SLC6A4
solute carrier family 6 member 4
Gene summary
A protein-coding gene on chromosome 17 (drug and xenobiotic transporters, neurotransmission). Encodes an integral membrane protein that transports the neurotransmitter serotonin from synaptic spaces into presynaptic neurons. The protein terminates the action of serotonin and recycles it in a sodium-dependent manner.
Source: NCBI Gene, accessed 2026-10-07.
Protein reference (UniProt)
- Protein
Sodium-dependent serotonin transporter
- Function (excerpt)
Serotonin transporter that cotransports serotonin with one Na(+) ion in exchange for one K(+) ion and possibly one proton in an overall electroneutral transport cycle. Transports serotonin across the plasma membrane from the extracellular compartment to the cytosol thus limiting serotonin intercellular signaling. Essential for serotonin homeostasis in the central nervous system. In the developing somatosensory cortex, acts in glutamatergic neurons to control serotonin uptake and its trophic functions accounting for proper spatial organization of cortical neurons and elaboration of sensory circuits. In the mature cortex, acts primarily in brainstem raphe neurons to mediate serotonin uptake from the synaptic cleft back into the pre-synaptic terminal thus terminating serotonin signaling at the synapse (By similarity). Modulates mucosal serotonin levels in the gastrointestinal tract through uptake and clearance of serotonin in enterocytes.
- Subcellular location
Cell membrane; Endomembrane system; Endosome membrane; Synapse; Cell junction, focal adhesion; Cell projection, neuron projection.
- Tissue specificity
Expressed in platelets (at protein level).
Source: UniProtKB/Swiss-Prot P31645, release 2026_03, licensed CC BY 4.0. This is the protein’s normal biology, not evidence about post-drug syndromes; associated conditions are inherited disorders of the gene, not PFS, PSSD or PRSD.
Why its pathway is in the library
Transporters set systemic exposure to finasteride/SSRIs and clear conjugated steroid metabolites — directly relevant to both drug pharmacokinetics and Powers' clearance-centered PFS mechanism. Monoamine, GABA, glutamate, and cholinergic systems are the direct pharmacologic targets of SSRIs/SNRIs (PSSD) and the downstream effectors of neurosteroid signaling (PFS).
Written for the whole drug transporters / neurotransmission family, not for SLC6A4 specifically.
Mentioned in 10 corpus records
- Medication
Citalopram
SSRI
SERT blockade; see class note.
SLC6A4MED-003PSSDCore corpus - Medication
Escitalopram
SSRI
S-enantiomer of citalopram; SERT blockade; see class note.
SLC6A4MED-004PSSDCore corpus - Medication
Fluoxetine
SSRI
SERT blockade; long half-life; see class note.
SLC6A4MED-005PSSDCore corpus - Medication
Fluvoxamine
SSRI
SERT blockade with sigma-1 activity; see class note.
SLC6A4MED-006PSSDCore corpus - Medication
Paroxetine
SSRI
SERT blockade; most-studied SSRI in the corpus preclinical series — shown to perturb neurosteroidogenesis in rat brain (PSSD-009), bind a novel off-target protein (PSSD-010), alter colonic steroidogenesis and microbiota (PSSD-011), and produce persistent…
SLC6A4MED-007PSSDCore corpus - Medication
Sertraline
SSRI
SERT blockade with mild dopamine transporter activity; see class note.
SLC6A4MED-008PSSDCore corpus - Medication
Desvenlafaxine
SNRI
SERT + NET blockade; included in 2019 EMA persistence warning.
SLC6A4MED-009PSSDCore corpus - Medication
Duloxetine
SNRI
SERT + NET blockade; included in 2019 EMA persistence warning.
SLC6A4MED-010PSSDCore corpus - Medication
Milnacipran
SNRI
SERT + NET blockade (relatively more noradrenergic); included in 2019 EMA persistence warning.
SLC6A4MED-011PSSDCore corpus - Medication
Venlafaxine
SNRI
SERT + NET blockade (dose-dependent); included in 2019 EMA persistence warning; cited in Csoka 2008 case reports.
SLC6A4MED-012PSSDCore corpus
Also in drug and xenobiotic transporters
All 62 genes- ABCC2Powers
ATP binding cassette subfamily C member 2
chr 10· Drug transporters· 6 records - ABCC3Powers
ATP binding cassette subfamily C member 3
chr 17· Drug transporters· 5 records - ABCB1
ATP binding cassette subfamily B member 1
chr 7· Drug transporters· 3 records - ABCC5Powers
ATP binding cassette subfamily C member 5
chr 3· Drug transporters· 3 records - SLCO1B1Powers
solute carrier organic anion transporter family member 1B1
chr 12· Drug transporters· 4 records - SLC18A2
solute carrier family 18 member A2
chr 10· Drug transporters· 1 record - SLCO1B3
solute carrier organic anion transporter family member 1B3
chr 12· Drug transporters· 1 record - ABCB11
ATP binding cassette subfamily B member 11
chr 2· Drug transporters· Pathway candidate
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