Bastien, E.; Duprez, G.; Delanoë-Ayari, H.; Riviere, C.; Petrilli, V.; Recho, P.; Monnier, S.

Pyroptosis, an inflammatory form of cell death, is associated with large cell swelling and plasma membrane rupture. Recently, such swelling has been shown to occur in a two steps fashion, but the precise molecular and biophysic mechanisms driving the process remain elusive. We demonstrate through advanced quantitative microscopy that, between the two swelling phases, cell volume stabilizes, while plasma membrane permeability to ions and small molecules is markedly elevated due to the formation of pores. From a biophysical perspective, how such a volume plateau exists is puzzling as ion pumps should not regulate the cell volume in these conditions. To address this, we developed a physical model based on an ions pump-and-leak framework, incorporating the dynamics of non-selective pore formation. We experimentally identify two distinct pore permeability dynamics, associated to an increase in the water filtration coefficient and to an ion selectivity decrease due to pore opening. Altogether our results suggest the existence of two mechanistically different pore types, likely driven by separate molecular players. Our findings provide fundamental insights into the biophysics of cell death and may have broader implications for understanding membrane rupture in other pathological contexts.