Molecular Classification
Enzyme, Non-receptor tyrosine kinase, Tec family kinase
Other Names
Agammaglobulinemia tyrosine kinase, ATK, B cell tyrosine kinase, X-linked agammaglobulinemia tyrosine kinase
Disease Roles
X-linked agammaglobulinemia (XLA)B-cell malignanciesChronic lymphocytic leukemia

Bruton's Tyrosine Kinase Overview

Bruton's tyrosine kinase (BTK) is a cytoplasmic, non-receptor tyrosine kinase that plays a central role in the development, maturation, and signaling of B cells. It is essential for transmitting signals from the pre-B cell receptor after successful immunoglobulin heavy chain rearrangement. BTK's activation triggers several downstream pathways including Phospholipase C gamma 2, PI3K/Akt, and NF-kappaB. Mutations leading to loss-of-function of BTK cause X-linked agammaglobulinemia (XLA). Because malignant B cells often depend on active BTK signaling for survival and proliferation, small molecule inhibitors targeting BTK have become important therapies for various B-cell malignancies.

Mechanism of Action

Small molecule inhibitors that bind to and inhibit the enzymatic activity of BTK, preventing its phosphorylation of downstream targets and subsequent activation of signaling pathways.

Biological Functions

B-cell development
B-cell signaling
Mast cell activation
Myeloid cell function
Immune response

Disease Associations

X-linked agammaglobulinemia (XLA)
B-cell malignancies
Chronic lymphocytic leukemia
Myeloid cancers
Immunodeficiency

Safety Considerations

  • Bleeding risk
  • Atrial fibrillation
  • Infections
  • Cytopenias
  • Resistance development

Interacting Drugs

Ibrutinib
Acalabrutinib
Orelabrutinib
Tirabrutinib

Associated Biomarkers

Biomarker
BTK expression level
BTK phosphorylation status (Y223, Y551)
Downstream signaling pathway activation (PLCγ, PI3K/Akt, NF-kappaB)