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Dopamine transporter (DAT) and Norepinephrine transporter (NET) (DAT, NET)

Target
DAT, NET
Molecular classification
Transporter, Sodium- and chloride-dependent neurotransmitter transporter, Neurotransmitter: sodium symporter family (NSS, SLC6 family)
01

Overview

The dopamine transporter (DAT) and norepinephrine transporter (NET) are closely related members of the sodium- and chloride-dependent neurotransmitter: sodium symporter family (SLC6). DAT is primarily responsible for reuptake of dopamine from the synaptic cleft, thereby terminating dopaminergic signaling and regulating extracellular dopamine concentrations[3][5][6]. NET is involved in the reuptake of norepinephrine (noradrenaline), and to some degree dopamine, from both the central and peripheral nervous system[5][1][4]. Each transporter consists of 12 transmembrane domains and functions via coupling neurotransmitter reuptake with sodium and chloride ion gradients. Inhibition of these transporters by various drugs increases synaptic monoamine levels, underlying the therapeutic effects of antidepressants, psychostimulants, and drugs used to treat chronic pain and ADHD[3][4][5][6][2]. Alterations in transporter function contribute to the pathogenesis of mood disorders, ADHD, neurodegeneration, chronic pain, and risk of substance abuse[5].

Other names
DAT (dopamine transporter)NET (norepinephrine transporter)SLC6A2 (NET gene symbol)SLC6A3 (DAT gene symbol)Noradrenaline transporterMonoamine transporter
02

Mechanism of action

Inhibition of neurotransmitter reuptake (competitive or non-competitive inhibition of transporter function) Competitive binding at central substrate site (e.g., cocaine, antidepressants) Indirect increase in synaptic neurotransmitter concentration Some drugs act as substrate analogues to induce transporter-mediated efflux (reverse transport, e.g., amphetamines)

03

Biological functions

Neurotransmitter reuptake/recyclingSynaptic clearance of dopamine and norepinephrineRegulation of neurotransmitter concentration in synaptic cleftModulation of mood, arousal, attention, reward, pain perception
04

Disease associations

DepressionAttention deficit hyperactivity disorder (ADHD)Substance use disorders (e.g., stimulant addiction)Neurodegenerative disease (e.g., Parkinson’s disease in context of dopamine)Postural orthostatic tachycardia syndrome, panic disorder (NET epigenetics)Chronic pain
05

Safety considerations

Cardiovascular risk (due to noradrenergic excess, e.g., tachycardia, hypertension)Insomnia, agitation, anxiety (due to enhanced catecholamine tone)Potential for abuse/addiction (especially drugs targeting DAT, e.g., stimulants, cocaine)Risk of serotonin syndrome for drugs with broader monoamine transporter inhibitionGenetic or epigenetic variability impacting clinical response or adverse events
06

Interacting drugs

Reboxetine (NET)

7 more in the full profile.

07

Biomarkers

SLC6A2 gene methylation (NET function, panic disorder, POTS)SLC6A3 gene variants (DAT function, risk alleles)Neuroimaging of DAT or NET binding (PET tracers in clinical studies, for CNS monoaminergic system integrity)

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