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Initiation and execution mechanisms of necroptosis: an overview
Open accessAbstract
Necroptosis is a form of regulated cell death, which is induced by ligand binding to TNF family death domain receptors, pattern recognizing receptors and virus sensors. The common feature of these receptor systems is the implication of proteins, which contain a receptor interaction protein kinase (RIPK) homology interaction motif (RHIM) mediating recruitment and activation of receptor-interacting protein kinase 3 (RIPK3), which ultimately activates the necroptosis executioner mixed lineage kinase domain-like (MLKL). In case of the TNF family members, the initiator is the survival- and cell death-regulating RIPK1 kinase, in the case of Toll-like receptor 3/4 (TLR3/4), a RHIM-containing adaptor, called TRIF, while in the case of Z-DNA-binding protein ZBP1/DAI, the cytosolic viral sensor itself contains a RHIM domain. In this review, we discuss the different protein complexes that serve as nucleation platforms for necroptosis and the mechanism of execution of necroptosis. Transgenic models (knockout, kinase-dead knock-in) and pharmacologic inhibition indicate that RIPK1, RIPK3 or MLKL are implicated in many inflammatory, degenerative and infectious diseases. However, the conclusion of necroptosis being solely involved in the etiology of diseases is blurred by the pleiotropic roles of RIPK1 and RIPK3 in other cellular processes such as apoptosis and inflammasome activation.
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“In particular, the activation of RIPK3 downstream of TNFR1 ligation relies on the formation of a RIPK1-containing and RIPK3-containing amyloid-like signaling complex commonly known as necrosome [436, 470], wherein first RIPK1 and then RIPK3 undergo a series of trans-phosphorylation or auto-phosphorylation events that are required for MLKL recruitment and necroptosis activation [437, 438, 442, 471]”
From Molecular mechanisms of cell death: recommendations of the nomenclature committee on cell death 2018. (2018) · cites this paper as [470]
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“In contrast, necroptosis and pyroptosis are two regulated necrotic (i.e. lytic) processes that have been associated to potent inflammatory responses in vivo (Bergsbaken et al., 2009; Frank and Vince, 2019; Grootjans et al., 2017; Pasparakis and Vandenabeele, 2015).”
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“50 When the ubiquitination of RIPK1 is inhibited or the phosphorylation induced by cytotoxicity is inhibited, RIPK1, FADD, and caspase-8 assemble into complex IIb, mediating apoptosis.”
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Ars moriendi: Proteases as sculptors of cellular suicide
Heib, M., Weiß, J., Saggau, C., Hoyer, J., Chico, J. F., Voigt, S., & Adam, D. (2021) · Biochimica et Biophysica Acta (BBA) - Molecular Cell Research · doi:10.1016/j.bbamcr.2021.119191 · Cited by 2
Wei, J., Hou, S., Li, M., Yao, X., Wang, L., Zheng, Z., Mo, H., Chen, Y., & Yuan, X. (2022) · Frontiers in Oncology · doi:10.3389/fonc.2022.875264 · Cited by 2
“Necroptosis is characterized by loss of plasma membrane integrity, swelling and deformation of cells and organelles, release of cellular contents, and further triggering inflammation to expand tissue damage (3, 4).”
BackgroundWu, Z., Fan, H., Qin, L., Niu, X., Chu, B., Zhang, K., Gao, Y., & Wang, H. (2025) · Journal of Molecular Neuroscience · doi:10.1007/s12031-024-02241-3 · Cited by 2
“Ultimately, MLKL is phosphorylated and polymerized, leading to the induction of necroptosis (Grootjans et al. 2017).”
