# Caspase-3 cleaves and activates the NADase SARM1 to promote apoptosis, linking two cell death mechanisms

**Authors:** Jianjin Shi, Ye Eun Kim, Nicolás José DeRuiter, Priyanka Kadav, Marc Tessier-Lavigne

PMC · DOI: 10.1073/pnas.2528118123 · Proceedings of the National Academy of Sciences of the United States of America · 2026-01-23

## TL;DR

This study shows that caspase-3 activates the SARM1 enzyme during apoptosis, linking two cell death pathways and offering new insights into neurodegenerative diseases.

## Contribution

The study reveals a novel mechanism where caspase-3 cleaves and activates SARM1, linking apoptosis to SARM1-dependent cell death.

## Key findings

- Caspase-3 cleaves SARM1 in its ARM domain, activating its NAD+ hydrolase activity during apoptosis.
- A knock-in mouse model was developed to study the role of caspase-3 cleavage of SARM1 in different cell types.
- SARM1 activation through cleavage is crucial for apoptosis in macrophages and T cells but not always in neurons.

## Abstract

Sterile alpha and HEAT/Armadillo motif containing 1 (SARM1), an NAD+ hydrolase, drives axon degeneration/cell death in injured axons and in many neurodegenerative disease models. SARM1 can be activated by sensing a rise in the nicotinamide mononucleotide (NMN)/NAD+ ratio in cells/axons but other activation mechanisms remain understudied. This study identifies a critical role of SARM1 in promoting apoptosis. During apoptosis, the key apoptotic protease caspase-3 cleaves SARM1 within its autoinhibitory armadillo repeats (ARM) domain, derepressing its intramolecular autoinhibition and activating its NAD+ hydrolase function. This study proposes a mechanism of SARM1 activation by caspase-3 cleavage and provides a knock-in mouse model that will help dissect the contribution of this mechanism of SARM1 activation in disease models.

Two major mechanisms of axon degeneration have been identified. The first, a caspase-dependent apoptotic pathway, is a major mediator of developmental axon degeneration triggered by loss of trophic support. The second, a caspase-independent pathway mediated by the sterile alpha and HEAT/Armadillo motif containing 1 (SARM1) NADase, was found in studies of injury-induced Wallerian degeneration; it is also implicated in degeneration associated with traumatic brain injury, as well as some neurodegenerative diseases and neuropathies. Recent studies suggest that SARM1 functions as a metabolic sensor for the cellular nicotinamide mononucleotide/NAD+ ratio through its autoinhibitory armadillo repeats (ARM) domain. Here, we show a tight link between apoptotic and SARM1-dependent degeneration by demonstrating that SARM1 is activated during and contributes to apoptosis in neuroblastoma cells, macrophages, and T cells. Mechanistically, the key apoptotic protease caspase-3 cleaves SARM1 within its ARM domain, relieving its autoinhibition and activating its NAD+ hydrolase activity. Using a knock-in (KI) mouse model with a SARM1 mutation that prevents caspase-3 cleavage, we show that apoptosis promotion by SARM1 in macrophages and T cells requires its cleavage, whereas in neurons deprived of trophic support, activation of SARM1 occurs both with and without cleavage. Our study identifies a central role for SARM1 in apoptosis in some cells that is mediated by SARM1 activation through caspase-3 cleavage; it provides a model for dissecting the contributions of the two modes of SARM1 activation in different cellular contexts; and it has implications for the selection of ortho- versus allosteric SARM1 inhibitors for treating neurodegenerative diseases.

## Linked entities

- **Genes:** SARM1 (sterile alpha and TIR motif containing 1) [NCBI Gene 23098]
- **Proteins:** SARM1 (sterile alpha and TIR motif containing 1), Casp3 (caspase 3)
- **Chemicals:** NAD+ (PubChem CID 5892), nicotinamide mononucleotide (PubChem CID 14180)
- **Diseases:** traumatic brain injury (MONDO:0858950)
- **Species:** Mus musculus (taxon 10090)

