Deamination model of hypermutation: Difference between revisions

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Contents
==Introduction==
1 Introduction
Deamination is a proposed mechanism of somatic hypermutation(SHM) which results in point mutations within the Immunoglobulin variable region(IgV) gene. The purpose of these mutations is to produce antibodies that more effectively combat an invading pathogen. The process of deamination is a consequence of activation-induced deaminase(AID). AID induces the process of deamination itself by converting cytidine(cytosine bound to ribose) to uridine(uracil bound to ribose). The conversion of cytidine to uridine results in a miss match of bases and therefore induces DNA repair. The repair process uses mutagenic mechanisms, such as error-prone DNA polymerases<ref>Teng, Grace, and F. Nina Papavasiliou. "Immunoglobulin somatic hypermutation." Annu. Rev. Genet. 41 (2007): 107-120. https://www.annualreviews.org/doi/full/10.1146/annurev.genet.41.110306.130340</ref>, which result in the creation of mutations in and rearrangement of IgV genes. These mutations change the genetic code of the IgV region resulting in an antibody with either a higher or lower binding affinity. After hypermutation, higher binding affinity is selected for during affinity maturation resulting in a more effective antibody. Mutagenic processes like those induced by AID must be tightly regulated due to the disease related and oncogenic risks of mutating DNA. Therefore, the AID protein is controlled by a complex network of regulatory factors which are vital to the safety of SHM.  
2 Section 1 Mechanism
3 Section 2 Regulation
4 Conclusion
5 References
Introduction
Deamination is a proposed mechanism of somatic hypermutation(SHM) which results in mutations within the Immunoglobulin variable region(IgV) gene. These mutations code for a varying expression of the IgV gene resulting in an antibody with either a higher or lower binding affinity. Afterwards higher binding affinity is selected for during affinity maturation, where B cells compete for survival based on their ability to bind to antigen presenting complexes. Deamination is






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==AID==
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Electron micrograph of the Ebola Zaire virus. This was the first photo ever taken of the virus, on 10/13/1976. By Dr. F.A. Murphy, now at U.C. Davis, then at the CDC.[1].
[[Image:AID deamination.jpg|thumb|300px|right|  Activation Induced Cytidine Deaminase(AID) in activated B cell https://www.sciencedirect.com/science/article/pii/S0022283612008984]]The AID protein itself is 198 amino acids long and is encoded by the AICDA region of the DNA. AID belongs to the APOBEC-1-related protein family which includes other DNA editing molecules. The molecule contains a cytosine deaminase domain as well as a leucine rich region around the c terminus. Within B cells, AID initiates the processes of both SHM and class switch recombination(CSR), although different parts of the protein are involved in each process. The C terminus of the AID protein is associated with CSR. The expression of C-terminal mutations in the AICDA gene lead to decreased levels of CSR as the level of SHM remains constant<ref>Durandy, Anne, Sophie Peron, Nadine Taubenheim, and Alain Fischer. "Activation‐induced cytidine deaminase: structure–function relationship as based on the study of mutants." Human mutation 27, no. 12 (2006): 1185-1191.https://onlinelibrary.wiley.com/doi/epdf/10.1002/humu.20414</ref>. Similarly, mutations of the N terminus led to the defective induction of SHM suggesting that the N terminus of AID plays some sort of role in initiating SHM.


