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Updated: Sep 3, 2025

Evaluation of Caspase Activation to Assess Innate Immune Cell Death
Published on: January 20, 2023
Regulated necrosis, a proinflammatory cell death, potentially counteracts pathogenic infections
Guangzhi Zhang1, Jinyong Wang2,3, Zhanran Zhao4
1Institute of Animal Sciences of Chinese Academy of Agricultural Sciences, Beijing, 100193, China.
Abstract:
Since the discovery of cell apoptosis, other gene-regulated cell deaths are gradually appreciated, including pyroptosis, ferroptosis, and necroptosis. Necroptosis is, so far, one of the best-characterized regulated necrosis. In response to diverse stimuli (death receptor or toll-like receptor stimulation, pathogenic infection, or other factors), necroptosis is initiated and precisely regulated by the receptor-interacting protein kinase 3 (RIPK3) with the involvement of its partners (RIPK1, TRIF, DAI, or others), ultimately leading to the activation of its downstream substrate, mixed lineage kinase domain-like (MLKL). Necroptosis plays a significant role in the host's defense against pathogenic infections. Although much has been recognized regarding modulatory mechanisms of necroptosis during pathogenic infection, the exact role of necroptosis at different stages of infectious diseases is still being unveiled, e.g., how and when pathogens utilize or evade necroptosis to facilitate their invasion and how hosts manipulate necroptosis to counteract these detrimental effects brought by pathogenic infections and further eliminate the encroaching pathogens. In this review, we summarize and discuss the recent progress in the role of necroptosis during a series of viral, bacterial, and parasitic infections with zoonotic potentials, aiming to provide references and directions for the prevention and control of infectious diseases of both human and animals.
Insights
Necroptosis, a regulated necrosis pathway involving RIPK3 and MLKL, is crucial for host defense against pathogens. Understanding how pathogens and hosts manipulate necroptosis is key for controlling infectious diseases.
Area of Science:
- Cellular Biology
- Immunology
- Pathogen-Host Interactions
Background:
- Beyond apoptosis, regulated cell death forms like pyroptosis, ferroptosis, and necroptosis are recognized.
- Necroptosis, a well-defined regulated necrosis, is triggered by stimuli like infections and mediated by RIPK3-MLKL signaling.
- Necroptosis is vital for host defense against pathogens.
Purpose of the Study:
- To review the multifaceted role of necroptosis in viral, bacterial, and parasitic zoonotic infections.
- To elucidate pathogen strategies for exploiting or evading necroptosis.
- To explore host mechanisms for manipulating necroptosis to combat infections.
Main Methods:
- Literature review and synthesis of current research on necroptosis in infectious diseases.
- Analysis of molecular mechanisms of necroptosis regulation by host and pathogen factors.
- Discussion of necroptosis's impact across different stages of zoonotic infections.
Main Results:
- Necroptosis is a critical immune defense mechanism against various pathogens.
- Pathogens have evolved diverse strategies to subvert or utilize host necroptosis pathways.
- Host immune responses leverage necroptosis to control pathogen replication and spread.
Conclusions:
- Necroptosis plays a dynamic role throughout infectious disease progression.
- Targeting necroptosis pathways offers potential therapeutic strategies for infectious diseases.
- Further research into necroptosis modulation is essential for preventing and controlling zoonotic infections.
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