Bruton's tyrosine kinase (Btk) is essential for normal B-cell receptor
signalling. The lack of expression of functional Btk in humans leads
to the B-cell deficiency X-linked agammaglobulinaemia (XLA), We report
here that Btk is also important for signalling via the collagen recep
tor glycoprotein VI (GPVI) in platelets. GPVI is coupled to the Fc rec
eptor gamma chain (FcR gamma. The FcR gamma-chain contains a consensus
sequence known as the immune-receptor tyrosine-based activation motif
(ITAM). Tyrosine phosphorylation of the ITAM upon GPVI stimulation is
the initial step in the regulation of phospholipase C gamma 2 (PLC ga
mma 2) isoforms via the tyrosine kinase p72(Syk)(Syk) in platelets. He
re we show that collagen and a collagen related peptide (CRP), which b
inds to GPVI but does not bind to the integrin alpha(2)beta(1), induce
d Btk tyrosine phosphorylation in platelets. Aggregation, dense granul
e secretion and calcium mobilisation were significantly diminished but
not completely abolished in platelets from XLA patients in response t
o collagen and CRP. These effects were associated with a reduction in
tyrosine phosphorylation of PLC gamma 2. In contrast, aggregation and
secretion stimulated by thrombin in Btk-deficient platelets were not s
ignificantly altered. Our results demonstrate that Btk is important fo
r collagen signalling via GPVI, but is not essential for thrombin-medi
ated platelet activation. (C) Current Biology Ltd ISSN 0960-9822.