At right is a sample image insertion. It works for any image uploaded anywhere to MicrobeWiki. The insertion code consists of:
==Mechanism and regulation==
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Legend/credit: Electron micrograph of the Ebola Zaire virus. This was the first photo ever taken of the virus, on 10/13/1976. By Dr. F.A. Murphy, now at U.C. Davis, then at the CDC.
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Deamination by AID carries a potential tumorigenic nature when mistargeted on to non-Ig loci. AID has been shown to promote B cell leukemia, lymphoma, and myeloma when expressed ectopically<ref>Klemm, Lars, Cihangir Duy, Ilaria Iacobucci, Stefan Kuchen, Gregor von Levetzow, Niklas Feldhahn, Nadine Henke et al. "The B cell mutator AID promotes B lymphoid blast crisis and drug resistance in chronic myeloid leukemia." Cancer cell 16, no. 3 (2009): 232-245.https://reader.elsevier.com/reader/sd/pii/S1535610809002530?token=B809058F47F430F32B47D541FFB7D8A538B75F1D73466CED00DFD3A344F0B0C15331791084EAEE167419FF26A6FBCF63&originRegion=us-east-1&originCreation=20211209190736</ref>. Therefore the regulation of deamination by AID is as critical as SHM itself in terms of protecting the body. Regulation of AID starts with the AICDA gene and the transcription factors which manage its expression. AICDA is composed of 4 regions which include binding sites for at least 19 transcription factors. While transcription factors like NFκB, STAT6 and C/EBP bind to enhancer regions which promote transcription, transcription factors like PAX5 and E2A bind to and inactivate repressor regions of the gene therefore also promoting transcription<ref>Kumar, Ritu, Lauren DiMenna, Jayanta Chaudhuri, and Todd Evans. "Biological function of activation-induced cytidine deaminase (AID)." Biomedical journal 37, no. 5 (2014).
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http://biomedj.cgu.edu.tw/pdfs/2014/37/5/images/BiomedJ_2014_37_5_269_128734.pdf</ref>. Most of these transcription factors are only upregulated during B cell activation, ensuring that hypermutation does not occur in resting B cells. High transcription levels of AID are not desired in inactivated B cells. Excess levels of AID are linked to more frequent targeting of non IgV region genes inducing undesired mutations which may be associated with cancers. As a result, the level of AID is also heavily regulated on a post-transcription level using miRNAs. Two main miRNAs(miR-155 and miR-181b) target transcripts of the AICDA gene. Both miRNAs bind to the 3’ untranslated region of AID mRNA inducing a mechanism that ultimately results in lowered levels of SHM and CSR. Despite targeting the same sites, miR-181b differs in its expression pattern from miR-155. miR-181b levels are highest in unstimulated B cells and its levels decrease heavily as a result of activation. However, miR-181 levels gradually recover after activation. It should be noted that miR-181 and miR-155 have multiple target molecules besides AID mRNA and therefore the  expression patterns of the two molecules may not be entirely based on the regulation of AID levels.


[[Image:AICDA_gene_depiction.jpg|thumb|400px|left|AICDA gene and transcription sites https://www.nature.com/articles/ni0210-107?platform=hootsuite]]


I don't know
AID protein is further regulated by the cell using protein localization. The concentration of AID in the nucleus is regulated by multiple mechanisms, ultimately resulting in a higher concentration of AID in the cytoplasm than in the nucleus. One mechanism involves an anchor sequence on the C-terminal region of AID which hitches the protein to the cytoplasm. Another mechanism involves the active transport of AID into the nucleus via the protein’s N-terminal NLS(nuclear localization signal). Finally, AID is transported out of the nucleus via the protein’s NES(nuclear export signal) which binds to the CRM1 export protein carrying the molecule into the cytoplasm. Concentration of AID is also regulated by the half life of the molecule within and outside of the nucleus. While AID has a half life of around 8 hours in the cytoplasm, nuclear AID has a half life of only about 2.5 hours due to higher levels of polyubiquitination by proteasomes<ref>Stavnezer, Janet. "Complex regulation and function of activation-induced cytidine deaminase." Trends in immunology 32, no. 5 (2011): 194-201. https://www.sciencedirect.com/science/article/pii/S1471490611000469</ref>. The reason being that high levels of AID degradation in the nucleus prevent non Ig-targeting by keeping AID concentrations low.


