We express mammalian serotonin transporters (SERTs) in Xenopus oocytes by cRNA injection and measure 5-hydroxytryptamine (5-HT) transport and 5-HT-induced current at varying expression levels. Transport and current both increase sigmoidally with the amount of cRNA injected, but current requires ϳ5-fold more cRNA to elicit a half-maximal response. Western blots of SERT protein demonstrate that current, but not transport, correlates linearly with the amount of SERT on the plasma membrane. In oocytes co-injected with wild-type SERT and an inactive SERT mutant, transport is similar to SERT alone, but current is attenuated. The charge/transport ratio reports the differential sensitivity of transport and current to increasing SERT cRNA injection and mutant co-expression. Manipulations that alter the charge/transport ratio also perturb substrate and inhibitor recognition. 5-HT, d-amphetamine, cocaine, and paroxetine inhibit transport more potently at lower expression levels; however, 5-HT potency for induction of current is similar at high and low expression. Moreover, the apparent potency of cRNA for transport depends on 5-HT concentration. We postulate that SERT interacts allosterically with an endogenous factor of limited abundance to alter substrate and inhibitor potency and the balance of 5-HT transport and channel-like activity.Serotonin transporters accumulate serotonin into cells following 5-HT 1 release, thereby modulating serotonergic signaling and neurotransmission (1). 5-HT is implicated in a variety of behaviors, including mood, sleep, pain, appetite, aggression, and sexual behavior, and serotonin-selective reuptake inhibitors are useful for the treatment of human diseases (depression, obsessive-compulsive disorder, bulimia and eating disorders, alcoholism, anxiety and panic disorders, and premenstrual dysphoric disorder) (2, 3). SERT is a receptor for psychostimulant drugs of abuse such as 3,4-methylenedeoxymethamphetamine, amphetamine, and cocaine (4 -6).SERT (SLC6A4) is a member of the GAT/NET transporter family that encodes carriers for neurotransmitters, solutes, and amino acids that are similar in function (Na ϩ ,Cl Ϫ dependence), structure (12 putative transmembrane-spanning segments), and sequence (1, 7). The three-dimensional structure and relative positions of transmembrane-spanning segments is unknown for any member of the GAT/NET family. The deduced amino acid sequences of mammalian SERT cDNA clones (5, 7, 8) predict a polypeptide of ϳ68 kDa. Protein purification and radiation inactivation studies estimate a similar size for SERT (9, 10). SERT forms oligomeric complexes supported by FRET interactions (11), chemical cross-linking (12), and functional reconstitution following purification of a large protein complex (13,14). Epitope-tagged rSERT proteins can be co-immunoprecipitated and co-expression of (2-aminoethyl)methanethiosulfonate-sensitive or -insensitive mutants alters (2-aminoethyl)methanethiosulfonate inhibition, indicating that intersubunit interactions in the oligomeric complex modula...