Programmed Necrosis: A Prominent Mechanism of Cell Death following Neonatal Brain Injury

Despite the introduction of therapeutic hypothermia, neonatal hypoxic ischemic (HI) brain injury remains a common cause of developmental disability. Development of rational adjuvant therapies to hypothermia requires understanding of the pathways of cell death and survival modulated by HI. The conce...

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Main Authors: Raul Chavez-Valdez, Lee J. Martin, Frances J. Northington
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Neurology Research International
Online Access:http://dx.doi.org/10.1155/2012/257563
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author Raul Chavez-Valdez
Lee J. Martin
Frances J. Northington
author_facet Raul Chavez-Valdez
Lee J. Martin
Frances J. Northington
author_sort Raul Chavez-Valdez
collection DOAJ
description Despite the introduction of therapeutic hypothermia, neonatal hypoxic ischemic (HI) brain injury remains a common cause of developmental disability. Development of rational adjuvant therapies to hypothermia requires understanding of the pathways of cell death and survival modulated by HI. The conceptualization of the apoptosis-necrosis “continuum” in neonatal brain injury predicts mechanistic interactions between cell death and hydrid forms of cell death such as programmed or regulated necrosis. Many of the components of the signaling pathway regulating programmed necrosis have been studied previously in models of neonatal HI. In some of these investigations, they participate as part of the apoptotic pathways demonstrating clear overlap of programmed death pathways. Receptor interacting protein (RIP)-1 is at the crossroads between types of cellular death and survival and RIP-1 kinase activity triggers formation of the necrosome (in complex with RIP-3) leading to programmed necrosis. Neuroprotection afforded by the blockade of RIP-1 kinase following neonatal HI suggests a role for programmed necrosis in the HI injury to the developing brain. Here, we briefly review the state of the knowledge about the mechanisms behind programmed necrosis in neonatal brain injury recognizing that a significant proportion of these data derive from experiments in cultured cell and some from in vivo adult animal models. There are still more questions than answers, yet the fascinating new perspectives provided by the understanding of programmed necrosis in the developing brain may lay the foundation for new therapies for neonatal HI.
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spelling doaj-art-12c53e784f354f7bb5d142ea7d3721382025-08-20T02:02:11ZengWileyNeurology Research International2090-18522090-18602012-01-01201210.1155/2012/257563257563Programmed Necrosis: A Prominent Mechanism of Cell Death following Neonatal Brain InjuryRaul Chavez-Valdez0Lee J. Martin1Frances J. Northington2Neonatal Research Laboratory, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD 21287-3200, USADepartment of Neuroscience, Johns Hopkins University School of Medicine, Baltimore, MD 21287-3200, USANeonatal Research Laboratory, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD 21287-3200, USADespite the introduction of therapeutic hypothermia, neonatal hypoxic ischemic (HI) brain injury remains a common cause of developmental disability. Development of rational adjuvant therapies to hypothermia requires understanding of the pathways of cell death and survival modulated by HI. The conceptualization of the apoptosis-necrosis “continuum” in neonatal brain injury predicts mechanistic interactions between cell death and hydrid forms of cell death such as programmed or regulated necrosis. Many of the components of the signaling pathway regulating programmed necrosis have been studied previously in models of neonatal HI. In some of these investigations, they participate as part of the apoptotic pathways demonstrating clear overlap of programmed death pathways. Receptor interacting protein (RIP)-1 is at the crossroads between types of cellular death and survival and RIP-1 kinase activity triggers formation of the necrosome (in complex with RIP-3) leading to programmed necrosis. Neuroprotection afforded by the blockade of RIP-1 kinase following neonatal HI suggests a role for programmed necrosis in the HI injury to the developing brain. Here, we briefly review the state of the knowledge about the mechanisms behind programmed necrosis in neonatal brain injury recognizing that a significant proportion of these data derive from experiments in cultured cell and some from in vivo adult animal models. There are still more questions than answers, yet the fascinating new perspectives provided by the understanding of programmed necrosis in the developing brain may lay the foundation for new therapies for neonatal HI.http://dx.doi.org/10.1155/2012/257563
spellingShingle Raul Chavez-Valdez
Lee J. Martin
Frances J. Northington
Programmed Necrosis: A Prominent Mechanism of Cell Death following Neonatal Brain Injury
Neurology Research International
title Programmed Necrosis: A Prominent Mechanism of Cell Death following Neonatal Brain Injury
title_full Programmed Necrosis: A Prominent Mechanism of Cell Death following Neonatal Brain Injury
title_fullStr Programmed Necrosis: A Prominent Mechanism of Cell Death following Neonatal Brain Injury
title_full_unstemmed Programmed Necrosis: A Prominent Mechanism of Cell Death following Neonatal Brain Injury
title_short Programmed Necrosis: A Prominent Mechanism of Cell Death following Neonatal Brain Injury
title_sort programmed necrosis a prominent mechanism of cell death following neonatal brain injury
url http://dx.doi.org/10.1155/2012/257563
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AT francesjnorthington programmednecrosisaprominentmechanismofcelldeathfollowingneonatalbraininjury