“…Adenosine generated by overexpressed h-ecto-5′-NT accumulates in the tumor microenvironment, where it activates immunosuppressive pathways that favor the development of neoplasia. − Accumulated adenosine can also regulate angiogenesis and proliferation, migration, differentiation, and apoptosis of parenchymal cancer cells, contributing to tumor progression and metastasis. − The effects of h-ecto-5′-NT overexpression in tumorigenesis and its role in tumor immune escape and tumor metastasis have been shown in vivo . − In addition to its participation in tumor progression, h-ecto-5′-NT plays a central role in the course of several pathophysiological events and diseases, including inflammation and autoimmune, infectious, and neurological diseases. , Therefore, h-ecto-5′-NT has been recognized as a well-established biological target for cancer therapy and for the treatment of many other diseases. Several h-ecto-5′-NT inhibitors have been reported so far, ,− some of which are currently being tested in clinical trials. , Nevertheless, as discussed in the literature, ,, many of the known inhibitors have physicochemical and/or pharmacological characteristics that limit their applicability as drug candidates, such as low inhibitory potency, poor water solubility, and lack of selectivity. For this reason, considerable efforts have been made by the scientific community and the pharmaceutical industry to search for novel h-ecto-5′-NT inhibitors …”