Sterile-α and TIR motif-containing protein 1 (SARM1) is an essential mediator of axon degeneration, and increased levels of NAD+ are neuroprotective, but the link between the two remains unclear. A recent paper showed that, in mice, dimerization of the Toll–interleukin receptor (TIR) domain of SARM1 induced rapid breakdown of NAD+ and was sufficient to induce axon degeneration; this effect was reversed by increased synthesis of NAD+, suggesting that NAD+ loss is a key step in SARM1-mediated axon degeneration.