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Updated: Feb 23, 2026

Characterization of MLKL-mediated Plasma Membrane Rupture in Necroptosis
Published on: August 7, 2018
Biological events and molecular signaling following MLKL activation during necroptosis
Yi-Nan Gong1, Cliff Guy1, Jeremy Chase Crawford1
1a Department of Immunology , St. Jude Children's Research Hospital , Memphis , TN , USA.
Abstract:
Necroptosis is a form of programmed necrotic cell death mediated by the kinase RIPK3 and its substrate MLKL. MLKL, which displays plasma membrane (PM) pore-forming activity upon phosphorylation, functions as the executioner during necroptosis. Thus, it was previously assumed that MLKL phosphorylation is the endpoint of the necroptotic signaling pathway. Here, we summarize several events that characterize the dying necroptotic cells after MLKL phosphorylation, including Ca2+ influx, phosphatidylserine (PS) externalization, PM repair by ESCRT-III activation, and the final compromise of PM integrity. These processes add several unexpected regulatory events downstream of MLKL signaling. We have also observed that CoCl2, which may mimic hypoxia, can induce necroptosis, which suggests that in vivo triggers of necroptosis might include a transient lack of O2.
Insights
Necroptosis, a programmed cell death, involves MLKL executioner activity. New findings reveal crucial events after MLKL phosphorylation, including cell membrane repair and potential hypoxia triggers.
Area of Science:
- Cellular Biology
- Molecular Biology
- Biochemistry
Background:
- Necroptosis is a programmed cell death pathway regulated by RIPK3 and MLKL.
- MLKL phosphorylation initiates plasma membrane pore formation, previously thought to be the terminal event.
Purpose of the Study:
- To elucidate the events occurring downstream of MLKL phosphorylation during necroptosis.
- To identify potential in vivo triggers of necroptosis, such as hypoxia.
Main Methods:
- Review and summarization of existing literature on necroptosis signaling.
- Observation of cellular events following MLKL phosphorylation.
- Investigation of Cobalt chloride (CoCl2) as a potential inducer of necroptosis.
Main Results:
- MLKL phosphorylation is followed by significant cellular events: Ca2+ influx, phosphatidylserine externalization, and ESCRT-III mediated plasma membrane repair.
- Despite repair attempts, plasma membrane integrity is ultimately compromised.
- Cobalt chloride, mimicking hypoxia, was observed to induce necroptosis.
Conclusions:
- MLKL phosphorylation is not the endpoint; several regulatory events occur downstream, impacting cell death.
- Hypoxia or transient oxygen deprivation may serve as in vivo triggers for necroptosis.
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