Salvadores, N., Moreno‐González, I., Gamez, N., Quiroz, G., Vegas, L., Escandón, M., Jiménez, S., Vitórica, J., Gutiérrez, A., Soto, C. A., et al. (2021) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2021.08.27.457960 · Cited by 2
Ildefonso, G. V., Metzig, M. O., Hoffmann, A., Harris, L. A., & Lopez, C. F. (2022) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2022.02.25.481705 · Cited by 2
RIPK3 coordinates RHIM domain-dependent inflammatory transcription in neuronsPreprint
Kofman, S. B., Chu, L. H., Ames, J. M., Chavarria, S. D., Lichauco, K., Daniels, B. P., & Oberst, A. (2024) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2024.02.29.582857 · Cited by 2
A Novel Class of RIP1/RIP3 Dual Inhibitors
Zhou, T., & Liu, B. (2020) · Journal of Cellular Immunology · doi:10.33696/2689-2812.2.013 · Cited by 1
Emerging treatments in graft reconditioning beyond machine perfusion
Luijmes, S. H., Broere, R., & de Jonge, J. (2024) · Elsevier eBooks · doi:10.1016/b978-0-323-99655-6.00005-1 · Cited by 1
Kishita, S., Umemura, N., Miyazaki, H., Adachi, M., Yagi, H., & Ohkoshi, E. (2025) · Oncology Reports · doi:10.3892/or.2025.8996 · Cited by 2
Infectious/Inflammatory Oral Diseases and Medication-Related Osteonecrosis of the Jaw (MRONJ)
Cintra, L. T. Â., Faverani, L. P., Wajima, C. S., Pereira, E. L., Toro, L. F., de Mello‐Neto, J. M., Neto, T. J. D. L., & Ervolino, E. (2025) · Advances in experimental medicine and biology · doi:10.1007/978-3-032-03176-1_20 · Cited by 1
The Role of Short-Chain Fatty Acids Produced by Oral Bacteria in Modulating Oral Immunity
Tsuda, H., & Mikami, Y. (2025) · Advances in experimental medicine and biology · doi:10.1007/978-3-032-03176-1_4 · Cited by 1
Ferroptosis Profiles of Human Mesenchymal Stromal Cell Subsets at the Single-Cell Level
Wen, X., Ding, S., Zhou, Y., Liu, S., Chen, H., & Sun, L. (2025) · DNA and Cell Biology · doi:10.1177/10445498251397930 · Cited by 1
Toro, L. F., Souza, E. Q. M., Ganzaroli, V. F., Freire, J. D. O. A., da Costa, L. L., Pereira, E. L., Machado, B. A., de Mello‐Neto, J. M., Matsumoto, M. A., Casatti, C. A., et al. (2026) · International Journal of Molecular Sciences · doi:10.3390/ijms27031355 · Cited by 1
“Various stimuli and chemical agents can trigger necroptosis in osteocytes, including inflammatory cytokines, damaged DNA, lipopolysaccharides (LPS), and pathogen-associated molecular patterns (PAMPs) [52,54].”
Tian, X., Jin, X., & Jiang, S. (2026) · Developmental & Comparative Immunology · doi:10.1016/j.dci.2026.105574 · Cited by 1
Suptela, A. J., & Marriott, I. (2026) · Journal of NeuroVirology · doi:10.1007/s13365-025-01304-4 · Cited by 1
“Prior studies have indicated that caspase-8 can act as a negative regulator of RIPK1 mediated necrop-tosis via the interaction of the RHIM domains of RIPK1 and RIPK3 (Silke et al. 2015; Pasparakis and Vandenabeele 2015; Weinlich et al. 2017; Grootjans et al. 2017).”
Clark, C. J., Waddell, S., Tessmer, G. E., Womack, C. B., Xie, Y., Williams, B. D., Endraws, M. A., Huddleston, C. T., Pulis, K. D., Thammathong, J., et al. (2026) · Journal of Medicinal Chemistry · doi:10.1021/acs.jmedchem.5c02226 · Cited by 1
Targeting TNBC : core–shell polycationic polyurea dendrimers with inherent anticancer activity
Cruz, A., Abreu, B., Mendes, C., Freitas-Dias, C., Gonçalves, F., Silva, F. P., Ramalho, J. C., André, S., Bonifácio, V. D. B., & Serpa, J. (2026) · FEBS Open Bio · doi:10.1002/2211-5463.70144 · Cited by 1
“1 of TNF α , which can trigger cleaved caspase-3 (32) and activate p-RIP3 [35].”
