General Information of Drug Off-Target (DOT) (ID: OTDSLC81)

DOT Name Mixed lineage kinase domain-like protein (MLKL)
Synonyms hMLKL
Gene Name MLKL
Related Disease
Adult lymphoma ( )
Alzheimer disease ( )
Arteriosclerosis ( )
Arthritis ( )
Atherosclerosis ( )
Autoimmune disease ( )
Autoimmune hepatitis ( )
Breast cancer ( )
Breast carcinoma ( )
Chronic kidney disease ( )
Colon cancer ( )
Colon carcinoma ( )
Congestive heart failure ( )
Coronary heart disease ( )
Dilated cardiomyopathy 1A ( )
Fatty liver disease ( )
Glioma ( )
Hepatitis ( )
Inflammatory bowel disease ( )
Lung cancer ( )
Lung carcinoma ( )
Lymphoma ( )
Myelodysplastic syndrome ( )
Myocardial infarction ( )
Neoplasm ( )
Non-small-cell lung cancer ( )
Parkinson disease ( )
Pediatric lymphoma ( )
Periodontitis ( )
Pneumonia ( )
Pneumonitis ( )
Renal fibrosis ( )
Squamous cell carcinoma ( )
Status epilepticus seizure ( )
Systemic lupus erythematosus ( )
Tuberculosis ( )
Ulcerative colitis ( )
Bacterial infection ( )
Melanoma ( )
Stroke ( )
Asthma ( )
Advanced cancer ( )
Gastric cancer ( )
Non-alcoholic fatty liver disease ( )
Non-insulin dependent diabetes ( )
Obesity ( )
Stomach cancer ( )
UniProt ID
MLKL_HUMAN
3D Structure
Download
2D Sequence (FASTA)
Download
3D Structure (PDB)
Download
PDB ID
2MSV; 4M67; 4MWI; 5KNJ; 5KO1; 6BWK; 6D74; 6LK5; 6LK6; 6O5Z; 6UX8; 6ZLE; 6ZPR; 6ZVO; 6ZZ1; 7JW7; 7JXU; 7MON; 7NM2; 7NM4; 7NM5; 8SLZ
Pfam ID
PF07714
Sequence
MENLKHIITLGQVIHKRCEEMKYCKKQCRRLGHRVLGLIKPLEMLQDQGKRSVPSEKLTT
AMNRFKAALEEANGEIEKFSNRSNICRFLTASQDKILFKDVNRKLSDVWKELSLLLQVEQ
RMPVSPISQGASWAQEDQQDADEDRRAFQMLRRDNEKIEASLRRLEINMKEIKETLRQYL
PPKCMQEIPQEQIKEIKKEQLSGSPWILLRENEVSTLYKGEYHRAPVAIKVFKKLQAGSI
AIVRQTFNKEIKTMKKFESPNILRIFGICIDETVTPPQFSIVMEYCELGTLRELLDREKD
LTLGKRMVLVLGAARGLYRLHHSEAPELHGKIRSSNFLVTQGYQVKLAGFELRKTQTSMS
LGTTREKTDRVKSTAYLSPQELEDVFYQYDVKSEIYSFGIVLWEIATGDIPFQGCNSEKI
RKLVAVKRQQEPLGEDCPSELREIIDECRAHDPSVRPSVDEILKKLSTFSK
Function
Pseudokinase that plays a key role in TNF-induced necroptosis, a programmed cell death process. Does not have protein kinase activity. Activated following phosphorylation by RIPK3, leading to homotrimerization, localization to the plasma membrane and execution of programmed necrosis characterized by calcium influx and plasma membrane damage. In addition to TNF-induced necroptosis, necroptosis can also take place in the nucleus in response to orthomyxoviruses infection: following activation by ZBP1, MLKL is phosphorylated by RIPK3 in the nucleus, triggering disruption of the nuclear envelope and leakage of cellular DNA into the cytosol.following ZBP1 activation, which senses double-stranded Z-RNA structures, nuclear RIPK3 catalyzes phosphorylation and activation of MLKL, promoting disruption of the nuclear envelope and leakage of cellular DNA into the cytosol. Binds to highly phosphorylated inositol phosphates such as inositolhexakisphosphate (InsP6) which is essential for its necroptotic function.
