Necroptosis is a type of precisely regulated necrotic
cell death
activated in caspase-deficient conditions. Multiple factors initiate
the necroptotic signaling pathway, including toll-like receptor 3/4,
tumor necrosis factor (TNF), dsRNA viruses, and T cell receptors.
Presently, TNF-induced necroptosis via the phosphorylation of three
key proteins, receptor-interacting protein kinase 1, receptor-interacting
protein kinase 3, and mixed lineage kinase domain-like protein, is
the best-characterized process. Necroptosis induced by Z-DNA-binding
protein 1 (ZBP-1) and toll/interleukin-1 receptor (TIR)-domain-containing
adapter-inducing interferon (TRIF) plays a significant role in infectious
diseases, such as influenza A virus, Zika virus, and herpesvirus infection.
An
increasing number of studies have demonstrated the close association
of necroptosis with multiple diseases, and disrupting necroptosis
has been confirmed to be effective for treating (or managing) these
diseases. The central nervous system (CNS) exhibits unique physiological
structures and immune characteristics. Necroptosis may occur without
the sequential activation of signal proteins, and the necroptosis
of supporting cells has more important implications in disease development.
Additionally, necroptotic signals can be activated in the absence
of necroptosis. Here, we summarize the role of necroptosis and its
signal proteins in CNS diseases and characterize typical necroptosis
regulators to provide a basis for the further development of therapeutic
strategies for treating such diseases. In the present review, relevant
information has been consolidated from recent studies (from 2010 until
the present), excluding the patents in this field.