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<article article-type="review-article" dtd-version="2.3" xml:lang="EN" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Cell Dev. Biol.</journal-id>
<journal-title>Frontiers in Cell and Developmental Biology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Cell Dev. Biol.</abbrev-journal-title>
<issn pub-type="epub">2296-634X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">884873</article-id>
<article-id pub-id-type="doi">10.3389/fcell.2022.884873</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Cell and Developmental Biology</subject>
<subj-group>
<subject>Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>DNA Damage Response and Repair in Adaptive Immunity</article-title>
<alt-title alt-title-type="left-running-head">Luo et al.</alt-title>
<alt-title alt-title-type="right-running-head">DNA Repair in Antibody Diversification</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Luo</surname>
<given-names>Sha</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1697567/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Qiao</surname>
<given-names>Ruolin</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Zhang</surname>
<given-names>Xuefei</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1697695/overview"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Biomedical Pioneering Innovation Center</institution>, <institution>Innovation Center for Genomics</institution>, <institution>Peking University</institution>, <addr-line>Beijing</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Academy for Advanced Interdisciplinery Studies</institution>, <institution>Peking University</institution>, <addr-line>Beijing</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1090246/overview">Teng Ma</ext-link>, Capital Medical University, China</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1313641/overview">Berit Jungnickel</ext-link>, Friedrich Schiller University Jena, Germany</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/58482/overview">Michel Cogne</ext-link>, University of Rennes 1, France</p>
</fn>
<corresp id="c001">
<sup>&#x2a;</sup>Correspondence: Xuefei Zhang, <email>xuefei_zhang10@pku.edu.cn</email>
</corresp>
<fn fn-type="other">
<p>This article was submitted to Signaling, a section of the journal Frontiers in Cell and Developmental Biology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>17</day>
<month>05</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>10</volume>
<elocation-id>884873</elocation-id>
<history>
<date date-type="received">
<day>27</day>
<month>02</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>31</day>
<month>03</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Luo, Qiao and Zhang.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Luo, Qiao and Zhang</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>The diversification of B-cell receptor (BCR), as well as its secreted product, antibody, is a hallmark of adaptive immunity, which has more specific roles in fighting against pathogens. The antibody diversification is from recombination-activating gene (RAG)-initiated V(D)J recombination, activation-induced cytidine deaminase (AID)-initiated class switch recombination (CSR), and V(D)J exon somatic hypermutation (SHM). The proper repair of RAG- and AID-initiated DNA lesions and double-strand breaks (DSBs) is required for promoting antibody diversification, suppressing genomic instability, and oncogenic translocations. DNA damage response (DDR) factors and DSB end-joining factors are recruited to the RAG- and AID-initiated DNA lesions and DSBs to coordinately resolve them for generating productive recombination products during antibody diversification. Recently, cohesin-mediated loop extrusion is proposed to be the underlying mechanism of V(D)J recombination and CSR, which plays essential roles in promoting the orientation-biased deletional end-joining . Here, we will discuss the mechanism of DNA damage repair in antibody diversification.</p>
</abstract>
<kwd-group>
<kwd>antibody diversification</kwd>
<kwd>RAG-initiated V(D)J recombination</kwd>
<kwd>AID-initiated CSR and SHM</kwd>
<kwd>DNA damage repair</kwd>
<kwd>cohesin-mediated loop extrusion</kwd>
</kwd-group>
<contract-sponsor id="cn001">Peking University<named-content content-type="fundref-id">10.13039/501100007937</named-content>
</contract-sponsor>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>The B-cell receptor (BCR) and antibody comprise two pairs of immunoglobulin heavy (IgH) and light (IgL) chains (<xref ref-type="bibr" rid="B45">Hwang et al., 2015</xref>). The N-terminal regions of IgH and IgL are the variable regions, which form the antigen-binding domain of BCR. The C-terminal region of IgH is the constant region that specifies the antibody effector function (<xref ref-type="fig" rid="F1">Figure 1A</xref>) (<xref ref-type="bibr" rid="B1">Alt et al., 2013</xref>). In developing B cells, V(D)J recombination generates highly diverse antigen receptor repertoires by assembling the numerous IgH germline V<sub>H</sub> (variable), D (diversity), and J<sub>H</sub> (joining) gene segments in different combinations (<xref ref-type="fig" rid="F1">Figure 1B</xref>). Also, IgL variable region exons are subsequently assembled by joining V<sub>L</sub> and J<sub>L</sub> segments (<xref ref-type="bibr" rid="B24">Ebert et al., 2015</xref>; <xref ref-type="bibr" rid="B81">Outters et al., 2015</xref>). In a given developing B cell, the unique IgH and IgL chains generate sets of mature B cells that express a highly diverse repertoire of BCR. In peripheral lymphoid organs, mature B cells can be activated by encountering antigens to undergo IgH class switch recombination (CSR) (<xref ref-type="fig" rid="F1">Figure 1C</xref>) and V(D)J exon somatic hypermutation (SHM) (<xref ref-type="fig" rid="F1">Figure 1D</xref>) to further diversify BCR/antibody affinity and function, enhancing antigen elimination (<xref ref-type="bibr" rid="B72">Methot and Di Noia, 2017</xref>; <xref ref-type="bibr" rid="B109">Yeap and Meng, 2019</xref>).