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Updated: Mar 24, 2026

Characterization of MLKL-mediated Plasma Membrane Rupture in Necroptosis
Published on: August 7, 2018
Key roles of necroptotic factors in promoting tumor growth
Xinjian Liu1,2, Min Zhou1,3, Ling Mei4,5,6,7
1Department of Dermatology, Duke University Medical Center, Durham, North Carolina 27710, USA.
Abstract:
Necroptotic factors are generally assumed to play a positive role in tumor therapy by eliminating damaged tumor cells. Here we show that, contrary to expectation, necroptotic factors RIPK1, RIPK3, and MLKL promote tumor growth. We demonstrate that genetic knockout of necroptotic genes RIPK1, RIPK3, or MLKL in cancer cells significantly attenuated their abilities to grow in an anchorage-independent manner. In addition, they exhibited significantly enhanced radiosensitivity. The knockout cells also showed greatly reduced ability to form tumors in mice. Moreover, necrosulfonamide (NSA), a previously identified chemical inhibitor of necroptosis, could significantly delay tumor growth in a xenograft model. Mechanistically, we show that necroptoic factors play a significant role in maintaining the activity of NF-κB. Finally, we found that high levels of phosphorylated MLKL in human esophageal and colon cancers are associated with poor overall survival. Taken together, we conclude that pro-necroptic factors such as RIPK1, RIPK3, and MLKL may play a role in supporting tumor growth, and MLKL may be a promising target for cancer treatment.
Insights
Contrary to expectations, necroptotic factors like RIPK1, RIPK3, and MLKL promote tumor growth. Inhibiting these factors or their pathways shows promise for effective cancer treatment strategies.
Area of Science:
- Oncology
- Cell Biology
- Molecular Biology
Background:
- Necroptotic factors are typically considered beneficial in cancer therapy for eliminating tumor cells.
- However, their precise role in tumor progression remains incompletely understood.
Purpose of the Study:
- To investigate the role of necroptotic factors (RIPK1, RIPK3, MLKL) in tumor growth and their potential as therapeutic targets.
- To explore the mechanism by which necroptotic factors influence tumor progression, specifically NF-κB activity.
Main Methods:
- Genetic knockout of RIPK1, RIPK3, and MLKL in cancer cells.
- Assessing anchorage-independent growth and radiosensitivity of knockout cells.
- Evaluating tumor formation in mouse xenograft models using knockout cells and a necroptosis inhibitor (NSA).
- Analyzing NF-κB activity and phosphorylated MLKL levels in human cancer tissues.
Main Results:
- Genetic knockout of RIPK1, RIPK3, or MLKL significantly reduced cancer cell anchorage-independent growth.
- Knockout cells displayed enhanced radiosensitivity and reduced tumor formation in vivo.
- The necroptosis inhibitor necrosulfonamide (NSA) significantly delayed tumor growth in a xenograft model.
- Necroptotic factors were found to maintain NF-κB activity, and high phosphorylated MLKL levels correlated with poor survival in esophageal and colon cancers.
Conclusions:
- Contrary to established assumptions, necroptotic factors RIPK1, RIPK3, and MLKL actively promote tumor growth.
- Targeting necroptosis, particularly MLKL, represents a promising therapeutic strategy for cancer treatment.
- Understanding the role of necroptosis in NF-κB activation provides mechanistic insight into its pro-tumorigenic effects.
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