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Positive Charges in the Brace Region Facilitate the Membrane Disruption of MLKL-NTR in Necroptosis

Necroptosis is a type of programmed cell death executed through the plasma membrane disruption by mixed lineage kinase domain-like protein (MLKL). Previous studies have revealed that an N-terminal four-helix bundle domain (NBD) of MLKL is the executioner domain for the membrane permeabilization, which is auto-inhibited by the first brace helix (H6). After necroptosis initiation, this inhibitory brace helix detaches and the NBD can integrate into the membrane, and hence leads to necroptotic cell death. However, how the NBD is released and induces membrane rupture is poorly understood. Here, we reconstituted MLKL2–154 into membrane mimetic bicelles and observed the structure disruption and membrane release of the first brace helix that is regulated by negatively charged phospholipids in a dose-dependent manner. Using molecular dynamics simulation we found that the brace region in an isolated, auto-inhibited MLKL2–154 becomes intrinsically disordered in solution after 7 ns dynamic motion. Further investigations demonstrated that a cluster of arginines in the C-terminus of MLKL2–154 is important for the molecular conformational switch. Functional mutagenesis showed that mutating these arginines to glutamates hindered the membrane disruption of full-length MLKL and thus inhibited the necroptotic cell death. These findings suggest that the brace helix also plays an active role in MLKL regulation, rather than an auto-inhibitory domain.


Introduction
Necroptosis is a type of programmed necrosis that has been implicated in host immune defense and various human diseases [1,2]. Mixed lineage kinase domain-like protein (MLKL) is the terminal key mediator in the necroptotic pathway discovered by Sun et al. in 2012 [3]. In healthy cells, MLKL is found in the cytosol as a monomeric pseudokinase [4]. Upon activation, MLKL is phosphorylated by Receptor Interacting Protein Kinase 3 (RIPK3) [5], which drives MLKL oligomerization and translocation from the cytosol to the plasma membrane and leads to cell membrane disruption. In the past decade, a great deal of extensive studies on MLKL have been conducted [6,7]. However, the precise mechanism of MLKL activation, including the oligomerization, membrane translocation and permeabilization, is still under debate.
MLKL oligomerization is an essential step in the membrane disruption [8]. Active MLKL is thought to form trimers [9], tetramers [10], hexamers [5] and octamers [11]. Liu et al. also reported that the MLKL tetramers can further polymerize to form disulfide bond-dependent amyloid-like fibers [12]. The cryo-EM structure of MLKL from Arabidopsis (At) determined recently showed a tetrameric assembly with a similar monomer structure to vertebrate MLKLs [13]. However, the N-terminal HeLo domain in AtMLKL is sequestered, indicating this plant tetrameric assembly is an inactive form. The respective oligomerization for MLKLs in the active states may be quite distinct. Previous studies have revealed that negatively charged lipids play an important role in MLKL activation, allowing MLKL to translocate and become incorporated into the plasma membrane. Phosphatidylinositol phosphates and cardiolipin interacting with the positively charged amino acids on MLKL serve as critical binders of MLKL in necroptosis [14]. Moreover, the combined effects of inositol phosphate metabolites IP4, IP5, and IP6 were demonstrated to be essential for necroptotic induction by human MLKL [15,16]. However, alanine substitution of acidic and aliphatic residues also perturbs cell killing [17][18][19], suggesting that interactions other than electrostatic interactions with negatively charged phospholipids attribute to membrane association.
The pore-formation and lipid-binding ability reside in an N-terminal four-helix bundle domain (NBD, amino acid residues 1-124 in human) of MLKL [20], which is connected by a two-helix brace to a C-terminal pseudokinase domain (psKD) ( Figure S1A) [21,22]. The psKD containing the phosphorylation site mediated by RIPK3 serves as a receiver for upstream signals [3]. The NBD of MLKL acts as the executioner domain that NBD alone can disrupt the membrane, and mutations on the NBD lose the ability to promote MLKL necroptosis [14]. A solution structure of the MLKL N-terminal region (NTR) determined by NMR spectroscopy showed that the NBD is auto-inhibited by the first brace helix (H6) and its preceding linker [20]. Upon necroptosis initiation, the auto-inhibitory region is released from the NBD and then the four-helix bundle is exposed to oligomerize and integrate into the plasma membrane, which eventually leads to cell death. A recent study further showed that the first brace helix not only acts as a plug to prevent opening of the bundle, but also interacts with the second brace helix and contributes to MLKL conformational changes and oligomerization [23].
So far, the crystal structures of the human MLKL psKD [22] and full-length mouse MLKL [22], together with the NMR structure of MLKL-NTR [20] provided a clear view of how these domains are arranged in solution. However, the structure visualization of the NTR in a lipid environment is still lacking. Here, we sought to shed light on the membraneassociated architecture of MLKL-NTR. Reconstitution of the NTR of MLKL in membrane mimetic bicelles showed the release of auto-inhibitory region regulated by negatively charged phospholipids in a dose-dependent manner. Using molecular dynamics (MD) simulation, we found the intrinsic disordered nature of the first brace helix. Furthermore, an arginine cluster in the C-terminus of the NTR was revealed to facilitate the release of the auto-inhibitory region, and mutating these basic residues significantly inhibited MLKL activity. Our results suggest that the first brace helix is more than an auto-inhibitory domain in MLKL-dependent necroptosis.