Section 1 Genetics
AID is phosphorylated at multiple sites, inducing the molecule to associate with RPA(replication protein A) which guides AID to both the V and S regions of the immunoglobulin gene. However the mechanism by which AID binds specifically to the V region over other loci is still unknown. RPA can only bind to single stranded DNA segments and therefore relies on either transcription bubbles or single stranded bubbles formed by other means to bind AID to its DNA substrate. AID may move along with the transcription bubble as it moves down the DNA<ref>Peled, Jonathan U., Fei Li Kuang, Maria D. Iglesias-Ussel, Sergio Roa, Susan L. Kalis, Myron F. Goodman, and Matthew D. Scharff. "The biochemistry of somatic hypermutation." Annu. Rev. Immunol. 26 (2008): 481-511.https://www.annualreviews.org/doi/full/10.1146/annurev.immunol.26.021607.090236</ref>. Once bound, AID deaminates Cytidine, converting the molecule into uridine. This creates a mismatch which is subsequently identified by the MSH2-MSH6 heterodimer. This molecule guides DNA Polη to the mismatch site. Polη is a type of translesional DNA polymerase, a class of polymerase which is specifically used to repair damaged DNA<ref>Makridakis, Nick, and Juergen Reichardt. "Translesion DNA polymerases and cancer." Frontiers in genetics 3 (2012): 174. https://www.frontiersin.org/articles/10.3389/fgene.2012.00174/full</ref>. However, during SHM, Polη repairs deoxyuracil mismatches with low fidelity often inserting different base pairs from the original and as a result causing point mutations<ref>Knobel, Philip A., and Thomas M. Marti. "Translesion DNA synthesis in the context of cancer research." Cancer cell international 11, no. 1 (2011): 1-19. https://cancerci.biomedcentral.com/articles/10.1186/1475-2867-11-39</ref>. While repair by Polη is most common during SHM, it is not the only repair molecule involved. Proteins like Polζ and Rev1 also repair AID created lesions and induce mutations as they do so. Rev1 for example causes Guanine:cytosine to cytosine:guanine inversion mutations.<ref>Maul, Robert W., and Patricia J. Gearhart. "AID and somatic hypermutation." Advances in immunology 105 (2010): 159-191. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2954419/</ref> Ultimately, these mutations serve to create variety and diversity among the antibodies of different B cells. After SHM is finished, these B cells bind competitively to a limited number of antigen-specific helper t-cells. The B cells with low binding affinity die off while the B cells mutated to have high binding affinity survive and proliferate. This process is referred to as affinity maturation and results in B cells which are more effective in binding to a specific antigen.<ref>Wang, Shenshen, Jordi Mata-Fink, Barry Kriegsman, Melissa Hanson, Darrell J. Irvine, Herman N. Eisen, Dennis R. Burton, K. Dane Wittrup, Mehran Kardar, and Arup K. Chakraborty. "Manipulating the selection forces during affinity maturation to generate cross-reactive HIV antibodies." Cell 160, no. 4 (2015): 785-797. https://www.sciencedirect.com/science/article/pii/S0092867415000707</ref>
Include some current research, with at least one image.


Sample citations: [1] [2]
==Effect of microbiota==


A citation code consists of a hyperlinked reference within "ref" begin and end codes.
The human body hosts a vast ecosystem of microorganisms termed the human microbiome. This microbiome is chiefly composed of bacteria and lives most prominently in the human gastrointestinal tract<ref>Thomas, Ryan M., and Christian Jobin. "The microbiome and cancer: is the ‘oncobiome’mirage real?." Trends in cancer 1, no. 1 (2015): 24-35.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4642279/</ref>
. While the majority of these organisms are harmless and or beneficial, some present a risk to the health of the human host. Some of these microbes, like Helicobacter Pylori, may cause tumorigenesis via the damage and mutation of DNA. H. Pylori causes this damage, in part, through inducing aberrant expression of AID in host cells<ref> Barrett, Maurice, Collette K. Hand, Fergus Shanahan, Thomas Murphy, and Paul W. O’Toole. "Mutagenesis by microbe: The role of the microbiota in shaping the cancer genome." Trends in cancer 6, no. 4 (2020): 277-287. https://www.cell.com/trends/cancer/fulltext/S2405-8033(20)30058-3#back-bb0035)</ref>. While when functioning properly, AID is only present in B cells during activation, H pylori causes the expression of AID in epithelial cells within the gastrointestinal tract. H pylori activates NF-κB transcription factor within host cells through the secretion of bacterial virulence factors. NF-κB is in part responsible for activating the transcription of the AID gene leading researchers to believe that H. Pylori uses the activation of NF-κB to promote the expression of AID in epithelial cells<ref>Marusawa, Hiroyuki, and Tsutomu Chiba. "Helicobacter pylori-induced activation-induced cytidine deaminase expression and carcinogenesis." Current opinion in immunology 22, no. 4 (2010): 442-447. https://www.sciencedirect.com/science/article/pii/S0952791510000865#bib21)</ref>. This not only demonstrates the potential danger of the human microbiome but also the inherent dilemma of AID as a DNA mutator and the issues as well as benefits that arise from such a molecule.


[3]
==Conclusion==


Section 2 Microbiome
The deamination model suggests that SHM relies heavily on AID to start itself. Deamination induced by AID is the first step of SHM and ultimately allows for new mutations to occur on the Immunoglobulin coding gene. When AID is targeted properly, the molecule uses deamination to increase the effectiveness of antibodies in the immune response. When targeted improperly, AID has the potential to target non IgV genes and compromise the genomic integrity of the cell it is expressed within. This explains the importance of the extensive regulation surrounding AID's expression. AID can easily become dangerous to the cell if not controlled.
Include some current research, with a second image.


