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Sodium-dependent dopamine transporter; Sodium-dependent noradrenaline transporter; Sodium-dependent serotonin transporter (DAT (dopamine transporter), NET (norepinephrine/noradrenaline transporter), SERT (serotonin transporter))

Target
DAT (dopamine transporter), NET (norepinephrine/noradrenaline transporter), SERT (serotonin transporter)
Molecular classification
Transporter, Solute carrier family 6 (SLC6), Neurotransmitter:sodium symporter (NSS) family, Monoamine transporter
01

Overview

The sodium-dependent dopamine transporter (DAT), sodium-dependent noradrenaline transporter (NET), and sodium-dependent serotonin transporter (SERT) are closely related integral membrane proteins belonging to the solute carrier family 6 (SLC6). Each is responsible for the reuptake of its respective monoamine neurotransmitter (dopamine, norepinephrine, serotonin) from the synaptic cleft, powered by co-transport of sodium (and often chloride) ions down their electrochemical gradients. These transporters are crucial for the regulation of neurotransmission, termination of signal, and homeostasis within the central and peripheral nervous systems. All three are clinically significant drug targets for antidepressants, psychostimulants, drugs of abuse, and other neuroactive agents. Dysfunction or dysregulation of one or more of these transporters is associated with a wide range of neuropsychiatric and neurodegenerative disorders, and they are a focus of both basic neuroscience and therapeutic drug development.

Other names
DAT (dopamine transporter), SLC6A3NET (norepinephrine transporter, noradrenaline transporter, NAT), SLC6A2SERT (serotonin transporter), SLC6A4
02

Mechanism of action

Inhibition of reuptake transporters (blocking the removal of neurotransmitter from the synaptic cleft, increasing extracellular concentrations); Competitive inhibition at the central substrate binding site; Substrate-type releasers (e.g., amphetamines) can reverse transporter direction to cause non-vesicular release of neurotransmitter

03

Biological functions

Reuptake of neurotransmitters (dopamine, norepinephrine, serotonin) from the synaptic cleftRegulation of synaptic neurotransmitter levelsSynaptic transmissionTermination of neurotransmitter signaling
04

Disease associations

Neuropsychiatric disorders (depression, bipolar disorder, ADHD, anxiety disorders, schizophrenia)Neurodegenerative diseases (Parkinson’s disease, Alzheimer’s disease)Addiction (substance abuse)Cardiovascular disorders (via norepinephrine transporter)Pain disorders (chronic pain; especially noradrenaline transporter)
05

Safety considerations

Risk of abuse (especially cocaine, amphetamine-like drugs)Cardiovascular adverse effects (tachycardia, hypertension; particularly with norepinephrine transporter inhibition)Serotonin syndrome (with excessive SERT inhibition and serotonergic drugs)Neuropsychiatric side effects (insomnia, agitation, mood swings)Potential for withdrawal or discontinuation syndromes
06

Interacting drugs

Cocaine, amphetamine, methamphetamine (all three)

5 more in the full profile.

07

Biomarkers

DAT density (imaging with radioligands used as a biomarker in Parkinson’s disease)NET/SERT genetic polymorphisms (biomarkers for psychiatric disease risk or drug response)Platelet SERT function (proxy for central SERT activity)

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