KEGG Pathway
Necroptosis (hsa04217 )
Cytosolic D.-sensing pathway (hsa04623 )
TNF sig.ling pathway (hsa04668 )
Salmonella infection (hsa05132 )
Reactome Pathway
RIPK1-mediated regulated necrosis (R-HSA-5213460 )
Regulation of necroptotic cell death (R-HSA-5675482 )
Microbial modulation of RIPK1-mediated regulated necrosis (R-HSA-9686347 )
TRP channels (R-HSA-3295583 )

Molecular Interaction Atlas (MIA) of This DOT

47 Disease(s) Related to This DOT
Disease Name Disease ID Evidence Level Mode of Inheritance REF
Adult lymphoma DISK8IZR Strong Altered Expression [1]
Alzheimer disease DISF8S70 Strong Biomarker [2]
Arteriosclerosis DISK5QGC Strong Biomarker [3]
Arthritis DIST1YEL Strong Biomarker [4]
Atherosclerosis DISMN9J3 Strong Biomarker [3]
Autoimmune disease DISORMTM Strong Altered Expression [5]
Autoimmune hepatitis DISOX03Q Strong Altered Expression [6]
Breast cancer DIS7DPX1 Strong Altered Expression [7]
Breast carcinoma DIS2UE88 Strong Altered Expression [7]
Chronic kidney disease DISW82R7 Strong Biomarker [8]
Colon cancer DISVC52G Strong Altered Expression [9]
Colon carcinoma DISJYKUO Strong Altered Expression [9]
Congestive heart failure DIS32MEA Strong Altered Expression [10]
Coronary heart disease DIS5OIP1 Strong Biomarker [10]
Dilated cardiomyopathy 1A DIS0RK9Z Strong Biomarker [10]
Fatty liver disease DIS485QZ Strong Altered Expression [11]
Glioma DIS5RPEH Strong Biomarker [12]
Hepatitis DISXXX35 Strong Altered Expression [6]
Inflammatory bowel disease DISGN23E Strong Biomarker [13]
Lung cancer DISCM4YA Strong Biomarker [14]
Lung carcinoma DISTR26C Strong Biomarker [14]
Lymphoma DISN6V4S Strong Altered Expression [1]
Myelodysplastic syndrome DISYHNUI Strong Biomarker [15]
Myocardial infarction DIS655KI Strong Biomarker [16]
Neoplasm DISZKGEW Strong Altered Expression [1]
Non-small-cell lung cancer DIS5Y6R9 Strong Altered Expression [17]
Parkinson disease DISQVHKL Strong Biomarker [18]
Pediatric lymphoma DIS51BK2 Strong Altered Expression [1]
Periodontitis DISI9JOI Strong Biomarker [19]
Pneumonia DIS8EF3M Strong Biomarker [20]
Pneumonitis DIS88E0K Strong Biomarker [21]
Renal fibrosis DISMHI3I Strong Biomarker [8]
Squamous cell carcinoma DISQVIFL Strong Biomarker [22]
Status epilepticus seizure DISY3BIC Strong Biomarker [23]
Systemic lupus erythematosus DISI1SZ7 Strong Biomarker [24]
Tuberculosis DIS2YIMD Strong Posttranslational Modification [25]
Ulcerative colitis DIS8K27O Strong Altered Expression [26]
Bacterial infection DIS5QJ9S moderate Biomarker [27]
Melanoma DIS1RRCY moderate Biomarker [28]
Stroke DISX6UHX moderate Biomarker [29]
Asthma DISW9QNS Disputed Biomarker [30]
Advanced cancer DISAT1Z9 Limited Altered Expression [31]
Gastric cancer DISXGOUK Limited Biomarker [32]
Non-alcoholic fatty liver disease DISDG1NL Limited Biomarker [11]
Non-insulin dependent diabetes DISK1O5Z Limited Biomarker [33]
Obesity DIS47Y1K Limited Biomarker [33]
Stomach cancer DISKIJSX Limited Biomarker [32]
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⏷ Show the Full List of 47 Disease(s)
Molecular Interaction Atlas (MIA) Jump to Detail Molecular Interaction Atlas of This DOT
24 Drug(s) Affected the Gene/Protein Processing of This DOT
Drug Name Drug ID Highest Status Interaction REF
Valproate DMCFE9I Approved Valproate decreases the expression of Mixed lineage kinase domain-like protein (MLKL). [34]
Ciclosporin DMAZJFX Approved Ciclosporin increases the expression of Mixed lineage kinase domain-like protein (MLKL). [35]
Tretinoin DM49DUI Approved Tretinoin increases the expression of Mixed lineage kinase domain-like protein (MLKL). [36]
Acetaminophen DMUIE76 Approved Acetaminophen decreases the expression of Mixed lineage kinase domain-like protein (MLKL). [37]
