FLIP<sub>L</sub> permits apoptotic and inflammatory signaling and inhibits necroptosis in mice without Caspase-8 oligomerization.

Shaw, Jeremy J P; Guy, Cliff; Tummers, Bart; Green, Douglas R · Proc Natl Acad Sci U S A · 2025

basic_science · Level V

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Abstract

Caspase-8 signaling has proapoptotic, antinecroptotic, and proinflammatory signaling roles dependent on interaction with the adapter molecule FADD, oligomerization, and autocleavage. Previously, a Caspase-8 binding partner cFLIP<sub>L</sub> (FLIP, encoded by <i>Cflar</i>) was shown to prevent Caspase-8-dependent apoptosis, but permit Caspase-8-dependent inhibition of necroptosis. We sought to explore the role of FLIP in Caspase-8-dependent apoptosis induction, necroptosis inhibition, and inflammatory signaling inhibition in vitro and in vivo. We provide evidence that in mice with a mutation that prevents Caspase-8 oligomerization (<i>Casp8<sup>FGLG/FGLG</sup></i>), FLIP is necessary to inhibit necroptosis, promote apoptosis, regulate inflammation, and control lymphoproliferative disease. Unlike <i>Casp8<sup>FGLG/FGLG</sup> mice, Casp8<sup>FGLG/FGLG</sup>,Cflar<sup>-/-</sup></i> mice do not survive embryogenesis, but ablation of <i>Mlkl</i>, required for necroptosis, allows their survival to adulthood. Further, unlike <i>Casp8<sup>FGLG/FGLG</sup>,Mlkl<sup>-/-</sup></i> mice, <i>Casp8<sup>FGLG/FGLG</sup>,Cflar<sup>-/-</sup>,Mlkl<sup>-/-</sup></i> mice display lymphoproliferative disease. We analyzed apoptosis, necroptosis, and inflammatory signaling in <i>Casp8<sup>FGLG/FGLG</sup></i> mice with or without FLIP, gaining insights into the functions of the Caspase-8-FLIP heterodimer in vitro and in vivo.

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