</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>V(D)J recombination, class switch recombination, and V(D)J exon somatic hypermutation-mediated antibody diversification. <bold>(A)</bold> Schematic structure of antibody which is composed of two pairs of immunoglobulin heavy (IgH) and light (IgL) chains. The blue box indicates the antibody variable region which binds to antigens. The green box indicates the antibody constant region, where the class switch recombination occurs. The red box indicates the mutated region including CDR1, CDR2, and CDR3 within the V(D)J exon; the yellow dots indicate the mutation sites. <bold>(B)</bold> Two-step process of RAG-initiated V(D)J recombination in progenitor (pro) B cells. <bold>(C)</bold> Process of AID-initiated class switch recombination (CSR) in mature B cells before entering the germinal center (GC), termed as pre-GC cells. <bold>(D)</bold> Process of AID-initiated V(D)J exon somatic hypermutation (SHM) in non-switched and switched GC B cells.</p>
</caption>
<graphic xlink:href="fcell-10-884873-g001.tif"/>
</fig>
<p>The mouse IgH locus spans 2.7&#xa0;Mb with more than 100 functional V<sub>H</sub>s in the 2.4&#xa0;Mb distal region, a 100&#xa0;Kb intervening region, and a 60&#xa0;Kb region with multiple Ds followed by 4 J<sub>H</sub>s (<xref ref-type="fig" rid="F2">Figure 2A</xref>) (<xref ref-type="bibr" rid="B24">Ebert et al., 2015</xref>). V(D)J recombination is initiated by the Y-shaped recombination-activating gene (RAG) endonuclease (<xref ref-type="bibr" rid="B59">Liu et al., 2021</xref>). RAG is recruited to the V(D)J recombination center (RC), which includes the J<sub>H</sub>-proximal DQ52, 4 J<sub>H</sub>s, and the intronic enhancer iE&#x3bc; (<xref ref-type="bibr" rid="B103">Teng and Schatz, 2015</xref>). RAG binds and cleaves the recombination signal sequences (RSSs) (<xref ref-type="bibr" rid="B49">Kim et al., 2015</xref>; <xref ref-type="bibr" rid="B97">Ru et al., 2015</xref>; <xref ref-type="bibr" rid="B48">Kim et al., 2018</xref>; <xref ref-type="bibr" rid="B98">Ru et al., 2018</xref>) that flank V<sub>H</sub>, D, and J<sub>H</sub> gene segments (<xref ref-type="fig" rid="F2">Figure 2B</xref>). The two blunt RSS ends are fused by classical non-homologous end-joining (C-NHEJ) directly to generate RSS joins as excision cycles, while the two coding ends are fused by C-NHEJ to generate the coding joins after DNA-PKcs and Artemis-mediated removal of coding end-associated hairpins (<xref ref-type="fig" rid="F2">Figures 2C&#x2013;H</xref>) (<xref ref-type="bibr" rid="B117">Zhao et al., 2020</xref>). V(D)J recombination is ordered, with Ds joining to J<sub>H</sub>s, prior to V<sub>H</sub>s joining to DJ<sub>H</sub> intermediates to form V(D)J exons (<xref ref-type="fig" rid="F1">Figure 1B</xref>) (<xref ref-type="bibr" rid="B1">Alt et al., 2013</xref>).</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Classical non-homologous end-joining (C-NHEJ) joins RAG-initiated recombination signal sequence (RSS) breaks to complete V(D)J recombination. <bold>(A)</bold> Schematic structure of the IgH locus in mice. There are over one hundred V<sub>H</sub> segments, 9&#x2013;12 D segments, and 4 J<sub>H</sub> segments in mouse IgH locus. Each V<sub>H</sub> is downstream flanked by 23RSS. Each D is flanked by 12RSS on both sides. Each J<sub>H</sub> is upstream flanked by 12RSS. <bold>(B)</bold> Schematic structure of RAG endonuclease, 12RSS (blue triangles), and 23RSS (red triangles). RAG cleaves the heptamer of RSS sequences. <bold>(C&#x2013;H)</bold> C-NHEJ-mediated end-joining process during D to J<sub>H</sub> recombination. RAG and HMGB1 bind to a pair of D and J<sub>H</sub> segments for cleavage, and the synapsis of D and J<sub>H</sub> segments is promoted by loop extrusion-mediated RAG scanning process <bold>(C)</bold>. RAG cuts the synapsed RSSs associated with the D and J<sub>H</sub> segments to generate a pair of blunt RSS ends and a pair of hairpin-associated coding ends <bold>(D)</bold>. Ku70/Ku80 complex binds to the RAG-initiated DSBs and recruits DNA-PKcs-Artemis complex to open the coding end-associated hairpins <bold>(E)</bold>. RAG-initiated breaks can further be processed by DNA polymerase &#x3bb;/&#x3bc; and terminal deoxynucleotidyl transferase (TdT) <bold>(F)</bold>. XRCC4 and ligase 4 are recruited to the breaks to ligate the processed DNA breaks, and other redundant C-NHEJ factors including XLF, PAXX, and ERCC6L2 are also involved in the ligation step <bold>(G)</bold>.Final D to J<sub>H</sub> recombination products include the coding join and RSS join <bold>(H)</bold>.</p>
</caption>
<graphic xlink:href="fcell-10-884873-g002.tif"/>
</fig>
<p>After V(D)J recombination is completed, immature B cells migrate to some peripheral lymphoid organs such as the spleen and further develop to become mature B cells (<xref ref-type="bibr" rid="B76">Nagasawa, 2006</xref>). Without stimulation or antigen activation, na&#xef;ve B cells express the recombined V(D)J exon and its proximal C&#x3bc; exons that specify the IgM antibodies. Upon activation, mature B cells undergo CSR to replace the donor C&#x3bc; with one of the six sets of constant region exons (C<sub>H</sub>s) that lie 100&#x2013;200&#xa0;kb downstream, to change the antibody isotype with different pathogen-elimination functions (<xref ref-type="fig" rid="F1">Figure 1C</xref>) (<xref ref-type="bibr" rid="B109">Yeap and Meng, 2019</xref>). Each C<sub>H</sub> has an inducible (I) promoter exon, long (1&#x2013;12&#xa0;kb) repetitive switch (S) region, and several C<sub>H</sub> exons (<xref ref-type="bibr" rid="B45">Hwang et al., 2015</xref>). Activation-induced cytidine deaminase (AID) (<xref ref-type="bibr" rid="B74">Muramatsu et al., 2000</xref>) initiates CSR by generating deamination lesions at frequent short DNA target motifs within donor S&#x3bc;, and a downstream acceptor S region (<xref ref-type="bibr" rid="B45">Hwang et al., 2015</xref>). The lesions are converted into DNA double-strand breaks (DSBs) by co-opting DNA damage repair factors. The upstream S&#x3bc; DSB ends are end-joined to the downstream acceptor S region DSB ends to complete CSR by C-NHEJ and alternative end-joining (A-EJ) (<xref ref-type="bibr" rid="B9">Boboila et al., 2012</xref>; <xref ref-type="bibr" rid="B72">Methot and Di Noia, 2017</xref>).</p>
