Recent discoveries revealed several types of programmed
necrosis, such as necroptosis, ferroptosis, pyroptosis, etc. Necroptosis is mediated by signaling complexes with receptor-interacting
protein kinases (RIPs) and mixed lineage
kinase domain-like
protein (MLKL). Here, we described an MLKL mediated non-canonical necroptosis through
reactive oxygen species (ROS) in
lung cancer cells triggered by a natural compound,
tanshinol A (
TSA). Morphologically,
TSA-induced necrotic cell death is characterized by increased cell volume, transparent of cytoplasm, and
rupture of the cell membrane. Biochemically, it induces intracellular
ATP depletion and PI penetration. Molecularly,
TSA-induced cell death is mediated by MLKL but independent of RIP1 and RIP3. Furthermore,
TSA induces MLKL phosphorylation and membrane translocation, and cytosolic
calcium accumulation. However,
calcium shows no effect on
TSA-induced cell death. Especially,
TSA induces intracellular ROS generation, which was found to be the upstream of MLKL. Collectively, our data indicated that
TSA triggers a novel type of programmed
necrosis mediated by MLKL in
lung cancer cells, which might have therapeutic potentials for
lung cancer treatment.