Affinage

IBTK

Inhibitor of Bruton tyrosine kinase · UniProt Q9P2D0

Length
1353 aa
Mass
150.5 kDa
Annotated
2026-06-10
37 papers in source corpus 7 papers cited in narrative 7 extracted findings
Cross-family judge vs UniProt: Affinage preferred faithfulness: 6/6 claims corpus-supported (100%)

Mechanistic narrative

Synthesis pass · prose summary of the discoveries below

IBTK is a multifunctional adaptor protein that operates in two distinct regulatory regimes: negative control of B cell receptor signaling and positive control of cap-dependent translation (PMID:11577348, PMID:38738857). It was first defined as a trans-inhibitor of Bruton's tyrosine kinase, binding directly to the Btk PH domain and suppressing Btk kinase activity, calcium mobilization, and NF-κB-driven transcription (PMID:11577348). In a separate, later-defined role, IBTK serves as the substrate-recognition subunit of a Cullin 3-RING ubiquitin ligase (CRL3IBTK), recruiting eIF4A1 for non-degradative ubiquitination that enhances translational initiation and nascent protein synthesis; mTORC1 and S6K1 directly phosphorylate IBTK to amplify this activity and sustain oncogenic translation (PMID:38738857). In Myc-driven B cell contexts, IBTK sustains pre-cancerous B cell survival by limiting MCL-1- and p53-dependent apoptosis without affecting proliferation, and its expression is itself transcriptionally regulated by Myc (PMID:30975981). Consistent with this pro-survival role, IBTK loss shapes the lymphoma immunophenotype and microenvironment (PMID:32019112) and sensitizes lymphoma B cells to Rituximab-induced apoptosis with reduced MYC expression (PMID:38371626). The human locus is structurally complex, producing three protein isoforms from distinct promoters and a Dicer-processed intronic miRNA precursor (PMID:18596081, PMID:19782003).

Mechanistic history

Synthesis pass · year-by-year structured walk · 7 steps
  1. 2001 High

    Established the founding molecular function of IBTK as a direct negative regulator of Btk, answering whether B cell signaling kinases are subject to dedicated trans-inhibitory partners.

    Evidence PH-domain binding assay, kinase activity assay, calcium mobilization, and NF-κB reporter readouts

    PMID:11577348

    Open questions at the time
    • Structural basis of the PH-domain interaction not resolved
    • In vivo physiological consequence of Btk inhibition not tested genetically
    • Did not address other IBTK functions later discovered
  2. 2008 High

    Defined the architecture of the human IBTK locus, showing the gene produces three distinct protein isoforms and clarifying which products exist before functional studies could be attributed.

    Evidence Northern blot, 5'/3' RACE, and isoform-specific antibody detection in human cells and mouse tissues

    PMID:18596081

    Open questions at the time
    • Distinct functions of the three isoforms not assigned
    • Tissue- and context-specific isoform regulation not mapped
  3. 2009 Medium

    Showed the IBTK locus encodes a non-coding regulatory output, identifying an intronic pre-miRNA processed by Dicer and broadening the locus beyond its protein products.

    Evidence Computational prediction, in vitro Dicer cleavage assay, and in vivo mature miRNA detection

    PMID:19782003

    Open questions at the time
    • Targets and physiological role of the mature miRNA not identified
    • Single-lab finding without mechanistic follow-up on the miRNA product
  4. 2019 High

    Placed IBTK in the Myc oncogenic axis in vivo, answering whether IBTK contributes to B cell transformation by demonstrating it sustains pre-cancerous B cell survival rather than proliferation.

    Evidence Ibtk knockout x Eμ-myc mice with Annexin V, Caspase 3/7, cell cycle, ChIP-seq, and tet-repressible Myc readouts

    PMID:30975981

    Open questions at the time
    • Biochemical mechanism linking IBTK to MCL-1 and p53 not resolved
    • How Myc transcriptionally drives IBTK at the molecular level not detailed
  5. 2020 Medium

    Extended IBTK's tumor role to the microenvironment, testing whether IBTK dosage influences lymphoma immunophenotype and angiogenesis.

