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Serotonin transporter (SERT) and Norepinephrine transporter (NET) (SERT (for serotonin transporter), NET (for norepinephrine transporter))

Target
SERT (for serotonin transporter), NET (for norepinephrine transporter)
Molecular classification
Transporter, Neurotransmitter transporter, Sodium-dependent symporter, SLC6 family
01

Overview

The serotonin transporter (SERT) and norepinephrine transporter (NET) are integral membrane proteins, primarily localized to presynaptic neuronal terminals[1][4][6]. They use the sodium and chloride gradient across the membrane to drive reuptake of released serotonin and norepinephrine, respectively, thus terminating neurotransmitter signaling and regulating extracellular concentrations. Both transporters have a central substrate binding site surrounded by multiple transmembrane helices, and at least one allosteric site that modulates ligand binding and release[1][2][5]. Inhibitors, including widely used antidepressant drugs, bind to these sites and block the reuptake process, increasing synaptic neurotransmitter availability and modulating mood, cognition, and pain. Both proteins play a critical role in the pathophysiology and therapy of neuropsychiatric disease, making them important targets for pharmacological intervention[1][2][3][4][5][6].

Other names
5-HT transporterSLC6A4 (for SERT)Noradrenaline transporterSLC6A2 (for NET)Monoamine transporter family
02

Mechanism of action

Inhibition of reuptake (blockade of central substrate-binding site by antidepressants or inhibitors)[1][2][3][5]; Allosteric modulation (some SSRIs occupy both central and allosteric binding sites, slowing dissociation and prolonged effect)[1][5]; Reversal of transport direction (certain amphetamines cause neurotransmitter efflux)[3]

03

Biological functions

Neurotransmitter reuptake (serotonin, norepinephrine)Termination of neurotransmitter signaling[1][3][4][5][6]Regulation of synaptic neurotransmitter concentrationsModulation of mood, attention, and pain pathways
04

Disease associations

Neuropsychiatric disorders (depression, anxiety, obsessive-compulsive disorder)[3][4]Chronic pain[4]Neurodegenerative diseaseOther mood or cognitive syndromes
05

Safety considerations

Risk of serotonin syndrome when combined with other serotonergic drugsNoradrenergic adverse effects: hypertension, tachycardiaCentral nervous system side effects: insomnia, agitation, sexual dysfunctionWithdrawal symptoms upon abrupt discontinuation
06

Interacting drugs

Antidepressants: SSRIs (citalopram, paroxetine, fluoxetine)[1][2][3][5][6]

3 more in the full profile.

07

Biomarkers

SERT expression or occupancy (measured by PET imaging or radioligand binding, useful for patient selection and therapeutic monitoring)NET expression biomarkers (less standardized)

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