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Neurotransmitter Uptake Inhibitors
Most neurotransmitters are removed from the synaptic cleft by neurotransmitter transporters in a process called reuptake (uptake). Without reuptake, neurotransmitters can continue to stimulate or inhibit the firing of the postsynaptic neurons.
Glutamate Transporters
Glutamate is the main excitatory neurotransmitter in the CNS and glutamate receptors are present in the plasma membrane of most neurons and glial cells. Glutamate transporters are essential for terminating synaptic excitation and for maintaining extracellular glutamate concentrations below neurotoxic levels. The main transporters located on the plasma membrane are known as excitatory amino acid transporters (EAATs) and uptake is driven by Na+ and K+ gradients. Five EAATs have been cloned and are designated EAAT1-5.
GABA Transporters
Following release into the synapse, GABA is transported into presynaptic terminals and glial cells via Na+/Cl--dependent transporters. Four distinct GABA transporters have been cloned; the high affinity GAT-1, GAT-2 and GAT-3 and the low affinity BGT-1.
Serotonin Transporters
Serotonin transporters are the important site of action for many therapeutic agents. Drugs that reduce the binding of serotonin to their transporters have been used in the treatment of depression, anxiety and some personality disorders. Selective serotonin-reuptake inhibitors (SSRIs) increase the extracellular level of serotonin, increasing the level available to bind the postsynaptic receptor.
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EAAT Substrate and Inhibitor Specificity
Bridges and Esslinger review the substrate and inhibitor specificity of EAAT subtypes ( more)
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