Cupric Sulfate DMP0NFQ Approved Cupric Sulfate decreases the expression of Mixed lineage kinase domain-like protein (MLKL). [38]
Cisplatin DMRHGI9 Approved Cisplatin affects the expression of Mixed lineage kinase domain-like protein (MLKL). [39]
Estradiol DMUNTE3 Approved Estradiol increases the expression of Mixed lineage kinase domain-like protein (MLKL). [40]
Triclosan DMZUR4N Approved Triclosan increases the expression of Mixed lineage kinase domain-like protein (MLKL). [42]
Decitabine DMQL8XJ Approved Decitabine affects the expression of Mixed lineage kinase domain-like protein (MLKL). [39]
Rosiglitazone DMILWZR Approved Rosiglitazone increases the expression of Mixed lineage kinase domain-like protein (MLKL). [43]
Azathioprine DMMZSXQ Approved Azathioprine decreases the expression of Mixed lineage kinase domain-like protein (MLKL). [44]
Obeticholic acid DM3Q1SM Approved Obeticholic acid decreases the expression of Mixed lineage kinase domain-like protein (MLKL). [46]
Nefazodone DM4ZS8M Approved Nefazodone increases the expression of Mixed lineage kinase domain-like protein (MLKL). [47]
Atazanavir DMSYRBX Approved Atazanavir increases the expression of Mixed lineage kinase domain-like protein (MLKL). [47]
Phenylephrine DMZHUO5 Approved Phenylephrine increases the expression of Mixed lineage kinase domain-like protein (MLKL). [48]
Urethane DM7NSI0 Phase 4 Urethane decreases the expression of Mixed lineage kinase domain-like protein (MLKL). [49]
SNDX-275 DMH7W9X Phase 3 SNDX-275 increases the expression of Mixed lineage kinase domain-like protein (MLKL). [50]
Genistein DM0JETC Phase 2/3 Genistein decreases the expression of Mixed lineage kinase domain-like protein (MLKL). [51]
OTX-015 DMI8RG1 Phase 1/2 OTX-015 decreases the expression of Mixed lineage kinase domain-like protein (MLKL). [52]
(+)-JQ1 DM1CZSJ Phase 1 (+)-JQ1 decreases the expression of Mixed lineage kinase domain-like protein (MLKL). [54]
Mivebresib DMCPF90 Phase 1 Mivebresib decreases the expression of Mixed lineage kinase domain-like protein (MLKL). [52]
Trichostatin A DM9C8NX Investigative Trichostatin A affects the expression of Mixed lineage kinase domain-like protein (MLKL). [55]
Coumestrol DM40TBU Investigative Coumestrol increases the expression of Mixed lineage kinase domain-like protein (MLKL). [56]
Paraquat DMR8O3X Investigative Paraquat increases the expression of Mixed lineage kinase domain-like protein (MLKL). [42]
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⏷ Show the Full List of 24 Drug(s)
4 Drug(s) Affected the Post-Translational Modifications of This DOT
Drug Name Drug ID Highest Status Interaction REF
Arsenic trioxide DM61TA4 Approved Arsenic trioxide increases the phosphorylation of Mixed lineage kinase domain-like protein (MLKL). [41]
Ethanol DMDRQZU Approved Ethanol increases the phosphorylation of Mixed lineage kinase domain-like protein (MLKL). [45]
Benzo(a)pyrene DMN7J43 Phase 1 Benzo(a)pyrene increases the methylation of Mixed lineage kinase domain-like protein (MLKL). [53]
Oleic acid DM54O1Z Investigative Oleic acid increases the phosphorylation of Mixed lineage kinase domain-like protein (MLKL). [57]
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1 Drug(s) Affected the Protein Interaction/Cellular Processes of This DOT
Drug Name Drug ID Highest Status Interaction REF
CHLORANIL DMCHGF1 Investigative CHLORANIL affects the localization of Mixed lineage kinase domain-like protein (MLKL). [58]
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References

1 Treatment with mRNA coding for the necroptosis mediator MLKL induces antitumor immunity directed against neo-epitopes.Nat Commun. 2018 Aug 24;9(1):3417. doi: 10.1038/s41467-018-05979-8.