MLKL 2-154 Reconstituted into Bicelles
Previously, Su et al. used nanodiscs and liposomes to study how MLKL 2-154 binds to membranes by NMR spectroscopy, in which the addition of MLKL 2-154 to nanodiscs containing 15% cardiolipin did not affect the cross-peak intensities of the two dimensional (2D) 1 H-15 N TROSY-HSQC spectrum, while the addition of MLKL 2-154 to liposomes with 15% cardiolipin significantly decreased the peak intensities [20]. The obstacles to observe MLKL 2-154 in these two membrane systems are due to nanodiscs that are restricted by the scaffolding protein to make enough room for the MLKL 2-154 to insert into the bilayers, while the size of liposomes are too large for NMR studies. Detergent micelles have been used to monitor MLKL-NTR binding to inositol phosphates [15,24] and phosphatidylinositols [25], but no details about the membrane insertion of MLKL. Moreover, detergents form monolayer in micelles which do not provide a bilayer membrane mimetic environment. To study the membrane-associated MLKL-NTR, we chose bicelles, which form discoid-shaped phospholipid bilayers composed of long-chain and short-chain phospholipids and give a more native-like membrane system amenable to solution NMR technology.
Purified human MLKL 2-154 was first reconstituted into bicelles composed of 1,2dimyristoyl-sn-glycero-3-phosphocholine (DMPC), and 1,2-dihexanoyl-sn-glycero-3-phosphocholine (DHPC) with a q value (DMPC:DHPC, molar ratio) of about 0.6. The 2D 1 H-15 N TROSY-HSQC spectrum of MLKL 2-154 (0.1 mM) reconstituted in DMPC bicelles showed very little chemical shift differences from the spectrum of MLKL 2-154 in solution and the peak intensities barely changed ( Figure S1B-D). However, a new set of resonances of MLKL 2-154 appeared in DMPC bicelles at high concentrations ( Figure S1E,F), indicating that MLKL-NTR has the ability to interact with the membrane in the presence of DMPC only. Earlier work showed that MLKL can localize to membranes throughout the cell, including mitochondrial membranes [5,26,27]. MLKL can also bind to phosphoinositides and cardiolipin [5,14], and permeabilize cardiolipin-containing liposomes in vitro [5,20]. DMPG (1,2-dimyristoyl-sn-glycero-3-phosphoglycerol) is a widely used negatively charged phospholipid in NMR to mimic PGs in the natural membrane. Therefore, we supplemented the bicelles with different concentrations of cardiolipin ( Figure 1) and DMPG ( Figure S2) to observe the effects of negatively charged lipids on MLKL. Increasing the amount of cardiolipin and DMPG, the intensities of most of the resonances decreased significantly (Figures 1 and S2), while the new set of resonances was detected with significantly increasing intensities (Figures 1 and S2). These results suggested that negatively charged lipids promote membrane-association of MLKL  , which is consistent with the previous studies.

