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Synaptic vesicle glycoprotein 2A, Synaptic vesicle glycoprotein 2B, Synaptic vesicle glycoprotein 2C (SV2A, SV2B, SV2C)

Target
SV2A, SV2B, SV2C
Molecular classification
Vesicular membrane protein, Transporter (major facilitator superfamily homology, though not a neurotransmitter transporter), Glycoprotein, Other (unique vesicle protein, not a classical receptor/transporter/enzyme)
01

Overview

The synaptic vesicle glycoprotein 2 (SV2) family comprises **SV2A**, **SV2B**, and **SV2C**—closely related 12-transmembrane domain glycoproteins present on synaptic vesicles of neurons and neuroendocrine cells[1][2][7]. These proteins are not classical receptors or enzymes, but play essential roles in synaptic vesicle trafficking, exocytosis, and transmitter release by modulating a variety of presynaptic processes, including vesicular calcium sensitivity and the maintenance of readily releasable vesicle pools. **SV2A** is the main isoform in the brain and is the direct target of antiepileptic drugs such as levetiracetam and brivaracetam. SV2 proteins are also exploited by botulinum neurotoxins to access nerve terminals, and growing evidence suggests involvement in neurodegenerative disorders (notably for SV2B and SV2C). Diagnostic imaging of SV2A using PET tracers is increasingly important as a proxy for synaptic density in clinical research[2][7]. Despite intensive study, the precise mechanistic functions of these proteins remain incompletely defined, and their roles may extend beyond neurotransmitter regulation to include vesicle metabolic homeostasis, such as galactose transport (at least for SV2A)[6].

Other names
SV2ASV2BSV2CSynaptic vesicle protein 2A/B/CSV2 family
02

Mechanism of action

Binding of antiepileptic drugs to SV2A modulates synaptic transmission and reduces neuronal hyperexcitability Botulinum toxins bind to SV2 proteins to enter neurons and inhibit neurotransmitter release

03

Biological functions

Regulation of neurotransmitter releaseRegulation of synaptic vesicle exocytosisModulation of vesicular calcium sensitivityMaintenance of releasable synaptic vesicle poolsPotential transporter activity (galactose transport by SV2A)
04

Disease associations

Epilepsy (therapeutic target in epilepsy)Neurodegenerative disease (e.g., Alzheimer's disease, Parkinson's disease)Target for botulinum neurotoxinsPotential involvement in other CNS disorders
05

Safety considerations

Broad CNS expression, so off-target effects are possibleDisruption can affect multiple neurotransmitter systems (risk for cognitive, neuropsychiatric, or motor effects)Autoantibody formation against SV2 proteins is rare but possibleComplete loss is incompatible with life (especially for SV2A)
06

Interacting drugs

Levetiracetam (SV2A-specific)

3 more in the full profile.

07

Biomarkers

SV2A PET tracers are used as imaging biomarkers for synaptic density (e.g., in epilepsy, Alzheimer's disease, and other neurodegenerative conditions)No established circulating or tissue biomarkers for patient selection

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