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Updated: May 3, 2026

Live-cell Imaging of Lysosomal Membrane Permeabilization During Necroptosis
Published on: November 14, 2025
Regulated necrosis: the expanding network of non-apoptotic cell death pathways
Tom Vanden Berghe1, Andreas Linkermann2, Sandrine Jouan-Lanhouet3
11] Molecular Signaling and Cell Death Unit, Inflammation Research Center, Flanders Institute for Biotechnology (VIB), Ghent University, 9052 Ghent, Belgium. [2].
Abstract:
Cell death research was revitalized by the understanding that necrosis can occur in a highly regulated and genetically controlled manner. Although RIPK1 (receptor-interacting protein kinase 1)- and RIPK3-MLKL (mixed lineage kinase domain-like)-mediated necroptosis is the most understood form of regulated necrosis, other examples of this process are emerging, including cell death mechanisms known as parthanatos, oxytosis, ferroptosis, NETosis, pyronecrosis and pyroptosis. Elucidating how these pathways of regulated necrosis are interconnected at the molecular level should enable this process to be therapeutically targeted.
Insights
Regulated necrosis, including necroptosis, involves genetically controlled cell death. Understanding diverse pathways like parthanatos and ferroptosis offers therapeutic targeting opportunities.
Area of Science:
- Molecular biology
- Cellular biology
- Biochemistry
Background:
- Cell death research has evolved with the discovery of regulated necrosis.
- Necroptosis, mediated by RIPK1 and RIPK3-MLKL, is a well-characterized form of regulated necrosis.
- Emerging research identifies other regulated necrosis pathways, including parthanatos, oxytosis, ferroptosis, NETosis, pyronecrosis, and pyroptosis.
Purpose of the Study:
- To review the molecular mechanisms of various regulated necrosis pathways.
- To highlight the interconnectedness of these cell death pathways.
- To explore the therapeutic potential of targeting regulated necrosis.
Main Methods:
- Literature review of cell death research.
- Analysis of molecular signaling in regulated necrosis.
- Comparison of different regulated necrosis pathways.
Main Results:
- Regulated necrosis encompasses multiple genetically controlled cell death mechanisms beyond necroptosis.
- These pathways share molecular components and regulatory networks.
- RIPK1 and RIPK3-MLKL are central to necroptosis, but other pathways involve distinct molecular players.
Conclusions:
- Understanding the molecular interplay between diverse regulated necrosis pathways is crucial.
- Targeting these interconnected pathways holds promise for novel therapeutic strategies in diseases involving cell death.
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