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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].
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]
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