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International Journal of Frontiers in Medicine, 2025, 7(1); doi: 10.25236/IJFM.2025.070104.

Research Progress of PANoptosis in Central Nervous System Related Diseases

Author(s)

Zhongting Wang1, Jiushe Kou2

Corresponding Author:
Jiushe Kou
Affiliation(s)

1Shaanxi University of Chinese Medicine, Xianyang, China

2The Second Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang, China

Abstract

PANoptosis is a form of inflammatory programmed cell death that is regulated by the PANoptosome complex and has key features of pyroptosis, apoptosis, and necroptosis, but cannot be fully characterized by any single pathway of programmed cell death. As an emerging form of cell death, PANoptosis plays a crucial role in the pathological processes of central nervous system diseases such as cerebral ischemia-reperfusion injury, sepsis-associated encephalopathy, Alzheimer's disease, and glioma. This article reviews the discovery, regulation mechanism and research progress of PANoptosis in different central nervous system diseases, aiming to provide reference and theoretical basis for basic research and clinical treatment of central nervous system diseases.

Keywords

PANoptosis, PANoptosome, programmed cell death, nervous system disease

Cite This Paper

Zhongting Wang, Jiushe Kou. Research Progress of PANoptosis in Central Nervous System Related Diseases. International Journal of Frontiers in Medicine (2025), Vol. 7, Issue 1: 20-25. https://doi.org/10.25236/IJFM.2025.070104.

References

[1] Malireddi R K S, Kesavardhana S, Kanneganti T D. ZBP1 and TAK1: Master Regulators of NLRP3 Inflammasome/Pyroptosis, Apoptosis, and Necroptosis (PAN-optosis) [J]. Frontiers in cellular and infection microbiology, 2019, 9: 406. 

[2] Yu L, Zhu G, Zhang Z, et al. Apoptotic bodies: bioactive treasure left behind by the dying cells with robust diagnostic and therapeutic application potentials [J]. Journal of nanobiotechnology, 2023, 21(1): 218. 

[3] Li X, Liu Y, Liu X, et al. Advances in the Therapeutic Effects of Apoptotic Bodies on Systemic Diseases [J]. International journal of molecular sciences, 2022, 23(15).

[4] Yang Z H, Wu X N, He P, et al. A Non-canonical PDK1-RSK Signal Diminishes Pro-caspase-8-Mediated Necroptosis Blockade [J]. Molecular cell, 2020, 80(2): 296-310.e6.

[5] Hao W, Feng C. Research progress on pyroptosis and its effect on the central nervous system [J]. Neurobiology of disease, 2023: 106333.

[6] Liu K, Wang M, Li D, et al. PANoptosis in autoimmune diseases interplay between apoptosis, necrosis, and pyroptosis [J]. Frontiers in immunology, 2024, 15: 1502855.

[7] Zhang W, Zhu C, Liao Y, et al. Caspase-8 in inflammatory diseases: a potential therapeutic target [J]. Cellular & molecular biology letters, 2024, 29(1): 130.

[8] Shi C S, Kehrl J H. Bcl-2 regulates pyroptosis and necroptosis by targeting BH3-like domains in GSDMD and MLKL [J]. Cell death discovery, 2019, 5: 151. 

[9] Jiajia D, Wen Y, Enyan J, et al. PGAM5 promotes RIPK1-PANoptosome activity by phosphorylating and activating RIPK1 to mediate PANoptosis after subarachnoid hemorrhage in rats [J]. Experimental neurology, 2025, 384: 115072.

[10] Nadella V, Kanneganti T D. Inflammasomes and their role in PANoptosomes [J]. Current opinion in immunology, 2024, 91: 102489. 

[11] Mishra S, Dey A A, Kesavardhana S. Z-Nucleic Acid Sensing and Activation of ZBP1 in Cellular Physiology and Disease Pathogenesis [J]. Immunological reviews, 2025, 329(1): e13437. 

[12] Kesavardhana S, Malireddi R K S, Burton A R, et al. The Zα2 domain of ZBP1 is a molecular switch regulating influenza-induced PANoptosis and perinatal lethality during development [J]. The Journal of biological chemistry, 2020, 295(24): 8325-30. 

[13] Yu D, Zheng S, Sui L, et al. The role of AIM2 in inflammation and tumors [J]. Frontiers in immunology, 2024, 15: 1466440. 

[14] Lee S, Karki R, Wang Y, et al. AIM2 forms a complex with pyrin and ZBP1 to drive PANoptosis and host defence [J]. Nature, 2021, 597(7876): 415-9.