Negatively Charged Phospholipids Induced the Release of the Brace Region
To further identify the appeared new resonances, we prepared a 0.6 mM U-[ 15 N, 13 C, 2 H] MLKL 2-154 sample in bicelles supplemented with 10% cardiolipin. 96% of the backbone resonances of non-proline residues of MLKL 2-154 were assigned using a combination of triple-resonance and NOE experiments. The new set of resonances belong to residues V124-R153 (Figure 2A), i.e., H6 and its preceding linker, indicating membrane-associated MLKL 2-154 presented a different conformation on this region. The backbone 13 C α , 13 C β , and 13 C' chemical shifts analyzed by TALOS+ program showed that the membrane-associated new resonances are disordered ( Figure 2B), indicating the addition of negatively charged phospholipids induced the unfolding of a helical region (W133-M150). Paramagnetic relaxation enhancement (PRE) approaches using the water-soluble paramagnetic agent gadolinium(III) 1,4,7,10-tetraazacyclododecane-1,4,7,10-tetraacetate (Gd-DOTA) and membrane-embedded paramagnetic agent 16-doxyl-stearic acid (16-DSA) further confirmed the disordered bracelet in MLKL 2-154 is solvent-exposed in DMPC bicelles with 10% cardiolipin ( Figure 2C). These results are consistent with previous studies that negatively charged phospholipids induced the distortion and the release of the auto-inhibitory region of MLKL [15,16,25]. On the other hand, the membrane-associated NBD cross-peaks were broadened beyond detection. Such line-broadenings on NBD are either caused by the direct membrane insertion or the oligomer formation upon membrane interaction.

The Intrinsic Disordered Properties of H6 Helix
We next performed the molecular dynamics (MD) simulation to characterize local changes along the protein chain. As we mentioned above, a bulk of studies revealed that the NTR alone can permeabilize liposomes and induce necroptosis in different cell lines, while the pseudokinase domain is not required for the membrane permeabilization [5,17,20,27]. We only used MLKL-NTR for the MD simulation. The NMR structure of MLKL 2-154 (PDB code: 2MSV) was first embedded in a periodic orthorhombic box (~20 × 20 × 20 Å 3 ) containing the explicit simple point charge (SPC) water molecules. MD simulations were carried out as described in Materials and Methods. 100 ns of NPT production simulation without any restriction were first run and recorded. The Root Mean Square Fluctuation (RMSF) of the backbone and heavy atoms showed that H6 fluctuates most of the time during the simulation, indicating that the helix structure of H6 is not rigid in the entire simulation. We extracted the average structures according to 1 ns interval from the 100 ns MD trajectory files, a total of 100 average structures were exported. The helical structure of H6 is stable at the first 7 ns ( Figure 3A). Starting from 8 ns, we found that H6 began to uncoil its helical structure on amino acids 133-139 ( Figure 3B). At the end of 100 ns, the whole helix structure of H6 is disrupted ( Figure 3C). Subsequently, we carried out an extended period of dynamics simulation (100 ns to 1000 ns), and the uncoiled H6 maintained its disordered state without any helical structure recovered. No α-helical structure of the residues in the first brace helix is kept at the end of 1000 ns MLKL 2-154 simulations. While the four helix bundle remained its stable secondary structure during the simulation. 1 H-15 N TROSY-HSQC spectrum of MLKL2-154 (0.1 mM) reconstituted in DMPC bicelles showed very little chemical shift differences from the spectrum of MLKL2-154 in solution and the peak intensities barely changed (Figure S1B-D). However, a new set of resonances of MLKL2-154 appeared in DMPC bicelles at high concentrations ( Figure S1E,F), indicating that MLKL-NTR has the ability to interact with the membrane in the presence of DMPC only. Earlier work showed that MLKL can localize to membranes throughout the cell, including mitochondrial membranes [5,26,27]. MLKL can also bind to phosphoinositides and cardiolipin [5,14], and permeabilize cardiolipin-containing liposomes in vitro [5,20]. DMPG (1,2-dimyristoyl-sn-glycero-3-phosphoglycerol) is a widely used negatively charged phospholipid in NMR to mimic PGs in the natural membrane. Therefore, we supplemented the bicelles with different concentrations of cardiolipin ( Figure 1) and DMPG ( Figure S2) to observe the effects of negatively charged lipids on MLKL. Increasing the amount of cardiolipin and DMPG, the intensities of most of the resonances decreased significantly (Figures 1 and S2), while the new set of resonances was detected with significantly increasing intensities (Figures 1 and S2). These results suggested that negatively charged lipids promote membrane-association of MLKL2-154, which is consistent with the previous studies. We further put the protein system into the membrane system for dynamic simulation. The NMR structure of the protein (PDB code: 2MSV) was initially placed on the membrane (DMPC) according to a previously proposed position by Quarato et al. [25] ( Figure 3D) via the module system builder in Desmond software. DPPC, POPC, POPE and DMPC are the only available lipids to build the model membrane, no negatively charged lipids are available due to the technical limitations of the software. As shown above, MLKL2-154 can interact with DMPC bicelles at high concentrations; thus, MD simulation in DMPC can still offer us some worthy hints to inspect the membrane-association of MLKL.
The predicted composite structure showed that H1 and H2 is close to the membrane surface ( Figure 3D), while H6 is opposite to the membrane binding sites. Then this predicted composite structure, protein and membrane, was embedded in a periodic ortho- We further put the protein system into the membrane system for dynamic simulation. The NMR structure of the protein (PDB code: 2MSV) was initially placed on the membrane (DMPC) according to a previously proposed position by Quarato et al. [25] (Figure 3D) via the module system builder in Desmond software. DPPC, POPC, POPE and DMPC are the only available lipids to build the model membrane, no negatively charged lipids are available due to the technical limitations of the software. As shown above, MLKL 2-154 can interact with DMPC bicelles at high concentrations; thus, MD simulation in DMPC can still offer us some worthy hints to inspect the membrane-association of MLKL.
The predicted composite structure showed that H1 and H2 is close to the membrane surface ( Figure 3D), while H6 is opposite to the membrane binding sites. Then this predicted composite structure, protein and membrane, was embedded in a periodic orthorhombic box (~40 × 40 × 40 Å 3 ) containing the SPC water molecules. After 100 ns MD simulation, we found that the helical structure of H6 did not uncoil and become an irregular structure like in the pure water environment. Surprisingly, H6 is gradually getting close to the membrane surface and R152 and R153 inserted deeply into the membrane after 100 ns simulation ( Figure 3E). However, further MD simulation for the protein-membrane system did not show how the protein system enter the membrane and disrupt the membrane structure.