    Evidence Ibtk hemizygous x Eμ-myc mice with immunophenotyping, angiogenic factor measurement, and macrophage quantification

    PMID:32019112

    Open questions at the time
    • Link between IBTK dosage and microenvironmental changes is correlative, not biochemically resolved
    • Mechanism of angiogenic factor induction unknown
  6. 2024 High

    Revealed an entirely distinct enzymatic-adaptor function, answering how IBTK promotes oncogenic protein synthesis: as the CRL3 substrate adaptor that ubiquitinates eIF4A1 non-degradatively, with mTORC1/S6K1 phosphorylation as an upstream amplifier.

    Evidence Co-IP, reconstituted in vitro ubiquitination, in vitro kinase assay, polysome/nascent synthesis profiling, mutagenesis, and tumor xenografts

    PMID:38738857

    Open questions at the time
    • Ubiquitination sites and consequence for eIF4A1 conformation/activity not fully defined
    • Relationship between the CRL3 role and the Btk-inhibitory role not integrated
    • Phosphorylation sites on IBTK not exhaustively mapped
  7. 2024 Medium

    Tested therapeutic relevance, showing IBTK silencing synergizes with Rituximab to drive lymphoma apoptosis and lowers MYC expression.

    Evidence siRNA knockdown with Annexin V, cell cycle analysis, transplanted Eμ-myc lymphoma model, and MYC expression analysis

    PMID:38371626

    Open questions at the time
    • Mechanistic connection between IBTK and MYC expression not biochemically resolved
    • Single-lab loss-of-function study

Open questions

Synthesis pass · forward-looking unresolved questions
  • How IBTK's two opposing roles — Btk inhibition versus CRL3-mediated promotion of translation — are coordinated within a single cell, and whether specific isoforms partition between them, remains unresolved.
  • Isoform-to-function mapping not established
  • No integrated model reconciling signaling-inhibitory and ubiquitin-ligase activities
  • Structural data for IBTK absent

Mechanism profile

Synthesis pass · controlled-vocabulary classification · explore literature graph →
Molecular activity
GO:0060090 molecular adaptor activity 2 GO:0098772 molecular function regulator activity 1 GO:0140096 catalytic activity, acting on a protein 1
Pathway
R-HSA-168256 Immune System 1 R-HSA-392499 Metabolism of proteins 1 R-HSA-5357801 Programmed Cell Death 1
Complex memberships
CRL3IBTK (Cullin 3-RING ubiquitin ligase)

Evidence

Reading pass · 7 per-paper findings extracted from the source corpus
Year Finding Method Journal Conf PMIDs
2001 IBtk (IBTK) directly binds to the PH domain of Bruton's tyrosine kinase (Btk) and inhibits Btk kinase activity, Btk-mediated calcium mobilization, and NF-κB-driven transcription, acting as a trans-inhibitor of Btk. Binding assay (PH domain interaction), kinase activity assay, calcium mobilization assay, NF-κB transcription reporter assay Nature immunology High 11577348
2008 The human IBTK locus encodes three distinct protein isoforms (IBtkα, IBtkβ, and IBtkγ) arising from two distinct promoter regions, alternative polyadenylation, and a second transcription start site with a distinct ATG; all three proteins were detected in human cells and mouse tissues by specific antibodies. Northern blot, 5′RACE, 3′RACE, isoform-specific antibody detection Nucleic acids research High 18596081
2009 The IBTK gene encodes a microRNA precursor (pre-miR-IBTK3) from intron 26 that serves as an effective substrate for RNase III Dicer in vitro and gives rise to a mature IBtk miRNA in vivo. Computational prediction (Pro-MirII), in vitro Dicer cleavage assay, in vivo miRNA detection Computational biology and chemistry Medium 19782003
2019 Loss of murine Ibtk in Eμ-myc transgenic mice reduces pre-cancerous B cell viability and increases apoptosis (measured by Annexin V binding and Caspase 3/7 cleavage) without affecting proliferation, demonstrating that Ibtk sustains B cell survival downstream of Myc by modulating MCL-1 and p53-dependent apoptotic pathways. Ibtk knockout × Eμ-myc transgenic mouse model, Annexin V assay, Caspase 3/7 cleavage assay, cell cycle analysis, ChIP-seq data analysis, tet-repressible Myc system Cell death & disease High 30975981
2020 Haploinsufficiency of Ibtk in Eμ-myc mice alters the immunophenotype of Myc-driven B cell lymphomas, increasing pre-B cell rates and enhancing tumor angiogenesis/lymphangiogenesis with elevated VEGF, MMP-9, CCL2, and VEGFD, and increased recruitment of tumor-associated macrophages. Ibtk hemizygous × Eμ-myc transgenic mouse model, immunophenotyping, angiogenic factor measurement, macrophage quantification International journal of molecular sciences Medium 32019112
2024 IBTK, acting as a substrate-binding adaptor of the Cullin 3-RING ubiquitin ligase (CRL3) complex, interacts with eIF4A1 and promotes its non-degradative ubiquitination, which enhances cap-dependent translational initiation and nascent protein synthesis; furthermore, mTORC1 and S6K1 directly phosphorylate IBTK to augment eIF4A1 ubiquitination and sustain oncogenic translation in cervical tumor cells. Co-immunoprecipitation, in vitro ubiquitination assay, in vitro kinase assay (mTORC1/S6K1 phosphorylation of IBTK), polysome profiling/nascent protein synthesis assay, in vivo tumor xenograft, mutagenesis eLife High 38738857
2024 IBTK silencing in non-Hodgkin lymphoma B cells increases apoptosis when combined with Rituximab both in vitro and in vivo (transplanted Eμ-myc lymphoma model), and is associated with reduced MYC oncogene expression. siRNA knockdown, Annexin V assay, cell cycle analysis, in vivo transplanted lymphoma model, MYC expression analysis Frontiers in oncology Medium 38371626

