Necroptotic Cell Death Signaling and Execution Pathway: Lessons from Knockout Mice
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Updated: Mar 31, 2026

Author Spotlight: THP-1 Macrophage Response to LPS/ATP — Unveiling the Pyroptosis, Apoptosis, and Necroptosis Spectrum
Published on: May 3, 2024
José Belizário1, Luiz Vieira-Cordeiro2, Sylvia Enns1
1Department of Pharmacology, Institute of Biomedical Sciences, University of São Paulo, 05508-900 São Paulo, SP, Brazil.
Abstract:
Under stress conditions, cells in living tissue die by apoptosis or necrosis depending on the activation of the key molecules within a dying cell that either transduce cell survival or death signals that actively destroy the sentenced cell. Multiple extracellular (pH, heat, oxidants, and detergents) or intracellular (DNA damage and Ca(2+) overload) stress conditions trigger various types of the nuclear, endoplasmic reticulum (ER), cytoplasmatic, and mitochondrion-centered signaling events that allow cells to preserve the DNA integrity, protein folding, energetic, ionic and redox homeostasis, thus escaping from injury. Along the transition from reversible to irreversible injury, death signaling is highly heterogeneous and damaged cells may engage autophagy, apoptotic, or necrotic cell death programs. Studies on multiple double- and triple- knockout mice identified caspase-8, flip, and fadd genes as key regulators of embryonic lethality and inflammation. Caspase-8 has a critical role in pro- and antinecrotic signaling pathways leading to the activation of receptor interacting protein kinase 1 (RIPK1), RIPK3, and the mixed kinase domain-like (MLKL) for a convergent execution pathway of necroptosis or regulated necrosis. Here we outline the recent discoveries into how the necrotic cell death execution pathway is engaged in many physiological and pathological outcome based on genetic analysis of knockout mice.
Insights
Cellular stress triggers apoptosis or necrosis, regulated by key molecules like caspase-8. Genetic analysis of knockout mice reveals caspase-8
Area of Science:
- Cellular Biology
- Molecular Biology
- Genetics
Background:
- Cellular stress can lead to apoptosis or necrosis, involving complex signaling pathways.
- Key molecules determine cell fate, balancing survival and active destruction.
- Multiple stress conditions activate diverse signaling events to maintain cellular homeostasis.
Purpose of the Study:
- To outline recent discoveries in the necrotic cell death execution pathway.
- To investigate the role of specific genes in regulating cell death.
- To understand the physiological and pathological outcomes of necrotic cell death.
Main Methods:
- Analysis of multiple double- and triple-knockout mice.
- Identification of key regulatory genes such as caspase-8, flip, and fadd.
- Examination of signaling pathways involving receptor interacting protein kinase 1 (RIPK1), RIPK3, and mixed kinase domain-like (MLKL).
Main Results:
- Caspase-8, flip, and fadd genes are identified as critical regulators of embryonic lethality and inflammation.
- Caspase-8 plays a crucial role in both pro- and anti-necrotic signaling.
- A convergent execution pathway for necroptosis involves RIPK1, RIPK3, and MLKL activation.
Conclusions:
- The necrotic cell death execution pathway is intricately regulated by specific genetic factors.
- Understanding these pathways is crucial for comprehending various physiological and pathological conditions.
- Genetic analysis in knockout mice provides significant insights into cell death mechanisms.
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