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Updated: Feb 5, 2026

Characterization of MLKL-mediated Plasma Membrane Rupture in Necroptosis
Published on: August 7, 2018
The pseudokinase MLKL activates PAD4-dependent NET formation in necroptotic neutrophils
Akshay A D'Cruz1,2, Mary Speir1,2, Meghan Bliss-Moreau1,2
1Division of Hematology/Oncology, Boston Children's Hospital, Boston, MA 02115, USA.
Abstract:
Neutrophil extracellular trap (NET) formation can generate short-term, functional anucleate cytoplasts and trigger loss of cell viability. We demonstrated that the necroptotic cell death effector mixed lineage kinase domain-like (MLKL) translocated from the cytoplasm to the plasma membrane and stimulated downstream NADPH oxidase-independent ROS production, loss of cytoplasmic granules, breakdown of the nuclear membrane, chromatin decondensation, histone hypercitrullination, and extrusion of bacteriostatic NETs. This process was coordinated by receptor-interacting protein kinase-1 (RIPK1), which activated the caspase-8-dependent apoptotic or RIPK3/MLKL-dependent necroptotic death of mouse and human neutrophils. Genetic deficiency of RIPK3 and MLKL prevented NET formation but did not prevent cell death, which was because of residual caspase-8-dependent activity. Peptidylarginine deiminase 4 (PAD4) was activated downstream of RIPK1/RIPK3/MLKL and was required for maximal histone hypercitrullination and NET extrusion. This work defines a distinct signaling network that activates PAD4-dependent NET release for the control of methicillin-resistant Staphylococcus aureus (MRSA) infection.
Insights
Neutrophil extracellular trap (NET) formation involves the necroptotic effector mixed lineage kinase domain-like (MLKL) and receptor-interacting protein kinase-1 (RIPK1), leading to histone hypercitrullination and NET release for controlling MRSA infection.
Area of Science:
- Immunology
- Cell Biology
- Microbiology
Background:
- Neutrophil extracellular traps (NETs) are crucial for host defense but their formation mechanisms are not fully elucidated.
- NETosis, the process of NET formation, involves cell death and the release of antimicrobial components.
- Understanding the signaling pathways regulating NETosis is vital for developing new antimicrobial strategies.
Purpose of the Study:
- To elucidate the molecular mechanisms and signaling pathways governing NET formation and release.
- To identify key proteins involved in NETosis and their roles in neutrophil cell death.
- To investigate the contribution of NETs to the control of methicillin-resistant Staphylococcus aureus (MRSA) infection.
Main Methods:
- Utilized mouse and human neutrophils.
- Investigated the roles of mixed lineage kinase domain-like (MLKL), receptor-interacting protein kinase-1 (RIPK1), RIPK3, and peptidylarginine deiminase 4 (PAD4) in NET formation.
- Assessed NET extrusion, cell death pathways (apoptosis and necroptosis), reactive oxygen species (ROS) production, and histone modifications.
- Examined the impact of genetic deficiencies in key proteins on NET formation and MRSA control.
Main Results:
- Demonstrated that MLKL translocates to the plasma membrane, triggering ROS production and NET extrusion.
- Showed that RIPK1 coordinates both caspase-8-dependent apoptosis and RIPK3/MLKL-dependent necroptosis in neutrophils.
- Confirmed that PAD4 activation downstream of RIPK1/RIPK3/MLKL is essential for histone hypercitrination and NET release.
- Found that genetic deficiency of RIPK3 and MLKL impaired NET formation but not cell death due to residual caspase-8 activity.
- Highlighted the role of PAD4-dependent NET release in controlling MRSA infection.
Conclusions:
- Identified a distinct signaling network involving RIPK1, RIPK3, MLKL, and PAD4 that regulates NET formation.
- Established that PAD4-dependent NET release is crucial for controlling MRSA infection.
- Provided insights into the interplay between cell death pathways and NETosis in innate immunity.
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