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Updated: May 28, 2026

Characterization of MLKL-mediated Plasma Membrane Rupture in Necroptosis
Published on: August 7, 2018
RIPK-dependent necrosis and its regulation by caspases: a mystery in five acts
Douglas R Green1, Andrew Oberst, Christopher P Dillon
1Department of Immunology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA. douglas.green@stjude.org
Abstract:
Caspase-8, FADD, and FLIP orchestrate apoptosis in response to death receptor ligation. Mysteriously however, these proteins are also required for normal embryonic development and immune cell proliferation, an observation that has led to their implication in several nonapoptotic processes. While many scenarios have been proposed, recent genetic and biochemical evidence points to unregulated signaling by the receptor-interacting protein kinases-1 (RIPK1) and RIPK3 as the lethal defect in caspase-8-, FADD-, and FLIP-deficient animals and tissues. The RIPKs are known killers, being responsible for a nonapoptotic form of cell death with features similar to necrosis. However, the mechanism by which caspase-8, FADD, and FLIP prevent runaway RIPK activation is unknown, and the signals that trigger these events during development and immune cell activation remain at large. In this review, we will lay out the evidence as it now stands, reinterpreting earlier observations in light of new clues and considering where the investigation might lead.
Insights
Caspase-8, FADD, and FLIP are crucial for apoptosis and development. New evidence suggests uncontrolled RIPK1 and RIPK3 signaling causes cell death in their absence.
Area of Science:
- Molecular Biology
- Immunology
- Cell Death Pathways
Background:
- Caspase-8, FADD, and FLIP regulate apoptosis via death receptors.
- These proteins are also vital for embryonic development and immune cell function.
- Their roles extend beyond apoptosis, suggesting involvement in nonapoptotic processes.
Purpose of the Study:
- To review current evidence on the nonapoptotic roles of Caspase-8, FADD, and FLIP.
- To investigate the link between these proteins and RIPK1/RIPK3 signaling.
- To elucidate the mechanism by which Caspase-8, FADD, and FLIP control RIPK activation.
Main Methods:
- Genetic analysis of caspase-8-, FADD-, and FLIP-deficient models.
- Biochemical assays to study protein interactions and signaling pathways.
- Review and reinterpretation of existing literature.
Main Results:
- Unregulated signaling by RIPK1 and RIPK3 is identified as the cause of lethality in deficient models.
- RIPKs mediate a nonapoptotic cell death resembling necrosis.
- The precise mechanism of RIPK inhibition by Caspase-8, FADD, and FLIP remains unclear.
Conclusions:
- Caspase-8, FADD, and FLIP are essential regulators preventing RIPK-driven cell death.
- Further research is needed to understand the upstream signals triggering RIPK activation.
- This review consolidates evidence and proposes future research directions.
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