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Synaptic vesicle glycoprotein 2 (SV2) is a family of integral membrane proteins, comprising three isoforms (SV2A, SV2B, and SV2C), primarily located on the membranes of synaptic vesicles in neurons [1]. SV2A is ubiquitously expressed throughout the central nervous system, while SV2C is more selectively expressed in specific regions such as the striatum and cholinergic brainstem nuclei [2]. These proteins are essential for proper neurotransmitter release, acting as regulators of vesicle priming and calcium-dependent exocytosis [3]. SV2 isoforms are clinically significant as the high-affinity receptors for Botulinum neurotoxin type A (BoNT/A), which exploits the luminal domain of SV2 during vesicle recycling to enter cholinergic presynaptic terminals and inhibit acetylcholine release [4]. Furthermore, SV2A is the primary molecular target for the antiepileptic drugs levetiracetam and brivaracetam, which bind to the protein to modulate synaptic transmission and reduce seizure activity [5]. Recent advancements have also utilized SV2A as a PET imaging biomarker to quantify synaptic density in neurodegenerative conditions like Alzheimer's disease [6].
SV2 proteins regulate the probability of neurotransmitter release by modulating synaptic vesicle priming and calcium sensitivity [3]. They also act as receptors for Botulinum neurotoxins, which bind to the luminal domain of SV2 during vesicle recycling to undergo endocytosis into the presynaptic terminal [4].
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