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The Vesicular Acetylcholine Transporter (VAChT/SLC18A3) is a critical presynaptic membrane protein responsible for loading acetylcholine into secretory vesicles through a proton-coupled antiport mechanism. Its function underpins fast cholinergic neurotransmission throughout both central and peripheral nervous systems. Genetic disruption results in severe developmental defects or lethality, underscoring its essential role. Its unique structure-function relationship makes it an important target both pharmacologically—for modulating cholinergic tone—and diagnostically—as an imaging biomarker reflecting neuronal health.
Proton-coupled antiport of acetylcholine into synaptic vesicles
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