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. 2021 Sep 14;12:737129. doi: 10.3389/fphar.2021.737129

TABLE 1.

The role of necroptosis in pulmonary diseases.

Disease More specific Main content about necroptosis References
In infection S. aureus pneumonia The accessory gene regulator (agr) quorum sensing system can be inhibited by the heptapeptide RNAIII-inhibiting peptide, which dampens (Phenol-soluble modulins) PSMα-induced neutrophil necroptosis Zhou et al. (2018)
S. aureus activates the NLRC4 to suppress γδ T cell-derived IL-17A-dependent neutrophil recruitment by driving necroptosis and IL-18 production, which impedes host defense Paudel et al. (2019)
NLRP6 expression is increased, triggering necroptosis and hyper-inflammation via the TNF-α pathway, leading to the loss of neutrophils by dampening IFN-γ and ROS production Ghimire et al. (2018)
Agr-regulated toxins activate necroptosis and IL-1β expression, leading to alveolar macrophage depletion and lung injury Kitur et al. (2015)
Bacterial PFTs PFTs-induced respiratory epithelial cell RIP1/RIP3/MLKL-dependent necroptosis, as a result of influenza-induced oxidative stress, was triggered by ion dysregulation through PFT-mediated membrane permeabilization Gonzalez-Juarbe et al. (2017), Gonzalez-Juarbe et al. (2020)
PFTs induce necroptosis of macrophages through ion dysregulation, mitochondrial damage, ATP depletion, and oxidative stress Gonzalez-Juarbe et al. (2015)
PETs-induced necroptosis plays a beneficial role in facilitating adaptive immune response through the release of inflammatory factors Riegler et al. (2019)
Klebsiella pneumoniae (KPn) KPn infection damage the neutrophil efferocytosis by inducing necroptosis of neutrophils Jondle et al. (2018)
Mycobacterium tuberculosis (Mtb) TNFα excess triggers ROS production then induces RIPK1-RIPK3-dependent necroptosis of macrophages, leading to bacterial dissemination Roca and Ramakrishnan (2013)
TNFα excess leads to RIPK1-RIPK3-dependent necroptosis in murine fibroblasts and RIPK1-dependent necrosis-like cell death in murine macrophages Butler et al. (2017)
Virulent Mtb evasion of macrophages apoptosis and immunity by Bcl-xL, inducing RIPK3–impendent necrosis and preventing caspase 8-activation Zhao et al. (2017)
The inhibition of necroptosis by MLKL-deficiency or Nec-1 in humanized mice does not affect Mtb infection progression Stutz et al. (2018a)
RIPK3 is not an important mediator of pathological inflammation or macrophage necrosis in Mtb, for the reason is that inhibition of RIPK3 is not effective Stutz et al. (2018b)
Influenza A virus RIPK3 is activated by IAV and plays a crucial role in antiviral immunity by activating MLKL-dependent necroptosis with RIPK3 kinase activity and FADD-mediated apoptosis. ZBP1 is the link between IAV and RIPK3 activation, and ZBP1 deficiency is resistant to IAV-triggered necroptosis and apoptosis Downey et al. (2017)
RIPK3 is activated by IAV and plays a crucial role in antiviral immunity by activating MLKL-dependent necroptosis with RIPK3 kinase activity and FADD-mediated apoptosis. ZBP1 is the link between IAV and RIPK3 activation, and ZBP1 deficiency is resistant to IAV-triggered necroptosis and apoptosis Nogusa et al. (2016), Thapa et al. (2016)
Z-RNAs generated by replicating IAV activate ZBP1, activating RIPK3 and MLKL, thus leading to nuclear membrane rupture and resulting in a nucleus-to-cytoplasm necroptosis. In unrestrained cell death, MLKL-induced nuclear rupture causes exceeding and deleterious inflammatory responses, which drive IAV disease severity Zhang et al. (2020)
RSV RSV induces RIPK3-MLKL-dependent necroptosis of macrophages by activating TLR4/TLR3 and pyroptosis through activating TLR2 and triggering ROS generation Bedient et al. (2020)
ALI/ARDS Influenza A H7N9 virus Low expression of cIAP2 caused RIPK1/3-dependent necroptosis of airway epithelial cells, leading to ALI/ARDS and death Qin et al. (2019)
OA-induced ALI/ARDS RIPK3/MLKL-independent necroptosis is obviously activated, while lung edema and inflammation is reduced by Nec-1 Pan et al. (2016b)
LPS-induced ALI/ARDS Plasma RIPK3 is associated with ALI/ARDS. RIPK3 depletion reduced inflammatory mediators and ameliorated lung tissue injury Wang et al. (2016), Shashaty et al. (2019)
LPS induces ZBP-1 expression, which causes RIK3/MLKL-dependent necroptosis that results in the release of DAMPs to activate the TLR9/NF-κB pathway and macrophages release pro-inflammatory cytokines, leading to lung inflammation and injury Du et al. (2019)
The expression of CXCR1/2 and p-MLKL is high, and the SP level is high while the VIP level is low. All could be reversed by reparixin, a CXCR antagonist that increased the survival rate mice of mice and improved lung inflammation Wang et al. (2018b)
hyperoxic acute lung injury (HALI) Hyperoxia exposure causes necroptosis with increased expression of RIPK1, RIPK3, and MLKL by oxidative stress, leading to inflammatory infiltration and pulmonary edema. Hyperoxia-induced miR-185-5p promotes both apoptosis and necroptosis Han et al. (2018), Carnino et al. (2020)
Hydrogen sulfide (H2S) H2S exposure results in lung injury, immune suppression, inflammatory response, and necroptosis or other cell death. LncRNA3037/miR-15a/BCL2-A20 signaling could be involved in these Li et al. (2020b), Liu et al. (2020b)
