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ER stress-mediated activation of MLKL reciprocally aggravates ER stress via sensors like PERK (protein kinase R-like ER kinase), IRE1 (inositol-requiring enzyme 1 ), and ATF6 (activating transcription factor 6) to further mediate extracellular signaling between necroptotic cells and the microenvironment through RNA released in extracellular vesicles [147]