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Updated: Apr 30, 2026

Characterization of MLKL-mediated Plasma Membrane Rupture in Necroptosis
Published on: August 7, 2018
MLKL compromises plasma membrane integrity by binding to phosphatidylinositol phosphates
Yves Dondelinger1, Wim Declercq1, Sylvie Montessuit2
1VIB Inflammation Research Center, Technologiepark 927, 9052 Zwijnaarde-Ghent, Belgium; Department of Biomedical Molecular Biology, Ghent University, Technologiepark 927, 9052 Zwijnaarde-Ghent, Belgium.
Abstract:
Although mixed lineage kinase domain-like (MLKL) protein has emerged as a specific and crucial protein for necroptosis induction, how MLKL transduces the death signal remains poorly understood. Here, we demonstrate that the full four-helical bundle domain (4HBD) in the N-terminal region of MLKL is required and sufficient to induce its oligomerization and trigger cell death. Moreover, we found that a patch of positively charged amino acids on the surface of the 4HBD binds to phosphatidylinositol phosphates (PIPs) and allows recruitment of MLKL to the plasma membrane. Importantly, we found that recombinant MLKL, but not a mutant lacking these positive charges, induces leakage of PIP-containing liposomes as potently as BAX, supporting a model in which MLKL induces necroptosis by directly permeabilizing the plasma membrane. Accordingly, we found that inhibiting the formation of PI(5)P and PI(4,5)P2 specifically inhibits tumor necrosis factor (TNF)-mediated necroptosis but not apoptosis.
Insights
The N-terminal four-helical bundle domain of mixed lineage kinase domain-like (MLKL) protein is essential for necroptosis. This domain binds to phosphatidylinositol phosphates (PIPs), enabling MLKL to permeabilize the plasma membrane and induce cell death.
Area of Science:
- Cellular Biology
- Molecular Biology
- Biochemistry
Background:
- Mixed lineage kinase domain-like (MLKL) is a key mediator of necroptosis.
- The precise mechanism by which MLKL signals for cell death is not fully understood.
Purpose of the Study:
- To elucidate the role of MLKL's N-terminal region in necroptosis.
- To investigate how MLKL induces cell death at the molecular level.
Main Methods:
- Investigated the function of MLKL's N-terminal four-helical bundle domain (4HBD).
- Utilized biochemical assays to assess MLKL oligomerization and liposome permeabilization.
- Examined the role of positively charged amino acids in MLKL-membrane interactions.
- Studied the effect of inhibiting phosphatidylinositol phosphate (PIP) synthesis on necroptosis.
Main Results:
- The MLKL 4HBD is necessary and sufficient for MLKL oligomerization and cell death induction.
- A positively charged patch on the 4HBD surface binds to PIPs, recruiting MLKL to the plasma membrane.
- Recombinant MLKL, unlike a charge-mutant, permeabilizes PIP-containing liposomes, similar to BAX.
- Inhibiting PI(5)P and PI(4,5)P2 formation specifically blocks TNF-mediated necroptosis, not apoptosis.
Conclusions:
- MLKL directly permeabilizes the plasma membrane to induce necroptosis.
- PIP binding to MLKL is critical for its recruitment and function in necroptosis.
- Targeting PIP synthesis may offer specific therapeutic strategies for necroptosis.
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