<p>The switched and non-switched mature B cells can enter the lymphoid germinal centers (GCs), where they are further matured by introducing somatic hypermutation (SHM) into the V(D)J exons (<xref ref-type="fig" rid="F1">Figure 1D</xref>) (<xref ref-type="bibr" rid="B87">Pilzecker and Jacobs, 2019</xref>; <xref ref-type="bibr" rid="B94">Roco et al., 2019</xref>). In response to antigen activation, AID targets the same deamination motifs in V(D)J exons that are mainly converted into mutational outcomes in GC B cells (<xref ref-type="bibr" rid="B45">Hwang et al., 2015</xref>). The mutated V(D)J exons that have higher binding affinity to the antigen are selected and expanded (<xref ref-type="bibr" rid="B51">Lau and Brink, 2020</xref>). This SHM process allows cellular selection to promote BCR/antibody affinity maturation.</p>
</sec>
<sec id="s2">
<title>V(D)J Recombination</title>
<sec id="s2-1">
<title>RAG Initiates DNA Breaks for V(D)J Recombination</title>
<p>RAG endonuclease is a Y-shaped heterotetramer, which contains two units of RAG1 catalytic enzymes and two units of RAG2 regulatory co-factors (<xref ref-type="bibr" rid="B49">Kim et al., 2015</xref>; <xref ref-type="bibr" rid="B97">Ru et al., 2015</xref>; <xref ref-type="bibr" rid="B48">Kim et al., 2018</xref>; <xref ref-type="bibr" rid="B98">Ru et al., 2018</xref>). Both RAG1 and RAG2 are required for the physiological V(D)J recombination (<xref ref-type="bibr" rid="B99">Schatz et al., 1989</xref>; <xref ref-type="bibr" rid="B79">Oettinger et al., 1990</xref>). RAG1 has the DNA binding and cleaving activity to cut the heptamer of RSSs to generate blunt RSS ends and hairpin-associated coding ends (<xref ref-type="fig" rid="F2">Figures 2B&#x2013;D</xref>) (<xref ref-type="bibr" rid="B71">McBlane et al., 1995</xref>; <xref ref-type="bibr" rid="B104">van Gent et al., 1995</xref>; <xref ref-type="bibr" rid="B1">Alt et al., 2013</xref>). RAG1 interacts with numerous nucleolar proteins to modulate recombination activity in the nucleus (<xref ref-type="bibr" rid="B11">Brecht et al., 2020</xref>), and the N-terminal region of RAG1 regulates the efficiency and pathways of synapsis for V(D)J recombination (<xref ref-type="bibr" rid="B7">Beilinson et al., 2021</xref>). RAG2 has no DNA cleavage activity, but it is required to enhance RAG1 catalytic activity. RAG2 binds to DNA by recognizing trimethylation of lysine 4 on histone H3 (H3K4me3), which is a histone marker of active chromatin including promoters and enhancers (<xref ref-type="bibr" rid="B70">Matthews et al., 2007</xref>; <xref ref-type="bibr" rid="B102">Teng et al., 2015</xref>). The abundance of RAG2 protein is cell cycle-dependent which undergoes ubiquitin-dependent degradation when lymphocytes transit from G1 to the S phase (<xref ref-type="bibr" rid="B54">Li et al., 1996</xref>; <xref ref-type="bibr" rid="B103">Teng and Schatz, 2015</xref>). Also, RAG2 interacts with RAG1 to abolish RAG1 aggregation to initiate V(D)J recombination during the G1 phase (<xref ref-type="bibr" rid="B11">Brecht et al., 2020</xref>; <xref ref-type="bibr" rid="B31">Gan et al., 2021</xref>). The regulation of RAG2 promotes RAG-mediated V(D)J recombination in B cells during the G1 phase; meanwhile, it suppresses the generation of undesired DSBs and translocations to ensure the genome stability.</p>
</sec>
<sec id="s2-2">
<title>Loop Extrusion-Mediated RAG Scanning Promotes V(D)J Recombination</title>
<p>RAG not only binds the bona fide RSSs flanked by the V, D, and J gene segments for physiological V(D)J recombination but also can capture and cut cryptic targets besides RSSs at a low frequency (<xref ref-type="bibr" rid="B44">Hu et al., 2015</xref>), which might lead to translocations related to B- and T-cell lymphoma (<xref ref-type="bibr" rid="B66">Mahowald et al., 2008</xref>). RAG can generate robust recombination between D&#x3b2;1 and J&#x3b2;1-1 when the D&#x3b2;1 and J&#x3b2;1-1 segments of T-cell receptor &#x3b2; (TCR&#x3b2;) are inserted into the c-Myc locus (c-Myc-DJ&#x3b2; cassette). Meanwhile, the c-Myc-DJ&#x3b2; cassette insertion activates RAG activity to capture and cut the cryptic targets (convergent-orientated &#x201c;CAC&#x201d; motifs) linearly. Interestingly, RAG cryptic targets are restricted to the 1.8&#xa0;Mb c-Myc domain anchored by CTCF binding elements (CBEs). Also, RAG cryptic activity within a domain also applies to other domains across the genome (<xref ref-type="bibr" rid="B44">Hu et al., 2015</xref>). Moreover, RAG extends its activity to the cryptic targets outside of a domain by deleting the CBE-mediated boundaries (<xref ref-type="bibr" rid="B44">Hu et al., 2015</xref>; <xref ref-type="bibr" rid="B115">Zhang Y. et al., 2019</xref>). This evidence suggests that RAG scans linearly to capture and cut the convergent-orientated CAC motifs within a domain.</p>
