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32 Results Found

  • Review
  • Open Access
52 Citations
9,366 Views
12 Pages

3 August 2021

The B-cell receptor signalling pathway plays a critical role in development of B-cell malignancies, and the central role of Bruton’s tyrosine kinase (BTK) activation in this pathway provides compelling rationale for BTK inhibition as a therapeutic st...

  • Review
  • Open Access
6 Citations
4,124 Views
26 Pages

Structural Complementarity of Bruton’s Tyrosine Kinase and Its Inhibitors for Implication in B-Cell Malignancies and Autoimmune Diseases

  • Asim Najmi,
  • Neelaveni Thangavel,
  • Anugeetha Thacheril Mohanan,
  • Marwa Qadri,
  • Mohammed Albratty,
  • Safeena Eranhiyil Ashraf,
  • Safaa Fathy Saleh,
  • Maryam Nayeem and
  • Syam Mohan

Bruton’s tyrosine kinase (BTK) is a critical component in B-cell receptor (BCR) signaling and is also expressed in haematogenic and innate immune cells. Inhibition of BTK hyperactivity is implicated in B-cell malignancies and autoimmune disease...

  • Review
  • Open Access
2,945 Views
14 Pages

11 September 2025

Background/Objectives: Covalent Bruton’s tyrosine kinase (BTK) inhibitors (ibrutinib, acalabrutinib, zanubrutinib) improve outcomes in advanced chronic lymphocytic leukemia (CLL) but resistance, largely driven by BTK C481 mutations, and adverse...

  • Review
  • Open Access
74 Citations
10,716 Views
32 Pages

4 March 2021

Bruton tyrosine kinase (Btk) is expressed in B-lymphocytes, myeloid cells and platelets, and Btk-inhibitors (BTKi) are used to treat patients with B-cell malignancies, developed against autoimmune diseases, have been proposed as novel antithrombotic...

  • Review
  • Open Access
57 Citations
12,045 Views
35 Pages

13 August 2021

Bruton’s tyrosine kinase (BTK) plays a crucial role in B-cell receptor and Fc receptor signaling pathways. BTK is also involved in the regulation of Toll-like receptors and chemokine receptors. Given the central role of BTK in immunity, BTK inhibitio...

  • Review
  • Open Access
3 Citations
5,381 Views
14 Pages

Advances in Targeted Therapy: Addressing Resistance to BTK Inhibition in B-Cell Lymphoid Malignancies

  • Andres Bravo-Gonzalez,
  • Maryam Alasfour,
  • Deborah Soong,
  • Jose Noy and
  • Georgios Pongas

10 October 2024

B-cell lymphoid malignancies are a heterogeneous group of hematologic cancers, where Bruton’s tyrosine kinase (BTK) inhibitors have received FDA approval for several subtypes. The first-in-class covalent BTK inhibitor, Ibrutinib, binds to the C...

  • Review
  • Open Access
39 Citations
5,789 Views
16 Pages

Next Generation BTK Inhibitors in CLL: Evolving Challenges and New Opportunities

  • Anna Maria Frustaci,
  • Marina Deodato,
  • Giulia Zamprogna,
  • Roberto Cairoli,
  • Marco Montillo and
  • Alessandra Tedeschi

27 February 2023

Ibrutinib revolutionized the CLL treatment approach and prognosis demonstrating its efficacy and safety even at extended follow-up. During the last few years, several next-generation inhibitors have been developed to overcome the occurrence of toxici...

  • Review
  • Open Access
52 Citations
12,873 Views
25 Pages

16 May 2022

The use of Bruton’s tyrosine kinase (BTK) inhibitors has changed the management of patients with B-cell lymphoid malignancies. BTK is an important molecule that interconnects B-cell antigen receptor (BCR) signaling. BTK inhibitors (BTKis) are c...

