Evidence map›Paper›PMID 32200799›Full record

ArticleCell2020

Influenza Virus Z-RNAs Induce ZBP1-Mediated Necroptosis.

Ting Zhang, Chaoran Yin, David F Boyd, Giovanni Quarato, Justin P Ingram, Maria Shubina, Katherine B Ragan, Takumi Ishizuka, Jeremy Chase Crawford, Bart Tummers and 10 more

Open access · bronzeAbstract read
In one paragraph

Article in Cell, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 373 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
373citing papers in PubMed, 1 pooled it
43.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

373 citing papers in PubMed, 1 synthesis or guideline pooled it, 532 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Mechanisms, regulation and clinical relevance of necroptosis.Nature reviews. Molecular cell biology · 2026
    Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. The triple-hit hypothesis: exploring pulmonary e-cigarette, PMEuropean respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  18. Article
  19. Regulated cell death programs shaping cancer therapy.Cellular oncology (Dordrecht, Netherlands) · 2026
    Review
  20. Review

313 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 5 institutions in 2 countries.

Ting ZhangBlood Cell Development and Function Program, Fox Chase Cancer Center, Philadelphia, PA, USA.
Chaoran YinBlood Cell Development and Function Program, Fox Chase Cancer Center, Philadelphia, PA, USA.
David F BoydDepartment of Immunology, St. Jude Children's Research Hospital, Memphis, TN, USA.
Giovanni QuaratoDepartment of Immunology, St. Jude Children's Research Hospital, Memphis, TN, USA.
Justin P IngramBlood Cell Development and Function Program, Fox Chase Cancer Center, Philadelphia, PA, USA.
Maria ShubinaBlood Cell Development and Function Program, Fox Chase Cancer Center, Philadelphia, PA, USA.
Katherine B RaganDepartment of Molecular Biosciences, LaMontagne Center for Infectious Disease, University of Texas, Austin, Austin, TX, USA.
Takumi IshizukaDivision of Chemistry, Department of Medical Sciences, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki 889-1692, Japan.
Jeremy Chase CrawfordDepartment of Immunology, St. Jude Children's Research Hospital, Memphis, TN, USA.
Bart TummersDepartment of Immunology, St. Jude Children's Research Hospital, Memphis, TN, USA.
Diego A RodriguezDepartment of Immunology, St. Jude Children's Research Hospital, Memphis, TN, USA.
Jia XueDepartment of Pathobiology, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Suraj PeriBlood Cell Development and Function Program, Fox Chase Cancer Center, Philadelphia, PA, USA.
William J KaiserUniversity of Texas Health Sciences Center, San Antonio, San Antonio, TX, USA.
Carolina B LópezDepartment of Pathobiology, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Yan XuDivision of Chemistry, Department of Medical Sciences, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki 889-1692, Japan.
Jason W UptonDepartment of Molecular Biosciences, LaMontagne Center for Infectious Disease, University of Texas, Austin, Austin, TX, USA.
Paul G ThomasDepartment of Immunology, St. Jude Children's Research Hospital, Memphis, TN, USA.
Douglas R GreenDepartment of Immunology, St. Jude Children's Research Hospital, Memphis, TN, USA.
Siddharth BalachandranBlood Cell Development and Function Program, Fox Chase Cancer Center, Philadelphia, PA, USA. Electronic address: siddharth.balachandran@fccc.edu.
St. Jude Children's Research Hospital · USFox Chase Cancer Center · USUniversity of Miyazaki · JPUniversity of Pennsylvania · USThe University of Texas Health Science Center at San Antonio · US

