“…As we discussed previously, the natural polyamines, putrescine, spermine and spermidine are ubiquitous molecules; however, their requirements are particularly high in rapidly growing tissues during normal growth and development, and in tumors [37,216,217,218]. Several reports have described increased polyamine levels in the blood and/or urine of cancer patients [219,220,221,222,223] and elevated levels correlate with more advanced disease and worse prognosis [216,224,225,226,227]. Increased polyamine levels are associated with increased cell proliferation, decreased apoptosis and increased expression of genes affecting tumor invasion and metastasis [37,228].…”