<p>The RAG scanning process can also explain the physiological D to J<sub>H</sub> recombination and V<sub>H</sub> to DJ<sub>H</sub> recombination. The plasmid-based studies indicate that the RSS sequence, not RAG scanning, determines the utilization of D-RSSs (<xref ref-type="bibr" rid="B35">Gauss and Lieber, 1992</xref>), while the high-throughput HTGTS-V(D)J-seq analysis of large amounts of D-RSS-inverted <italic>v-Abl</italic> progenitor (pro)-B-cell lines supports that RSS orientation, not the RSS sequence, plays a key role in deletional D to J<sub>H</sub> recombination, indicating that RAG scanning promotes the utilization of the downstream D-RSSs during physiological D to J<sub>H</sub> recombination (<xref ref-type="fig" rid="F2">Figure 2C</xref>) (<xref ref-type="bibr" rid="B115">Zhang Y. et al., 2019</xref>). J<sub>H</sub>-RSS-bound RAG initiates scanning from RC to the upstream D segments until aligning and cutting one downstream D-RSS with J<sub>H</sub>-RSS, leading to the generation of DJ<sub>H</sub> recombination products (<xref ref-type="fig" rid="F2">Figures 2C&#x2013;H</xref>) (<xref ref-type="bibr" rid="B115">Zhang Y. et al., 2019</xref>). After DJ<sub>H</sub> recombination, DJ<sub>H</sub>-RSS-bound RAG initiates scanning to the upstream V<sub>H</sub> segments and cuts a convergent-orientated V<sub>H</sub>-RSS with DJ<sub>H</sub>-RSS to complete the V<sub>H</sub> to DJ<sub>H</sub> recombination, which is supported by the V<sub>H</sub> inversion experiments in mice (<xref ref-type="bibr" rid="B42">Hill et al., 2020</xref>; <xref ref-type="bibr" rid="B18">Dai et al., 2021</xref>). The V<sub>H</sub> region inversion eliminates V<sub>H</sub> utilization and increases the utilization of newly formed CAC motifs within the inverted region, which strongly supports that RAG scanning promotes the capture of convergent-orientated V<sub>H</sub>-RSS in the physiological V<sub>H</sub> to DJ<sub>H</sub> recombination (<xref ref-type="bibr" rid="B18">Dai et al., 2021</xref>).</p>
<p>D to J<sub>H</sub> joining occurs within the loop domain anchored upstream by the two divergent CBEs-formed IGCR1 between D and V<sub>H</sub> and downstream by the ten tandem CBE-formed super anchor (3&#x2032;CBEs) (<xref ref-type="bibr" rid="B39">Guo et al., 2011</xref>; <xref ref-type="bibr" rid="B1">Alt et al., 2013</xref>). V<sub>H</sub> to DJ<sub>H</sub> recombination needs the neutralization of IGCR1 anchor and V<sub>H</sub>-associated CBEs, which allows RAG scanning to the upstream V<sub>H</sub>s (<xref ref-type="bibr" rid="B39">Guo et al., 2011</xref>; <xref ref-type="bibr" rid="B1">Alt et al., 2013</xref>; <xref ref-type="bibr" rid="B46">Jain et al., 2018</xref>). The depletion of CTCF in <italic>v-Abl</italic> pro-B cells increases the utilization of distal V<sub>H</sub>s, indicating that RAG scans through the CBEs after removing CTCF-mediated anchors in <italic>v-Abl</italic> pro-B cells (<xref ref-type="bibr" rid="B3">Ba et al., 2020</xref>). Moreover, the depletion of Wapl, a cohesin unloader, in <italic>v-Abl</italic> pro-B cells also increases the utilization of distal V<sub>H</sub>s (<xref ref-type="bibr" rid="B18">Dai et al., 2021</xref>), which is consistent with the downregulation of Wapl in normal pro-B cells. It is likely that downregulated Wapl might neutralize CBE-mediated blocks to enhance RAG scanning to the upstream V<sub>H</sub>s, leading to the generation of more diverse antibody repertoires during physiological V(D)J recombination. RAG activity mainly focuses on the targets within the dynamic chromatin impediments including the CTCF-bound chromatin, highly transcribed chromatin, RAG-bound chromatin, and even catalytic-dead Cas9-bound chromatin (<xref ref-type="bibr" rid="B115">Zhang Y. et al., 2019</xref>; <xref ref-type="bibr" rid="B116">Zhang et al., 2022</xref>). The aforementioned evidence strongly supports that cohesin-mediated loop extrusion is the underlying mechanism of RAG scanning-mediated V(D)J recombination.</p>
</sec>
<sec id="s2-3">
<title>DSB Response Factors Have Modest or No Effects on V(D)J Recombination</title>
<p>Intrinsic and extrinsic stress-induced DSBs are the most harmful DNA lesions to genome integrity, which trigger DNA damage response (DDR) by recruiting DDR factors to the DSBs for repairing. ATM and its downstream phosphorylated targets (H2AX, 53BP1, and MDC1) are the key DDR factors, which play crucial roles in repairing general DSBs and maintaining genome stability (<xref ref-type="bibr" rid="B106">Weitering et al., 2021</xref>).</p>
<p>RAG-initiated DSBs also recruit DDR factors during V(D)J recombination. ATM and ATM-phosphorylated p53 are recruited to the RAG-initiated DSBs to surveil the intermediates in V(D)J recombination, protecting against the potentially aberrant oncogenic translocations (<xref ref-type="bibr" rid="B85">Perkins et al., 2002</xref>). Also, coding joining is decreased with more un-joined coding ends in ATM-deficient pre-B cells, indicating that ATM stabilizes RAG-initiated DSBs during V(D)J recombination (<xref ref-type="bibr" rid="B12">Bredemeyer et al., 2006</xref>). 53BP1-deficient mice have relatively normal B-cell compartments and no substantial block in V(D)J recombination (<xref ref-type="bibr" rid="B68">Manis et al., 2004</xref>), while 53BP1-deficiency is also found to impair the distal V to DJ joining at the TCR&#x3b1; locus, suggesting a specific role of 53BP1 in maintaining genomic stability during long-range joining of DSBs (<xref ref-type="bibr" rid="B22">Difilippantonio et al., 2008</xref>). H2AX is recruited to the RAG-initiated DSBs at the TCR&#x3b1; locus (<xref ref-type="bibr" rid="B15">Chen et al., 2000</xref>), while it is not required for coding join formation or lymphocyte development (<xref ref-type="bibr" rid="B6">Bassing et al., 2002</xref>), suggesting that it only functions as a general surveillance machinery to prevent translocations during V(D)J recombination (<xref ref-type="bibr" rid="B110">Yin et al., 2009</xref>). MDC1-deficiency has no major block for V(D)J recombination or lymphocyte development (<xref ref-type="bibr" rid="B62">Lou et al., 2006</xref>). The recently identified shieldin complex, composed of MAD2L2/REV7, SHLD1, SHLD2, and SHLD3, is also dispensable for V(D)J recombination and lymphocyte development (<xref ref-type="bibr" rid="B36">Ghezraoui et al., 2018</xref>; <xref ref-type="bibr" rid="B58">Ling et al., 2020</xref>). Altogether, DDR factors have relatively modest or no effect on V(D)J recombination, suggesting the redundant roles of these DDR factors with others during V(D)J recombination (more discussion in the next section).</p>
