“…They are traditionally viewed as consisting of cadaverine, putrescine, spermidine, and spermine. Polyamine metabolism is complex, not least because of their ability to interconvert, and this has been detailed fully in numerous review articles (Miller-Fleming et al, 2015;Pegg, 2016). Putrescine is primarily derived from L-ornithine by the action of ornithine decarboxylase (EC 4.1.1.17; Table 1).…”