Ventilator-induced lung injury (VILI) Plasma RIPK3 levels are higher in patients with mechanical ventilation (MV) and RIPK3 deficiency confer protection against VILI. Siempos et al. (2018)
Red blood cell (RBC) transfusions RBC transfusion triggers RIPK3-dependent necroptosis of lung endothelial cells with the release of HMGB1, leading to lung inflammation and damage. Advanced Glycation End Products (RAGE) could be an essential mediator Qing et al. (2014), Faust et al. (2020)
Lung transplantation Prolonged cold-ischemia-induced ischemia-reperfusion causes RIPK3/MLKL-dependent necroptosis via calpain-STAT3-RIPK axis activation, leading to predisposing lung grafts to primary graft dysfunction (PGD) Kim et al. (2018), Wang et al. (2019a)
Renal allografts Regulated necrosis including parthanatos and necroptosis involve in part of the mechanism of renal graft injury that leads to lung injury, and necroptosis mediated by OPN signaling in pancreatitis-associated lung injury Zhao et al. (2015), Zhao et al. (2019a)
SARS-CoV-2 SARS-CoV-2 activates caspase-8, leading to caspase-8-mediated apoptosis and inflammatory response, and RIPK3-MLKL-dependent necroptosis without fully inhibited by caspase-8. The dual modes of cell death pathways play a dual role in appropriately immune responses to restrict viral replication or severe lung damage as a hyperactivation status Li et al. (2020a)
The combination of TNF-a and IFN-g induced the JAK/STAT1/IRF1 axis activation, leading necroptosis and other inflammatory cell death processes that could be one of the possible mechanisms linking cytokine storm to organ damage Karki et al. (2021)
Asthma RSV RSV-induced necroptosis results in the release of HMGB1 and neutrophilic that contributes to RSV bronchiolitis pathogenesis inflammation. Inhibition of necroptosis attenuated the pathologies that will ameliorate asthma progression in later-life Simpson et al. (2020)
MUC1 TNF-α could induce necroptosis of 16HBE cells accompanied by the upregulation of MUC1, while MUC1 downregulation increase necroptosis and inhibit the effects of anti-necroptosis by Dex Zhang et al. (2019a), Zhang et al. (2019b)
Aspergillus-induced asthma model RIPK3-MLKL necroptosis induce the release of bioactive IL-33, which can activate basophils and eosinophils, leading to exacerbating of allergic inflammation Shlomovitz et al. (2019)
Adhesion-induced eosinophil cytolysis RIPK1-independent necroptosis take part in adhesion-induced eosinophil cytolysis, which is required p38 MAPK and NADPH oxidase activation Radonjic-Hoesli et al. (2017)
particulate matter (PM) PM2. 5 results in airway Hyperresponsiveness and trachea injury by necroptosis, which induces neutrophils and IL-17 to inflammation Zhao et al. (2019b)
COPD PM Airborne PM exposure induces oxidative stress that can trigger necroptosis, leading to PM-induced pulmonary inflammation and mucus hyperproduction Peixoto et al. (2017), Xu et al. (2018)
Cigarette Smoke (CS) Induces necroptosis of lung structural cells with a release of DAMPs, leading to neutrophilic airway inflammation, which is suppressed with inhibition of GRP78 Pouwels et al. (2016), Wang et al. (2018c), Wang et al. (2020c)
Triggers mitophagy-dependent necroptosis via PINK1 stabilization with mitophagy, in which C16-Cer could be an upstream initiator, while highC24-DHC levels might protect against CS-induced necroptosis Mizumura et al. (2014), Mizumura et al. (2018)
Idiopathic Pulmonary Fibrosis BLM-induced model The level of RIPK3 expression is increased in lung tissue from IPF patients. ROS production by BLM triggers RIPK3-dependent necroptosis, which takes part in fibrosis development through inflammatory cell accumulation via the release of DAMPs Lee et al. (2018)
SFTPA1 JNK-mediated the overexpress of RIPK3, which triggers necroptosis of AEII cells in Sftpa1-KI mice, leading to pulmonary fibrosis Takezaki et al. (2019)
Pulmonary arterial hypertension PAH severity Necroptosis and necrosis play a potential role in HMGB1 release, activation of TLR4, and the manifestation of sex difference in PAH severity Zemskova et al. (2020)
Monocrotaline-induced PAH RIPK3-mediated necroptosis is involved in the generation of DAMPs that was associated with the activation of TLR and NLR pathways by bioinformatics analysis Xiao et al. (2020)
Lung cancer Metastasis Induce necroptosis of endothelial cells leading to extravasation and metastasis via amyloid precursor protein and DR6, a primary mediator Strilic et al. (2016)
TAK1 deficiency is more likely to cause RIPK3-dependent necroptosis of human/murine endothelial cells by Up-regulating the expression of RIPK3 and form metastases by endothelial Yang et al. (2019)
Prognosis in NSCLC The high level of RIPK3 was associated with improved local control(LC) and progression-free survival (PFS) after hypofractionated radiation therapy. But low RIPK3 showed worse disease free survival (DFS) after curative resection and worse chemotherapy response Wang et al. (2018a), Park et al. (2020), Wang et al. (2020a)
Higher RIPK3 expression is associated with a shorter OS and a tendency of shorter DFS, which reason might be the effect of resistance to radiotherapy or excessive necroptosis-mediated damage Kim et al. (2020)