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Updated: Jan 24, 2026

Characterization of MLKL-mediated Plasma Membrane Rupture in Necroptosis
Published on: August 7, 2018
Complex roles of necroptosis in cancer
Fang Zhu1,2,3,4, Wei Zhang1,2,3,4, Tao Yang1,2,3,4
1Cyrus Tang Hematology Center and Collaborative Innovation Center of Hematology, State Key Laboratory of Radiation Medicine and Protection, Soochow University, Suzhou 215123, China.
Abstract:
Necroptosis is a tightly regulated form of necrosis that requires the activation of receptor-interacting protein (RIP) kinases RIPK1 and RIPK3, as well as the RIPK3 substrate mixed lineage kinase domain-like protein (MLKL). Because of membrane rupture, necroptotic cells release damage-associated molecular patterns (DAMPs) that evoke immune responses. Necroptosis is emerging as an important cellular response in the modulation of cancer initiation, progression, and metastasis. Necroptosis of cancer cells is considered to be an immunogenic cell death capable of activating anti-tumor immunity. Necroptosis also participates in the promotion of myeloid cell-induced adaptive immune suppression and thus contributes to oncogenesis. In addition, necroptosis of endothelial cells and tumor cells is conducive to tumor metastasis. In this review, we summarize the current knowledge of the complex role of necroptosis in cancer and discuss the potential of targeting necroptosis components for cancer therapies.
Insights
Necroptosis, a regulated cell death, plays a dual role in cancer, potentially activating anti-tumor immunity or promoting immune suppression and metastasis. Targeting necroptosis offers new therapeutic avenues for cancer treatment.
Area of Science:
- Immunology
- Cell Biology
- Oncology
Background:
- Necroptosis is a regulated form of necrosis involving RIPK1, RIPK3, and MLKL.
- Necroptosis triggers the release of damage-associated molecular patterns (DAMPs), influencing immune responses.
- The role of necroptosis in cancer is complex, impacting initiation, progression, and metastasis.
Purpose of the Study:
- To review the multifaceted role of necroptosis in cancer.
- To explore necroptosis's impact on anti-tumor immunity and immune suppression.
- To discuss the therapeutic potential of targeting necroptosis in cancer treatment.
Main Methods:
- Literature review of necroptosis mechanisms and functions in cancer.
- Analysis of necroptosis's involvement in cancer cell death, immune modulation, and metastasis.
- Discussion of current and future therapeutic strategies targeting necroptosis.
Main Results:
- Necroptosis of cancer cells can induce immunogenic cell death and activate anti-tumor immunity.
- Necroptosis can also promote myeloid cell-induced adaptive immune suppression, contributing to oncogenesis.
- Necroptosis of endothelial and tumor cells facilitates tumor metastasis.
Conclusions:
- Necroptosis has a complex and context-dependent role in cancer biology.
- Targeting necroptosis components presents a promising strategy for novel cancer therapies.
- Further research is needed to fully elucidate and exploit necroptosis in oncology.
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