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Updated: Jan 21, 2026

Characterization of MLKL-mediated Plasma Membrane Rupture in Necroptosis
Published on: August 7, 2018
Necroptosis: a crucial pathogenic mediator of human disease
Mary E Choi1,2, David R Price2,3, Stefan W Ryter3
1Division of Nephrology and Hypertension, Joan and Sanford I. Weill Department of Medicine, Weill Cornell Medicine, New York, New York, USA.
Abstract:
Necroptosis is a genetically regulated form of necrotic cell death that has emerged as an important pathway in human disease. The necroptosis pathway is induced by a variety of signals, including death receptor ligands, and regulated by receptor-interacting protein kinases 1 and 3 (RIPK1 and RIPK3) and mixed-lineage kinase domain-like pseudokinase (MLKL), which form a regulatory necrosome complex. RIPK3-mediated phosphorylation of MLKL executes necroptosis. Recent studies, using animal models of tissue injury, have revealed that RIPK3 and MLKL are key effectors of injury propagation. This Review explores the functional roles of RIPK3 and MLKL as crucial pathogenic determinants and markers of disease progression and severity in experimental models of human disease, including acute and chronic pulmonary diseases; renal, hepatic, cardiovascular, and neurodegenerative diseases; cancer; and critical illness.
Insights
Necroptosis, a regulated cell death pathway involving RIPK1, RIPK3, and MLKL, is critical in various human diseases. This review highlights RIPK3 and MLKL
Area of Science:
- Biochemistry
- Molecular Biology
- Pathology
Background:
- Necroptosis is a regulated necrotic cell death pathway implicated in human diseases.
- The pathway involves receptor-interacting protein kinases 1 and 3 (RIPK1 and RIPK3) and mixed-lineage kinase domain-like pseudokinase (MLKL).
- RIPK3-mediated phosphorylation of MLKL triggers necroptosis.
Purpose of the Study:
- To review the roles of RIPK3 and MLKL in disease pathogenesis.
- To explore their function as determinants and markers of disease severity.
- To cover their involvement in diverse experimental models of human diseases.
Main Methods:
- Literature review of experimental studies.
- Analysis of animal models of tissue injury.
- Focus on the molecular mechanisms of necroptosis.
Main Results:
- RIPK3 and MLKL are key effectors in injury propagation.
- These proteins are crucial pathogenic determinants across multiple disease models.
- Their activity correlates with disease progression and severity.
Conclusions:
- RIPK3 and MLKL are vital in necroptosis.
- These molecules serve as important indicators of disease.
- Targeting necroptosis pathways may offer therapeutic strategies.
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