CaMKII is a RIP3 substrate mediating ischemia- and oxidative stress–induced myocardial necroptosis
Abstract
Regulated necrosis (necroptosis) and apoptosis are crucially involved in severe cardiac pathological conditions, including myocardial infarction, ischemia-reperfusion injury and heart failure. Whereas apoptotic signaling is well defined, the mechanisms that underlie cardiomyocyte necroptosis remain elusive. Here we show that receptor-interacting protein 3 (RIP3) triggers myocardial necroptosis, in addition to apoptosis and inflammation, through activation of Ca(2+)-calmodulin-dependent protein kinase (CaMKII) rather than through the well-established RIP3 partners RIP1 and MLKL. In mice, RIP3 deficiency or CaMKII inhibition ameliorates myocardial necroptosis and heart failure induced by ischemia-reperfusion or by doxorubicin treatment. RIP3-induced activation of CaMKII, via phosphorylation or oxidation or both, triggers opening of the mitochondrial permeability transition pore and myocardial necroptosis. These findings identify CaMKII as a new RIP3 substrate and delineate a RIP3-CaMKII-mPTP myocardial necroptosis pathway, a promising target for the treatment of ischemia- and oxidative stress-induced myocardial damage and heart failure.
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A few non-canonical instances of pseudonecroptotic RCD involving MLKL (but not RIPK3) or RIPK3 (but not MLKL) have been described.
“Moreover, a few non-canonical instances of pseudonecroptotic RCD involving MLKL (but not RIPK3) [468] or RIPK3 (but not MLKL) [469] have been described.”
From Molecular mechanisms of cell death: recommendations of the nomenclature committee on cell death 2018. (2018) · cites this paper as [469]
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- Authors
- Zhang, T., Zhang, Y., Cui, M., Jin, L., Wang, Y., Lv, F., Liu, Y., Zheng, W., Shang, H., Zhang, J., Zhang, M., Wu, H., Guo, J., Zhang, X., Hu, X., Cao, C.-M., & Xiao, R.-P.
- Affiliations
- Peking University (CN)
- Corresponding author
- Zhang, Yan
- Xiao, Rui-Ping
- ORCID
- Venue
- Nature Medicine
- Published
- 2016-01-04
- Volume
- 22
- Issue
- 2
- Pages
- 175-182
- ISSN
- 1078-8956 (ISSN-L)
- 1546-170X
- OpenAlex
- W2231291760
- Cited by
- 790
- References
- 10
- Citations by year
- 2026: 55 · 2025: 70 · 2024: 99 · 2023: 88 · 2022: 102 · 2021: 86 · 2020: 85 · 2019: 70 · 2018: 52 · 2017: 49 · 2016: 33
- FWCI
- 35.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Peking University
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Cell death mechanisms and regulation
- Health Sciences › Medicine › Pathology and Forensic Medicine › Cardiac Ischemia and Reperfusion
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Keywords
- CaMKII, RIPK3, necroptosis, myocardial ischemia-reperfusion injury, oxidative stress, heart failure, mitochondrial permeability transition pore, cardiomyocyte death, doxorubicin cardiotoxicity, RIPK1, MLKL, apoptosis, inflammation
- MeSH terms
- Mitochondrial Permeability Transition Pore, Animals, Antibiotics, Antineoplastic, Cell Survival, Doxorubicin, Heart Failure, Immunohistochemistry, Mice, Inbred C57BL, Necrosis, Phosphorylation, Blotting, Western, Myocardial Reperfusion Injury, Myocardial Ischemia, Rats, Sprague-Dawley, Apoptosis, Reactive Oxygen Species, Mice, Knockout, Oxidative Stress, Microscopy, Confocal, In Situ Nick-End Labeling, Myocytes, Cardiac, Mitochondrial Membrane Transport Proteins, Mice, Rats, Membrane Potential, Mitochondrial, Receptor-Interacting Protein Serine-Threonine Kinases, Calcium-Calmodulin-Dependent Protein Kinase Type 2, Real-Time Polymerase Chain Reaction
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