The human equilibrative nucleoside transporter hENT1, the first identified member of the ENT family of integral membrane proteins, is the primary mechanism for the cellular uptake of physiologic nucleosides, including adenosine, and many anti-cancer nucleoside drugs. We have produced recombinant hENT1 in Xenopus oocytes and used native and engineered N-glycosylation sites in combination with immunological approaches to experimentally define the membrane architecture of this prototypic nucleoside transporter. hENT1 (456 amino acid residues) is shown to contain 11 transmembrane helical segments with an amino terminus that is intracellular and a carboxyl terminus that is extracellular. Transmembrane helices are linked by short hydrophilic regions, except for a large glycosylated extracellular loop between transmembrane helices 1 and 2 and a large central cytoplasmic loop between transmembrane helices 6 and 7. Sequence analyses suggest that this membrane topology is common to all mammalian, insect, nematode, protozoan, yeast, and plant members of the ENT protein family.Nucleoside transporters play key roles in physiology and pharmacology (1). Uptake of exogenous nucleosides, for example, is a critical first step of nucleotide synthesis in tissues such as bone marrow and intestinal epithelium and certain parasitic organisms that lack de novo pathways for purine biosynthesis (2, 3). The same transport mechanisms function as drug transporters and mediate uptake of many synthetic nucleoside analogs used in cancer (and viral) chemotherapy (2). Nucleoside transporters also control the extracellular concentration of adenosine in the vicinity of its cell surface receptors and regulate processes such as neurotransmission and cardiovascular activity (1-3). Adenosine itself is used clinically to treat cardiac arrhythmias, and nucleoside transport inhibitors such as dipyridamole, dilazep, and draflazine function as coronary vasodilators. In mammals, plasma membrane transport of nucleosides is brought about by members of the concentrative, Na ϩ -dependent (CNT) 1 and equilibrative, Na ϩ -independent (ENT) nucleoside transporter families (1-3). CNTs are expressed in a tissue-specific fashion; ENTs are present in most, possibly all, cell types.Two ENT isoforms have been identified in human and rat tissues (4 -7). Human (h) and rat (r) ENT1 and ENT2 (456 -457 amino acid residues) transport both purine and pyrimidine nucleosides, including adenosine, and are distinguished functionally by a difference in sensitivity to inhibition by NBMPR: hENT1 and rENT1 are potently inhibited by NBMPR (K d 1-10 nM) and have the functional designation equilibrative-sensitive (es), while hENT2 and rENT2 are unaffected by micromolar concentrations of NBMPR and have the functional designation equilibrative-insensitive (ei) (4 -7). They also differ in sensitivity to inhibition by vasodilator drugs (hENT1 Ͼ hENT2 Ͼ rENT1 ϭ rENT2) and by the ability of hENT2 and rENT2 to transport nucleobases as well as nucleosides (1,3,7,8). ENTs are widely distributed i...