2 Necrosome complex detected in granulovacuolar degeneration is associated with neuronal loss in Alzheimer's disease.Acta Neuropathol. 2020 Mar;139(3):463-484. doi: 10.1007/s00401-019-02103-y. Epub 2019 Dec 4.
3 The role of the LncRNA-FA2H-2-MLKL pathway in atherosclerosis by regulation of autophagy flux and inflammation through mTOR-dependent signaling.Cell Death Differ. 2019 Sep;26(9):1670-1687. doi: 10.1038/s41418-018-0235-z. Epub 2019 Jan 25.
4 A20 prevents inflammasome-dependent arthritis by inhibiting macrophage necroptosis through its ZnF7 ubiquitin-binding domain.Nat Cell Biol. 2019 Jun;21(6):731-742. doi: 10.1038/s41556-019-0324-3. Epub 2019 May 13.
5 Dendritic Cell RIPK1 Maintains Immune Homeostasis by Preventing Inflammation and Autoimmunity.J Immunol. 2018 Jan 15;200(2):737-748. doi: 10.4049/jimmunol.1701229. Epub 2017 Dec 6.
6 The pseudokinase MLKL mediates programmed hepatocellular necrosis independently of RIPK3 during hepatitis.J Clin Invest. 2016 Nov 1;126(11):4346-4360. doi: 10.1172/JCI87545. Epub 2016 Oct 17.
7 Miconazole triggers various forms of cell death in human breast cancer MDA-MB-231 cells.Pharmazie. 2019 May 1;74(5):290-294. doi: 10.1691/ph.2019.8812.
8 RIPK3 promotes kidney fibrosis via AKT-dependent ATP citrate lyase.JCI Insight. 2018 Feb 8;3(3):e94979. doi: 10.1172/jci.insight.94979. eCollection 2018 Feb 8.
9 Association of Mixed Lineage Kinase Domain-Like Protein Expression With Prognosis in Patients With Colon Cancer.Technol Cancer Res Treat. 2017 Aug;16(4):428-434. doi: 10.1177/1533034616655909. Epub 2016 Jul 18.
10 Analysis of necroptotic proteins in failing human hearts.J Transl Med. 2017 Apr 28;15(1):86. doi: 10.1186/s12967-017-1189-5.
11 Inhibition of receptor-interacting protein kinase 1 improves experimental non-alcoholic fatty liver disease. J Hepatol. 2020 Apr;72(4):627-635.
12 MLKL contributes to shikonin-induced glioma cell necroptosis via promotion of chromatinolysis.Cancer Lett. 2019 Dec 28;467:58-71. doi: 10.1016/j.canlet.2019.09.007. Epub 2019 Sep 24.
13 Necroptosis is active in children with inflammatory bowel disease and contributes to heighten intestinal inflammation.Am J Gastroenterol. 2014 Feb;109(2):279-87. doi: 10.1038/ajg.2013.403. Epub 2013 Dec 10.
14 MLKL-PITP signaling-mediated necroptosis contributes to cisplatin-triggered cell death in lung cancer A549 cells.Cancer Lett. 2018 Feb 1;414:136-146. doi: 10.1016/j.canlet.2017.10.047.
