Bruton tyrosine kinase (Btk) is a cytoplasmic protein tyrosine kinase that is essential for B cell development. The Btk gene encodes a 659-amino acid protein that contains a single catalytic domain, the src homology domains SH2 and SH3, and a unique N-terminal region with a pleckstrin homology domain and proline-rich sequences (1, 2). Btk belongs to the Tec subfamily of tyrosine kinases, together with the homologous