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Catecholamine transporters are essential membrane proteins that regulate the intensity and duration of catecholaminergic signaling by facilitating the reuptake of dopamine, norepinephrine, and epinephrine from the extracellular space [3, 11, 12]. The primary members of this group are the dopamine transporter (DAT; SLC6A3) and the norepinephrine transporter (NET; SLC6A2), which are sodium- and chloride-dependent symporters located on the plasma membranes of presynaptic neurons [10, 12]. By clearing neurotransmitters from the synaptic cleft, they prevent overstimulation of postsynaptic receptors and allow for the recycling of neurotransmitters into vesicular stores via the vesicular monoamine transporter (VMAT2) [3, 11]. Dysfunction of these transporters is linked to several major disorders, including Parkinson's disease, ADHD, depression, and substance use disorders [1, 2, 9, 11]. They are the primary targets for numerous pharmacological agents, including psychostimulants like methylphenidate and amphetamines, which increase synaptic catecholamine levels to treat cognitive and mood-related symptoms [11, 12]. Additionally, imaging of these transporters, particularly DAT, serves as a critical diagnostic tool for assessing the integrity of dopaminergic neurons in neurodegenerative conditions [1, 6]. These transporters also play a role in peripheral physiology, influencing cardiovascular tone and the stress response through the regulation of circulating catecholamines [1, 3, 5].
Inhibition of neurotransmitter reuptake from the synaptic cleft by blocking the transporter pore and, in the case of certain stimulants like amphetamines, induction of substrate-mediated neurotransmitter release through transport reversal [11, 12].
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