In mammalian cells, the salvage of purine and pyrimidine nucleosides is mediated by both facilitated and Na ؉ -dependent nucleoside transporters. These transporters also play important roles in the transmembrane flux of therapeutic nucleoside analogs, which are widely used in the treatment of cancer and viral infections. The N1, N2, and N3 Na ؉ -dependent nucleoside transporters differ in terms of their transport selectivity for purine and pyrimidine nucleosides. N1 is purine-selective, N2 is pyrimidine-selective, and N3 is broadly selective. To identify structural domains involved in substrate binding and molecular determinants responsible for distinct transport selectivity, chimeric transporters were made from the cloned rat N1 and N2 transporters. Of the 14 transmembrane domains (TM) of N1 and N2, transplanting TM8 -9 of N1 into N2 converted N2 from a pyrimidine-to a purine-selective transporter. Transplanting only TM8 generated a chimera with characteristics similar to the N3 transporter that has yet to be cloned. These data suggest that TM8 -9 confer substrate selectivity and may form at least part of a substrate-binding site in Na ؉ -dependent nucleoside transporters.Nucleosides and nucleoside analogs are increasingly being developed and used in the treatment of cancer, viral infections, and cardiac arrhythmias (1-3). Notable examples of therapeutic nucleoside analogs include cytosine arabinoside, cladribine, azidothymidine, and 2Ј,3Ј-dideoxyinosine used in the treatment of cancer and human immunodeficiency virus infection. The endogenous nucleoside, adenosine, exerts profound cardiac effects and is used in the treatment of cardiac arrhythmias (3). In mammalian cells, transmembrane flux of nucleosides and nucleoside analogs is mediated by both equilibrative and Na ϩ -dependent nucleoside transporters (4 -7). Consequently the distribution and functional characteristics of these transporters play important roles in determining the absorption, disposition, and elimination of nucleoside drugs (5, 6). Nucleoside transporters present in tumor cells and in the vicinity of purinergic receptors may also represent important gene targets for drug therapy (3, 7).The equilibrative nucleoside transporters mediate passive downhill transport of nucleosides and function bidirectionally in accordance with the concentration gradient of the substrate. Equilibrative nucleoside transporters exhibit a broad substrate selectivity for both purine and pyrimidine nucleosides and appear to be ubiquitous in mammalian cells. They have been further classified into two subtypes (es and ei) according to their sensitivity to inhibition by nitrobenzylthioinosine (5-7). The human es type transporter, hENT1, is recently cloned and has been implicated in the cellular uptake of some chemotherapeutic drugs (8). Na ϩ -dependent nucleoside transporters mediate active uphill transport of nucleosides into cells by coupling to the inwardly directed Na ϩ gradient across the plasma membrane. These transporters have been demonstrated in a variety of tis...