15 Transcriptomic analysis implicates necroptosis in disease progression and prognosis in myelodysplastic syndromes.Leukemia. 2020 Mar;34(3):872-881. doi: 10.1038/s41375-019-0623-5. Epub 2019 Nov 12.
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17 Ablative Hypofractionated Radiation Therapy Enhances Non-Small Cell Lung Cancer Cell Killing via Preferential Stimulation of Necroptosis InVitro and InVivo.Int J Radiat Oncol Biol Phys. 2018 May 1;101(1):49-62. doi: 10.1016/j.ijrobp.2018.01.036. Epub 2018 Jan 31.
18 RIP1/RIP3/MLKL mediates dopaminergic neuron necroptosis in a mouse model of Parkinson disease.Lab Invest. 2020 Mar;100(3):503-511. doi: 10.1038/s41374-019-0319-5. Epub 2019 Sep 10.
19 Loss of periodontal ligament fibroblasts by RIPK3-MLKL-mediated necroptosis in the progress of chronic periodontitis.Sci Rep. 2019 Feb 27;9(1):2902. doi: 10.1038/s41598-019-39721-1.
20 Pore-forming toxin-mediated ion dysregulation leads to death receptor-independent necroptosis of lung epithelial cells during bacterial pneumonia.Cell Death Differ. 2017 May;24(5):917-928. doi: 10.1038/cdd.2017.49. Epub 2017 Apr 7.
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22 Phospho-Np63-responsive microRNAs contribute to the regulation of necroptosis in squamous cell carcinoma upon cisplatin exposure.FEBS Lett. 2015 May 22;589(12):1352-8. doi: 10.1016/j.febslet.2015.04.020. Epub 2015 Apr 21.
23 Hydrogen Alleviates Necroptosis and Cognitive Deficits in Lithium-Pilocarpine Model of Status Epilepticus.Cell Mol Neurobiol. 2019 Aug;39(6):857-869. doi: 10.1007/s10571-019-00685-5. Epub 2019 May 14.
24 Necroptotic cell binding of (2) -glycoprotein I provides a potential autoantigenic stimulus in systemic lupus erythematosus.Immunol Cell Biol. 2019 Oct;97(9):799-814. doi: 10.1111/imcb.12279. Epub 2019 Jun 12.
25 Susceptibility of Mycobacterium tuberculosis-infected host cells to phospho-MLKL driven necroptosis is dependent on cell type and presence of TNF.Virulence. 2017 Nov 17;8(8):1820-1832. doi: 10.1080/21505594.2017.1377881. Epub 2017 Nov 24.
26 Expression of receptor interacting protein 3 and mixed lineage kinase domain-like protein-key proteins in necroptosis is upregulated in ulcerative colitis.Ann Palliat Med. 2019 Sep;8(4):483-489. doi: 10.21037/apm.2019.07.04. Epub 2019 Aug 12.
27 Transcription modulation by CDK9 regulates inflammatory genes and RIPK3-MLKL-mediated necroptosis in periodontitis progression.Sci Rep. 2019 Nov 22;9(1):17369. doi: 10.1038/s41598-019-53910-y.
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29 The degradation of mixed lineage kinase domain-like protein promotes neuroprotection after ischemic brain injury.Oncotarget. 2017 Jul 18;8(40):68393-68401. doi: 10.18632/oncotarget.19416. eCollection 2017 Sep 15.
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31 Interferons Transcriptionally Up-Regulate MLKL Expression in Cancer Cells.Neoplasia. 2019 Jan;21(1):74-81. doi: 10.1016/j.neo.2018.11.002. Epub 2018 Dec 3.
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33 The pseudokinase MLKL regulates hepatic insulin sensitivity independently of inflammation.Mol Metab. 2019 May;23:14-23. doi: 10.1016/j.molmet.2019.02.003. Epub 2019 Feb 20.
34 Integrative omics data analyses of repeated dose toxicity of valproic acid in vitro reveal new mechanisms of steatosis induction. Toxicology. 2018 Jan 15;393:160-170.
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