Abstract:Necroptosis is an inflammatory form of programmed cell death requiring receptor-interacting protein kinase 1, 3 (RIPK1, RIPK3) and mixed lineage kinase domain-like protein (MLKL). The kinase of RIPK3 phosphorylates MLKL causing MLKL to form a pore-like structure, allowing intracellular contents to release and cell death to occur. Alternatively, RIPK1 and RIPK3 have been shown to regulate cytokine production directly influencing inflammatory immune infiltrates. Recent data suggest that necroptosis may contribut… Show more
“…72 Furthermore, RIP3-dependent signalling promotes vascular permeability by both triggering necroptosis in vascular endothelial cells 73 and activating p38/heat shock protein 27. 74…”
Section: Apoptosis and Necroptosis Pathwaysmentioning
Cholangiocarcinoma (CCA) is a deadly disease. While surgery may attain cure in a minor fraction of cases, therapeutic options in either the adjuvant or advanced setting are limited. The possibility of advancing the efficacy of therapeutic approaches to CCA relies on understanding its molecular pathogenesis and developing rational therapies aimed at interfering with oncogenic signalling networks that drive and sustain cholangiocarcinogenesis. These efforts are complicated by the intricate biology of CCA, which integrates not only the driving force of tumour cell‐intrinsic alterations at the genetic and epigenetic level but also pro‐tumorigenic cues conveyed to CCA cells by different cell types present in the rich tumour stroma. Herein, we review our current understanding of the mechanistic bases underpinning the activation of major oncogenic pathways causative of CCA pathogenesis. We subsequently discuss how this knowledge is being exploited to implement rationale‐based and genotype‐matched therapeutic approaches that predictably will radically transform CCA clinical management in the next decade. We conclude by highlighting the mechanisms of therapeutic resistance in CCA and reviewing innovative approaches to combat resistance at the preclinical and clinical level.
“…72 Furthermore, RIP3-dependent signalling promotes vascular permeability by both triggering necroptosis in vascular endothelial cells 73 and activating p38/heat shock protein 27. 74…”
Section: Apoptosis and Necroptosis Pathwaysmentioning
Cholangiocarcinoma (CCA) is a deadly disease. While surgery may attain cure in a minor fraction of cases, therapeutic options in either the adjuvant or advanced setting are limited. The possibility of advancing the efficacy of therapeutic approaches to CCA relies on understanding its molecular pathogenesis and developing rational therapies aimed at interfering with oncogenic signalling networks that drive and sustain cholangiocarcinogenesis. These efforts are complicated by the intricate biology of CCA, which integrates not only the driving force of tumour cell‐intrinsic alterations at the genetic and epigenetic level but also pro‐tumorigenic cues conveyed to CCA cells by different cell types present in the rich tumour stroma. Herein, we review our current understanding of the mechanistic bases underpinning the activation of major oncogenic pathways causative of CCA pathogenesis. We subsequently discuss how this knowledge is being exploited to implement rationale‐based and genotype‐matched therapeutic approaches that predictably will radically transform CCA clinical management in the next decade. We conclude by highlighting the mechanisms of therapeutic resistance in CCA and reviewing innovative approaches to combat resistance at the preclinical and clinical level.
“…Other mechanisms of tumor metastasis in which RIPK1 and RIPK3 signaling may play an important role have been proposed. Hanggi et al . have shown that although the loss of the kinase activities of RIPK1 and RIPK3 are important in the ability of tumor cells to form lung nodules, cell death in the endothelial cell layer was not dependent on RIPK3.…”
Section: Necroptosis: Tumor Promoting Function and Its Role In Metastmentioning
confidence: 99%
“…99 Other mechanisms of tumor metastasis in which RIPK1 and RIPK3 signaling may play an important role have been proposed. Hanggi et al 100 have shown that although the loss of the kinase activities of RIPK1 and RIPK3 are important in the ability of tumor cells to form lung nodules, cell death in the endothelial cell layer was not dependent on RIPK3. The authors showed that p38/HSP27 activation of RIPK3-null endothelial cells is decreased in response to permeability factors, such as vascular endothelial growth factor, due to decreased vessel permeability.…”
Section: The Necroptotic Pathway Is Affected In Many Cancersmentioning
Necroptosis is one the best-characterized forms of regulated necrosis. Necroptosis is mediated by the kinase activities of receptor interacting protein kinase-1 and receptor interacting protein kinase-3, which eventually lead to the activation of mixed lineage kinase domain-like. Necroptosis is characterized by rapid permeabilization of the plasma membrane, which is associated with the release of the cell content and subsequent exposure of damage-associated molecular patterns (DAMPs) and cytokines/chemokines. This release underlies the immunogenic nature of necroptotic cancer cells and their ability to induce efficient anti-tumor immunity. Triggering necroptosis has become especially important in experimental cancer treatments as an alternative to triggering apoptosis because one of the hallmarks of cancer is the blockade or evasion of apoptosis. In this review, we discuss recent advances in necroptosis research and the functional consequences of necroptotic cancer cell death, with focus on its immunogenicity and its role in the activation of anti-tumor immunity. Next, we discuss the molecular mechanisms of phosphatidylserine exposure during necroptosis and its role in the recognition of necroptotic cells. We also highlight the complex role of the necroptotic pathway in tumor promotion and suppression and in metastasis. Future studies will show whether necroptosis is truly a better strategy to overcome apoptosis resistance and provide the insights needed for development of novel treatment strategies for cancer.
“…Using genetic and pharmacologic tools, the authors established that this mechanism plays a major role in B16 melanoma extravasation and metastasis in vivo. Hanngi et al (110) reported that RIPK1 kinase activity and RIPK3 (primarily as a scaffold) were required for activation of p38/Hsp27 by vascular permeability factors, such as VEGF-A, providing an alternative explanation for the role of these factors in melanoma extravasation.…”
Section: As D I S C U S S E D a B O V E A C T I V A T I O N O F R Imentioning
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