TMED1 is a p24-family secretory pathway protein that functions as an adaptor linking ER/Golgi membrane organization to innate immune signalling (PMID:23319592, PMID:32614325). Its GOLD domain mediates self-association, forming salt-dependent homodimers independent of the coiled-coil region, and the crystal structure of this domain defines the residues required for oligomerization (PMID:34634369). Through the same GOLD domain, TMED1 engages the TIR domain of the IL-33 receptor ST2L and is required for optimal IL-33-induced IL-8 and IL-6 production (PMID:23319592). TMED1 also co-assembles with the ER-embedded ubiquitin ligase RNF26 together with TMEM43, ENDOD1, and TMEM33 in an ER-membrane complex that modulates cGAS-STING innate immune signalling (PMID:32614325). Evolutionary conservation of function is indicated in C. elegans, where the γ-subfamily paralogs tmed-1 and tmed-3 are genetically redundant and facilitate basement membrane breakdown during vulval development (PMID:37204056). Beyond these findings, no further mechanistic detail has been characterized in the available corpus.