Deoxyhypusine synthase catalyzes the first step in hypusine (N ⑀ -(4-amino-2-hydroxybutyl)lysine) synthesis in a single cellular protein, eIF5A precursor. The synthesis of deoxyhypusine catalyzed by this enzyme involves transfer of the 4-aminobutyl moiety of spermidine to a specific lysine residue in the eIF5A precursor protein to form a deoxyhypusine-containing eIF5A intermediate, eIF5A(Dhp 3 H]hypusine protein, suggesting that hydroxylation at the 4-aminobutyl side chain of the deoxyhypusine residue prevents deoxyhypusine synthase-mediated reversal of the modification. Purified human deoxyhypusine synthase also exhibited homospermidine synthesis activity when incubated with spermidine, NAD, and putrescine. Thus it was found that [ 14 C]putrescine can replace eIF5A precursor protein as an acceptor of the 4-aminobutyl moiety of spermidine to form radiolabeled homospermidine. The K m value for putrescine (1.12 mM) as a 4-aminobutyl acceptor, however, is much higher than that for eIF5A precursor (1.5 M). Using [ 14 C]putrescine as an acceptor, various spermidine analogs were evaluated as donor substrates for human deoxyhypusine synthase. Comparison of spermidine analogs as inhibitors of deoxyhypusine synthesis, as donor substrates for synthesis of deoxyhypusine (or its analog), and for synthesis of homospermidine (or its analog) provides new insights into the intricate specificity of this enzyme and versatility of the deoxyhypusine synthase reaction.The post-translational synthesis of an unusual amino acid, hypusine, converts the inactive eIF5A 1 precursor to an active protein (see Refs. 1-3). The biosynthesis of hypusine occurs exclusively in this protein by way of two enzymatic steps. In the first step, deoxyhypusine synthase (EC 2.5.1.46) facilitates the transfer of the 4-aminobutyl moiety from spermidine, the donor substrate, to the eIF5A precursor (eIF5A(Lys)), the acceptor substrate, to form a deoxyhypusine-containing protein (eIF5A(Dhp)) (4 -6). This intermediate is hydroxylated by deoxyhypusine hydroxylase (EC 1.14.99.29) (7) to complete hypusine synthesis and eIF5A maturation. The essential role of eIF5A and its hypusine modification is supported by gene disruption studies in yeast, Saccharomyces cerevisiae, in which inactivation of the two eIF5A genes (8), or of the single deoxyhypusine synthase gene (9, 10), causes a loss of cell viability. Deoxyhypusine synthase is a tetrameric enzyme consisting of four identical subunits (11). The crystal structure of the human enzyme in a complex with its cofactor, NAD, revealed four active sites at the interfaces of subunit dimers (11). The enzyme catalyzes a complex reaction normally involving two substrates, the polyamine spermidine (the donor of the butylamine moiety) and the protein substrate, the eIF5A precursor (the acceptor of the butylamine moiety), and a cofactor, NAD. We have established that deoxyhypusine synthesis occurs by way of a covalent enzyme-imine intermediate (12) in four steps (Scheme 1, left-hand pathway): (i) NAD-dependent dehydrogenation of s...