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Updated: Apr 25, 2026

Author Spotlight: THP-1 Macrophage Response to LPS/ATP — Unveiling the Pyroptosis, Apoptosis, and Necroptosis Spectrum
Published on: May 3, 2024
Inflammatory outcomes of apoptosis, necrosis and necroptosis
Abstract:
Microbial infection and tissue injury are well established as the two major drivers of inflammation. However, although it is widely accepted that necrotic cell death can trigger or potentiate inflammation, precisely how this is achieved still remains relatively obscure. Certain molecules, which have been dubbed 'damage-associated molecular patterns' (DAMPs) or alarmins, are thought to promote inflammation upon release from necrotic cells. However, the precise nature and relative potency of DAMPs, compared to conventional pro-inflammatory cytokines or pathogen-associated molecular patterns (PAMPs), remains unclear. How different modes of cell death impact on the immune system also requires further clarification. Apoptosis has long been regarded as a non-inflammatory or even anti-inflammatory mode of cell death, but recent studies suggest that this is not always the case. Necroptosis is a programmed form of necrosis that is engaged under certain conditions when caspase activation is blocked. Necroptosis is also regarded as a highly pro-inflammatory mode of cell death but there has been little explicit examination of this issue. Here we discuss the inflammatory implications of necrosis, necroptosis and apoptosis and some of the unresolved questions concerning how dead cells influence inflammatory responses.
Insights
Necrotic cell death triggers inflammation via damage-associated molecular patterns (DAMPs), but their precise role and potency compared to other inflammatory signals remain unclear. This review explores how necrosis, necroptosis, and apoptosis impact immune responses.
Area of Science:
- Immunology
- Cell Biology
- Molecular Medicine
Background:
- Inflammation is primarily driven by microbial infection and tissue injury.
- The mechanisms by which necrotic cell death initiates inflammation are not fully understood.
- Damage-associated molecular patterns (DAMPs) are released from necrotic cells and implicated in promoting inflammation.
Purpose of the Study:
- To elucidate the inflammatory implications of different cell death modalities.
- To clarify the role and relative potency of DAMPs in inflammation.
- To address unresolved questions regarding how dead cells influence immune responses.
Main Methods:
- Review of existing literature on cell death and inflammation.
- Discussion of molecular mediators such as DAMPs, cytokines, and pathogen-associated molecular patterns (PAMPs).
- Analysis of the immune system's response to apoptosis, necrosis, and necroptosis.
Main Results:
- Necrotic cell death is a known trigger for inflammation, with DAMPs proposed as key mediators.
- The exact nature and potency of DAMPs relative to cytokines and PAMPs require further investigation.
- Apoptosis, traditionally viewed as non-inflammatory, may also elicit immune responses under certain conditions.
- Necroptosis, a programmed form of necrosis, is considered highly pro-inflammatory, though explicit examination is limited.
Conclusions:
- Understanding the precise mechanisms of DAMPs is crucial for comprehending inflammation.
- Different modes of cell death, including apoptosis and necroptosis, have distinct and complex impacts on the immune system.
- Further research is needed to fully unravel how cell death influences inflammatory processes and immune system modulation.
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