</sec>
<sec id="s2-4">
<title>C-NHEJ Exclusively Joins RAG-Initiated Breaks During V(D)J Recombination</title>
<p>Intrinsic and extrinsic stress-induced DSBs are mainly repaired by homologous recombination (HR) and C-NHEJ. HR mainly functions in the late S and G2 phases, which uses sister chromatids as templates for error-free DNA repair. C-NHEJ repairs almost all DSBs outside of S and G2 phases and is the major DSB repair pathway in both dividing and non-dividing cells (<xref ref-type="bibr" rid="B117">Zhao et al., 2020</xref>).</p>
<p>RAG-initiated DSBs are exclusively repaired by C-NHEJ, resulting from the synapsis of breaks held by the RAG post-cleavage complex (PCC) (<xref ref-type="fig" rid="F2">Figure 2D</xref>) (<xref ref-type="bibr" rid="B103">Teng and Schatz, 2015</xref>; <xref ref-type="bibr" rid="B56">Libri et al., 2021</xref>). RAG2 truncations or charge-neutralizing mutations switch the DSB repair pathway from C-NHEJ to alternative end-joining (A-EJ) and HR (<xref ref-type="bibr" rid="B16">Corneo et al., 2007</xref>; <xref ref-type="bibr" rid="B17">Coussens et al., 2013</xref>; <xref ref-type="bibr" rid="B37">Gigi et al., 2014</xref>). RAG interacts with the core NHEJ factors Ku70/Ku80 (<xref ref-type="fig" rid="F2">Figure 2E</xref>) (<xref ref-type="bibr" rid="B90">Raval et al., 2008</xref>), and Ku70 suppresses A-EJ in G1-arrested pro-B cells (<xref ref-type="bibr" rid="B55">Liang et al., 2021</xref>). The deficiency of Ku70 has a severe combined immunodeficiency (SCID) phenotype and severely impairs the formation of coding joins and RSS joins (<xref ref-type="bibr" rid="B38">Gu et al., 1997</xref>; <xref ref-type="bibr" rid="B82">Ouyang et al., 1997</xref>). The deficiency of Ku80 arrests lymphocyte development at early progenitor stages and induces a profound impairment in V(D)J recombination (<xref ref-type="bibr" rid="B78">Nussenzweig et al., 1996</xref>; <xref ref-type="bibr" rid="B118">Zhu et al., 1996</xref>). The Ku70/80 complex recruits another two core C-NHEJ factors, namely, XRCC4 and ligase 4, to the DSBs for end joining (<xref ref-type="fig" rid="F2">Figure 2G</xref>). XRCC4 is a scaffolding protein to stabilize ligase 4 to form the ligation complex for ligating the DSB ends. XRCC4- or ligase 4-deficient mice die during the late embryonic development, resulting from the p53-dependent apoptosis (<xref ref-type="bibr" rid="B5">Barnes et al., 1998</xref>; <xref ref-type="bibr" rid="B29">Frank et al., 1998</xref>; <xref ref-type="bibr" rid="B33">Gao et al., 1998</xref>). Deleting p53 in XRCC4-deficient or ligase 4-deficient mice rescues the lethality, while has no rescues for the impaired V(D)J recombination and lymphocyte development (<xref ref-type="bibr" rid="B29">Frank et al., 1998</xref>; <xref ref-type="bibr" rid="B32">Gao et al., 2000</xref>). So the four core C-NHEJ factors are absolutely required for V(D)J recombination.</p>
<p>In addition to the conserved core C-NHEJ factors, there are several other C-NHEJ factors including DNA-PKcs, Artemis, XLF, and PAXX. DNA-PKcs is recruited to the RAG-initiated coding ends (<xref ref-type="bibr" rid="B57">Lieber, 2010</xref>) and phosphorylates Artemis to activate its endonuclease activity, leading to the removal of the coding end-associated hairpins (<xref ref-type="fig" rid="F2">Figure 2E</xref>) (<xref ref-type="bibr" rid="B65">Ma et al., 2002</xref>). Before the DNA-PKcs-Artemis-processed coding ends get joined, DNA polymerases (Pol&#x3bc;, Pol&#x3bb;) and terminal deoxynucleotidyl transferase (TdT)-mediated nucleotide additions can further increase the junction diversity (<xref ref-type="fig" rid="F2">Figure 2F</xref>) (<xref ref-type="bibr" rid="B117">Zhao et al., 2020</xref>). DNA-PKcs not only play roles in processing coding ends for coding joins, but also functions in RSS joins. The deficiency of DNA-PKcs and DDR factors severely impairs RSS joins, suggesting DNA-PKcs has redundant roles with DDR factors in RSS joins (<xref ref-type="bibr" rid="B34">Gapud et al., 2011</xref>; <xref ref-type="bibr" rid="B112">Zha et al., 2011b</xref>). In contrast to other C-NHEJ factors, XLF seems to be dispensable for V(D)J recombination as the deficiency of XLF has no measurable impact on V(D)J recombination (<xref ref-type="bibr" rid="B53">Li et al., 2008</xref>), while V(D)J recombination is almost abrogated by the deficiency of both XLF and ATM or one of its downstream DDR factors, suggesting functional redundancy of XLF with DDR factors during V(D)J recombination (<xref ref-type="bibr" rid="B111">Zha et al., 2011a</xref>; <xref ref-type="bibr" rid="B60">Liu et al., 2012</xref>; <xref ref-type="bibr" rid="B80">Oksenych et al., 2012</xref>). PAXX, a paralog of XLF, is also dispensable for V(D)J recombination, but the deficiency of both PAXX and XLF almost abrogates V(D)J recombination (<xref ref-type="bibr" rid="B50">Kumar et al., 2016</xref>). The new identified ERCC6L2 interacts with other C-NHEJ factors and plays functionally redundant roles with XLF during V(D)J recombination (<xref ref-type="fig" rid="F2">Figure 2G</xref>) (<xref ref-type="bibr" rid="B61">Liu et al., 2020</xref>). These aforementioned C-NHEJ factors have relatively less influence on V(D)J recombination than the core C-NHEJ factor, resulting from the functional redundancy with DDR factors or other unknown factors.</p>
</sec>
</sec>
<sec id="s3">
<title>Class Switch Recombination and Somatic Hypermutation</title>
<sec id="s3-1">
<title>AID-Initiated DNA Lesions for CSR and V(D)J Exon SHM</title>
