Cell death-mediated cytokine release and its therapeutic implications
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Updated: Jan 23, 2026

Methods to Assess Beta Cell Death Mediated by Cytotoxic T Lymphocytes
Published on: June 16, 2011
David E Place1, Thirumala-Devi Kanneganti2
1Department of Immunology, St. Jude Children's Research Hospital, Memphis, TN.
Abstract:
Targeting apoptosis to treat diseases has seen tremendous success over the past decades. More recently, alternative forms of regulated cell death, including pyroptosis and necroptosis, have been described. Understanding the molecular cascades regulating both pyroptosis and necroptosis will yield even more targets to treat diseases. These lytic forms of cell death are distinct from apoptosis due to their characteristic lysis and release of cellular components that promote disease or direct a beneficial immune response. In this review, we focus on how pyroptosis and necroptosis, which release potent immune cytokines such as IL-1 and IL-18, contribute to various diseases. We also consider the important role that the executioners of these cell death pathways, GSDMD and MLKL, play in the progression of inflammatory diseases. Crosstalk between the different cell death pathways likely plays a major role physiologically. New therapeutic strategies targeting these specific molecules hold enormous potential for managing inflammatory diseases.
Insights
Regulated cell death pathways like pyroptosis and necroptosis, distinct from apoptosis, release immune signals. Understanding these pathways and their key molecules, GSDMD and MLKL, offers new therapeutic targets for inflammatory diseases.
Area of Science:
- Cellular Biology
- Immunology
- Pathology
Background:
- Apoptosis targeting has advanced disease treatment.
- Alternative regulated cell death forms, pyroptosis and necroptosis, are increasingly recognized.
- These lytic cell death pathways differ from apoptosis, characterized by cell lysis and release of immune-modulating components.
Purpose of the Study:
- To review the molecular mechanisms of pyroptosis and necroptosis.
- To explore the role of these pathways in disease pathogenesis.
- To identify potential therapeutic targets within these cell death cascades.
Main Methods:
- Literature review focusing on pyroptosis and necroptosis.
- Analysis of molecular executioners GSDMD and MLKL.
- Examination of cytokine release (IL-1, IL-18) and immune responses.
Main Results:
- Pyroptosis and necroptosis involve distinct molecular cascades.
- These pathways release potent immune cytokines (IL-1, IL-18).
- GSDMD and MLKL are key executioners in inflammatory disease progression.
Conclusions:
- Understanding pyroptosis and necroptosis provides novel therapeutic targets.
- Targeting GSDMD and MLKL shows potential for managing inflammatory diseases.
- Interplay between cell death pathways is physiologically significant.
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