The polyamines, putrescine, spermidine, and spermine, are essential polycations, intimately involved in the regulation of cellular proliferation. Although polyamines exert dynamic effects on the conformation of nucleic acids and macromolecular synthesis in vitro, their specific functions in vivo are poorly understood. We investigated the cellular function of polyamines by overexpression of a key catabolic enzyme, spermidine/spermine N 1 -acetyltransferase 1 (SAT1) in mammalian cells. Transient cotransfection of HeLa cells with GFP and SAT1 vectors suppressed GFP protein expression without lowering its mRNA level, an indication that the block in GFP expression was not at transcription, but at translation. Fluorescence single-cell imaging also revealed specific inhibition of endogenous protein synthesis in the SAT1 overexpressing cells, without any inhibition of synthesis of DNA or RNA. Overexpression of SAT1 using a SAT1 adenovirus led to rapid depletion of cellular spermidine and spermine, total inhibition of protein synthesis, and growth arrest within 24 h. The SAT1 effect is most likely due to depletion of spermidine and spermine, because stable polyamine analogs that are not substrates for SAT1 restored GFP and endogenous protein synthesis. Loss of polysomes with increased 80S monosomes in the polyamine-depleted cells suggests a direct role for polyamines in translation initiation. Our data provide strong evidence for a primary function of polyamines, spermidine and spermine, in translation in mammalian cells.[NH 2 (CH 2 ) 4 NH(CH 2 ) 3 NH 2 ], and spermine [NH 2 (CH 2 ) 3 NH (CH 2 ) 4 NH(CH 2 ) 3 NH 2 ], are ubiquitous in living organisms and are essential for eukaryotic cell proliferation (1-3). Because their primary and secondary amino groups are protonated at physiological pH in cells, these polycations interact with negatively charged molecules such as DNA, RNA, proteins, and phospholipids (4). Polyamines have been implicated in diverse biological processes, including replication, transcription, translation, posttranslational modification, ion channel gating, and membrane stability (4), and they regulate cellular proliferation, transformation, differentiation, apoptosis, and tumorigenesis (3, 5). Dysregulation of cellular polyamines is associated with various pathological conditions, including cancer, and polyamine pathways have been explored as targets for cancer chemotherapy and chemoprevention (5, 6). However, the precise physiological functions of polycationic polyamines in vivo and the mechanism of their actions in mammalian cell proliferation have remained largely obscure.One known critical function of polyamines in eukaryotes is the role of spermidine for the covalent modification of one cellular protein, eukaryotic initiation factor 5A (eIF5A), resulting in an unusual amino acid, hypusine [N e -(4-amino-2-hydroxybutyl) lysine] (7, 8). eIF5A and hypusine modification are absolutely required for the viability and growth of mammalian cells (9-12).The functions of polyamines in mammalian cells have b...