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Updated: Dec 5, 2025

Characterization of MLKL-mediated Plasma Membrane Rupture in Necroptosis
Published on: August 7, 2018
The molecular mechanisms of MLKL-dependent and MLKL-independent necrosis
Lu Li1, An Tong2, Qiangsheng Zhang1
1Laboratory of Aging Research and Cancer Drug Target, State Key Laboratory of Biotherapy and Cancer Center, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu 610041, China.
Abstract:
Necrosis, a type of unwanted and passive cell demise, usually occurs under the excessive external stress and is considered to be unregulated. However, under some special conditions such as caspase inhibition, necrosis is regulable in a well-orchestrated way. The term 'regulated necrosis' has been proposed to describe such programed necrosis. Recently, several forms of necrosis, including necroptosis, pyroptosis, ferroptosis, parthanatos, oxytosis, NETosis, and Na+/K+-ATPase-mediated necrosis, have been identified, and some crucial regulators governing regulated necrosis have also been discovered. Mixed lineage kinase domain-like pseudokinase (MLKL), a core regulator in necroptosis, acts as an executioner in response to ligands of death receptor family. Its activation requires the receptor-interacting protein kinases, RIP1 and RIP3. However, MLKL is only involved in necroptosis, i.e. MLKL is dispensable for necrosis. Therefore, this review is aimed at summarizing the molecular mechanisms of MLKL-dependent and MLKL-independent necrosis.
Insights
Regulated necrosis is a programmed cell death pathway. This review summarizes MLKL-dependent and MLKL-independent regulated necrosis mechanisms, highlighting key regulators like RIP1 and RIP3.
Area of Science:
- Cellular Biology
- Molecular Biology
- Immunology
Background:
- Necrosis is typically an unregulated form of passive cell death.
- Under specific conditions, like caspase inhibition, necrosis can be regulated, termed 'regulated necrosis'.
- Several distinct forms of regulated necrosis have been identified, including necroptosis, pyroptosis, and ferroptosis.
Purpose of the Study:
- To review the molecular mechanisms underlying regulated necrosis.
- To differentiate between MLKL-dependent and MLKL-independent necrosis pathways.
- To discuss the roles of key regulators in these processes.
Main Methods:
- Literature review of regulated necrosis.
- Analysis of molecular pathways involved in different necrosis types.
- Focus on the role of Mixed lineage kinase domain-like pseudokinase (MLKL).
Main Results:
- Regulated necrosis encompasses diverse pathways like necroptosis, pyroptosis, and ferroptosis.
- Mixed lineage kinase domain-like pseudokinase (MLKL) is a critical executioner in necroptosis.
- MLKL activation depends on receptor-interacting protein kinases (RIP1 and RIP3).
- MLKL is essential for necroptosis but not for all forms of necrosis.
Conclusions:
- Understanding regulated necrosis mechanisms is crucial for cell death research.
- Distinguishing MLKL-dependent and independent pathways clarifies necroptosis.
- Further research into regulators like RIP1 and RIP3 will advance the field.
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