Wang, L., Fang, D.-M., Jiang, Y., Jiang, X.-L., Ming-kui, W., & Shen, X. (2026) · Phytochemistry · doi:10.1016/j.phytochem.2026.114881 · Cited by 1
Focus on necroptosis: its role in the pathogenesis and therapeutic potential of osteoarthritis
Ouyang, Y., Liao, H., Kang, W., Li, F., & Shen, H. (2026) · Frontiers in Immunology · doi:10.3389/fimmu.2026.1695254 · Cited by 1
“…speci fi c circumstances, such as the inhibition of the apoptotic pathway, that RIPK1 transitions to activate the necroptosis signaling pathway, illustrating its complex regulatory mechanism and establishing RIPK1 as a crucial “ molecular switch ” in determining cellular survival or death (47, 48).”
Yarmohammadi, F., Miraghaee, S., & Karimi, G. (2026) · Phytotherapy Research · doi:10.1002/ptr.70378 · Cited by 1
“Necroptosis is a regulated form of cell death that causes inflammation by releasing cellular contents (Grootjans et al. 2017).”
Exploring the intricate relationship between IL-1β and IL-18 in the context of osteoarthritis
Kumari, A., & Rasool, M. (2026) · Frontiers in Immunology · doi:10.3389/fimmu.2026.1870390 · Cited by 1
Identification of necroptosis-related genes as prognostic indicators for lower-grade glioma.
Huang, X., Vafaei, S., Li, L., Wang, Y., Sun, J. L., Gao, Y., & Zhang, J. (2023) · PubMed Central · Cited by 1
Effect of Sublethal Concentrations of Metal Nanomaterials on Cell Energy Metabolism
Liang, C., Jiang, Q., Liu, Z., Yang, J. M., Zhang, J., Zhang, S., & Xin, W. (2023) · Toxics · doi:10.3390/toxics11050453 · Cited by 2
Ebola Virus Infection Induces HCAR2 Expression Leading to Cell Death
Kuroda, M., Halfmann, P., & Kawaoka, Y. (2023) · The Journal of Infectious Diseases · doi:10.1093/infdis/jiad344 · Cited by 1
Programmed myofibre necrosis in critical illness acquired muscle wasting
Patel, S. K., Francis, T., Rajaram, R., Handslip, R., Mumby, S. E., Bear, D. E., Padhke, R., Hart, N., Montgomery, H., Takata, M., et al. (2023) · JCSM Rapid Communications · doi:10.1002/rco2.83 · Cited by 1
“5,11 A terminal step in this signalling pathway is the receptor interacting protein kinase 3 (RIPK3)-dependent phosphorylation of mixed-lineage kinase domain-like (pMLKL) protein.”
BackgroundExpression of RIPK3 among a cohort of Bulgarian patients with inflammatory bowel diseases
Panayotova, E., & Atanassova, A. (2022) · Varna Medical Forum · doi:10.14748/vmf.v0i0.8451 · Cited by 1
Guanine nucleotide exchange factor RABGEF1 facilitates TNF-induced necroptosis by targeting cIAP1
Chen, D., Chen, Y., Feng, J., Huang, W., Han, Z., Liu, Y., Lin, Q., Li, L., & Lin, Y. (2024) · Biochemical and Biophysical Research Communications · doi:10.1016/j.bbrc.2024.149669 · Cited by 1
The modulation of necroptosis and its therapeutic potentials
KIM, C. S. (2021) · Molecular & Cellular Toxicology · doi:10.1007/s13273-021-00129-6 · Cited by 1
Die eukaryotische Zelle und Modellorganismen
Graw, J. (2020) · Springer eBooks · doi:10.1007/978-3-662-60909-5_5 · Cited by 1
ZBP1-mediated macrophage necroptosis inhibits ASFV replicationPreprint
Zhang, K., Yu, H., Yang, B., Yang, J., Zhang, D., Yang, X., Shi, X., Zhao, D., Chen, L., Yan, W., et al. (2023) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2023.04.25.538262 · Cited by 1
“Phosphorylated MLKL in 101 necrosome polymerizes on the cytoplasmic membrane, forming membrane pores and 102 driving plasma membrane leakage (19, 20).”