Funding

WORD PROCESSING CENTER--COREP30CA006927 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI Margaret von Mehren · 1985 to 2026
$138.8M
MECHANISMS OF REGULATED CELL DEATHR35CA231620 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI Douglas R. Green · 2018 to 2026
$9.2M
Mechanism, Function, and Exploitation of Influenza A Virus-Activated Cell DeathR01AI135025 · NIAID · RESEARCH INST OF FOX CHASE CAN CTR · PI BALACHANDRAN, SIDDHARTH · 2017 to 2025
$6.8M
Survival Function of the Fadd-Caspase-8-Flip ComplexR01AI044828 · NIAID · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI GREEN, DOUGLAS R. · 1999 to 2016
$6.3M
Survival Function of the Fadd-Caspase-8-Flip Complex - MERIT ExtensionR37AI044828 · NIAID · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI Douglas R. Green · 2017 to 2026
$4.5M
Defective Viral genomes in RSV pathogenesisR01AI137062 · NIAID · WASHINGTON UNIVERSITY · PI Carolina B. Lopez · 2018 to 2026
$4.2M
Targeting RIPK3 in Flu-Associated Lung InjuryR01AI144400 · NIAID · RESEARCH INST OF FOX CHASE CAN CTR · PI BALACHANDRAN, SIDDHARTH, CUNY, GREGORY D · 2019 to 2023
$3.6M
Mechanisms of DDO AdjuvancyR01AI134862 · NIAID · WASHINGTON UNIVERSITY · PI LOPEZ, CAROLINA B. · 2018 to 2022
$2.4M
A protective role for gamma delta T cells in respiratory infectionR01AI121832 · NIAID · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI THOMAS, PAUL G. · 2016 to 2020
$2.2M
RIP1/3 Kinases as New Targets in Malignant MesotheliomaR01CA190542 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI BALACHANDRAN, SIDDHARTH, TESTA, JOSEPH R. · 2015 to 2019
$2.1M
Interferon Activated Necroptosis as a New Therapeutic Avenue for Kidney CancerR01CA168621 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI BALACHANDRAN, SIDDHARTH · 2014 to 2018
$1.9M
Viral transcription in herpesvirus-induced necroptosisR21AI135709 · NIAID · UNIVERSITY OF TEXAS AT AUSTIN · PI UPTON, JASON W · 2018 to 2019
$416k
NCI NIH HHS P30 CA006927NCI NIH HHS R01 CA168621NCI NIH HHS R01 CA190542NCI NIH HHS R35 CA231620NIAID NIH HHS HHSN272201400006CNIAID NIH HHS R01 AI044828NIAID NIH HHS R01 AI121832NIAID NIH HHS R01 AI134862NIAID NIH HHS R01 AI135025NIAID NIH HHS R01 AI137062NIAID NIH HHS R01 AI144400NIAID NIH HHS R21 AI135709NIAID NIH HHS R37 AI044828
6 · The paper itself

Abstract

Influenza A virus (IAV) is a lytic RNA virus that triggers receptor-interacting serine/threonine-protein kinase 3 (RIPK3)-mediated pathways of apoptosis and mixed lineage kinase domain-like pseudokinase (MLKL)-dependent necroptosis in infected cells. ZBP1 initiates RIPK3-driven cell death by sensing IAV RNA and activating RIPK3. Here, we show that replicating IAV generates Z-RNAs, which activate ZBP1 in the nucleus of infected cells. ZBP1 then initiates RIPK3-mediated MLKL activation in the nucleus, resulting in nuclear envelope disruption, leakage of DNA into the cytosol, and eventual necroptosis. Cell death induced by nuclear MLKL was a potent activator of neutrophils, a cell type known to drive inflammatory pathology in virulent IAV disease. Consequently, MLKL-deficient mice manifest reduced nuclear disruption of lung epithelia, decreased neutrophil recruitment into infected lungs, and increased survival following a lethal dose of IAV. These results implicate Z-RNA as a new pathogen-associated molecular pattern and describe a ZBP1-initiated nucleus-to-plasma membrane "inside-out" death pathway with potentially pathogenic consequences in severe cases of influenza.

Indexed as

AnimalsApoptosisCell DeathCell Line, TumorFemaleInfluenza A virusMaleMiceMice, Inbred C57BLNecroptosisNecrosisPhosphorylationProtein KinasesReceptor-Interacting Protein Serine-Threonine KinasesRNARNA-Binding ProteinsMLKL protein, humanProtein KinasesReceptor-Interacting Protein Serine-Threonine KinasesRIPK3 protein, humanRNARNA-Binding ProteinsRNA, Double-StrandedZBP1 protein, humanZbp1 protein, mouseapoptosiscaspase-8dsRNAinfluenzaMLKLnecroptosisRIPK3ZBP1Z-RNA

Identifiers

PMID32200799
PMCPMC7153753
OpenAlexW3011113661

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.