Conclusion
==References==
Overall text length should be at least 1,000 words (before counting references), with at least 2 images. Include at least 5 references under Reference section.
  <references />
 
 
References
  Hodgkin, J. and Partridge, F.A. "Caenorhabditis elegans meets microsporidia: the nematode killers from Paris." 2008. PLoS Biology 6:2634-2637.
Bartlett et al.: Oncolytic viruses as therapeutic cancer vaccines. Molecular Cancer 2013 12:103.
Lee G, Low RI, Amsterdam EA, Demaria AN, Huber PW, Mason DT. Hemodynamic effects of morphine and nalbuphine in acute myocardial infarction. Clinical Pharmacology & Therapeutics. 1981 May;29(5):576-81.


Edited by Luke Smallwood, student of Joan Slonczewski for BIOL 116 Information in Living Systems, 2020, Kenyon College.
Edited by Luke Smallwood, student of Joan Slonczewski for BIOL 116 Information in Living Systems, 2020, Kenyon College.

Latest revision as of 02:46, 10 December 2021

Introduction

Deamination is a proposed mechanism of somatic hypermutation(SHM) which results in point mutations within the Immunoglobulin variable region(IgV) gene. The purpose of these mutations is to produce antibodies that more effectively combat an invading pathogen. The process of deamination is a consequence of activation-induced deaminase(AID). AID induces the process of deamination itself by converting cytidine(cytosine bound to ribose) to uridine(uracil bound to ribose). The conversion of cytidine to uridine results in a miss match of bases and therefore induces DNA repair. The repair process uses mutagenic mechanisms, such as error-prone DNA polymerases[1], which result in the creation of mutations in and rearrangement of IgV genes. These mutations change the genetic code of the IgV region resulting in an antibody with either a higher or lower binding affinity. After hypermutation, higher binding affinity is selected for during affinity maturation resulting in a more effective antibody. Mutagenic processes like those induced by AID must be tightly regulated due to the disease related and oncogenic risks of mutating DNA. Therefore, the AID protein is controlled by a complex network of regulatory factors which are vital to the safety of SHM.


AID

Activation Induced Cytidine Deaminase(AID) in activated B cell https://www.sciencedirect.com/science/article/pii/S0022283612008984

The AID protein itself is 198 amino acids long and is encoded by the AICDA region of the DNA. AID belongs to the APOBEC-1-related protein family which includes other DNA editing molecules. The molecule contains a cytosine deaminase domain as well as a leucine rich region around the c terminus. Within B cells, AID initiates the processes of both SHM and class switch recombination(CSR), although different parts of the protein are involved in each process. The C terminus of the AID protein is associated with CSR. The expression of C-terminal mutations in the AICDA gene lead to decreased levels of CSR as the level of SHM remains constant[2]. Similarly, mutations of the N terminus led to the defective induction of SHM suggesting that the N terminus of AID plays some sort of role in initiating SHM.

Mechanism and regulation

Deamination by AID carries a potential tumorigenic nature when mistargeted on to non-Ig loci. AID has been shown to promote B cell leukemia, lymphoma, and myeloma when expressed ectopically[3]. Therefore the regulation of deamination by AID is as critical as SHM itself in terms of protecting the body. Regulation of AID starts with the AICDA gene and the transcription factors which manage its expression. AICDA is composed of 4 regions which include binding sites for at least 19 transcription factors. While transcription factors like NFκB, STAT6 and C/EBP bind to enhancer regions which promote transcription, transcription factors like PAX5 and E2A bind to and inactivate repressor regions of the gene therefore also promoting transcription[4]. Most of these transcription factors are only upregulated during B cell activation, ensuring that hypermutation does not occur in resting B cells. High transcription levels of AID are not desired in inactivated B cells. Excess levels of AID are linked to more frequent targeting of non IgV region genes inducing undesired mutations which may be associated with cancers. As a result, the level of AID is also heavily regulated on a post-transcription level using miRNAs. Two main miRNAs(miR-155 and miR-181b) target transcripts of the AICDA gene. Both miRNAs bind to the 3’ untranslated region of AID mRNA inducing a mechanism that ultimately results in lowered levels of SHM and CSR. Despite targeting the same sites, miR-181b differs in its expression pattern from miR-155. miR-181b levels are highest in unstimulated B cells and its levels decrease heavily as a result of activation. However, miR-181 levels gradually recover after activation. It should be noted that miR-181 and miR-155 have multiple target molecules besides AID mRNA and therefore the expression patterns of the two molecules may not be entirely based on the regulation of AID levels.

