Target intelligence / Profile preview

Sodium-dependent noradrenaline transporter (NET) (NET)

Target
NET
Molecular classification
Transporter, Solute carrier family 6, Sodium:neurotransmitter symporter
01

Overview

The Sodium-dependent noradrenaline transporter (NET), also known as the norepinephrine transporter, is a transmembrane protein encoded by the SLC6A2 gene that belongs to the solute carrier family 6 [2, 3]. It is primarily responsible for the high-affinity reuptake of norepinephrine from the synaptic cleft into presynaptic neurons, a process historically referred to as "Uptake 1" [14]. By clearing norepinephrine, NET terminates its physiological action and maintains neurotransmitter homeostasis in both the central and peripheral nervous systems [1, 9]. This regulation is vital for modulating mood, arousal, cognition, and autonomic functions such as blood pressure and heart rate [1, 8]. Dysregulation of NET is implicated in several neuropsychiatric and cardiovascular disorders, including major depressive disorder, attention-deficit hyperactivity disorder (ADHD), and postural orthostatic tachycardia syndrome (POTS) [5, 7, 13]. Consequently, NET is a major therapeutic target for antidepressants, such as selective norepinephrine reuptake inhibitors (NRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs), as well as psychostimulants used to treat ADHD [6, 20]. These drugs typically act by inhibiting the transporter, thereby increasing the availability of norepinephrine in the synapse to enhance adrenergic signaling [9, 21].

Other names
Norepinephrine transporterSLC6A2NAT1NET1Solute carrier family 6 member 2Noradrenaline transporterUptake 1 transporter
02

Mechanism of action

Inhibition of norepinephrine reuptake from the synaptic cleft into presynaptic neurons; substrate-mediated reverse transport (release) of norepinephrine.

03

Biological functions

Norepinephrine reuptakeNeurotransmitter homeostasisRegulation of sympathetic nervous systemSignal terminationDopamine transport
04

Disease associations

Major depressive disorderAttention-deficit hyperactivity disorderOrthostatic intolerancePostural orthostatic tachycardia syndromePanic disorderHypertension
05

Safety considerations

TachycardiaHypertensionInsomniaDry mouthPotential for abuseCardiovascular strain
06

Interacting drugs

Atomoxetine

9 more in the full profile.

07

Biomarkers

Plasma DHPG/norepinephrine ratioUrinary norepinephrine levelsTyramine pressor sensitivity[11C]MRB PET imaging[123I]mIBG scintigraphy

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