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Tetrabenazine is an inhibitor of vesicular monoamine transporter 2 (VMAT2) that is selective over VMAT1 (Kis = 97 and >20,000 nM, respectively, in a serotonin uptake assay).1 It dose-dependently reduces levels of the monoamines norepinephrine (Item No. 16673), dopamine (Item No. 21992), and serotonin (5-HT; Item No. 14332) in rat brain and has been used to induce depressive-like behavior in animal models.2,3 Tetrabenazine (5 mg/kg) improves performance in balance beam and rotarod tests and prevents decreases in the number of striatal medium spiny neurons (MSNs) in a YAC128 transgenic mouse model of Huntington's disease.4 Formulations containing tetrabenazine have been used in the treatment of chorea associated with Huntington's disease.
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1. Distinct pharmacological properties and distribution in neurons and endocrine cells of two isoforms of the human vesicular monoamine transporter. Proc. Natl. Acad. Sci. USA 93(10), 5166-5171 (1996).
2. Tetrabenazine-
3. Cerebromicrocirculatory defects in animal model of depression. Psychoparmacology (Berl). 84(2), 196-199 (1984).
4. Tetrabenazine is neuroprotective in Huntington’s disease mice. Mol. Neurodegener. 5:18, (2010).