AID protein is further regulated by the cell using protein localization. The concentration of AID in the nucleus is regulated by multiple mechanisms, ultimately resulting in a higher concentration of AID in the cytoplasm than in the nucleus. One mechanism involves an anchor sequence on the C-terminal region of AID which hitches the protein to the cytoplasm. Another mechanism involves the active transport of AID into the nucleus via the protein’s N-terminal NLS(nuclear localization signal). Finally, AID is transported out of the nucleus via the protein’s NES(nuclear export signal) which binds to the CRM1 export protein carrying the molecule into the cytoplasm. Concentration of AID is also regulated by the half life of the molecule within and outside of the nucleus. While AID has a half life of around 8 hours in the cytoplasm, nuclear AID has a half life of only about 2.5 hours due to higher levels of polyubiquitination by proteasomes[5]. The reason being that high levels of AID degradation in the nucleus prevent non Ig-targeting by keeping AID concentrations low.

AID is phosphorylated at multiple sites, inducing the molecule to associate with RPA(replication protein A) which guides AID to both the V and S regions of the immunoglobulin gene. However the mechanism by which AID binds specifically to the V region over other loci is still unknown. RPA can only bind to single stranded DNA segments and therefore relies on either transcription bubbles or single stranded bubbles formed by other means to bind AID to its DNA substrate. AID may move along with the transcription bubble as it moves down the DNA[6]. Once bound, AID deaminates Cytidine, converting the molecule into uridine. This creates a mismatch which is subsequently identified by the MSH2-MSH6 heterodimer. This molecule guides DNA Polη to the mismatch site. Polη is a type of translesional DNA polymerase, a class of polymerase which is specifically used to repair damaged DNA[7]. However, during SHM, Polη repairs deoxyuracil mismatches with low fidelity often inserting different base pairs from the original and as a result causing point mutations[8]. While repair by Polη is most common during SHM, it is not the only repair molecule involved. Proteins like Polζ and Rev1 also repair AID created lesions and induce mutations as they do so. Rev1 for example causes Guanine:cytosine to cytosine:guanine inversion mutations.[9] Ultimately, these mutations serve to create variety and diversity among the antibodies of different B cells. After SHM is finished, these B cells bind competitively to a limited number of antigen-specific helper t-cells. The B cells with low binding affinity die off while the B cells mutated to have high binding affinity survive and proliferate. This process is referred to as affinity maturation and results in B cells which are more effective in binding to a specific antigen.[10]

Effect of microbiota

The human body hosts a vast ecosystem of microorganisms termed the human microbiome. This microbiome is chiefly composed of bacteria and lives most prominently in the human gastrointestinal tract[11] . While the majority of these organisms are harmless and or beneficial, some present a risk to the health of the human host. Some of these microbes, like Helicobacter Pylori, may cause tumorigenesis via the damage and mutation of DNA. H. Pylori causes this damage, in part, through inducing aberrant expression of AID in host cells[12]. While when functioning properly, AID is only present in B cells during activation, H pylori causes the expression of AID in epithelial cells within the gastrointestinal tract. H pylori activates NF-κB transcription factor within host cells through the secretion of bacterial virulence factors. NF-κB is in part responsible for activating the transcription of the AID gene leading researchers to believe that H. Pylori uses the activation of NF-κB to promote the expression of AID in epithelial cells[13]. This not only demonstrates the potential danger of the human microbiome but also the inherent dilemma of AID as a DNA mutator and the issues as well as benefits that arise from such a molecule.

Conclusion

The deamination model suggests that SHM relies heavily on AID to start itself. Deamination induced by AID is the first step of SHM and ultimately allows for new mutations to occur on the Immunoglobulin coding gene. When AID is targeted properly, the molecule uses deamination to increase the effectiveness of antibodies in the immune response. When targeted improperly, AID has the potential to target non IgV genes and compromise the genomic integrity of the cell it is expressed within. This explains the importance of the extensive regulation surrounding AID's expression. AID can easily become dangerous to the cell if not controlled.

