Patricia Gearhart, Ph.D.

B.S. – University of Illinois
M.S. – Cornell University
Ph.D. – University of Pennsylvania

Adjunct Professor of Medicine and Molecular Microbiology & Immunology
Laboratory of Molecular Biology and Immunology
National Institute on Aging, National Institutes of Health
251 Bayview Boulevard, BRC, Room 6C220
Baltimore, Maryland 21224

Phone: (410) 558-8561
E-mail: [email protected]


Keywords: B cells, antibody diversity, somatic hypermutation, class switch recombination

Somatic hypermutation of immunoglobulin genes occurs at a frequency that is a million times greater than mutation in other genes. We have used biochemical and genetic techniques to study this fascinating process that is initiated by activation-induced deaminase (AID) to deaminate cytosine in DNA to uracil. AID is targeted to variable regions in germinal center B cells by transcription. We found that RNA polymerase II accumulates for an extended distance of 1.2 kb from the TATA box, along with the Spt5 transcription factor and AID. The data support a model where mutations occur when the initiating form of RNA polymerase is retained. However, it is not known what causes RNA polymerase to pause in variable regions. During repair of the uracils, low-fidelity DNA polymerases introduce nucleotide substitutions. Although DNA polymerase eta is the major polymerase, other polymerases contribute. We determined that polymerase zeta introduces tandem mutations at a low frequency. Our results support a model where polymerase iota occasionally accesses the replication fork to generate a first mutation, and polymerase zeta extends the mismatch with a second mutation.

To study aging, we sequenced VH and VK rearranged genes from old mice and found that the age-associated B cell subset had a heterogeneous repertoire with significant somatic hypermutation. The results indicate that these cells are antigen-experienced and accumulate over time to diverse antigens. To study inflammation, we are characterizing the role of B cells in atherosclerosis. Using ApoE-deficient mice, we are determining how IgG antibodies exacerbate atherosclerosis by exploring their biological roles. We then cloned antibodies produced at the site of aortic plaques, which will be used to identify antigens. The long-term goal is to create potential vaccines for disease prevention.

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