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PANoptosis in Neurodegeneration

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mechanism1143 wordssynced 2026-04-02

PANoptosis in Neurodegeneration

<div class="infobox infobox-mechanism">

| Property | Value |
|----------|-------|
| Pathway | PANoptosis |
| Full Name | Pyroptosis-Apoptosis-Necroptosis |
| Key Proteins | ZBP1, NLRP3, ASC, CASP1, CASP8, RIPK1, RIPK3, MLKL |
| Cell Death Type | Programmed cell death (hybrid) |
| Discovery | 2016 (Karki et al.) |

</div>

Overview

PANoptosis (Pyroptosis-[Apoptosis](/entities/apoptosis)) is a unique programmed cell death pathway that involves the coordinated activation of pyroptosis, apoptosis, and [necroptosis](/entities/necroptosis)[@karki2021]. Unlike traditional cell death pathways that operate independently, PANoptosis represents an interconnected inflammatory cell death program that cannot be classified into any single cell death category. This hybrid cell death pathway has emerged as a critical mechanism in neurodegenerative diseases, where it contributes to neuronal loss and disease progression[@lee2023].

Molecular Mechanisms

PANoptosome Complex

The PANoptosome is a large multiprotein complex that serves as the central hub for PANoptosis activation[@karki2021]:

```mermaid
flowchart TD
A["ZBP1<br/>Z-DNA Binding Protein 1"] --> B["PANoptosome Complex"]
C["NLRP3"] --> B
D["ASC<br/>PYCARD"] --> B
E["RIPK1"] --> B
F["RIPK3"] --> B

B --> G["Caspace-1"]
B --> H["Caspace-8"]
B --> I["Caspace-3/7"]

G --> J["Pyroptosis<br/>Gasdermin D"]
H --> K["Apoptosis<br/>Caspase-3/7"]
I --> K
B --> L["Necroptosis<br/>ML KL"]

...
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