the mechanisms underlying many of these striking events are the initial length of telomeres than with other parameters such as
poorly understood, including the mechanisms involved in regu- the age of the donors (19). An additional observation consistent
lating the capacity for clonal expansion. In this report, we have with telomere shortening during in vivo cell division is the finding
assessed telomere length and telomerase activity in B cell subsets that human CD41 memory T cells have telomeres that are
in human tonsils to evaluate the potential role of telomere consistently 1.4 kb shorter than the CD41 naive T cells from
regulation in B cell differentiation and activation. which they appear to differentiate and that memory T cells have
The loss of telomeric DNA in vivo as a function of age and in correspondingly less replicative capacity than naive T cells (42).
vitro with cell division has been well documented in many types Here we demonstrate that telomere length is also regulated
Immunology: Weng et al. Proc. Natl. Acad. Sci. USA 94 (1997) 10831

provide unique evidence that telomere length can be increased


during the course of B cell differentiation, and they suggest that
telomerase may play a role in regulating telomere length in these
normal human somatic cells in vivo.
Substantial evidence now indicates that telomerase can be
expressed in normal human somatic cells (29–37). The expression
of telomerase in these somatic cells appears to be generally
down-regulated during in vivo development and differentiation,
as demonstrated in hematopoietic progenitor cells (30) and T
cells (33) and during the induction of differentiation in the
promyelocytic cell line HL60 in vitro (61–63). A low to undetect-
able level of telomerase activity has been reported in peripheral
blood B cells (29, 32), and a high level in tonsil GC cells (31, 34).
Our results provide a detailed picture of regulation of telomerase
during B cell differentiation from which several interesting points
emerge. Telomerase activity is low in naive B cells but present at
high levels in the transition from naive B cells to GC centroblasts
and centrocytes. Telomerase then decreases as GC cells transition
to memory cells. Plasma cells, which are terminally differentiated
cells, expressed moderate levels of telomerase, thus differing
from previous observations of other terminally differentiated
cells (61–63). The telomerase RNA component was regulated in
parallel with telomerase activity in tonsil B cell subsets both in
vivo and in vitro.

FIG. 3. In vitro activation induces telomerase in naive and memory


tonsil B cells. (A) The results shown are representative of telomerase
induction in naive and memory tonsil B cells with in vitro activation.
Similar results were obtained in three independent experiments. (B)
Relative levels of telomerase activity in naive and memory tonsil B cells
induced by different stimulation conditions. The relative levels of telom-
erase activity were determined as described in the text and in the legend
of Fig. 2.

during B cell differentiation. However, the longest telomeres are


found not in precursor naive B cells but rather in GC B cells that
are the descendants of naive B cells. In principal, the long
telomeres found in GC B cells either could reflect their selective
derivation from precursor naive B cells, which have long telo-
meres, or could reflect an actual elongation of telomeres by
mechanisms operating in GC B cells. Although it is difficult to
rule out the first possibility, it is not apparent that there would be
an initial selective advantage to those naive B cells that have
relatively longer telomeres. It has previously been shown in
dividing yeast that telomerase not only is essential for preventing
telomere shortening (59) but also can function to dramatically
lengthen telomeres when specific mutations are introduced into
telomerase RNA template (60). Thus, the expression of strikingly FIG. 4. Telomerase RNA template expression in B cell subsets. (A)
Representative Northern blot of hTR expression in naive (N), GC (G),
high levels of telomerase activity in GC B cells is consistent with and memory (M) B cells. (B) Abundance of hTR expression in tonsil
the possibility that telomeres have been elongated in GC B cells B cell subsets. The abundance of hTR was analyzed by normalization
by telomerase, serving to preserve the replicative lifespan of GC to 7SK level, presented as in arbitrary units (a.u.), and the results were
and their memory B cell descendants (Fig. 5). These results summarized from B cells of three tonsils.
10832 Immunology: Weng et al. Proc. Natl. Acad. Sci. USA 94 (1997)

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