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Updated: Mar 26, 2026

Characterization of MLKL-mediated Plasma Membrane Rupture in Necroptosis
Published on: August 7, 2018
Sequential Engagement of Distinct MLKL Phosphatidylinositol-Binding Sites Executes Necroptosis
Giovanni Quarato1, Cliff S Guy1, Christy R Grace2
1Department of Immunology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Abstract:
Necroptosis is a cell death pathway regulated by the receptor interacting protein kinase 3 (RIPK3) and the mixed lineage kinase domain-like (MLKL) pseudokinase. How MLKL executes plasma membrane rupture upon phosphorylation by RIPK3 remains controversial. Here, we characterize the hierarchical transduction of structural changes in MLKL that culminate in necroptosis. The MLKL brace, proximal to the N-terminal helix bundle (NB), is involved in oligomerization to facilitate plasma membrane targeting through the low-affinity binding of NB to phosphorylated inositol polar head groups of phosphatidylinositol phosphate (PIP) phospholipids. At the membrane, the NB undergoes a "rolling over" mechanism to expose additional higher-affinity PIP-binding sites responsible for robust association to the membrane and displacement of the brace from the NB. PI(4,5)P2 is the preferred PIP-binding partner. We investigate the specific association of MLKL with PIPs and subsequent structural changes during necroptosis.
Insights
Mixed lineage kinase domain-like (MLKL) oligomerization targets it to the plasma membrane, initiating programmed cell death (necroptosis). Structural changes in MLKL drive membrane association and rupture, a key step in necroptosis.
Area of Science:
- Cellular Biology
- Molecular Biology
- Biochemistry
Background:
- Necroptosis is a regulated form of cell death.
- Receptor interacting protein kinase 3 (RIPK3) phosphorylates mixed lineage kinase domain-like (MLKL).
- The precise mechanism of MLKL-mediated plasma membrane rupture in necroptosis is debated.
Purpose of the Study:
- To elucidate the structural changes in MLKL during necroptosis.
- To characterize the mechanism of MLKL's plasma membrane targeting and association.
- To investigate the role of phosphatidylinositol phosphates (PIPs) in MLKL function.
Main Methods:
- Structural characterization of MLKL.
- Biochemical assays to study MLKL-PIP interactions.
- In vitro studies of MLKL oligomerization and membrane binding.
Main Results:
- MLKL oligomerization facilitates initial plasma membrane targeting via its N-terminal helix bundle (NB) binding to PIPs.
- A "rolling over" mechanism of the NB exposes higher-affinity PIP-binding sites for robust membrane association.
- Phosphatidylinositol 4,5-bisphosphate (PI(4,5)P2) is identified as a preferred PIP-binding partner for MLKL.
Conclusions:
- MLKL undergoes hierarchical structural changes to execute plasma membrane rupture during necroptosis.
- The NB plays a dual role in membrane targeting and stabilization through sequential PIP interactions.
- Understanding MLKL-PIP interactions provides insights into necroptosis execution.
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