Bruton's tyrosine kinase (abbreviated Btk or BTK), also known as tyrosine-protein kinase BTK, is a tyrosine kinase that is encoded by the BTK gene in humans. BTK plays a crucial role in B cell development.
| BTK |
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| Available structures |
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| PDB | Ortholog search: PDBe RCSB |
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| List of PDB id codes |
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1AWW, 1AWX, 1B55, 1BTK, 1BWN, 1K2P, 1QLY, 2GE9, 2Z0P, 3GEN, 3K54, 3OCS, 3OCT, 3P08, 3PIX, 3PIY, 3PIZ, 3PJ1, 3PJ2, 3PJ3, 4NWM, 4OT5, 4OT6, 4OTF, 4OTQ, 4OTR, 4RFY, 4RFZ, 4RG0, 4YHF, 4Z3V, 4ZLY, 4ZLZ, 5BPY, 5BQ0, 5FBN, 4RX5, 5FBO |
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| Identifiers |
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| Aliases | BTK, AGMX1, AT, ATK, BPK, IMD1, PSCTK1, XLA, Bruton tyrosine kinase, IGHD3 |
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| External IDs | OMIM: 300300 MGI: 88216 HomoloGene: 30953 GeneCards: BTK |
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| Gene location (Human) |
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 | | Chr. | X chromosome (human)[1] |
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| | Band | Xq22.1 | Start | 101,349,447 bp[1] |
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| End | 101,390,796 bp[1] |
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| Gene location (Mouse) |
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 | | Chr. | X chromosome (mouse)[2] |
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| | Band | X E3|X 56.18 cM | Start | 134,542,336 bp[2] |
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| End | 134,583,570 bp[2] |
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| RNA expression pattern |
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 | | More reference expression data |
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| Gene ontology |
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| Molecular function | • metal ion binding • nucleotide binding • lipid binding • receptor binding • identical protein binding • protein kinase activity • transferase activity • kinase activity • phosphatidylinositol-3,4,5-trisphosphate binding • non-membrane spanning protein tyrosine kinase activity • ATP binding • GO:0001948 protein binding • protein tyrosine kinase activity
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| Cellular component | • cytoplasm • cell nucleus • membrane • membrane raft • extrinsic component of cytoplasmic side of plasma membrane • cytoplasmic vesicle • cytosol • cell membrane • perinuclear region of cytoplasm • mast cell granule
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| Biological process | • transmembrane receptor protein tyrosine kinase signaling pathway • mesoderm development • GO:0007243 intracellular signal transduction • peptidyl-tyrosine autophosphorylation • B cell activation • positive regulation of NF-kappaB transcription factor activity • transcription, DNA-templated • positive regulation of B cell differentiation • B cell receptor signaling pathway • Fc-epsilon receptor signaling pathway • regulation of cell proliferation • adaptive immune response • apoptotic process • peptidyl-tyrosine phosphorylation • protein phosphorylation • negative regulation of cytokine production • MyD88-dependent toll-like receptor signaling pathway • apoptotic signaling pathway • calcium-mediated signaling • I-kappaB kinase/NF-kappaB signaling • innate immune system • regulation of transcription, DNA-templated • cell maturation • immune system process • regulation of B cell cytokine production • regulation of B cell apoptotic process • phosphorylation • histamine secretion by mast cell • response to organic substance • positive regulation of type III hypersensitivity • autophosphorylation • cellular response to reactive oxygen species • cellular response to molecule of fungal origin • positive regulation of type I hypersensitivity • B cell affinity maturation • negative regulation of B cell proliferation • cellular response to interleukin-7 • T cell receptor signaling pathway • G-protein coupled receptor signaling pathway
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| Sources:Amigo / QuickGO |
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| Orthologs |
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| Species | Human | Mouse |
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| Entrez | | |
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| Ensembl | | |
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| UniProt | | |
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| RefSeq (mRNA) | |
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NM_001287345 NM_000061 NM_001287344 |
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| RefSeq (protein) | |
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NP_000052 NP_001274273 NP_001274274 |
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| Location (UCSC) | Chr X: 101.35 – 101.39 Mb | Chr X: 134.54 – 134.58 Mb |
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| PubMed search | [3] | [4] |
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| Wikidata |
| View/Edit Human | View/Edit Mouse |
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StructureEditBTK contains five different protein interaction domains. These domains include an amino terminal pleckstrin homology (PH) domain, a proline-rich TEC homology (TH) domain, SRC homology (SH) domains SH2 and SH3, as well as a kinase domain with enzymatic activity.[5]
FunctionEditBTK plays a crucial role in B cell development as it is required for transmitting signals from the pre-B cell receptor that forms after successful immunoglobulin heavy chain rearrangement.[6] It also has a role in mast cell activation through the high-affinity IgE receptor.[7]
Btk contains a PH domain that binds phosphatidylinositol (3,4,5)-trisphosphate (PIP3). PIP3 binding induces Btk to phosphorylate phospholipase C, which in turn hydrolyzes PIP2, a phosphatidylinositol, into two second messengers, inositol triphosphate (IP3) and diacylglycerol (DAG), which then go on to modulate the activity of downstream proteins during B-cell signalling.[citation needed]
Clinical significanceEditMutations in the BTK gene are implicated in the primary immunodeficiency disease X-linked agammaglobulinemia (Bruton's agammaglobulinemia); sometimes abbreviated to XLA and selective IgM deficiency.[8] Patients with XLA have normal pre-B cell populations in their bone marrow but these cells fail to mature and enter the circulation. The Btk gene is located on the X chromosome (Xq21.3-q22).[9] At least 400 mutations of the BTK gene have been identified.
BTK inhibitorsEdit
Approved drugs that inhibit BTK:
- Ibrutinib (PCI-32765), a selective Bruton's tyrosine kinase inhibitor.
- Acalabrutinib, approved in October 2017[10] for relapsed mantle cell lymphoma
- Zanubrutinib for mantle cell lymphoma.[11] It can be taken orally.[12]
Various drugs that inhibit BTK are in clinical trials:[13]
- Phase 3:
- Acalabrutinib, for relapsed chronic lymphocytic leukemia (CLL), 95% overall remission reported.
- Phase 2:
- Evobrutinib for multiple sclerosis.[14][15]
- ABBV-105 for systemic lupus erythematosus (SLE)[16]
- Fenebrutinib (GDC-0853, RG7845) for rheumatoid arthritis, systemic lupus erythematosus and chronic spontaneous urticaria.[17]
- Phase 1:
- ONO-4059 for non-Hodgkin lymphoma and/or CLL.[18] Renamed GS-4059 and now in trial NCT02457598.[19]
- Spebrutinib (AVL-292, CC-292) [20]
- HM71224 for autoimmune diseases, under development by Hanmi Pharmaceutical and Lilly as of 2015[21]
DiscoveryEditBruton's tyrosine kinase was discovered in 1993 and is named for Ogden Bruton, who first described XLA in 1952.[9]