Necroptotic signaling orchestrates glioblastoma malignancy and potentiates temozolomide response

Yuanyuan Li1, Yuxin Qiu1, Wenqing Gao1

  • 1Shanghai Pudong Hospital and School of Life Sciences, State Key Laboratory of Genetics and Development of Complex Phenotypes, Shanghai Engineering Research Center of Industrial Microorganisms, Fudan University, Shanghai, China.

Cell Death & Disease
|December 22, 2025
PubMed

Insights

Elevated RIPK1 protein drives glioblastoma growth and predicts poor prognosis. Activating programmed necrosis (necroptosis) enhances chemotherapy, offering new glioma treatment strategies.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cell Death Pathways

Background:

  • Glioblastoma (GBM) is an aggressive brain tumor with poor prognosis and chemotherapy resistance.
  • Programmed necrosis (necroptosis) is implicated in GBM, but its role is not fully understood.

Purpose of the Study:

  • To investigate the role of necroptosis machinery proteins in glioma progression.
  • To evaluate RIPK1's function in GBM and its potential as a therapeutic target.
  • To explore novel therapeutic strategies combining necroptosis inducers with chemotherapy.

Main Methods:

  • Analysis of RIPK1 and MLKL expression in glioma patient samples.
  • In vitro studies using genetic ablation and pharmacological inhibition of RIPK1.
  • In vivo studies using subcutaneous xenograft and orthotopic mouse glioma models.
  • Assessment of combined treatment effects with necroptosis inducers and temozolomide (TMZ).

Main Results:

  • Higher RIPK1 and MLKL expression correlates with GBM progression and poor prognosis.
  • RIPK1 promotes GBM cell proliferation, migration, and invasion, independent of its necroptotic function.
  • Genetic RIPK1 ablation suppresses tumor growth, but necrostatin-1 is ineffective.
  • Dual apoptosis- and necroptosis-inducing agents synergize with TMZ to improve glioma cell death and tumor clearance in vivo.

Conclusions:

  • RIPK1 is a key driver of glioma malignancy.
  • Activating necroptosis can enhance the efficacy of temozolomide for GBM treatment.
  • These findings provide a basis for new prognostic markers and therapeutic approaches for glioma.