Related Experiment Video
Updated: May 5, 2026

Characterization of MLKL-mediated Plasma Membrane Rupture in Necroptosis
Published on: August 7, 2018
ESCRT-III Acts Downstream of MLKL to Regulate Necroptotic Cell Death and Its Consequences
Yi-Nan Gong1, Cliff Guy1, Hannes Olauson2
1Department of Immunology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Abstract:
The activation of mixed lineage kinase-like (MLKL) by receptor-interacting protein kinase-3 (RIPK3) results in plasma membrane (PM) disruption and a form of regulated necrosis, called necroptosis. Here, we show that, during necroptosis, MLKL-dependent calcium (Ca2+) influx and phosphatidylserine (PS) exposure on the outer leaflet of the plasma membrane preceded loss of PM integrity. Activation of MLKL results in the generation of broken, PM "bubbles" with exposed PS that are released from the surface of the otherwise intact cell. The ESCRT-III machinery is required for formation of these bubbles and acts to sustain survival of the cell when MLKL activation is limited or reversed. Under conditions of necroptotic cell death, ESCRT-III controls the duration of plasma membrane integrity. As a consequence of the action of ESCRT-III, cells undergoing necroptosis can express chemokines and other regulatory molecules and promote antigenic cross-priming of CD8+ T cells.
Insights
Receptor-interacting protein kinase-3 (RIPK3) activates mixed lineage kinase-like (MLKL), causing cell membrane disruption during necroptosis. The ESCRT-III machinery manages plasma membrane integrity and promotes CD8+ T cell responses.
Area of Science:
- Cellular biology
- Immunology
- Biochemistry
Background:
- Receptor-interacting protein kinase-3 (RIPK3) activates mixed lineage kinase-like (MLKL), leading to necroptosis, a form of regulated necrosis.
- Necroptosis is characterized by plasma membrane (PM) disruption.
Purpose of the Study:
- To investigate the sequence of events during MLKL activation and necroptosis.
- To elucidate the role of the ESCRT-III machinery in necroptosis and its consequences.
Main Methods:
- Observational studies of cells undergoing necroptosis.
- Analysis of calcium influx and phosphatidylserine exposure.
- Investigating the role of the ESCRT-III machinery.
Main Results:
- MLKL activation triggers calcium influx and phosphatidylserine exposure before PM integrity loss.
- MLKL activation generates shed plasma membrane "bubbles" with exposed phosphatidylserine.
- The ESCRT-III machinery is essential for bubble formation and regulates plasma membrane integrity duration.
- ESCRT-III action in necroptosis promotes chemokine expression and CD8+ T cell cross-priming.
Conclusions:
- The ESCRT-III machinery plays a critical role in managing plasma membrane integrity during necroptosis.
- ESCRT-III-mediated processes during necroptosis contribute to immune responses, including T cell activation.
Related Concept Videos
Overview of Cell Death
Cell death was observed in the early 19th century, but there was no experimental evidence to prove it. In 1842, Carl Vogt first discovered cell death in a metamorphic toad; however, it was not termed ‘cell death.’ Scientists discovered different cell death pathways only in the...
The Extrinsic Apoptotic Pathway
The Intrinsic Apoptotic Pathway
Necrosis
Morphological Manifestations of Necrosis
Necrotic cells show different types of morphological appearance depending on the type of tissue and infection. In coagulative necrosis, cells become...
Cellular Injury IV: Necrosis
Cellular Injury V: Apoptosis and Autophagy

