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Serotonin transporter (SERT), Norepinephrine transporter (NET), Dopamine transporter (DAT) (SERT, NET, DAT)

Target
SERT, NET, DAT
Molecular classification
Monoamine transporter, Solute carrier family 6 (SLC6) member, Sodium- and chloride-dependent neurotransmitter transporter, Membrane protein, Transporter
01

Overview

The serotonin transporter (SERT), norepinephrine transporter (NET), and dopamine transporter (DAT) are sodium- and chloride-dependent membrane proteins belonging to the solute carrier family 6 (SLC6). These monoamine transporters are responsible for the termination of neurotransmission—removing serotonin, norepinephrine, or dopamine from the synaptic cleft back into presynaptic neurons. Their structure features twelve transmembrane helices and a conserved central substrate binding site. The pharmacological and genetic importance of these transporters underlies the mechanism-of-action for major classes of antidepressants, psychostimulants, and drugs of abuse, which block reuptake and elevate synaptic concentrations of their respective neurotransmitters. Mutations, misfolding, or altered expression of these transporters have been implicated in many neuropsychiatric and neurodegenerative disorders, making them principal subjects of drug discovery and clinical investigation.

Other names
5-HT transporterSLC6A4Noradrenaline transporterSLC6A2Dopamine transporterSLC6A3DAT1
02

Mechanism of action

Inhibition of reuptake, thereby increasing synaptic monoamine levels; Competitive binding at central substrate site; Allosteric modulation (in some cases, e.g., SERT)

03

Biological functions

Reuptake of monoamine neurotransmitters (serotonin, norepinephrine, dopamine)Termination of neurotransmitter signaling at the synapseRegulation of mood, attention, arousal, reward, and movement
04

Disease associations

Neuropsychiatric diseases: DepressionNeuropsychiatric diseases: AnxietyNeuropsychiatric diseases: ADHDNeuropsychiatric diseases: Bipolar disorderNeuropsychiatric diseases: Substance use disordersNeuropsychiatric diseases: SchizophreniaNeurodegenerative diseases: Parkinson's diseaseEating disorders
05

Safety considerations

Side effects due to off-target neurotransmitter effects (e.g., serotonin syndrome, hypertension, insomnia, addiction liability)Drug-drug interactions due to shared substrate/inhibitor specificityGenetic variants can affect drug response and psychiatric risk profiles
06

Interacting drugs

SSRIs

16 more in the full profile.

07

Biomarkers

Polymorphisms in SLC6A2 (NET), SLC6A3 (DAT), and SLC6A4 (SERT)Imaging for transporter density/availability (e.g., DAT scans in Parkinson's disease)

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