Equilibrative nucleoside transporters play essential roles in nutrient uptake, cardiovascular and renal function, and purine analog drug chemotherapies. Limited structural information is available for this family of transporters; however, residues in transmembrane domains 1, 2, 4, and 5 appear to be important for ligand and inhibitor binding. In order to identify regions of the transporter that are important for ligand specificity, a genetic selection for mutants of the inosine-guanosine-specific Crithidia fasciculata nucleoside transporter 2 (CfNT2) that had gained the ability to transport adenosine was carried out in the yeast Saccharomyces cerevisiae. Nearly all positive clones from the genetic selection carried mutations at lysine 155 in transmembrane domain 4, highlighting lysine 155 as a pivotal residue governing the ligand specificity of CfNT2. Mutation of lysine 155 to asparagine conferred affinity for adenosine on the mutant transporter at the expense of inosine and guanosine affinity due to weakened contacts to the purine ring of the ligand. Following systematic cysteine-scanning mutagenesis, thiol-specific modification of several positions within transmembrane domain 4 was found to interfere with inosine transport capability, indicating that this helix lines the water-filled ligand translocation channel. Additionally, the pattern of modification of transmembrane domain 4 suggested that it may deviate from helicity in the vicinity of residue 155. Position 155 was also protected from modification in the presence of ligand, suggesting that lysine 155 is in or near the ligand binding site. Transmembrane domain 4 and particularly lysine 155 appear to play key roles in ligand discrimination and translocation by CfNT2.Both hydrophilic nutrients and nutrient analog drugs gain access to target cells via membrane-spanning protein transporters. One family of such proteins, the equilibrative nucleoside transporters (ENTs 2 ; SLC29), transports purine and pyrimidine nucleobases and nucleosides into eukaryotic cells (1).In parasitic protozoa, such as Leishmania, Plasmodium, and trypanosomes, ENTs serve an essential function, because purines cannot be synthesized de novo by these organisms and must be obtained from the environment (2). Mammalian ENTs are of particular interest in renal and cardiovascular function (adenosine transport (3, 4)) and in the pharmacogenomics of nucleoside analog drug uptake in antiparasitic, antiviral, and anticancer chemotherapies (5). Although many ENT genes and cDNAs from diverse organisms have been cloned and biochemically characterized in recent years, and insight into the structure of the ENT family is emerging from recent threading (6, 7) and ab initio (8) structural models, a detailed understanding of how ENTs recognize their ligands has remained elusive. All ENTs studied to date are predicted to be composed of 11 transmembrane-spanning segments (TMs), with a large loop between TM6 and -7 that, like the N terminus, is intracellular, whereas the C terminus projects extracellularly ...