Bruton's tyrosine kinase

 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
1bwn opm.png
Available structures
PDBOrtholog search: PDBe RCSB
Identifiers
AliasesBTK, AGMX1, AT, ATK, BPK, IMD1, PSCTK1, XLA, Bruton tyrosine kinase, IGHD3
External IDsOMIM300300 MGI88216 HomoloGene30953 GeneCardsBTK
Gene location (Human)
X chromosome (human)
Chr.X chromosome (human)[1]
X chromosome (human)
Genomic location for BTK
Genomic location for BTK
BandXq22.1Start101,349,447 bp[1]
End101,390,796 bp[1]
RNA expression pattern
PBB GE BTK 205504 at fs.png
More reference expression data
Orthologs
SpeciesHumanMouse
Entrez
Ensembl
UniProt
RefSeq (mRNA)

NM_001287345
NM_000061
NM_001287344

NM_013482

RefSeq (protein)

NP_000052
NP_001274273
NP_001274274

NP_038510

Location (UCSC)Chr X: 101.35 – 101.39 MbChr X: 134.54 – 134.58 Mb
PubMed search[3][4]
Wikidata
View/Edit HumanView/Edit Mouse

StructureEdit

BTK 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]

Structure of BTK.svg

FunctionEdit

BTK 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]

Involvement of Bruton’s tyrosine kinase in B cell receptor signalling.svg



Clinical significanceEdit

Mutations 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]

DiscoveryEdit

Bruton's tyrosine kinase was discovered in 1993 and is named for Ogden Bruton, who first described XLA in 1952.[9]

This article uses material from the Wikipedia article
 Metasyntactic variable, which is released under the 
Creative Commons
Attribution-ShareAlike 3.0 Unported License
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