<p>AID is essential for both CSR and SHM (<xref ref-type="bibr" rid="B74">Muramatsu et al., 2000</xref>). As a paralog of the RNA-cytosine deaminase APOBEC family, AID is originally proposed to be an RNA editing enzyme (<xref ref-type="bibr" rid="B75">Muramatsu et al., 1999</xref>; <xref ref-type="bibr" rid="B74">Muramatsu et al., 2000</xref>), while large amount of evidence supports that AID functions as a DNA deaminase to deaminate deoxycytidine (dC) to deoxyuridine (dU) (<xref ref-type="bibr" rid="B26">Feng et al., 2020</xref>). AID preferentially targets the dC in short DGYW (D &#x3d; A/G/T, Y&#x3d;C/T, W &#x3d; A/T) motifs within the V(D)J exons (<xref ref-type="fig" rid="F3">Figure 3A</xref>) and S regions (<xref ref-type="fig" rid="F4">Figure 4A</xref>) for SHM and CSR, respectively (<xref ref-type="bibr" rid="B96">Rogozin and Diaz, 2004</xref>). AID-initiated dU causes the mismatch with deoxyguanine (dG), which can be converted into the point mutation or DSB by base excision repair (BER) and mismatch repair (MMR) during SHM and CSR (<xref ref-type="fig" rid="F3">Figures 3C</xref>, <xref ref-type="fig" rid="F4">4A</xref>) (<xref ref-type="bibr" rid="B45">Hwang et al., 2015</xref>; <xref ref-type="bibr" rid="B72">Methot and Di Noia, 2017</xref>).</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Overview of DNA damage repair process during SHM. <bold>(A)</bold> AID targets the dC to generate dU within V(D)J exon. <bold>(B)</bold> FAM72a downregulation promotes base excision repair (BER)- and mismatch repair (MMR)-mediated error-free DNA repair. <bold>(C)</bold> FAM72a upregulation promotes BER- and MMR-mediated error-prone DNA repair, leading to the mutation of V(D)J exon during SHM.</p>
</caption>
<graphic xlink:href="fcell-10-884873-g003.tif"/>
</fig>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Overview of DNA damage repair process during CSR. <bold>(A)</bold> FAM72a regulates the error-prone vs. error-free DNA repair during AID-initiated CSR. AID-initiated breaks are converted into double-strand breaks (DSBs) upon high level of FAM72a during CSR. <bold>(B)</bold> Overview of the DNA damage response (DDR) factors and C-NHEJ in promoting direct end joining during CSR. <bold>(C)</bold> Overview of the alternative end joining (A-EJ) in promoting DSB end resection and microhomology-mediated end joining during CSR. <bold>(C&#x2013;H)</bold> Loop extrusion-mediated CSR model. Loop extrusion promotes CSR center formation <bold>(D)</bold>, acceptor S region activation <bold>(E)</bold>, S&#x3bc;&#x2013;Sx synapsis <bold>(F)</bold>, and deletional end joining <bold>(G&#x2013;H)</bold>.</p>
</caption>
<graphic xlink:href="fcell-10-884873-g004.tif"/>
</fig>
<p>BER and MMR are two complex DNA repair processes which can function as error-free repair and error-prone repair (<xref ref-type="fig" rid="F3">Figures 3B,C</xref>) (<xref ref-type="bibr" rid="B45">Hwang et al., 2015</xref>; <xref ref-type="bibr" rid="B72">Methot and Di Noia, 2017</xref>). BER repairs the AID-initiated dU from the recognition and excision of dU by UNG. APE cleaves the DNA to generate a nick at the UNG-initiated abasic site. The nick is further processed to generate a gap, which is filled by DNA polymerase &#x3b2; and sealed by DNA ligase 1/3. MMR repairs the AID-initiated dU from the recognition of the mismatch by MSH2/6, which further recruits MLH1 and PMS2. Exo1 excises the DNA sequences adjacent to the mismatch to generate a gap, which is filled by DNA polymerase &#x3b4; and sealed by DNA ligase 1. Instead of accurate repair by BER and MMR (<xref ref-type="fig" rid="F3">Figure 3B</xref>), mutagenic repair frequently occurs after AID-initiated dU during CSR and SHM (<xref ref-type="fig" rid="F3">Figures 3C</xref>, <xref ref-type="fig" rid="F4">4A</xref>). Recent studies indicate that FAM72a influences the usage of error-prone vs. error-free DNA repair by regulating UNG2 abundance during CSR and SHM (<xref ref-type="fig" rid="F3">Figures 3B,C</xref>, <xref ref-type="fig" rid="F4">4A</xref>) (<xref ref-type="bibr" rid="B25">Feng et al., 2021</xref>; <xref ref-type="bibr" rid="B95">Rogier et al., 2021</xref>).</p>
</sec>
<sec id="s3-2">
<title>DDR Factors Play Essential Roles for AID-Initiated CSR</title>
<p>DDR factors can also be recruited to the AID-initiated DNA lesions, and these DDR factors are required for CSR as the deficiency of the individual ATM, H2AX, or 53BP1 decreases the CSR frequency (<xref ref-type="bibr" rid="B93">Reina-San-Martin et al., 2003</xref>; <xref ref-type="bibr" rid="B64">Lumsden et al., 2004</xref>; <xref ref-type="bibr" rid="B68">Manis et al., 2004</xref>; <xref ref-type="bibr" rid="B91">Reina-San-Martin et al., 2004</xref>; <xref ref-type="bibr" rid="B27">Franco et al., 2006</xref>; <xref ref-type="bibr" rid="B92">Reina-San-Martin et al., 2007</xref>; <xref ref-type="bibr" rid="B10">Bothmer et al., 2010</xref>). 53BP1 and H2AX are the downstream targets of ATM, but 53BP1-deficiency has a much more dramatic effect than that of ATM- or H2AX-deficiency (<xref ref-type="bibr" rid="B23">Dong et al., 2015</xref>; <xref ref-type="bibr" rid="B84">Panchakshari et al., 2018</xref>). RIF1 is a downstream factor of 53BP1 to inhibit DSB end resection and RIF1-deficiency significantly decreases CSR (<xref ref-type="bibr" rid="B14">Chapman et al., 2013</xref>; <xref ref-type="bibr" rid="B21">Di Virgilio et al., 2013</xref>). The shieldin complex functions downstream of 53BP1-RIF1 pathway and the deficiency of shieldin components have similar phenotype as that of 53BP1-deficiency (<xref ref-type="bibr" rid="B107">Xu et al., 2015</xref>; <xref ref-type="bibr" rid="B20">Dev et al., 2018</xref>; <xref ref-type="bibr" rid="B36">Ghezraoui et al., 2018</xref>; <xref ref-type="bibr" rid="B40">Gupta et al., 2018</xref>; <xref ref-type="bibr" rid="B77">Noordermeer et al., 2018</xref>). This 53BP1 pathway can compete with MRN/CtIP activity to protect DNA ends during CSR (<xref ref-type="bibr" rid="B73">Mirman and de Lange, 2020</xref>). The deficiency of these DDR factors variably increases the resection of AID-initiated DSBs and increases the utilization of longer microhomology for end joining (<xref ref-type="bibr" rid="B23">Dong et al., 2015</xref>; <xref ref-type="bibr" rid="B84">Panchakshari et al., 2018</xref>). This evidence indicates that DDR factors inhibit resection to maintain the integrity of AID-initiated DSBs for the efficient C-NHEJ pathway (<xref ref-type="fig" rid="F4">Figure 4B</xref>), while the deficiency of DDR factors switches the end joining from C-NHEJ to the less efficient A-EJ which is prone to use longer microhomology (<xref ref-type="fig" rid="F4">Figure 4C</xref>).</p>
