The aim of the present study was to challenge potential mechanisms of action underlying the inhibition of tumor cell proliferation by agmatine. Agmatine inhibited proliferation of the human hepatoma cells HepG2, the human adenocarcinoma cells HT29, the rat hepatoma cells McRH7777, and the rat pheochromocytoma cells PC-12. Inhibition of proliferation of HepG2 cells was associated with an abolition of expression of ornithine decarboxylase (ODC) protein and a doubling of mRNA content encoding ODC. In HepG2 cells, silencing of ODC-antizyme-1, but not of antizyme inhibitor, by RNA interference resulted in an increase of agmatine's antiproliferative effect. Thus, the distinct decrease in intracellular polyamine content by agmatine was due to a reduced translation of the synthesizing protein ODC but was not essentially mediated by induction of ODC-antizyme or blockade of antizyme inhibitor. In interaction experiments 1 mM L-arginine, 1 mM D-arginine, 1 mM citrulline, 100 M N -nitro-L-arginine methyl ester, 1 and 10 M sodium nitroprusside, and 1 M N 1 -guanyl-1,7-diaminoheptane failed to alter agmatine's antiproliferative effect. Hence, the antiproliferative effect of agmatine in HT29 and HepG2 cells is due to an interaction with neither the NO synthases, the hypusination of eIF5A, nor an agmatine-induced reduction in availability of intracellular L-arginine. L-Arginine and citrulline, but not D-arginine, inhibited tumor cell proliferation by themselves. Their inhibitory effect was abolished after silencing of arginine decarboxylase (ADC) expression by RNA interference indicating the conversion to agmatine by ADC. Finally, in the four cell lines under study, agmatine-induced inhibition of cell proliferation was paralleled by an increase in intracellular caspase-3 activity, indicating a promotion of apoptosis.Agmatine, a cationic amine formed by decarboxylation of L-arginine by the mitochondrial enzyme arginine decarboxylase, initially attracted attention as an endogenous ligand at imidazoline receptors (Li et al., 1994). However, independent of binding to those receptors, agmatine induces a variety of physiological and pharmacological effects (Raasch et al., 2001). In particular, the antiproliferative effect of agmatine has aroused interest as a new alternative in the treatment of neoplasms. Agmatine administration to tumor cells in vitro results in a suppression of cell proliferation (Satriano et al., 1998;Choi and Cho, 1999;Vargiu et al., 1999;Babal et al., 2001;Dudkowska et al., 2003;Higashi et al., 2004;Kribben et al., 2004;Molderings et al., 2004;Mayeur et al., 2005). At the intracellular level, agmatine-induced decrease of cell proliferation was shown to be due to a decrease in the intracellular levels of the polyamines putrescine, spermidine, and spermine (Satriano et al., 1998;Choi and Cho, 1999;Vargiu et al., 1999;Babal et al., 2001;Dudkowska et al., 2003;Higashi et al., 2004;Mayeur et al., 2005), which are pivotal for cell growth (Igarashi and Kashiwagi, 2000). The intracellular concentration of polyam...