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| Gene | BTK |
| Variant | C481Y |
| Impact List | missense |
| Protein Effect | unknown |
| Gene Variant Descriptions | BTK C481Y lies within the protein kinase domain of the Btk protein (UniProt.org). C481Y confers resistance to BTK inhibitors, results in a loss of Btk kinase activity in in vitro assays and in cell culture (PMID: 36183831, PMID: 35639855), but maintains BCR signaling through activation of Hck in culture (PMID: 35639855), and therefore, its effect on Btk protein function is unknown. |
| Associated Drug Resistance | Y |
| Category Variants Paths |
BTK mutant BTK C481X BTK C481Y |
| Transcript | NM_000061.3 |
| gDNA | chrX:g.101356176C>T |
| cDNA | c.1442G>A |
| Protein | p.C481Y |
| Source Database | RefSeq |
| Genome Build | GRCh38/hg38 |
| Transcript | gDNA | cDNA | Protein | Source Database | Genome Build |
|---|---|---|---|---|---|
| NM_000061.3 | chrX:g.101356176C>T | c.1442G>A | p.C481Y | RefSeq | GRCh38/hg38 |
| Molecular Profile | Indication/Tumor Type | Response Type | Therapy Name | Approval Status | Evidence Type | Efficacy Evidence | References |
|---|---|---|---|---|---|---|---|
| BTK C481Y | diffuse large B-cell lymphoma | resistant | Ibrutinib | Preclinical - Cell culture | Actionable | In a preclinical study, diffuse large B-cell lymphoma cell lines expressing BTK C481Y demonstrated resistance to Imbruvica (ibrutinib) in culture (PMID: 36183831). | 36183831 |
| BTK C481Y | hematologic cancer | resistant | Acalabrutinib | Preclinical - Cell culture | Actionable | In a preclinical study, transformed cells expressing BTK C481Y were resistant to treatment with Calquence (acalabrutinib) in culture (PMID: 35639855). | 35639855 |
| BTK C481Y | hematologic cancer | resistant | Zanubrutinib | Preclinical - Cell culture | Actionable | In a preclinical study, transformed cells expressing BTK C481Y were resistant to treatment with Brukinsa (zanubrutinib) in culture (PMID: 35639855). | 35639855 |
| BTK C481Y | hematologic cancer | sensitive | A-419259 | Preclinical - Cell culture | Actionable | In a preclinical study, A-419259 inhibited colony formation in an Imbruvica (ibrutinib)-resistant cell line harboring BTK C481Y in culture (PMID: 35639855). | 35639855 |
| BTK C481Y | lymphoma | predicted - sensitive | DZD8586 | Preclinical - Cell culture | Actionable | In a preclinical study, DZD8586 inhibited proliferation of lymphoma cells expressing BTK C481Y in culture (Blood (2023) 142 (Supplement 1): 2822). | detail... |