</sec>
<sec id="s3-3">
<title>End Joining of the AID-Initiated DSBs During CSR</title>
<p>The core C-NHEJ factor deficiency completely abolishes V(D)J recombination and blocks lymphocyte development, while core C-NHEJ factor-deficiency only decreases but not abrogates CSR, suggesting other less efficient end-joining pathways can join the AID-initiated breaks when C-NHEJ is absent during CSR (<xref ref-type="bibr" rid="B108">Yan et al., 2007</xref>; <xref ref-type="bibr" rid="B9">Boboila et al., 2012</xref>). This less efficient end-joining pathway is identified as A-EJ (<xref ref-type="bibr" rid="B9">Boboila et al., 2012</xref>) (<xref ref-type="fig" rid="F4">Figure 4C</xref>).</p>
<p>C-NHEJ is the major DSB end-joining pathway during CSR (<xref ref-type="fig" rid="F4">Figure 4B</xref>). The deficiency of the individual core C-NHEJ factor, Ku70, Ku80, XRCC4, or ligase 4, impairs CSR (<xref ref-type="bibr" rid="B13">Casellas et al., 1998</xref>; <xref ref-type="bibr" rid="B67">Manis et al., 1998</xref>; <xref ref-type="bibr" rid="B83">Pan-Hammarstrom et al., 2005</xref>; <xref ref-type="bibr" rid="B108">Yan et al., 2007</xref>; <xref ref-type="bibr" rid="B41">Han and Yu, 2008</xref>; <xref ref-type="bibr" rid="B84">Panchakshari et al., 2018</xref>). In addition to the core C-NHEJ factors, DNA-PKcs and Artemis are also necessary for joining AID-initiated DSBs during CSR (<xref ref-type="bibr" rid="B28">Franco et al., 2008</xref>). The deficiency of XLF impairs CSR (<xref ref-type="bibr" rid="B111">Zha et al., 2011a</xref>), while deficiency of PAXX, a paralog of XLF, has no influence on CSR (<xref ref-type="bibr" rid="B50">Kumar et al., 2016</xref>). ERCC6L2 is identified as a new NHEJ factor and ERCC6L2-deficiency impairs CSR. Surprisingly, ERCC6L2 deficiency does not increase the resection of AID-initiated break ends, but it significantly increases the inversional end joining during CSR (<xref ref-type="bibr" rid="B61">Liu et al., 2020</xref>). ERCC6L2 regulates the orientation-biased end joining without affecting the DSB end resection <italic>via</italic> an unprecedented mechanism during CSR.</p>
<p>A-EJ is activated when C-NHEJ or DDR factors are absent during CSR (<xref ref-type="fig" rid="F4">Figure 4C</xref>). The deficiency of ligase 4 shares some similar features as that of DDR factor deficiency, including the increase of DSB resection, utilization of longer microhomology, and decrease of CSR frequency (<xref ref-type="bibr" rid="B84">Panchakshari et al., 2018</xref>). A-EJ is relatively less intelligible than C-NHEJ. PARP1 can respond to DNA damage and bind to the break sites during A-EJ (<xref ref-type="bibr" rid="B105">Wei and Yu, 2016</xref>). Then ligase 1 and ligase 3, the key joining factors of the A-EJ pathway, play redundant roles in joining AID-initiated DSBs during CSR (<xref ref-type="bibr" rid="B63">Lu et al., 2016</xref>; <xref ref-type="bibr" rid="B69">Masani et al., 2016</xref>). Several exonucleases and endonucleases can also enhance DSB resection and promote A-EJ during CSR (<xref ref-type="bibr" rid="B4">Bai et al., 2021</xref>; <xref ref-type="bibr" rid="B101">Sun et al., 2021</xref>). Further studies are required to figure out the whole picture of the A-EJ pathway in CSR and other physio-pathological processes.</p>
</sec>
<sec id="s3-4">
<title>Loop Extrusion-Mediated CSR</title>
<p>AID-initiated CSR occurs within the &#x223c;200&#xa0;kb constant region of the IgH locus in mature B cells. Chromatin loop extrusion is proposed to be the underlying mechanism of CSR, which promotes the formation of the CSR center, transcriptional activation of acceptor S regions, synapsis of donor S&#x3bc; and an activated acceptor S region, and deletional joining of AID-initiated DSBs during CSR (<xref ref-type="fig" rid="F4">Figure 4D</xref>) (<xref ref-type="bibr" rid="B114">Zhang X. et al., 2019</xref>; <xref ref-type="bibr" rid="B113">Zhang et al., 2021</xref>; <xref ref-type="bibr" rid="B116">Zhang et al., 2022</xref>). In addition to the physiological CSR process, the loop extrusion-mediated CSR model can also explain some abnormal switching events within the CSR center, including the IgH locus suicide recombination between S&#x3bc; and 3&#x2032;RR (<xref ref-type="bibr" rid="B86">Peron et al., 2012</xref>), the ectopic S region switching after CBE insertion in the IgH constant region (<xref ref-type="bibr" rid="B114">Zhang X. et al., 2019</xref>) or 3&#x2032;CBEs deletion (<xref ref-type="bibr" rid="B113">Zhang et al., 2021</xref>) and the S&#x3bc;-S&#x3b3;3 switching after inserting S&#x3bc;, S&#x3b3;3, and core 3&#x2032;RR in the Ig&#x3ba; locus (<xref ref-type="bibr" rid="B52">Le Noir et al., 2021</xref>).</p>
<p>In resting B cells, cohesin is loaded onto either the active iE&#x3bc;-S&#x3bc; region or the downstream 3&#x2032;RR enhancer region to initiate loop extrusion. Cohesin-mediated loop extrusion brings these two active regions, namely, iE&#x3bc;-S&#x3bc; and 3&#x2032;RR into proximity to form a basal loop, in which the iE&#x3bc;-S&#x3bc; and 3&#x2032;RR serve as dynamic loop anchors. This basal loop is termed as a dynamic CSR center (<xref ref-type="bibr" rid="B114">Zhang X. et al., 2019</xref>). When B cells get activated, loop extrusion brings the primed acceptor S region into the CSR center, where it gets transcriptionally activated by 3&#x2032;RR. Then, the activated acceptor S region loads cohesin to initiate loop extrusion to bring the donor S&#x3bc; into close proximity with the activated acceptor S region, leading to the synapsis of two S regions in the CSR center (<xref ref-type="bibr" rid="B114">Zhang X. et al., 2019</xref>).</p>
