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Updated: Jan 30, 2026

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Published on: February 3, 2022
SARM: From immune regulator to cell executioner
Michael Carty1, Andrew G Bowie1
1School of Biochemistry and Immunology, Trinity Biomedical Sciences Institute, Trinity College Dublin, Dublin 2, Ireland.
The protein SARM, a Toll/Il-1 Receptor (TIR) adaptor, regulates innate immunity and neuronal cell death. Its NADase activity, linked to axon degeneration, presents a therapeutic target for neurodegenerative diseases.
Area of Science:
- Molecular biology
- Immunology
- Neuroscience
Background:
- SARM is a conserved Toll/Il-1 Receptor (TIR) adaptor protein.
- Unlike other TIR adaptors, SARM modulates Toll-like receptor (TLR) signaling and innate immunity.
- SARM plays a critical role in neuronal cell death and axon degeneration.
Purpose of the Study:
- To elucidate the molecular mechanisms underlying SARM-mediated axon degeneration.
- To investigate the enzymatic activity of SARM and its regulation.
- To explore the therapeutic potential of targeting SARM in neurodegenerative diseases.
Main Methods:
- Investigated SARM's interaction with TRIF and MyD88.
- Assessed SARM's role in innate immune responses and cell death pathways.
- Examined SARM's NADase activity in vitro and its regulation by NMNAT2.
- Studied SARM orthologues in C. elegans and Drosophila.
Main Results:
- SARM inhibits TLR signaling by interacting with TRIF and MyD88.
- SARM exhibits intrinsic NADase activity within its TIR domain, depleting NAD+.
- This NADase activity is crucial for SARM-mediated axon degeneration and is regulated by NMNAT2.
- SARM's functions are conserved across species and enriched in CNS neurons.
Conclusions:
- SARM is a key regulator of innate immunity and neuronal cell death.
- SARM's NADase activity is a critical mechanism for axon degeneration.
- Targeting SARM's enzymatic function offers a promising therapeutic strategy for neurodegenerative conditions like multiple sclerosis and motor neuron disease.
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