Synaptic vesicle glycoprotein 2A (SV2A) is a transmembrane protein belonging to a family of keratan sulfate proteoglycans, located on the synaptic vesicles of mammalian neuronal and endocrine cells. It is encoded by the SV2Agene.
SV2A is the most widely expressed isoform of the SV2 family (which also includes the SV2B and SV2C proteins) found in all brain regions. The role of the SV2 proteins is not well understood; however, they are thought to be involved in regulating vesicular processes.
The SV2A protein is a target of the anti-epileptic drugs (anticonvulsants) levetiracetam and brivaracetam but it is not clear how these drugs affect SV2A activity.
Localisation
SV2A is differentially expressed in both inhibitory GABAergic and excitatory glutamatergic terminals however it is not expressed in all synapses as was previously thought. There is a slightly stronger colocalisation between SV2A and GABA than glutamate and the association differs across brain regions and changes with developmental stages.
SV2A PET
Several PET radiotracers targeting SV2A have been developed, allowing for measuring SV2A density in-vivo: [11C]LEV, [11C]UCB-A, [11C]-UCB-H, [18F]UCB-J, [18F]Syn-VesT-1, [18F]Syn-VesT-2, and [18F]SDM-16. SV2A density has been used as a proxy for measuring in vivo synaptic density.
A 2024 systematic review and meta-analysis of [11C]UCB-J PET studies reported lower SV2A binding in individuals with psychotic disorders compared with healthy controls.
12Mendoza-Torreblanca JG, García-Cruz ME, Sánchez-Cruz I, Gomez-Gonzalez B, Juárez-Méndez S, Gómez-Lira G (November 2019). "Analysis of Differential Expression of Synaptic Vesicle Protein 2A in the Adult Rat Brain". Neuroscience. 419: 108–120. doi:10.1016/j.neuroscience.2019.09.004. PMID31520710.
↑Vanoye-Carlo A, Gómez-Lira G (July 2019). "Differential expression of SV2A in hippocampal glutamatergic and GABAergic terminals during postnatal development". Brain Research. 1715: 73–83. doi:10.1016/j.brainres.2019.03.021. PMID30905653.
↑Radhakrishnan R, Skosnik PD, Ranganathan M, Naganawa M, Toyonaga T, Finnema S, etal. (December 2021). "In vivo evidence of lower synaptic vesicle density in schizophrenia". Molecular Psychiatry. 26 (12): 7690–7698. doi:10.1038/s41380-021-01184-0. PMID34135473.
↑Yoon JH, Zhang Z, Mormino E, Davidzon G, Minzenberg MJ, Ballon J, etal. (May 2023). "Reductions in synaptic marker SV2A in early-course Schizophrenia". Journal of Psychiatric Research. 161: 213–217. doi:10.1016/j.jpsychires.2023.02.026. PMID36934603.