  • Review
  • Open Access
247 Views
23 Pages

BTK Inhibition in Hematology: From CLL/SLL to Emerging Applications Across B-Cell and Immune Disorders

  • Andrea Duminuco,
  • Paola De Luca,
  • Gaia Stanzione,
  • Laura Anastasia Caruso,
  • Giulio Lavenia,
  • Salvatore Scarso,
  • Bruno Garibaldi,
  • Fanny Erika Palumbo,
  • Calogero Vetro and
  • Giuseppe Alberto Palumbo

12 January 2026

BTK (Bruton’s tyrosine kinase) has become a key therapeutic target across several hematologic diseases, beginning with its original use in CLL/SLL. As a central mediator of B-cell receptor signaling and microenvironment interactions, BTK suppor...

  • Review
  • Open Access
56 Citations
8,478 Views
30 Pages

2 February 2022

The use of Bruton’s tyrosine kinase (BTK) inhibitors has changed the management and clinical history of patients with chronic lymphocytic leukemia (CLL). BTK is a critical molecule that interconnects B-cell antigen receptor (BCR) signaling. BTK...

  • Review
  • Open Access
9 Citations
5,633 Views
15 Pages

Bruton’s tyrosine kinase (BTK), a non-receptor tyrosine kinase crucial for B cell development and function, acts downstream of the B cell receptor (BCR) in the BCR pathway. Other kinases involved downstream of the BCR besides BTK such as Syk, L...

  • Article
  • Open Access
12 Citations
6,419 Views
22 Pages

Covalent Cysteine Targeting of Bruton’s Tyrosine Kinase (BTK) Family by Withaferin-A Reduces Survival of Glucocorticoid-Resistant Multiple Myeloma MM1 Cells

  • Emilie Logie,
  • Chandra S. Chirumamilla,
  • Claudina Perez-Novo,
  • Priyanka Shaw,
  • Ken Declerck,
  • Ajay Palagani,
  • Savithri Rangarajan,
  • Bart Cuypers,
  • Nicolas De Neuter and
  • Wim Vanden Berghe
  • + 6 authors

31 March 2021

Multiple myeloma (MM) is a hematological malignancy characterized by plasma cells’ uncontrolled growth. The major barrier in treating MM is the occurrence of primary and acquired therapy resistance to anticancer drugs. Often, this therapy resistance...

  • Review
  • Open Access
9 Citations
4,174 Views
12 Pages

Bruton’s Tyrosine Kinase (BTK) inhibitors have become one of the most vital drugs in the therapy of chronic lymphocytic leukemia (CLL). Inactivation of BTK disrupts the B-cell antigen receptor (BCR) signaling pathway, which leads to the inhibit...

  • Review
  • Open Access
23 Citations
5,286 Views
13 Pages

3 May 2023

The development of inhibitors of Bruton tyrosine kinase (BTK) and B-cell lymphoma 2 (BCL2) has resulted in a paradigm shift in the treatment of chronic lymphocytic leukaemia (CLL) over the last decade. Observations regarding the importance of B-cell...

  • Review
  • Open Access
22 Citations
7,125 Views
16 Pages

Targeting BTK in B Cell Malignancies: From Mode of Action to Resistance Mechanisms

  • Samir Mouhssine,
  • Nawar Maher,
  • Bassam Francis Matti,
  • Alaa Fadhil Alwan and
  • Gianluca Gaidano

The B cell receptor (BCR) signaling pathway plays a crucial role in B cell development and contributes to the pathogenesis of B cell neoplasms. In B cell malignancies, the BCR is constitutively active through both ligand-dependent and ligand-independ...

  • Review
  • Open Access
23 Citations
6,862 Views
15 Pages

Resisting the Resistance: Navigating BTK Mutations in Chronic Lymphocytic Leukemia (CLL)

  • Alexandra Chirino,
  • Skye Montoya,
  • Anita Safronenka and
  • Justin Taylor

6 December 2023

Bruton’s tyrosine kinase (BTK) plays a key role in the B-cell receptor (BCR) signaling pathway and confers anti-apoptotic and proliferative properties to malignant B-cells in chronic lymphocytic leukemia (CLL). Small molecule BTK inhibitors wer...