Polybasic Residues in the C-Terminus of the Brace Region Is Essential for the Release
The last snapshot from the apo MLKL simulation showed that the unfolded H6 attaches to the NBD with the salt bridges between four basic residues (K26, R30, R34 and K95) of NBD and four acidic residues (E136 and D140, D142, E143) of H6 ( Figure S3A), and hydrophobic interactions were also kept at three different sites, including residues L38, P41, M44, L45, L89, L97, L116, M122, V124, I127, A141 and F148 ( Figure S3B), indicating that the H6 is still locked in the inhibitory conformation even its structure is disrupted. While MD simulations in the membrane environment showed a cluster of basic charged arginines in C-terminus of the auto-inhibitory region (R152 and R153) ( Figure S4A) interacts with the membrane, along with that R145 and R146 move very closely to the membrane. These basic residues are also highly conserved in primate species ( Figure S4B); therefore, we guess that their interactions with the membrane may provide the extra pulling-away forces to facilitate the release of the auto-inhibited region.
To investigate this hypothesis, we first mutated these arginine residues to glutamate to eliminate the possible electronic interactions between the lipids and the basic region. Three different mutants were constructed, including R145E/R146E, R152E/R153E and R145E/R146E/R152E/R153E (4RE). The 2D 1 H-15 N TROSY-HSQC experiments showed that inverting the charge of these amino acids did not interfere with the overall MLKL 2-154 structure ( Figure S4C). Adding 10% cardiolipin or DMPG to the reconstituted mutants in DMPC bicelles did not increase the intensities of the new sets of disordered H6 for the R152E/153E and 4RE mutants, nor decreased the intensities of other resonances ( Figure 4A). The R145E/R146E mutant also showed similar changes but to a lesser extent ( Figure 4A).
We further performed a phase separation assay-Triton X-114 assay-to investigate the effects of these polybasic residues on MLKL membrane translocation following previous protocols. The three full-length MLKL mutants R145E/R146E, R152E/R153E and 4RE were constructed into HT29 cells via lentivirus transfection. The cells were then harvested after T/S/Z treatment and extracted by Triton X-114 lysis buffer ( Figure 4B). At high temperatures, phosphorylated MLKL was concentrated in the detergent phase fraction (the membrane fraction). The Western blotting analysis using antibodies showed that only wild-type MLKL appeared in the detergent phase during necroptosis ( Figure 4B). MLKL mutants were not able to transit to the detergent phase, indicating that these mutants did not translocate to the membrane fraction upon necroptosis activation. Cell death was also monitored for different MLKL mutant cell lines. When expressed in cells, MLKL mutants can no longer induce necroptosis after T/S/Z treatment, though they were expressed at similar or much higher levels than the wild-type lethal counterparts ( Figure 4C).
Together, these results indicated that the positively charged cluster at the C-terminus of NTR is important to unleash the auto-inhibitory plug from the four-helix bundle.  We further performed a phase separation assay-Triton X-114 assay-to investigate the effects of these polybasic residues on MLKL membrane translocation following previous protocols. The three full-length MLKL mutants R145E/R146E, R152E/R153E and 4RE were constructed into HT29 cells via lentivirus transfection. The cells were then harvested after T/S/Z treatment and extracted by Triton X-114 lysis buffer ( Figure 4B). At high temperatures, phosphorylated MLKL was concentrated in the detergent phase fraction (the membrane fraction). The Western blotting analysis using antibodies showed that only wild-type MLKL appeared in the detergent phase during necroptosis ( Figure 4B). MLKL mutants were not able to transit to the detergent phase, indicating that these mutants did not translocate to the membrane fraction upon necroptosis activation. Cell death was also  (20 µM). p values were determined by unpaired two-tailed Student's t-test with Welch's correction. **** p < 0.0001. All results are reported from one representative experiment from at least three independent repeats.

