Abstract

Death effector domains (DEDs) are protein–protein interaction domains initially identified in proteins such as FADD, FLIP and caspase-8 involved in regulating apoptosis. Subsequently, these proteins have been shown to have important roles in regulating other forms of cell death, including necroptosis, and in regulating other important cellular processes, including autophagy and inflammation. Moreover, these proteins also have prominent roles in innate and adaptive immunity and during embryonic development. In this article, we review the various roles of DED-containing proteins and discuss recent developments in our understanding of DED complex formation and regulation. We also briefly discuss opportunities to therapeutically target DED complex formation in diseases such as cancer.

Highlights

  • Death effector domains (DEDs)-containing proteins form a variety of complexes that regulate key cellular processes, most notably apoptosis, necroptosis and autophagy

  • This stoichiometry is in agreement with data by Esposito et al.,[43] who reported a ratio of 5 × CD95:5 × FADD together with some 6 × CD95:5 × FADD and 7 × CD95:5 × FADD ratios, but not the 4 × CD95:4 × FADD suggested by Scott et al Disparities between these models could be explained by the different conditions used for protein crystallisation; the models proposed by Wang et al and Esposito et al are supported by the fact that they account for mutations frequently seen in autoimmune lymphoproliferative syndrome

  • RIPK1 is conjugated by K63 ubiquitin chains inducing two distinct signaling pathways from the TRADDosome: firstly, NF-κB signaling through NEMO, IKKα and IKKβ, and secondly NEMO can interact with NAP1, TBK1 and IKKε to activate IRF3 or IRF7.205–208 In addition to caspase-8, the TRADDosome can recruit FLIP and may under certain conditions, trigger cell death

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Summary

Open Questions

Does caspase-10 (absent in mice) have overlapping functions with caspase-8, or is it functionally distinct?. What are the best ways of targeting DED-containing proteins to therapeutically activate cell death (e.g., in cancers) or prevent cell death (e.g., in neurodegenerative diseases)?. Are DED-containing proteins potential therapeutic targets for inflammatory diseases?. A number of actively regulated non-apoptotic mechanisms of cell death have emerged, including necroptosis, pyroptosis and ferroptosis, which have been comprehensively reviewed elsewhere.[2,3] Here, we focus on those mechanisms of cell death arising following stimulation of death receptors, broadly termed the ‘extrinsic pathway’. The DED-containing proteins, which are key decision makers in determining the life and death of cells, are the primary focus of this review. We will first introduce the main members of the DED protein family and discuss advances in the understanding of the assembly and stoichiometry of death receptor complexes. We will summarise the recent literature surrounding the regulation of these complexes and consider the role of these proteins in disease

The DED Proteins
Caspase domain
FADD DD
FADD FLIP
FADD DED
FLIPS DED
Caspase activation APOPTOSIS NECROPTOSIS
Posttranslational Regulation of DED Proteins
DED DED DD
DED Complexes in Mammalian Host Defence
Loss of IAPs
Therapeutically Exploiting DED Complexes
Conclusion and Perspective
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