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Updated: Feb 7, 2026

Characterization of MLKL-mediated Plasma Membrane Rupture in Necroptosis
Published on: August 7, 2018
The Role of Necroptosis in Cardiovascular Disease
Shi Zhe-Wei1, Ge Li-Sha2, Li Yue-Chun1
1Department of Cardiology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Abstract:
A newly discovered mechanism of cell death, programmed necrosis (necroptosis), combines features of both necrosis and apoptosis. Necroptosis is tightly modulated by a series of characteristic signaling pathways. Activating necroptosis by ligands of death receptors requires the kinase activity of receptor-interacting protein 1 (RIP1), which mediates the activation of receptor-interacting protein 3 (RIP3) and mixed lineage kinase domain-like (MLKL) two critical downstream mediators of necroptosis. Recently, different cytokines have been found participating in this mechanism of cell death. Necroptosis has been proposed as an important component to the pathophysiology of heart disease such as vascular atherosclerosis, ischemia-reperfusion injury, myocardial infarction and cardiac remodeling. Targeting necroptosis signaling pathways may provide therapeutic benefit in the treatment of cardiovascular diseases.
Insights
Programmed necrosis (necroptosis) is a cell death pathway involving receptor-interacting protein 1 (RIP1), receptor-interacting protein 3 (RIP3), and mixed lineage kinase domain-like (MLKL). Targeting necroptosis may treat cardiovascular diseases.
Area of Science:
- Cellular biology
- Molecular mechanisms of cell death
- Cardiovascular pathophysiology
Background:
- Programmed necrosis (necroptosis) is a regulated form of cell death.
- Necroptosis shares characteristics with both necrosis and apoptosis.
- Specific signaling pathways, including receptor-interacting protein 1 (RIP1), receptor-interacting protein 3 (RIP3), and mixed lineage kinase domain-like (MLKL), are critical for necroptosis activation.
Purpose of the Study:
- To explore the role of necroptosis in cardiovascular diseases.
- To understand the signaling pathways involved in necroptosis.
- To investigate the therapeutic potential of targeting necroptosis in cardiovascular conditions.
Main Methods:
- Review of existing literature on necroptosis and cardiovascular disease.
- Analysis of signaling pathways, including RIP1, RIP3, and MLKL.
- Examination of necroptosis involvement in conditions like atherosclerosis, ischemia-reperfusion injury, myocardial infarction, and cardiac remodeling.
Main Results:
- Necroptosis is implicated in the pathophysiology of various heart diseases.
- Cytokines have been identified as participants in necroptosis.
- The kinase activity of RIP1 is essential for activating downstream RIP3 and MLKL.
Conclusions:
- Necroptosis is a significant contributor to cardiovascular disease development.
- Targeting necroptosis signaling pathways presents a potential therapeutic strategy for cardiovascular diseases.
- Further research into necroptosis modulation could yield novel treatments for heart conditions.
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