Discussion
The structural characterization of the membrane-associated MLKL is a long standing question in the necroptosis studies. Previous solution-state NMR studies have been applied to MLKL-NTR reconstituted in liposomes, nanodiscs [20] and micelles [15,24,25]. In the present study, we reconstituted MLKL 2-154 into bicelles, a lipid-bilayer system with better flexibility than nanodiscs and a smaller size than liposomes, to investigate the activation of NTR. Unfortunately, this system did not provide further structural information about how MLKL-NTR inserts into the membrane. Consistent with previous studies, the activation of MLKL-NTR was featured by an unfolding of the first brace helix and detachment of this disordered region [15,16,25], in our study, starting with residue 124 and stretching to residue 153. The release of the auto-inhibitory region was observed upon the addition of negatively charged lipids in a dose-dependent manner. These results confirmed the speculation that the negatively charged phospholipids promote the release of the autoinhibitory region.
Further investigation of membrane association of MLKL-NTR by MD simulation showed the dynamic property of the auto-inhibitory region. H6 began to unfold its helical structure after 7 ns simulation time in solution and the uncoiled H6 did not recover its secondary structure after 1000 ns dynamics simulation. This result indicated the intrinsicdisordered property of the auto-inhibitory brace. However, during the simulation the auto-inhibitory brace stably attached to the NBD, with the maintenance of hydrophobic interactions between the brace, its preceding linker and the NBD, the electrostatic interactions between the NBD and the brace. Our MD simulation showed the average α-helical percentage of the first brace helix is close to 0% in apo MLKL 2-154 simulations, which is lower than that (35%) from the simulations performed by Bansal et al. using the full-length model of human MLKL [28]. The construct used in our study only contains the first brace helix, so the unfolding is not restricted by the second brace helix.
The MD simulation of MLKL 2-154 in DMPC lipids suggested that the positive cluster in the C-terminus interacts with the membrane. Protein-membrane interaction is universally regulated by electrostatic interactions between the negatively charged phospholipids and the positively charged residues of the membrane-binding protein [29]. Previous studies have demonstrated that the interaction of negatively charged phospholipids with the clusters of positively charged residues in the NBD led to the displacement of the first brace [15,16,20,25]. Here, we identified that a cluster of positively charged arginines in C-terminus of the auto-inhibitory region (R145, R146, R152 and R153) also facilitated the unleashing of the brace and the linker during activation. We further confirmed their role by the functional mutagenesis that mutations of arginines to glutamates significantly blocked the necroptosis of MLKL. We noticed that the mutations also affected the phosphorylation levels; however, the phosphorylated mutants enriched in the aqueous fraction instead of the membrane fraction, indicating that these residues are important for the membrane association. It is likely that the arginine cluster interacts with the membrane and pulls the auto-inhibitory plug away from the necrotic NBD; therefore, the four-helix bundle can expose its hydrophobic interior to favor the membrane insertion. Further investigations are required to fully understand the role of this basic cluster in multiple steps of the membrane disruption.
H6 in the auto-inhibitory region was previously reported to contribute to the membrane insertion and oligomerization by interacting with the second brace helix [23], indicating an active role of the auto-inhibitory region. Our study also showed a new role of the auto-inhibitory region that is not passive in the membrane disruption, which provides a better understanding of the activation steps on MLKL recruited to the plasma membrane.

