# Mediators of necroptosis: from cell death to metabolic regulation

## TL;DR

This review explores how necroptosis, a type of cell death, also affects metabolism and contributes to diseases like obesity and diabetes.

## Contribution

The paper highlights the newly discovered extra-necroptotic roles of necroptotic mediators in metabolic regulation.

## Key findings

- Necroptotic mediators influence energy metabolism, glucose homeostasis, and lipid metabolism.
- Dysregulated necroptosis contributes to chronic inflammation and tissue damage in metabolic diseases.
- Understanding these roles could lead to new therapeutic strategies for metabolic disorders.

## Abstract

Necroptosis, a programmed cell death mechanism distinct from apoptosis, has garnered attention for its role in various pathological conditions. While initially recognized for its involvement in cell death, recent research has revealed that key necroptotic mediators, including receptor-interacting protein kinases (RIPKs) and mixed lineage kinase domain-like protein (MLKL), possess additional functions that go beyond inducing cell demise. These functions encompass influencing critical aspects of metabolic regulation, such as energy metabolism, glucose homeostasis, and lipid metabolism. Dysregulated necroptosis has been implicated in metabolic diseases, including obesity, diabetes, metabolic dysfunction-associated steatotic liver disease (MASLD) and alcohol-associated liver disease (ALD), contributing to chronic inflammation and tissue damage. This review provides insight into the multifaceted role of necroptosis, encompassing both cell death and these extra-necroptotic functions, in the context of metabolic diseases. Understanding this intricate interplay is crucial for developing targeted therapeutic strategies in diseases that currently lack effective treatments.

This review discusses the different roles of necroptosis, including both cell death and extra-necroptotic functions, in the context of metabolic diseases.