<p>AID can target different locations of the synapsed donor S&#x3bc; and acceptor S region at different times within the CSR center. Once AID initiates a DSB within an S region, the DSB ends will be pulled toward the opposite direction by loop extrusion and stalled by the associated cohesin rings. The two pairs of ends held by cohesin rings will be joined deletionally to generate the productive CSR products (<xref ref-type="bibr" rid="B114">Zhang X. et al., 2019</xref>). The disruption of the synapsis structure by inserting CBEs that have a convergent orientation to 3&#x2032;CBEs between donor S&#x3bc; and acceptor S&#x3b1; significantly increases the inversional joining without influencing DSB end resection, which means that the loop extrusion-mediated perfect synapsis of the donor S&#x3bc; and acceptor S region is required for the deletional end-joining during CSR (<xref ref-type="bibr" rid="B114">Zhang X. et al., 2019</xref>). Loop extrusion-mediated deletional end-joining is consistent with the cohesin accumulation at DSBs (<xref ref-type="bibr" rid="B47">Kim et al., 2002</xref>; <xref ref-type="bibr" rid="B100">Strom et al., 2004</xref>). Loop extrusion is also proposed to be the underlying mechanism of DNA damage repair. Loop extrusion-mediated ATM scanning along the chromatin adjacent to the DSB site phosphorylates H2AX until reaching the loop anchor to form DNA damage repair foci (<xref ref-type="bibr" rid="B2">Arnould et al., 2021</xref>), which shares some similar features to the loop extrusion-mediated deletional end-joining during CSR (<xref ref-type="bibr" rid="B114">Zhang X. et al., 2019</xref>). Loop extrusion might have more general roles in DNA damage repair, DSB end joining, and recombination processes.</p>
</sec>
<sec id="s3-5">
<title>The Roles of DDR Factors in AID-Initiated SHM in GC B Cells</title>
<p>Upon activation by antigens, mature B cells can undergo CSR and SHM. CSR occurs prior to the mature B cells entering GC, where the V(D)J exons get mutated (<xref ref-type="bibr" rid="B94">Roco et al., 2019</xref>). Unlike the critical roles of DDR factors in CSR, ATM, 53BP1, and H2AX are dispensable for the V(D)J exon SHM. The deficiency of the individual ATM, 53BP1, or H2AX has no effect on the SHM frequency of the V(D)J exon (<xref ref-type="bibr" rid="B93">Reina-San-Martin et al., 2003</xref>; <xref ref-type="bibr" rid="B68">Manis et al., 2004</xref>; <xref ref-type="bibr" rid="B91">Reina-San-Martin et al., 2004</xref>). On the other hand, the checkpoint signaling <italic>via</italic> the ATR/Chk1 axis is downregulated by the transcription factor Bcl-6 in GC B cells, suggesting that negative regulation of the ATR/Chk1 axis is required for efficient SHM <italic>in vivo</italic> (<xref ref-type="bibr" rid="B89">Ranuncolo et al., 2007</xref>; <xref ref-type="bibr" rid="B88">Polo et al., 2008</xref>; <xref ref-type="bibr" rid="B30">Frankenberger et al., 2014</xref>; <xref ref-type="bibr" rid="B8">Bello and Jungnickel, 2021</xref>). However, Chk2 has opposite effects to Chk1 in the regulation of SHM. The deficiency of Chk2 decreases the SHM frequency, resulting from the defects of C-NHEJ and increase of the Chk1 activity (<xref ref-type="bibr" rid="B19">Davari et al., 2014</xref>). So, the ATR/Chk1/Chk2-mediated checkpoint signaling of the DNA damage response is crucial for the physiological SHM.</p>
</sec>
</sec>
<sec sec-type="conclusion" id="s4">
<title>Conclusion</title>
<p>BCRs and antibodies play vital roles in protecting against antigens. The diversification of BCRs and antibodies from RAG-initiated V(D)J recombination, AID-initiated CSR, and V(D)J exon SHM is crucial for efficient elimination of antigens. However, the mechanisms of these complicated antibody diversification processes are still not well understood. The immunoglobulin genes must be tightly regulated to generate the large amounts of highly efficient antibodies, meanwhile, suppress the generation of undesired translocations or mutations. So, there are still many puzzling questions: how do B cells minimize the off-target effects of RAG and AID during antibody diversification and what are the mechanisms of their specificities? How DNA repair factors/pathways are differentially regulated for the general DNA damage and immunoglobulin gene recombination? Whether cohesin-mediated loop extrusion plays more roles in antibody diversification? Answers to these questions provide not only insights into the understanding of antibody diversification during B-cell development but also the basis for understanding the immune-related diseases. Moreover, the mechanism of antibody diversification has a wide range of applications for drug development of related diseases such as COVID-19 and HIV.</p>
</sec>
</body>
<back>
<sec id="s5">
<title>Author Contributions</title>
<p>SL and XZ drafted the manuscript and prepared the figures. RQ helped in revising the manuscript.</p>
</sec>
<sec id="s6">
<title>Funding</title>
<p>This work was supported by the Beijing Advanced Innovation Center for Genomics at Peking University.</p>
</sec>
<sec sec-type="COI-statement" id="s7">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s8">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors, and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<ack>
<p>We are grateful to Frederick W. Alt for his training. We thank Jiazhi Hu, Fei-Long Meng, Junchao Dong, and Li Zhou for reading the article. We thank members of the Zhang Laboratory for careful reading and helpful discussion.</p>
</ack>
<ref-list>
<title>References</title>
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