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Updated: Aug 4, 2025

Characterization of MLKL-mediated Plasma Membrane Rupture in Necroptosis
Published on: August 7, 2018
Progress in study on the final executor of necroptosis MLKL and its inhibitors
Abstract:
Necroptosis is one of the regulated cell death, which involves receptor interacting protein kinase (RIPK) 1/RIPK3/mixed lineage kinase domain like protein (MLKL) signaling pathway. Among them, MLKL is the final execution of necroptosis. The formation of RIPK1/RIPK3/MLKL necrosome induces the phosphorylated MLKL, and the activated MLKL penetrates into the membrane bilayer to form membrane pores, which damages the integrity of the membrane and leads to cell death. In addition to participating in necroptosis, MLKL is also closely related to other cell death, such as NETosis, pyroptosis, and autophagy. Therefore, MLKL is involved in the pathological processes of various diseases related to abnormal cell death pathways (such as cardiovascular diseases, neurodegenerative diseases and cancer), and may be a therapeutic target of multiple diseases. Understanding the role of MLKL in different cell death can lay a foundation for seeking various MLKL-related disease targets, and also guide the development and application of MLKL inhibitors.
Insights
Mixed lineage kinase domain-like protein (MLKL) executes necroptosis by forming pores in cell membranes. MLKL also participates in other cell death pathways, making it a potential therapeutic target for various diseases.
Area of Science:
- Molecular Biology
- Cell Biology
- Biochemistry
Background:
- Necroptosis is a regulated form of cell death.
- It involves the receptor-interacting protein kinase (RIPK) 1/RIPK3/mixed lineage kinase domain-like protein (MLKL) signaling pathway.
- MLKL acts as the final effector in necroptosis.
Purpose of the Study:
- To elucidate the multifaceted roles of MLKL in various cell death pathways.
- To explore MLKL's involvement in disease pathogenesis.
- To identify MLKL as a potential therapeutic target.
Main Methods:
- Analysis of the RIPK1/RIPK3/MLKL signaling cascade.
- Investigation of MLKL's role in membrane pore formation.
- Review of MLKL's association with NETosis, pyroptosis, and autophagy.
Main Results:
- Activated MLKL forms pores in the cell membrane, leading to cell death.
- MLKL is implicated in multiple cell death processes beyond necroptosis.
- MLKL is linked to the pathology of cardiovascular diseases, neurodegenerative diseases, and cancer.
Conclusions:
- MLKL is a crucial mediator of necroptosis and other cell death modalities.
- Understanding MLKL's functions is key to developing treatments for diseases associated with aberrant cell death.
- MLKL represents a promising therapeutic target for a range of pathologies.
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