Concentrative nucleoside transporter 1

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Concentrative Nucleoside Transporter 1

Concentrative Nucleoside Transporter 1 (CNT1) is a protein encoded by the SLC28A1 gene in humans. It is a member of the solute carrier family and plays a crucial role in the cellular uptake of nucleosides, which are the building blocks of nucleic acids such as DNA and RNA. CNT1 is particularly important in the pharmacokinetics of nucleoside analog drugs used in the treatment of cancer and viral infections.

Structure[edit | edit source]

CNT1 is an integral membrane protein that spans the cell membrane multiple times. It is characterized by its ability to transport nucleosides against their concentration gradient, a process that is driven by the sodium ion gradient across the cell membrane. This active transport mechanism allows cells to accumulate nucleosides to concentrations higher than those found in the extracellular environment.

Function[edit | edit source]

The primary function of CNT1 is to mediate the uptake of pyrimidine nucleosides, such as cytidine and uridine, into cells. It also transports certain purine nucleosides, albeit with lower affinity. CNT1 is expressed in various tissues, including the intestine, liver, and kidney, where it facilitates the absorption and reabsorption of nucleosides from the diet and the renal filtrate, respectively.

Clinical Significance[edit | edit source]

CNT1 is of significant interest in the field of pharmacology because it affects the absorption, distribution, and elimination of nucleoside analog drugs. These drugs are commonly used in chemotherapy and antiviral therapies. For example, the efficacy of drugs like gemcitabine and zidovudine depends on their uptake by CNT1. Variations in the expression or function of CNT1 can influence drug response and toxicity.

Regulation[edit | edit source]

The expression and activity of CNT1 are regulated by various factors, including hormonal signals, dietary nucleoside availability, and pathological conditions. For instance, certain cytokines and growth factors can modulate CNT1 expression, impacting its transport capacity.

Research Directions[edit | edit source]

Ongoing research is focused on understanding the molecular mechanisms governing CNT1 function and regulation. There is also interest in developing strategies to modulate CNT1 activity to enhance the therapeutic efficacy of nucleoside analog drugs and to overcome drug resistance in cancer and viral infections.

Also see[edit | edit source]

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Contributors: Prab R. Tumpati, MD