## Full-text entities

- **Genes:** Tnf (tumor necrosis factor) [NCBI Gene 21926] {aka DIF, TNF-a, TNF-alpha, TNFSF2, TNFalpha, Tnfa}, TNF (tumor necrosis factor) [NCBI Gene 7124] {aka DIF, IMD127, TNF-alpha, TNFA, TNFSF2, TNLG1F}, Gsdmd (gasdermin D) [NCBI Gene 69146] {aka 1810036L03Rik, DF5L, Dfna5l, GsdmD-1, Gsdmdc1, M2-4}, Casp3 (caspase 3) [NCBI Gene 12367] {aka A830040C14Rik, AC-3, CASP-3, CC3, CPP-32, CPP32}, Casp8 (caspase 8) [NCBI Gene 12370] {aka CASP-8, FLICE, MACH, Mch5}, Nlrp3 (NLR family, pyrin domain containing 3) [NCBI Gene 216799] {aka AGTAVPRL, AII/AVP, Cias1, FCAS, FCU, MWS}, Sarm1 (sterile alpha and HEAT/Armadillo motif containing 1) [NCBI Gene 237868] {aka A830091I15Rik, MyD885, Sarm}, Itpr1 (inositol 1,4,5-trisphosphate receptor 1) [NCBI Gene 16438] {aka D6Pas2, Gm10429, IP3R 1, IP3R1, InsP3R, Ip3r}, Ngf (nerve growth factor) [NCBI Gene 18049] {aka Ngfb, beta-NGF}, Bax (BCL2-associated X protein) [NCBI Gene 12028], Casp1 (caspase 1) [NCBI Gene 12362] {aka ICE, Il1bc}, Dffa (DNA fragmentation factor, alpha subunit) [NCBI Gene 13347] {aka A330085O09Rik, DFF35, Dff45, ICAD, ICAD-L, ICAD-S}, Wld (wallerian degeneration) [NCBI Gene 22406] {aka Wlds}, SARM1 (sterile alpha and TIR motif containing 1) [NCBI Gene 23098] {aka HsTIR, MyD88-5, SAMD2, SARM, hSARM1}, NGF (nerve growth factor) [NCBI Gene 4803] {aka Beta-NGF, HSAN5, NGFB}, Parp1 (poly (ADP-ribose) polymerase family, member 1) [NCBI Gene 11545] {aka 5830444G22Rik, ARTD1, Adprp, Adprt1, PARP, PPOL}, Nlrx1 (NLR family member X1) [NCBI Gene 270151] {aka NOD9}, CASP3 (caspase 3) [NCBI Gene 836] {aka CPP32, CPP32B, SCA-1}, Dffb (DNA fragmentation factor, beta subunit) [NCBI Gene 13368] {aka 40kDa, 5730477D02Rik, CAD, CPAN, DFF40, Didff}, Csf1 (colony stimulating factor 1 (macrophage)) [NCBI Gene 12977] {aka BAP025, Csfm, MCSF, Mhdabap25, PG-M-CSF, op}
- **Diseases:** Wallerian degeneration (MESH:D014855), inflammation (MESH:D007249), cervical cancer (MESH:D002583), traumatic injuries (MESH:D014947), Tumor (MESH:D009369), Axon degeneration (MESH:D009410), Neuropathy (MESH:D009422), CIPN (MESH:D010523), traumatic brain injury (MESH:D000070642), infection (MESH:D007239), mitochondrial dysfunction (MESH:D028361), neurodegenerative conditions (MESH:D019636), neuroblastoma (MESH:D009447)
- **Chemicals:** NAD+ (MESH:D009243), CO2 (MESH:D002245), pyrodine (MESH:C006384), Nicotinamide 1, N6-ethenoadenine dinucleotide (MESH:C011038), DTT (MESH:D004229), ABT-737 (MESH:C501332), 5-fluorouracil (MESH:D005472), CHX (MESH:D003513), penicillin (MESH:D010406), NMN (MESH:D009537), streptomycin (MESH:D013307), DMSO (MESH:D004121), vincristine (MESH:D014750), ADP-ribose (MESH:D000246), zVAD-FMK (MESH:C096713), glycerol (MESH:D005990), bortezomib (MESH:D000069286), erastin (MESH:C477224), PVDF (MESH:C024865), rotenone (MESH:D012402), ATP (MESH:D000255), B27 (-), paraquat (MESH:D010269), L-glutamine (MESH:D005973), doxorubicin (MESH:D004317), Paclitaxel (MESH:D017239), SDS (MESH:D012967), Glucose (MESH:D005947), bromophenol blue (MESH:D001978), uridine (MESH:D014529)
- **Species:** Homo sapiens (human, species) [taxon 9606], Mus musculus (house mouse, species) [taxon 10090]
- **Mutations:** D314A, E642, D314, E642K
- **Cell lines:** HeLa — Homo sapiens (Human), Human papillomavirus-related endocervical adenocarcinoma, Cancer cell line (CVCL_0030), C57BL/6 — Mus musculus (Mouse), Transformed cell line (CVCL_C0MU), Neuro-2a — Mus musculus (Mouse), Mouse neuroblastoma, Cancer cell line (CVCL_0470), HEK293T — Homo sapiens (Human), Transformed cell line (CVCL_0063), CD-1 — Mus musculus (Mouse), Spontaneously immortalized cell line (CVCL_5731)

## Full text

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## Figures

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## References

56 references — full list in the complete paper: https://tomesphere.com/paper/PMC12846840/full.md

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Source: https://tomesphere.com/paper/PMC12846840