BackgroundGao, W., Gao, B., Wang, S., Wu, D., Mei, P., Geng, L., Li, C., Li, Y., Liu, X., Pan, J., et al. (2025) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2025.05.28.656730 · Cited by 1
“In addition, RIPK1 also has a death domain (DD) at its C terminus for recruitment to the TNF receptor signaling complex 21,22 (Fig.”
Pro-necroptotic agents in cancer therapy
Elsharkawy, A. M., & Malki, A. M. (2018) · Annals of Breast Cancer · doi:10.33582/2640-8198/1004
Nigratine as first-in-class dual inhibitor of necroptosis and ferroptosis regulated cell deathPreprint
Delehouzé, C., Comte, A., Hauteville, M., Goekjian, P. G., Dimanche‐Boitrel, M., Rousselot, M., & Bach, S. (2020) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2020.12.15.422885
The antipsychotic drug pimozide is a novel chemotherapeutic agent for adult T cell leukemiaPreprint
Ishikawa, C., & Mori, N. (2021) · Research Square · doi:10.21203/rs.3.rs-272455/v1
“Besides apoptosis, another mode of programmed cell death, necroptosis, has also been identi ed [9].”
BackgroundMechanisms of Cardiomyocyte Death
Kartha, C. C. (2021) · Springer eBooks · doi:10.1007/978-3-030-85536-9_13
Bigio, M. R. D. (2021) · Cambridge University Press eBooks · doi:10.1017/9781316671863.030
Xia, P., Wang, D., Shen, R., Guo, Z., Ouyang, S., Yang, X., Liu, X., & Xie, K. (2022) · Research Square · doi:10.21203/rs.3.rs-1601242/v1
Metadata
- Authors
- Grootjans, S., Vanden Berghe, T., & Vandenabeele, P.
- Affiliations
- Ghent University (BE)
- Corresponding author
- Vandenabeele, Peter
- Venue
- Cell Death & Differentiation
- Published
- 2017-05-12
- Volume
- 24
- Issue
- 7
- Pages
- 1184-1195
- ISSN
- 1350-9047 (ISSN-L)
- 1476-5403
- PMC
- PMC5520172
- OpenAlex
- W2612992363
- Cited by
- 566
- References
- 152
- Citations by year
- 2026: 45 · 2025: 66 · 2024: 68 · 2023: 78 · 2022: 89 · 2021: 64 · 2020: 54 · 2019: 47 · 2018: 41 · 2017: 14
- FWCI
- 3.99
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Cell Death and Differentiation (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- Funders
- Belgian Federal Science Policy Office (IAP7/32)
- Fonds Wetenschappelijk Onderzoek (G.0875.11, FWO G.0A45.12N, FWO G0E04.16N, G078713N, FWO G0787.13N, FWO G.0C37.14N, G0C3714N, G.0A45.12N, FWO G.0875.11, BOF16/MET_V/007, G0E0416N)
- Universiteit Gent (BOF16/MET_V/007, 01M00709)
- Vlaams Instituut voor Biotechnologie (BOF09/01M00709)
- Vlaamse regering (BOF09/01M00709, BOF16/MET_V/007)
- Fondation contre le Cancer (2012-188)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Cell death mechanisms and regulation
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › NF-κB Signaling Pathways
- Life Sciences › Immunology and Microbiology › Immunology › Immune Response and Inflammation
- Keywords
- necroptosis, regulated cell death, RIPK3, RIPK1, MLKL, RHIM domain, Toll-like receptors, TRIF, ZBP1, DAI, pattern recognition receptors, inflammatory diseases, degenerative diseases, infectious diseases, apoptosis, inflammasome activation
- MeSH terms
- Amyloid, Animals, Humans, Models, Biological, Necrosis, Signal Transduction, Apoptosis, Receptor-Interacting Protein Serine-Threonine Kinases
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