Source papers

Stage 0 corpus · 37 papers · ranked by NIH iCite citations
Year Title Journal Citations PMID
2001 Direct inhibition of Bruton's tyrosine kinase by IBtk, a Btk-binding protein. Nature immunology 60 11577348
2019 Harnessing the Effects of BTKi on T Cells for Effective Immunotherapy against CLL. International journal of molecular sciences 47 31861854
2022 Hypertension and incident cardiovascular events after next-generation BTKi therapy initiation. Journal of hematology & oncology 33 35836241
2008 Physical and functional characterization of the genetic locus of IBtk, an inhibitor of Bruton's tyrosine kinase: evidence for three protein isoforms of IBtk. Nucleic acids research 26 18596081
2019 IBTK contributes to B-cell lymphomagenesis in Eμ-myc transgenic mice conferring resistance to apoptosis. Cell death & disease 20 30975981
2022 Bortezomib-based therapy is effective and well tolerated in frontline and multiply pre-treated Waldenström macroglobulinaemia including BTKi failures: A real-world analysis. EJHaem 10 36467794
2025 BTKi-induced cardiovascular toxicity in CLL: Risk mitigation and management strategies. Blood reviews 9 39884924
2024 mTORC1/S6K1 signaling promotes sustained oncogenic translation through modulating CRL3IBTK-mediated ubiquitination of eIF4A1 in cancer cells. eLife 9 38738857
2023 Immune response to COVID-19 vaccination in patients with Waldenström macroglobulinaemia who pause their BTKi therapy. EJHaem 9 37601863
2009 Computational analysis and in vivo validation of a microRNA encoded by the IBTK gene, a regulator of B-lymphocytes differentiation and survival. Computational biology and chemistry 9 19782003
2022 Cost-effectiveness analysis of KTE-X19 CAR T therapy versus real-world standard of care in patients with relapsed/refractory mantle cell lymphoma post BTKi in England. Journal of medical economics 8 35611697
2024 Cardiotoxicity from bruton tyrosine kinase inhibitors (BTKi)-an analysis of an administrative health claims database. Cardio-oncology (London, England) 7 38824606
2020 IBTK Haploinsufficiency Affects the Tumor Microenvironment of Myc-Driven Lymphoma in E-myc Mice. International journal of molecular sciences 7 32019112
2025 CDK1 inhibitor RO-3306 enhances BTKi potency in diffuse large B-cell lymphoma by suppressing JAK2/STAT3 signaling. International journal of biological macromolecules 6 39818374
2024 Enhanced pro-apoptotic activity of rituximab through IBTK silencing in non-Hodgkin lymphoma B-cells. Frontiers in oncology 4 38371626
2023 The role of Bruton's kinase inhibitors (BTKi) in accelerated Chronic Lymphocytic Leukemia (a-CLL): a case of successful response to acalabrutinib. Journal of basic and clinical physiology and pharmacology 4 37040263
2026 Brexucabtagene autoleucel for BTKi-naive relapsed/refractory mantle cell lymphoma: primary analysis of ZUMA-2 cohort 3. Blood 3 41160777
2025 First Line Therapy in Mantle Cell Lymphoma-The Role of BTKi in the Initial Treatment of Transplant-Eligible and -Ineligible Patients. Hematological oncology 3 40517546
2024 The dual HCK/BTK inhibitor KIN-8194 impairs growth and integrin-mediated adhesion of BTKi-resistant mantle cell lymphoma. Leukemia 3 38454120