Protein Expression and Purification
Human MLKL 2-154 was cloned into pET28a(+) vector with an N-terminal 8× His tag followed by a human rhinovirus 3C protease recognition sequence (LEVLFQGP). The recombinant plasmid was transformed into an E. coli BL21(DE3) strain. The cells were grown at 37 • C in M9 minimal media until OD 600 reached 0.8-1.0, then treated with 0.5 mM IPTG and grown at 18 • C. Cells were harvested after 18 h induction and resuspended with buffer A (50 mM HEPES/pH7.5, 300 mM NaCl, 0.2 mM β-ME). Cells were disrupted with a high pressure homogenizer. After cell disruption, soluble part was collected by centrifuging at 40,000× g for 30 min and purified by immobilized metal affinity chromatography using an Ni-NTA column. The column was first washed using buffer A with 20 and 40 mM imidazole respectively after sample loading, then eluted by buffer A with 400 mM imidazole. The sample was then dialyzed against buffer A in 3.5 KDa MWCO SnakeSkin dialysis tubing (Thermo Scientific, Rockford, IL, USA) to remove imidazole. The protein was incubated with 3C protease at a molar ratio of 20:1 at 4 • C overnight and applied to an Ni-NTA column to remove 8× His tag. The sample was further purified by size exclusion chromatography using HiLoad 16/600 Superdex 200 pg column (GE) with buffer B (20 mM MES/pH 6.5, 100 mM NaCl). MLKL 2-154 is easily oxidized, thus reducing agents are required in the final NMR sample. A typical NMR sample consists of 0.1-0.6 mM MLKL  in NMR buffer (20 mM MES/pH 6.5, 100 mM NaCl, 20 mM DTT). The mutants R145E/R146E, R152E/R153E and 4RE were expressed and purified following the same procedure as for the WT.

Reconstitution of MLKL 2-154 into Bicelles
To prepare empty bicelles, 6.78 mg DMPC (and 0.75 mg cardiolipin or DMPG if needed) was dissolved in CH 3 Cl and dried in a glass tube under nitrogen gas until a thin lipid film was formed. After lyophilization, the lipids were resuspended in 500 µL NMR buffer containing 9.07 mg DHPC. The mixture was vortexed, frozen in liquid nitrogen and thawed at 37 • C for at least 5 times. A 0.1 mM NMR sample was made by incubating the empty bicelles with 50 nmol MLKL 2-154 for 30 min at room temperature and concentrating the protein-bicelles mixture to 500 µL. The bicelle q value of the NMR sample was carefully controlled at~0.6 according to 1D 1 H NMR spectrum. The mutants R145E/R146E, R152E/R153E and 4RE were reconstituted into bicelles with the same protocol as for the WT.

NMR Resonance Assignment and Secondary Structure Prediction
3D TROSY-based HNCA, HN(CO)CA, HN(CA)CO, and HNCO experiments were performed for sequence-specific assignment of backbone chemical shifts ( 1 H N , 15 N, 13 C α , and 13 C'). The assignments were validated by a 3D (H N ,H N )-HSQC-NOESY-TROSY spectrum (150 ms NOE mixing time) and a 3D TROSY-based HN(CO)CACB spectrum. All these experiments were conducted at 30 • C on a 600 MHz Bruker spectrometer equipped with a cryogenic TXI probe. A 0.6-mM U-[ 15 N, 13 C, 2 H] MLKL 2-154 protein in DMPC bicelles with 10% cardiolipin was used for these experiments. The NMR spectra were processed with NMRPipe and analyzed using XEASY and CcpNmr. Secondary structures of MLKL 2-154 reconstituted in DPMC bicelles with 10% cardiolipin were predicted based on secondary chemical shift using TALOS+.

