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Necroptosis: the release of damage-associated molecular patterns and its physiological relevance
Agnieszka Kaczmarek1, Peter Vandenabeele, Dmitri V Krysko
1Molecular Signaling and Cell Death Unit, Department for Molecular Biomedical Research, VIB, 9052 Ghent, Belgium.
Abstract:
Regulated necrosis, termed necroptosis, is negatively regulated by caspase-8 and is dependent on the kinase activity of RIPK1 and RIPK3. Necroptosis leads to rapid plasma membrane permeabilization and to the release of cell contents and exposure of damage-associated molecular patterns (DAMPs). We are only beginning to identify the necroptotic DAMPs, their modifications, and their potential role in the regulation of inflammation. In this review, we discuss the physiological relevance of necroptosis and its role in the modulation of inflammation. For example, during viral infection, RIPK3-mediated necroptosis acts as a backup mechanism to clear pathogens. Necroptosis is also involved in apparently immunologically silent maintenance of T cell homeostasis. In contrast, the induction of necroptosis in skin, intestine, systemic inflammatory response syndrome, and ischemia reperfusion injury provoke a strong inflammatory response, which might be triggered by emission of DAMPs from necroptotic cells, showing the detrimental side of necroptosis.
Insights
Necroptosis, a regulated form of necrosis, involves RIPK1 and RIPK3 kinases and releases damage-associated molecular patterns (DAMPs). This process can either clear pathogens or trigger harmful inflammation, depending on the context.
Area of Science:
- Cellular Biology
- Immunology
- Molecular Biology
Background:
- Necroptosis is a regulated form of necrosis.
- It is negatively regulated by caspase-8.
- It relies on the kinase activity of RIPK1 and RIPK3.
Purpose of the Study:
- To review the physiological relevance of necroptosis.
- To discuss necroptosis's role in modulating inflammation.
- To explore damage-associated molecular patterns (DAMPs) released during necroptosis.
Main Methods:
- Literature review of necroptosis.
- Analysis of necroptosis's role in viral infections.
- Examination of necroptosis's involvement in tissue injury and inflammation.
Main Results:
- Necroptosis leads to plasma membrane permeabilization and DAMP release.
- RIPK3-mediated necroptosis can act as a backup mechanism to clear pathogens during viral infections.
- Necroptosis is implicated in T cell homeostasis maintenance.
- Necroptosis in certain conditions (skin, intestine, SIRS, ischemia-reperfusion) provokes strong inflammatory responses due to DAMP emission.
Conclusions:
- Necroptosis has a dual role: beneficial in pathogen clearance and homeostasis, but detrimental when inducing inflammation.
- Further research is needed to fully identify necroptotic DAMPs and their inflammatory roles.
- Understanding necroptosis is crucial for managing inflammatory diseases.
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