Cited by 324Sirtuins and Resveratrol in MedicineNerve injury and regenerationCell death mechanisms and regulation

SARM1 is a metabolic sensor activated by an increased NMN/NAD+ ratio to trigger axon degeneration

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Figley, Matthew D., Gu, Weixi, Nanson, Jeffrey D., Shi, Yun, Sasaki, Yo, Cunnea, Katie, Malde, Alpeshkumar K., Jia, Xinying +17 more·2021·Neuron

Abstract

Axon degeneration is a central pathological feature of many neurodegenerative diseases. Sterile alpha and Toll/interleukin-1 receptor motif-containing 1 (SARM1) is a nicotinamide adenine dinucleotide (NAD+)-cleaving enzyme whose activation triggers axon destruction. Loss of the biosynthetic enzyme NMNAT2, which converts nicotinamide mononucleotide (NMN) to NAD+, activates SARM1 via an unknown mechanism. Using structural, biochemical, biophysical, and cellular assays, we demonstrate that SARM1 is activated by an increase in the ratio of NMN to NAD+ and show that both metabolites compete for binding to the auto-inhibitory N-terminal armadillo repeat (ARM) domain of SARM1. We report structures of the SARM1 ARM domain bound to NMN and of the homo-octameric SARM1 complex in the absence of ligands. We show that NMN influences the structure of SARM1 and demonstrate via mutagenesis that NMN binding is required for injury-induced SARM1 activation and axon destruction. Hence, SARM1 is a metabolic sensor responding to an increased NMN/NAD+ ratio by cleaving residual NAD+, thereby inducing feedforward metabolic catastrophe and axonal demise.

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  • Sarm1 acts as a metabolic sensor to monitor local NAD+ levels.

    “Along with NAD + synthase NMNAT2 at the upstream 54 , Sarm1 acts as a metabolic sensor to monitor local NAD + levels 12 .”

    From NAD+ hydrolase Sarm1 is a key driver of synapse degeneration and memory loss in Alzheimer’s disease (2025) · cites this paper as [12]

    The Discussion identifies SARM1 as a metabolic sensor, but specifies that it responds to the NMN/NAD+ ratio rather than NAD+ levels alone. The Results section on SARM1 activation in neurons likewise says the ratio predicts activation; the claim omits that qualification. (LLM, conf=0.86)

    Experimental — accuracy not yet measured
  • Sarm1 remains inactive in physiological conditions but becomes activated in pathological conditions.

    “For this reason, Sarm1 remains inactive in physiological conditions but becomes activated in pathological conditions 12,48 .”

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Authors
Figley, M. D., Gu, W., Nanson, J. D., Shi, Y., Sasaki, Y., Cunnea, K., Malde, A. K., Jia, X., Luo, Z., Saikot, F. K., Mosaiab, T., Masic, V., Holt, S., Hartley-Tassell, L., McGuinness, H. Y., Manik, M. K., Bosanac, T., Landsberg, M. J., Kerry, P. S., Mobli, M., Hughes, R. O., Milbrandt, J., Kobe, B., DiAntonio, A., & Ve, T.
Affiliations
  • Washington University in St. Louis (US)
  • The University of Queensland (AU)
  • Griffith University (AU)
  • Evotec (Germany) (DE)
  • Disarm Therapeutics (United States) (US)
Corresponding author
  • Milbrandt, Jeffrey
  • DiAntonio, Aaron
  • Ve, Thomas
Venue
Neuron
Publisher
Elsevier BV
Published
2021-04
Volume
109
Issue
7
Pages
1118-1136.e11
ISSN
0896-6273 (ISSN-L)
OpenAlex
W3133905451
Cited by
324
References
4
Citations by year
2026: 40 · 2025: 68 · 2024: 48 · 2023: 56 · 2022: 61 · 2021: 49 · 2020: 1
FWCI
29.91
Type
journal article
Language
en
Open access
Locations
  • Neuron (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • Griffith Research Online (submittedVersion, other-oa)
Funders
  • National Computational Infrastructure (cj47)
  • National Institutes of Health (R01CA219866, RF1AG013730, RO1NS087632)
  • National Health and Medical Research Council (1107804, 1071659, 1160570, 1108859)
  • National Institute of Health and Medical Research (RO1NS087632, R01CA219866, RF1AG013730)
  • Queensland Cyber Infrastructure Foundation (fi49)
  • Australian Research Council (FL180100109)
  • University of Queensland
Topics
  • Health Sciences › Medicine › Geriatrics and Gerontology › Sirtuins and Resveratrol in Medicine
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Nerve injury and regeneration
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Cell death mechanisms and regulation
Keywords
SARM1, axonal degeneration, metabolic sensors, NAD+ metabolism, neurodegeneration
MeSH terms
Animals, Axons, Cytoskeletal Proteins, Enzyme Activation, Humans, Models, Molecular, NAD, Nerve Degeneration, Nicotinamide Mononucleotide, Nicotinamide-Nucleotide Adenylyltransferase, Protein Conformation, Mutagenesis, Mice, Knockout, Armadillo Domain Proteins, Mice, Molecular Dynamics Simulation, HEK293 Cells

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