BTK Gene: Bruton Tyrosine Kinase - Function, Mutations, and Associated Diseases

Comprehensive biomedical overview of the BTK gene, including genomic context, expression, mutations, and clinical significance.

Gene Information Card

Symbol BTK
Full Name Bruton tyrosine kinase
Gene Type Protein coding
Chromosomal Location Xq22.1
NCBI Gene ID 695 ncbi.nlm.nih.gov/gene/695
Ensembl ID ENSG00000010671
UniProt ID Q06187
OMIM ID 300300
HGNC ID 1133
Aliases AGMX1, ATK, BPK, IMD1, PSCTK1, XLA

Description

The BTK gene encodes Bruton tyrosine kinase, a non-receptor tyrosine kinase essential for B-cell development and function. It plays a critical role in B-cell receptor (BCR) signaling, regulating B-cell survival, proliferation, and differentiation. Mutations in BTK cause X-linked agammaglobulinemia (XLA), a primary immunodeficiency characterized by a lack of mature B cells and low immunoglobulin levels. BTK is also a therapeutic target in B-cell malignancies, with inhibitors like ibrutinib used in clinical practice.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
X-linked agammaglobulinemia (XLA) Loss-of-function mutations in BTK disrupt BCR signaling, leading to a block in B-cell development at the pre-B cell stage, resulting in absent or severely reduced mature B cells and immunoglobulins. OMIM 300300; ClinVar; PMID: 1566100 (Vetrie et al., 1993)
Chronic lymphocytic leukemia (CLL) BTK is constitutively active in CLL cells, promoting survival and proliferation. BTK inhibitors (e.g., ibrutinib) are effective in treating CLL. COSMIC; PMID: 23563236 (Byrd et al., 2013)
Waldenström macroglobulinemia Somatic mutations in BTK (e.g., C481S) confer resistance to ibrutinib, but BTK is a key driver in this disease. COSMIC; PMID: 23160464 (Treon et al., 2012)
Rheumatoid arthritis (RA) BTK is involved in inflammatory signaling pathways; BTK inhibitors are being explored as therapeutic agents for autoimmune diseases. PMID: 25231985 (Di Paolo et al., 2011)

Expression Profile

Tissue Expression
Tissue nTPM level
Bone marrow High (nTPM ~ 50) High expression in B-cell precursors
Spleen High (nTPM ~ 40) High in B-cell zones
Lymph node High (nTPM ~ 35) High in B-cell areas
Blood Moderate (nTPM ~ 20) Expressed in B cells and some myeloid cells
Lung Low (nTPM ~ 5) Low expression
Liver Low (nTPM ~ 3) Low expression
Cell Line Expression
Cell Line nTPM Notes
Ramos (Burkitt lymphoma) High (nTPM ~ 80) B-cell line, high BTK expression
Daudi (Burkitt lymphoma) High (nTPM ~ 70) B-cell line
Jurkat (T-cell leukemia) Low (nTPM ~ 10) T-cell line, low expression
K562 (CML) Low (nTPM ~ 5) Myeloid line, low expression
HeLa (cervical carcinoma) Low (nTPM ~ 2) Epithelial line, minimal expression
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.82C>T (p.Arg28Ter) Nonsense ~5% of XLA cases Premature stop codon, loss of function
c.2038C>T (p.Arg680Cys) Missense ~2% of XLA cases Disrupts kinase domain, loss of function
c.1880T>C (p.Leu627Pro) Missense Rare Affects SH2 domain, impairs signaling
c.1630C>T (p.Arg544Cys) Missense ~3% of XLA cases In SH2 domain, reduces activity
c.1843T>C (p.Cys481Arg) Missense Somatic in CLL (resistance) Gain-of-function? Actually confers resistance to ibrutinib, but not gain-of-function; it alters drug binding
Mutation functional classification

Loss of Function (LOF)

Most BTK mutations in XLA are loss-of-function, leading to reduced or absent kinase activity, impaired BCR signaling, and defective B-cell development.

Gain of Function (GOF)

Somatic mutations like C481S in CLL are not gain-of-function but confer resistance to BTK inhibitors; however, some activating mutations have been reported in rare lymphomas, but not well-documented.

Dominant Negative (DN)

Not typically described for BTK; XLA is recessive, and BTK is on the X chromosome, so males are hemizygous.

Gene Ontology (GO)

• protein tyrosine kinase activity • ATP binding
• signal transduction • B cell receptor signaling pathway
• cell proliferation • apoptotic process
• immune response • phosphorylation

Pathways

B cell receptor signaling pathway
Fc receptor signaling pathway
Toll-like receptor signaling pathway
Chemokine signaling pathway
PI3K-Akt signaling pathway
NF-kappaB signaling pathway

Protein Summary

Bruton tyrosine kinase (BTK) is a 659-amino acid protein with a molecular weight of ~76 kDa. It contains PH, SH2, SH3, and kinase domains. BTK is activated by SRC family kinases upon BCR engagement, leading to phosphorylation of PLCγ2 and downstream calcium mobilization, NF-κB activation, and cell survival. BTK is predominantly expressed in B cells and is critical for B-cell maturation. Mutations in BTK cause XLA, and BTK inhibitors are used in treating B-cell malignancies.

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