2022 Identification of six hub genes in mantle cell lymphoma patients with BTKi resistance. Annals of translational medicine 3 36388812
2025 Resistance mechanisms and clonal dynamics in mantle cell lymphoma treated with sequential BTKi and venetoclax therapy. The Journal of pathology 2 40371810
2025 Pirtobrutinib, a highly selective, noncovalent (reversible) BTKi in R/R follicular lymphoma: phase 1/2 BRUIN study. Blood advances 2 40845254
2025 Venetoclax-based regimens in octogenarian patients with CLL: efficacy, safety, and comparison to BTKi in a multicenter cohort. Blood advances 1 40239056
2025 Investigation of the mechanism of hypertension caused by BTKi in the treatment of hematologic diseases. Frontiers in pharmacology 1 40453665
2025 Acalabrutinib May Offer a New Therapeutic Approach for Consolidation and Maintenance of Primary CNS Lymphoma with Expression of MYD88 and CD79B Gene Variants: A Case Report and Literature Review of Primary CNS Lymphoma in the BTKi Era. International journal of molecular sciences 1 41226558
2024 [Immune Reconstitution after BTKi Treatment in Chronic Lymphocytic Leukemia]. Zhongguo shi yan xue ye xue za zhi 1 38387891
2024 Unmet needs in relapsed/refractory mantle cell lymphoma (r/r MCL) post-covalent Bruton tyrosine kinase inhibitor (BTKi): a systematic literature review and meta-analysis. Leukemia & lymphoma 1 38975903
2024 Severe atypical skin disease in two patients with CLL/SLL after BTKi treatment - a case report and literature review. Frontiers in oncology 1 39720567
2026 Prospective patient preference study for Bruton tyrosine kinase inhibitor (BTKi) treatment attributes and factors affecting patient shared decision-making in chronic lymphocytic leukemia (CLL) and small lymphocytic lymphoma (SLL) in the United States (US). Expert review of hematology 0 41528878
2026 Pirtobrutinib, a highly selective, noncovalent (reversible) BTKi in R/R marginal zone lymphoma: phase 1/2 BRUIN study. Blood advances 0 41544219
2026 Aspergillus fumigatus brain abscess in an immunocompromised patient receiving a second-generation Bruton Tyrosine Kinase inhibitor (BTKi). Diagnostic microbiology and infectious disease 0 41548496
2026 Pseudo-Richter Transformation Following BTKi Interruption in CLL: A Systematic Review of Clinical, Biological, and Pathologic Features. Clinical lymphoma, myeloma & leukemia 0 41720666
2025 Practical Management of Cardiovascular Adverse Events with BTKi Treatment in Patients with Chronic Lymphocytic Leukemia: A Consensus Report by Hematologists and Cardiologists. Acta haematologica 0 40684756
2025 Clinical Outcomes in Patients With CLL Treated With BTKi at a Large US Cancer Center. Advances in hematology 0 41328215
2025 Patterns of Bruton's Tyrosine Kinase Inhibitor (BTKi) Usage in B-cell Lymphomas in India: A Questionnaire-Based Study. Cureus 0 41573489
2024 Carfilzomib, lenalidomide, dexamethasone (KRD) in BTKi relapsed or refractory mantle cell lymphoma: A phase II study from Fondazione Italiana Linfomi. British journal of haematology 0 38938122
2024 BTKi combined with chemical immunotherapy in the initial treatment of aggressive mantle cell lymphoma: A retrospective study. Medicine 0 39470506

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