Lipophilic PRE Analysis
To further determine the membrane association of MLKL 2-154 , a membrane-embedded paramagnetic agent 16-DSA was titrated to the MLKL 2-154 sample. The stock solution for titrations was composed of 20 mM 16-DSA solubilized in the same buffer as that of MLKL 2-154 sample and the q value of bicelles was the same. A 900 MHz Bruker spectrometer equipped with a cryogenic TXI probe was used to monitor the titration process. Peak intensities at different concentrations of 16-DSA (0, 0.6, 1.2, 1.8, 2.4, 3.0, 3.6, 4.2, 4.8, 5.4 and 6 mM) were recorded by 2D 1 H-15 N TROSY-HSQC spectra (3.5 s recover delay). The residue-specific I/I 0 vs. 16-DSA concentration was plotted.

Molecular Dynamics Simulation
Molecular dynamics (MD) simulations for this protein were carried out in two different conditions, in pure water and membrane, using the academic free Desmond 2020 package (https://www.schrodinger.com/desmond, accessed on 31 March 2021) under the default OPLS-AA 2005 force field [31] with the appropriate number of counter ions to balance the net charge of the system solvated in 150 mM NaCl.
For the first MD simulation in pure water condition, the protein structure (PDB code: 2MSV) [20] was downloaded from the Protein Data Bank (www.rcsb.org, access on 31 December 1971) and embedded in a periodic orthorhombic box (~20 × 20 × 20 Å 3 ) containing the SPC water molecules. For the second MD system in the membrane, the membrane localization of the protein (PDB code: 2MSV) and membrane (DMPC) were predicted in the according to the positions reported by Quarato et al. [25]. The second MD system in the membrane was embedded in a periodic orthorhombic box (~40 × 40 × 40 Å 3 ) containing the SPC water molecules. The above two complexes were performed with periodic boundary conditions in an NPT ensemble in which the amount of substance (N), pressure (P) and temperature (T) were conserved. Nose-Hoover temperature coupling [32] was used to calculate long-range electrostatic interactions with grid spacing of 0.8 Å. The RESPA integrator [33] was used for reducing calculation time by decreasing the frequency of time-consuming long-range interaction calculations. The real-space part electrostatic and Van der Waals interactions were cut off at 9 Å.
The simulations were conducted by the restrained MD simulation using the default 'membrane relax' protocol provided in Desmond by about 2 ns. Upon reaching equilibrium, the system was subject to the unrestrained MD, which was performed by running 100 ns of NPT production simulation without any restriction. The configurations and interval energy were recorded at every 100 ps.

Triton X-114 Assay
The pellets from treated cells were re-suspended in 5× volume of Triton X-114 lysis buffer (20 mM HEPES/pH 7.4, 150 mM NaCl, 2% Triton X-114, and complete protease inhibitor [Roche]) and incubated on ice for 30 min. The cell lysate was centrifuged at 15,000× g at 4 • C for 10 min, and then the supernatant was harvested as the detergent soluble fraction. After warming at 30 • C for 3 min, the detergent soluble fraction was centrifuged at 1500× g for 5 min at room temperature. The aqueous layer was collected and then re-centrifuged at 1500× g for 5 min to remove the contamination from the detergentenriched layer and saved as the aqueous faction (Aq). The detergent-enriched layer was diluted with a basal buffer (20 mM HEPES/pH 7.4, 150 mM NaCl) to the same volume of the detergent soluble fraction and re-centrifuged at 1500× g for 5 min. The washed detergent-enriched layer was diluted with the basal buffer to the same volume as the aqueous faction and saved as the detergent fraction (Det).

Conclusions
We studied the activation of MLKL-NTR in bicelles using a solution-state NMR technique. The release of an auto-inhibited region (residue 124-153) was observed in the presence of negatively charged phospholipids including cardiolipin and DMPG. Using a molecular dynamics simulation, we probed the intrinsic disordered property of H6 and the stable attachment of the disordered H6 to NBD. The arginine cluster in the C-terminus of the auto-inhibitory region contributed to the plug opening. R to E mutation in the cluster resulted in a compromised activation of NTR in bicelles and inhibited plasma membrane translocation and the necrotic effect of full-length MLKL. Based on these results, we proposed a new role for the arginine cluster in the C-terminus of the auto-inhibitory region during the activation of NTR that pulled the plug away through electrostatic interactions with the acidic headgroups of phospholipids.