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Updated: Jan 15, 2026

Author Spotlight: THP-1 Macrophage Response to LPS/ATP — Unveiling the Pyroptosis, Apoptosis, and Necroptosis Spectrum
Published on: May 3, 2024
Necroptotic cell death consequences and disease relevance
James E Vince1,2, Nadia M Davidson3,4, Maria C Tanzer5,6
1The Walter and Eliza Hall Institute of Medical Research, Parkville, Victoria, Australia. vince@wehi.edu.au.
Abstract:
Arguably one of the most surprising revelations in the field of cell death research was the discovery that cellular necrosis, a lytic and inherently messy cell death with far-reaching consequences for human physiology, can be genetically encoded. There is no single necrotic pathway either, as compelling evidence exists for distinct necrotic modalities such as pyroptosis, necroptosis and ferroptosis. The recent momentum of molecular, structural and disease-relevant findings has opened the door to targeting necrotic machinery to prevent collateral tissue damage and inflammatory diseases. In this Review, we evaluate the case for targeting the necrotic cell death pathway called necroptosis. We examine the organs and cell types where the human necroptotic machinery is expressed, identifying a lymphocytic ZBP1, RIPK1, RIPK3 and MLKL signature, review knowledge into the immunogenic consequences of necroptotic signaling and highlight building evidence that necroptosis is engaged in humans and can be triggered by ischemic injuries. Finally, we note several limitations of mouse studies due to fundamental differences with the human necroptotic apparatus and critically appraise the evidence for necroptosis being a disease-driving factor that, if successfully targeted, could be of clinical benefit.
Insights
Necroptosis, a programmed cell death pathway, is genetically encoded and implicated in human diseases. Targeting necroptosis may offer clinical benefits by preventing tissue damage and inflammation.
Area of Science:
- Cellular Biology
- Immunology
- Pathology
Background:
- Cell death research has revealed genetically encoded pathways beyond apoptosis.
- Necrosis encompasses distinct modalities like pyroptosis, necroptosis, and ferroptosis.
- Targeting cell death pathways offers potential therapeutic strategies for inflammatory diseases.
Purpose of the Study:
- To review the evidence for targeting necroptosis, a specific form of programmed necrosis.
- To examine the expression of necroptosis machinery in human organs and cell types.
- To assess the role of necroptosis in human diseases and its therapeutic potential.
Main Methods:
- Review of molecular, structural, and disease-relevant findings on necroptosis.
- Identification of key molecular players (ZBP1, RIPK1, RIPK3, MLKL) in human necroptosis.
- Analysis of immunogenic consequences and disease association of necroptosis.
Main Results:
- A specific necroptotic signature involving ZBP1, RIPK1, RIPK3, and MLKL is identified in human lymphocytes.
- Evidence suggests necroptosis is active in humans and can be triggered by ischemic injuries.
- Mouse studies show limitations due to differences with the human necroptotic apparatus.
Conclusions:
- Necroptosis is a distinct, genetically encoded cell death pathway with significant implications for human health.
- Targeting necroptosis holds promise for treating inflammatory diseases and preventing tissue damage.
- Further research is needed to overcome limitations in mouse models and fully elucidate necroptosis's clinical relevance.
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