References

  1. Teng, Grace, and F. Nina Papavasiliou. "Immunoglobulin somatic hypermutation." Annu. Rev. Genet. 41 (2007): 107-120. https://www.annualreviews.org/doi/full/10.1146/annurev.genet.41.110306.130340
  2. Durandy, Anne, Sophie Peron, Nadine Taubenheim, and Alain Fischer. "Activation‐induced cytidine deaminase: structure–function relationship as based on the study of mutants." Human mutation 27, no. 12 (2006): 1185-1191.https://onlinelibrary.wiley.com/doi/epdf/10.1002/humu.20414
  3. Klemm, Lars, Cihangir Duy, Ilaria Iacobucci, Stefan Kuchen, Gregor von Levetzow, Niklas Feldhahn, Nadine Henke et al. "The B cell mutator AID promotes B lymphoid blast crisis and drug resistance in chronic myeloid leukemia." Cancer cell 16, no. 3 (2009): 232-245.https://reader.elsevier.com/reader/sd/pii/S1535610809002530?token=B809058F47F430F32B47D541FFB7D8A538B75F1D73466CED00DFD3A344F0B0C15331791084EAEE167419FF26A6FBCF63&originRegion=us-east-1&originCreation=20211209190736
  4. Kumar, Ritu, Lauren DiMenna, Jayanta Chaudhuri, and Todd Evans. "Biological function of activation-induced cytidine deaminase (AID)." Biomedical journal 37, no. 5 (2014). http://biomedj.cgu.edu.tw/pdfs/2014/37/5/images/BiomedJ_2014_37_5_269_128734.pdf
  5. Stavnezer, Janet. "Complex regulation and function of activation-induced cytidine deaminase." Trends in immunology 32, no. 5 (2011): 194-201. https://www.sciencedirect.com/science/article/pii/S1471490611000469
  6. Peled, Jonathan U., Fei Li Kuang, Maria D. Iglesias-Ussel, Sergio Roa, Susan L. Kalis, Myron F. Goodman, and Matthew D. Scharff. "The biochemistry of somatic hypermutation." Annu. Rev. Immunol. 26 (2008): 481-511.https://www.annualreviews.org/doi/full/10.1146/annurev.immunol.26.021607.090236
  7. Makridakis, Nick, and Juergen Reichardt. "Translesion DNA polymerases and cancer." Frontiers in genetics 3 (2012): 174. https://www.frontiersin.org/articles/10.3389/fgene.2012.00174/full
  8. Knobel, Philip A., and Thomas M. Marti. "Translesion DNA synthesis in the context of cancer research." Cancer cell international 11, no. 1 (2011): 1-19. https://cancerci.biomedcentral.com/articles/10.1186/1475-2867-11-39
  9. Maul, Robert W., and Patricia J. Gearhart. "AID and somatic hypermutation." Advances in immunology 105 (2010): 159-191. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2954419/
  10. Wang, Shenshen, Jordi Mata-Fink, Barry Kriegsman, Melissa Hanson, Darrell J. Irvine, Herman N. Eisen, Dennis R. Burton, K. Dane Wittrup, Mehran Kardar, and Arup K. Chakraborty. "Manipulating the selection forces during affinity maturation to generate cross-reactive HIV antibodies." Cell 160, no. 4 (2015): 785-797. https://www.sciencedirect.com/science/article/pii/S0092867415000707
  11. Thomas, Ryan M., and Christian Jobin. "The microbiome and cancer: is the ‘oncobiome’mirage real?." Trends in cancer 1, no. 1 (2015): 24-35.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4642279/
  12. Barrett, Maurice, Collette K. Hand, Fergus Shanahan, Thomas Murphy, and Paul W. O’Toole. "Mutagenesis by microbe: The role of the microbiota in shaping the cancer genome." Trends in cancer 6, no. 4 (2020): 277-287. https://www.cell.com/trends/cancer/fulltext/S2405-8033(20)30058-3#back-bb0035)
  13. Marusawa, Hiroyuki, and Tsutomu Chiba. "Helicobacter pylori-induced activation-induced cytidine deaminase expression and carcinogenesis." Current opinion in immunology 22, no. 4 (2010): 442-447. https://www.sciencedirect.com/science/article/pii/S0952791510000865#bib21)

Edited by Luke Smallwood, student of Joan Slonczewski for BIOL 116 Information in Living Systems, 2020, Kenyon College.