[15] Du J, Wang Z. Regulation of RIPK1 Phosphorylation: Implications for Inflammation, Cell Death, and Therapeutic Interventions [J]. Biomedicines, 2024, 12(7). 

[16] Qi Z, Zhu L, Wang K, et al. PANoptosis: Emerging mechanisms and disease implications [J]. Life sciences, 2023, 333: 122158. 

[17] Wang J, He W, Li C, et al. Focus on negatively regulated NLRs in inflammation and cancer [J]. International immunopharmacology, 2024, 136: 112347.

[18] Sundaram B, Pandian N, Mall R, et al. NLRP12-PANoptosome activates PANoptosis and pathology in response to heme and PAMPs [J]. Cell, 2023, 186(13): 2783-801.e20.

[19] Chou W C, Jha S, Linhoff M W, et al. The NLR gene family: from discovery to present day [J]. Nature reviews Immunology, 2023, 23(10): 635-54.

[20] Sundaram B, Pandian N, Kim H J, et al. NLRC5 senses NAD(+) depletion, forming a PANoptosome and driving PANoptosis and inflammation [J]. Cell, 2024, 187(15): 4061-77.e17.

[21] Man S M, Kanneganti T D. Innate immune sensing of cell death in disease and therapeutics [J]. Nature cell biology, 2024, 26(9): 1420-33.

[22] Wang L, Zhang X, Xiong X, et al. Nrf2 Regulates Oxidative Stress and Its Role in Cerebral Ischemic Stroke [J]. Antioxidants (Basel, Switzerland), 2022, 11(12). 

[23] Cheng S, Lu Q, Liu Q, et al. Synergistic effects of repeated transcranial magnetic stimulation and mesenchymal stem cells transplantation on alleviating neuroinflammation and PANoptosis in cerebral ischemia [J]. Journal of neuroinflammation, 2024, 21(1): 311. 

[24] Lan Z, Tan F, He J, et al. Curcumin-primed olfactory mucosa-derived mesenchymal stem cells mitigate cerebral ischemia/reperfusion injury-induced neuronal PANoptosis by modulating microglial polarization [J]. Phytomedicine : international journal of phytotherapy and phytopharmacology, 2024, 129: 155635. 

[25] Manabe T, Heneka M T. Cerebral dysfunctions caused by sepsis during ageing [J]. Nature reviews Immunology, 2022, 22(7): 444-58.

[26] Zhou R, Ying J, Qiu X, et al. A new cell death program regulated by toll-like receptor 9 through p38 mitogen-activated protein kinase signaling pathway in a neonatal rat model with sepsis associated encephalopathy [J]. Chinese medical journal, 2022, 135(12): 1474-85.

[27] Valiukas Z, Tangalakis K, Apostolopoulos V, et al. Microglial activation states and their implications for Alzheimer's Disease [J]. The journal of prevention of Alzheimer's disease, 2025, 12(1): 100013.

[28] Park G, Nhan H S, Tyan S H, et al. Caspase Activation and Caspase-Mediated Cleavage of APP Is Associated with Amyloid β-Protein-Induced Synapse Loss in Alzheimer's Disease [J]. Cell reports, 2020, 31(13): 107839.

[29] Lou K, Liu S, Zhang F, et al. The effect of hyperthyroidism on cognitive function, neuroinflammation, and necroptosis in APP/PS1 mice [J]. Journal of translational medicine, 2023, 21(1): 657.

[30] Wu P J, Hung Y F, Liu H Y, et al. Deletion of the Inflammasome Sensor Aim2 Mitigates Aβ Deposition and Microglial Activation but Increases Inflammatory Cytokine Expression in an Alzheimer Disease Mouse Model [J]. Neuroimmunomodulation, 2017, 24(1): 29-39..

[31] Ostrom Q T, Bauchet L, Davis F G, et al. The epidemiology of glioma in adults: a "state of the science" review [J]. Neuro-oncology, 2014, 16(7): 896-913.

[32] Chen M, Huang M, Chen X, et al. Multiomics blueprint of PANoptosis in deciphering immune characteristics and prognosis stratification of glioma patients [J]. The journal of gene medicine, 2024, 26(1): e3621.

[33] Karki R, Sundaram B, Sharma B R, et al. ADAR1 restricts ZBP1-mediated immune response and PANoptosis to promote tumorigenesis [J]. Cell reports, 2021, 37(3): 109858.

[34] Song J, Xu Z, Fan Q, et al. The PANoptosis-related signature indicates the prognosis and tumor immune infiltration features of gliomas [J]. Frontiers in molecular neuroscience, 2023, 16: 1198713.