  • Article
  • Open Access
529 Views
17 Pages

Exploratory Covalent Docking of Michael-Acceptor Natural Products at Reactive Cysteines in Cancer Tyrosine Kinases

  • Fernando Lobo,
  • José Manuel Pérez de la Lastra,
  • Celia María Curieses,
  • Elena Bustamante-Munguira,
  • Celia Andrés Juan and
  • Eduardo Pérez-Lebeña

25 November 2025

Tyrosine kinases (TKs) and cyclin-dependent kinases (CDKs) contain reactive cysteines that can be exploited by targeted covalent inhibitors. In this exploratory computational study, we asked whether selected natural-product-like (NP-like) electrophil...

  • Review
  • Open Access
60 Citations
20,006 Views
33 Pages

Recent Advances in Covalent Drug Discovery

  • Daniel Schaefer and
  • Xinlai Cheng

28 April 2023

In spite of the increasing number of biologics license applications, the development of covalent inhibitors is still a growing field within drug discovery. The successful approval of some covalent protein kinase inhibitors, such as ibrutinib (BTK cov...

  • Review
  • Open Access
6 Citations
6,510 Views
16 Pages

Coming of Age for BTK Inhibitor Therapy: A Review of Zanubrutinib in Waldenström Macroglobulinemia

  • Javier Muñoz,
  • Jonas Paludo,
  • Shayna Sarosiek and
  • Jorge J. Castillo

19 October 2022

Waldenström macroglobulinemia (WM) is a rare form of non-Hodgkin B-cell lymphoma with a variable clinical presentation that can impact a patient’s quality of life by causing anemia, peripheral neuropathy, serum hyperviscosity, extramedulla...

  • Review
  • Open Access
12 Citations
6,944 Views
16 Pages

6 February 2025

Effective available treatment options for patients with chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) who relapse after becoming refractory to both a covalent Bruton Tyrosine Kinase inhibitor (cBTKi) and a B cell leukemia/lymphoma...

  • Review
  • Open Access
22 Citations
4,697 Views
21 Pages

Treatment Refractoriness in Chronic Lymphocytic Leukemia: Old and New Molecular Biomarkers

  • Nawar Maher,
  • Samir Mouhssine,
  • Bassam Francis Matti,
  • Alaa Fadhil Alwan and
  • Gianluca Gaidano

Chronic lymphocytic leukemia (CLL) is the most common leukemia in adults. Despite its indolent clinical course, therapy refractoriness and disease progression still represent an unmet clinical need. Before the advent of pathway inhibitors, chemoimmun...

  • Review
  • Open Access
16 Citations
6,284 Views
17 Pages

The TKI Era in Chronic Leukemias

  • Danilo De Novellis,
  • Fabiana Cacace,
  • Valeria Caprioli,
  • William G. Wierda,
  • Kris M. Mahadeo and
  • Francesco Paolo Tambaro

Tyrosine kinases are proteins involved in physiological cell functions including proliferation, differentiation, and survival. However, the dysregulation of tyrosine kinase pathways occurs in malignancy, including hematological leukemias such as chro...

  • Article
  • Open Access
14 Citations
6,166 Views
12 Pages

17 January 2022

Deep machine learning is expanding the conceptual framework and capacity of computational compound design, enabling new applications through generative modeling. We have explored the systematic design of covalent protein kinase inhibitors by learning...

  • Review
  • Open Access
2,033 Views
37 Pages

The Development of Novel Therapies for Chronic Lymphocytic Leukaemia in the Era of Targeted Drugs

  • Tadeusz Robak,
  • Elżbieta Iskierka-Jażdżewska,
  • Anna Puła,
  • Pawel Robak and
  • Bartosz Puła

20 November 2025

Over the past decade, chronic lymphocytic leukaemia (CLL) treatment has shifted from chemoimmunotherapy to targeted oral agents, predominantly Bruton’s tyrosine kinase inhibitors (BTKis) and the BCL-2 inhibitor venetoclax. These therapies have...

