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. 2019 Aug 16;317(5):H891–H922. doi: 10.1152/ajpheart.00259.2019

Table 2.

Evaluation of necroptosis

Methods to Detect the Particular Necroptotic Signaling Key Notes References
Specific molecular events strongly suggesting necroptosis being activated and/or executed
    Activation of canonical RIP1-RIP3-MLKL axis through phosporylation 1) Detection: immunostaining; 2) inhibitors of RIP1 (necrostatins, GSK2982772), RIP3 (GSK`872, GSK`843), and MLKL inhibitors (necrosulfonamide); 3) knockdown approaches Phosphorylated RIP1 and RIP3 suggest necroptosis activation; however, phosphorylation of either residue of MLKL robustly identifies necroptotic environment 42, 4951, 64, 102, 105, 114, 146, 159, 165, 191, 203, 242, 244, 263
    MLKL phosphorylation and translocation to the plasma membrane 1) Detection: immunostaining, subcellular fractionation; 2) inhibitors: MLKL inhibitors (necrosulfonamide) Evidence of MLKL in the membrane fraction indicates its prior activation by the phosphorylation and execution of necroptosis 27, 33, 59, 240, 242, 243, 263, 268
    MLKL oligomerization in the nucleus and plasma membrane Immunofluorescence, nonreducing SDS-PAGE, native page gels Phosphorylation of MLKL is a prerequisite for homo/hetero-oligomerization and translocation to the membrane/nucleus 96, 242, 263
    Necrosome formation: RIP1-RIP3 interaction, RIP3-MLKL interaction Immunofluorescence, coimmunoprecipitation Necrosome identification indicates necroptosis activation; however, end-stage effector of the necroptosis (p-MLKL) should be also provided 34, 139, 194, 268, 286
Other more nonspecific characteristics of necroptosis Methods to detect nonspecific features of necroptotic cell death
    Loss of cellular integrity, plasma membrane rupture LDH, HMGB1 release, staining with impermeant dyes, annexin V/PI staining
    Altered cell viability XTT, MTT assay, etc.

HMGB1, high-mobility group box 1 protein; LDH, lactate dehydrogenase; MLKL, mixed-lineage kinase domain-like; p-MLKL, phosphorylated mixed-lineage kinase domain-like; RIP1 and -3, receptor-interacting protein kinase 1 and -3, respectively; XTT, 2,3-bis(2-methoxy-4-nitro-5-sulfophenyl)-2H-tetrazolium-5-carboxanilide.