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Updated: Oct 31, 2025

Characterization of MLKL-mediated Plasma Membrane Rupture in Necroptosis
Published on: August 7, 2018
RIPK3-Mediated Necroptosis in Diabetic Cardiomyopathy Requires CaMKII Activation
Yun Chen1,2, Xinshuai Li1, Yuyun Hua1
1Department of Pharmacology, School of Pharmacy, Nantong University, Key Laboratory of Inflammation and Molecular Drug Target of Jiangsu Province, Nantong, 226001 Jiangsu, China.
Abstract:
Activation of Ca2+/calmodulin-dependent protein kinase (CaMKII) has been proved to play a vital role in cardiovascular diseases. Receptor-interaction protein kinase 3- (RIPK3-) mediated necroptosis has crucially participated in cardiac dysfunction. The study is aimed at investigating the effect as well as the mechanism of CaMKII activation and necroptosis on diabetic cardiomyopathy (DCM). Wild-type (WT) and the RIPK3 gene knockout (RIPK3-/-) mice were intraperitoneally injected with 60 mg/kg/d streptozotocin (STZ) for 5 consecutive days. After 12 w of feeding, 100 μL recombinant adenovirus solution carrying inhibitor 1 of protein phosphatase 1 (I1PP1) gene was injected into the caudal vein of mice. Echocardiography, myocardial injury, CaMKII activity, necroptosis, RIPK1 expression, mixed lineage kinase domain-like protein (MLKL) phosphorylation, and mitochondrial ultrastructure were measured. The results showed that cardiac dysfunction, CaMKII activation, and necroptosis were aggravated in streptozotocin- (STZ-) stimulated mice, as well as in (Lepr) KO/KO (db/db) mice. RIPK3 deficiency alleviated cardiac dysfunction, CaMKII activation, and necroptosis in DCM. Furthermore, I1PP1 overexpression reversed cardiac dysfunction, myocardial injury and necroptosis augment, and CaMKII activity enhancement in WT mice with DCM but not in RIPK3-/- mice with DCM. The present study demonstrated that CaMKII activation and necroptosis augment in DCM via a RIPK3-dependent manner, which may provide therapeutic strategies for DCM.
Insights
Diabetic cardiomyopathy involves CaMKII activation and necroptosis. RIPK3 deficiency and I1PP1 overexpression mitigate these effects, suggesting RIPK3-dependent therapeutic strategies for diabetic heart disease.
Area of Science:
- Cardiology
- Molecular Biology
- Pathology
Background:
- Ca2+/calmodulin-dependent protein kinase (CaMKII) activation is implicated in cardiovascular diseases.
- Receptor-interaction protein kinase 3 (RIPK3)-mediated necroptosis contributes to cardiac dysfunction.
- Diabetic cardiomyopathy (DCM) involves complex molecular pathways affecting heart function.
Purpose of the Study:
- To investigate the roles and mechanisms of CaMKII activation and necroptosis in diabetic cardiomyopathy.
- To explore the involvement of RIPK3 in these processes.
- To assess the therapeutic potential of modulating these pathways.
Main Methods:
- Utilized wild-type and RIPK3 knockout mice treated with streptozotocin to induce DCM.
- Administered I1PP1 gene via recombinant adenovirus to assess its effects.
- Evaluated cardiac function, myocardial injury, CaMKII activity, necroptosis markers (RIPK1, MLKL phosphorylation), and mitochondrial ultrastructure.
Main Results:
- STZ-induced DCM mice exhibited aggravated cardiac dysfunction, CaMKII activation, and necroptosis.
- RIPK3 deficiency ameliorated cardiac dysfunction, CaMKII activation, and necroptosis in DCM.
- I1PP1 overexpression reversed DCM-related cardiac dysfunction and necroptosis in wild-type mice but not in RIPK3 knockout mice.
Conclusions:
- CaMKII activation and necroptosis are augmented in DCM through a RIPK3-dependent pathway.
- Targeting RIPK3-mediated necroptosis presents a potential therapeutic strategy for DCM.
- Understanding this mechanism offers insights into novel treatments for diabetic heart disease.
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