The uptake of nucleosides (for nucleobases) is essential for nucleic acid s
ynthesis in many human cell types and in parasitic organisms that cannot sy
nthesize nucleotides de novo. The transporters responsible are also the rou
te of entry for many cytotoxic nucleoside analogues used in cancer and vira
l chemotherapy. Moreover, by regulating adenosine concentrations in the vic
inity of its cell-surface receptors, nucleoside transporters profoundly aff
ect neurotransmission, vascular tone and other processes. The recent molecu
lar characterization of two families of human nucleoside transporters has p
rovided new insights into the mechanisms of natural nucleotide and drug upt
ake and into future developments of improved therapies.