Bruton's tyrosine kinase
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Bruton's tyrosine kinase (abbreviated Btk or BTK) also known as tyrosine-protein kinase BTK is an enzyme that in humans is encoded by the BTK gene. BTK is a kinase that plays a crucial role in B-cell development.
Contents
Function
BTK plays a crucial role in B cell maturation as well as mast cell activation through the high-affinity IgE receptor.[1]
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.[1]
Clinical significance
Mutations in the BTK gene are implicated in the primary immunodeficiency disease X-linked agammaglobulinemia (Bruton's agammaglobulinemia). 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.[2] At least 400 mutations of the BTK gene have been identified.
BTK inhibitors
Approved drugs that inhibit BTK :
Various drugs that inhibit BTK are in clinical trials:[3]
- Phase 3:
- Acalabrutinib, for relapsed CLL, 95% overall remission reported.
- Phase 2:
- Phase 1:
- ONO-4059 for Non-Hodgkin's Lymphoma and/or CLL.[4]
- spebrutinib (AVL-292, CC-292) [5]
Discovery
Bruton's tyrosine kinase was discovered in 1993 and is named for Ogden Bruton, who first described XLA in 1952.[2]
Interactions
Bruton's tyrosine kinase has been shown to interact with:
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See also
- Ibrutinib (PCI-32765), a selective Bruton's tyrosine kinase inhibitor
References
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Further reading
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External links
- GeneReviews/NCBI/NIH/UW entry on X-Linked or Brunton's Agammaglobulinemia
- UMich Orientation of Proteins in Membranes protein/pdbid-1bwn
- Bruton's tyrosine kinase at the US National Library of Medicine Medical Subject Headings (MeSH)
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- ↑ 1.0 1.1 1.2 Lua error in package.lua at line 80: module 'strict' not found.
- ↑ 2.0 2.1 X-Linked Agammaglobulinemia Patient and Family Handbook for The Primary Immune Diseases. Third Edition. 2001. Published by the Immune Deficiency Foundation.
- ↑ Astra Signals A Late Run On BTK Inhibition. Dec 2015
- ↑ Clinical trial number NCT01659255 for "ONO-4059 Phase I Dose-escalation Study to Investigate the Safety and Tolerability of ONO-4059 Given as Monotherapy in Patients With Relapsed/Refractory Non-Hodgkin's Lymphoma and/or Chronic Lymphocytic Leukaemi" at ClinicalTrials.gov
- ↑ Clinical trial number NCT01351935 for "Escalating Dose Study in Subjects With Relapsed or Refractory B Cell Non-Hodgkin Lymphoma, Chronic Lymphocytic Leukemia, and Waldenstrom's Macroglobulinemia" at ClinicalTrials.gov
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