  • Review
  • Open Access
25 Citations
5,834 Views
12 Pages

17 July 2023

Covalent Bruton’s tyrosine kinase inhibitors (cBTKi) have led to a paradigm shift in the treatment of chronic lymphocytic leukemia (CLL). These targeted oral therapies are administered as standard treatments in both the front-line and relapsed...

  • Article
  • Open Access
22 Citations
6,095 Views
37 Pages

Discovery of a Novel Class of Covalent Dual Inhibitors Targeting the Protein Kinases BMX and BTK

  • Michael Forster,
  • Xiaojun Julia Liang,
  • Martin Schröder,
  • Stefan Gerstenecker,
  • Apirat Chaikuad,
  • Stefan Knapp,
  • Stefan Laufer and
  • Matthias Gehringer

4 December 2020

The nonreceptor tyrosine TEC kinases are key regulators of the immune system and play a crucial role in the pathogenesis of diverse hematological malignancies. In contrast to the substantial efforts in inhibitor development for Bruton’s tyrosin...

  • Review
  • Open Access
1 Citations
3,502 Views
18 Pages

27 January 2025

The proliferation and survival of chronic lymphocytic leukemia (CLL) cells are heavily dependent on B-cell receptor (BCR) signaling and resistance to apoptosis. Approvals of multiple covalent Bruton’s tyrosine kinas inhibitors (cBTKis) as well...

  • Review
  • Open Access
1,348 Views
14 Pages

Resistance Mutations in CLL: Genetic Mechanisms Shaping the Future of Targeted Therapy

  • Samantha Sekeres,
  • Erica N. Lamkin,
  • Eduardo Bravo,
  • Allison Cool and
  • Justin Taylor

10 September 2025

Chronic lymphocytic leukemia (CLL) is the most common type of leukemia in Western populations and remains incurable despite significant therapeutic advancements. Over the past decade, the treatment landscape has evolved from traditional chemoimmunoth...

  • Review
  • Open Access
7 Citations
3,751 Views
13 Pages

Current Therapeutic Sequencing in Chronic Lymphocytic Leukemia

  • Samir Mouhssine,
  • Nawar Maher,
  • Sreekar Kogila,
  • Claudio Cerchione,
  • Giovanni Martinelli and
  • Gianluca Gaidano

30 April 2024

The treatment landscape of chronic lymphocytic leukemia (CLL), the most frequent leukemia in adults, is constantly changing. CLL patients can be divided into three risk categories, based on their IGHV mutational status and the occurrence of TP53 disr...

  • Review
  • Open Access
7 Citations
3,688 Views
19 Pages

26 March 2024

In the last few years, several agents targeting molecules that sustain the survival and the proliferation of chronic lymphocytic leukemia (CLL) cells have become clinically available. Most of these drugs target surface proteins, such as CD19 or CD20,...

  • Review
  • Open Access
1,646 Views
16 Pages

17 October 2025

Bing–Neel syndrome (BNS), a rare complication of Waldenström macroglobulinemia (WM), is caused by the direct infiltration of lymphoplasmacytic cells into the central nervous system (CNS). Since clinical manifestations are heterogeneous and...

  • Article
  • Open Access
1,692 Views
10 Pages

Venetoclax–Rituximab and Emerging Treatment Strategies After c-BTKi Exposure in Relapsed/Refractory CLL: A Real-World Cohort and Literature Overview

  • Maria Dimou,
  • Rodanthi Fioretzaki,
  • Calliope Zerzi,
  • Eliana Konstantinou,
  • John V. Asimakopoulos,
  • Maria Arapaki,
  • Alexia Piperidou,
  • Alexandros Machairas,
  • Anastasia Kopsaftopoulou and
  • Maria K. Angelopoulou
  • + 10 authors

29 September 2025

Background: Fixed-duration venetoclax plus rituximab (VR) is a standard therapy for relapsed/refractory (R/R) chronic lymphocytic leukemia (CLL). However, evidence supporting its use after covalent BTK inhibitor (c-BTKi) therapy is scarce in clinical...