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Solute carrier family 28 member 3 (SLC28A3), also known as Concentrative nucleoside transporter 3 (CNT3), is a transmembrane protein from the CNT family that functions as a sodium-coupled symporter for purine and pyrimidine nucleosides, as well as a wide variety of nucleoside-derived drugs, including anticancer and antiviral agents. SLC28A3 is notable for its broad substrate specificity and tissue distribution, being highly expressed in pancreas, bone marrow, and mammary gland, with lower levels in intestine, lung, prostate, testis, and liver. Functionally, it plays a key role in nucleoside salvage, intracellular metabolism, and drug pharmacokinetics. Variants of SLC28A3 can impact drug toxicity risk, such as anthracycline-induced cardiotoxicity in cancer therapy, and act as pharmacogenomic biomarkers for patient selection and monitoring. As a drug transporter, it is a validated therapeutic target with safety implications tied to its function and genetic variation.
Symporter: couples one nucleoside with two sodium ions or one proton. Facilitates cellular uptake of nucleoside drugs for cytotoxic or antiviral effects. Mutation or inhibition reduces cellular uptake and toxicity of some anticancer drugs (e.g., doxorubicin).
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