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Nucleoside transporter proteins are integral membrane proteins responsible for the selective uptake of nucleosides, nucleobases, and nucleoside-derived drugs into cells[2][5][8]. In humans, there are two main molecular families: equilibrative nucleoside transporters (ENTs, SLC29) and concentrative nucleoside transporters (CNTs, SLC28)[2][5]. ENTs operate via facilitated diffusion (passive transport, sodium-independent), while CNTs use sodium or proton gradients to drive active, unidirectional uptake[2][3][7]. Both types are critical for nucleic acid synthesis, salvage pathways, and cellular homeostasis of nucleosides, and also play major roles in the pharmacokinetics and efficacy of anticancer and antiviral drugs[5][8]. They are highly relevant as therapeutic targets and biomarkers, especially in cancers and viral infections where nucleoside analogues are used as drugs[3]. In addition, by regulating extracellular adenosine concentrations, nucleoside transporter proteins modulate cardiovascular, neurological, and immunological functions[5][8]. Dysfunction or altered expression of these transporters impacts disease susceptibility, drug efficacy, and toxicity profiles.
Facilitate or inhibit cellular uptake of nucleoside analogues (for chemotherapy and antiviral agents); Inhibition of ENT (e.g., by dipyridamole) elevates extracellular adenosine, mediating vasodilation and neuromodulation; Modulate efficacy of nucleoside-based drugs through transporter-dependent entry into cells; Alter adenosine signaling by regulating available adenosine levels
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