Necroptosis is a regulated caspase-independent form of
necrotic
cell death that results in an inflammatory phenotype. This process
contributes profoundly to the pathophysiology of numerous neurodegenerative,
cardiovascular, infectious, malignant, and inflammatory diseases.
Receptor-interacting protein kinase 1 (RIPK1), RIPK3, and the mixed
lineage kinase domain-like protein (MLKL) pseudokinase have been identified
as the key components of necroptosis signaling and are the most promising
targets for therapeutic intervention. Here, we review recent developments
in the field of small-molecule inhibitors of necroptosis signaling,
provide guidelines for their use as chemical probes to study necroptosis,
and assess the therapeutic challenges and opportunities of such inhibitors
in the treatment of a range of clinical indications.