Spermidine-spermine N 1 -acetyltransferase (SSAT) is induced in response to an elevation in intracellular polyamine pools. The increased enzyme activity is the result of an increase in gene transcription, mRNA translation, and protein stability. Induction of SSAT by polyamine analogues can lead to intracellular polyamine depletion and apoptosis. The mechanism by which polyamines alter the translational efficiency of SSAT mRNA is not well understood. In this study, we investigated the regulation of SSAT translation by the polyamine analogue N 1 ,N 11 -diethylnorspermine (DENSPM). DENSPM induced expression of both FLAG-tagged SSAT and SSAT fused to Renilla luciferase in a time-and concentration-dependent manner. This effect was not inhibited by actinomycin D indicating that changes in gene transcription did not explain the enhanced expression in the presence of DENSPM. Furthermore, because FLAG-SSAT did not contain the 5 -or 3 -untranslated regions of SSAT, translational regulation involved the coding sequence only. By contrast, cycloheximide completely inhibited induction by DENSPM, indicating a requirement for new protein synthesis. Deletion constructs identified two regions of the SSAT proteincoding RNA sequence that conferred polyamine responsiveness. Using these regions as probes in RNA electrophoretic mobility shift assays, we observed specific binding of a cytoplasmic protein. In addition, we found that the interaction between the RNA probes and the binding protein could be inhibited by DENSPM in a concentration-dependent manner. These results suggest that polyamines regulate SSAT mRNA translational efficiency by inhibiting a repressor protein from binding to regions of the coding sequence of the SSAT transcript.Spermidine-spermine N 1 -acetyltransferase (SSAT) 2 is a key enzyme in the degradation of the essential polyamines spermidine and spermine (1, 2). Normally, the intracellular level of SSAT is low, but it can be rapidly induced by elevating intracellular polyamine concentrations (3) or by treating cells with polyamine mimetics such as N 1 ,N 11 -diethylnorspermine (DENSPM) or N 1 ,N 12 -bis(ethyl)spermine (4, 5). SSAT expression is regulated at several different levels (5, 6). Gene transcription is increased by polyamines via an Nrf-2-dependent pathway, leading to an increase in SSAT mRNA (7). Moreover, polyamines stabilize SSAT mRNA (6) and increase translational efficiency (5). Finally, elevated polyamine levels can lead to a stabilization of the SSAT protein by inhibiting its polyubiquitination and targeting to the proteasome (8). N-terminal substituted polyamine analogues are not substrates for SSAT but appear to mimic the endogenous polyamine and cause an increase in intracellular SSAT activity that can be Ͼ1000-fold higher than that in untreated cells. The elevation in SSAT levels leads to a depletion of intracellular polyamines and induction of apoptosis (4). The candidate drug DENSPM is currently under development as an anti-cancer agent (9, 10).The regulation of SSAT mRNA translation by poly...