The polyamines spermidine and spermine, and their precursor putrescine, are required for cell growth and cellular functions. The high levels of tissue polyamines are implicated in carcinogenesis. The major sources of exogenous polyamines are diet and intestinal luminal bacteria in gastrointestinal (GI) tissues. Both endocytic and solute carrier-dependent mechanisms have been described for polyamine uptake. Knocking down of caveolin-1 protein increased polyamine uptake in colon cancer-derived HCT116 cells. Dietary supplied putrescine was accumulated in GI tissues and liver in caveolin-1 knockout mice more than wild-type mice. Knocking out of nitric oxide synthase (NOS2), which has been implicated in the release of exogenous polyamines from internalized vesicles, abolished the accumulation of dietary putrescine in GI tissues. Under conditions of reduced endogenous tissue putrescine contents, caused by treatment with the polyamine synthesis inhibitor difluoromethylornithine (DFMO), small intestinal and colonic mucosal polyamine contents increased with dietary putrescine levels, even in mice lacking NOS2. Knocking down the solute carrier transporter SLC3A2 in HCT116-derived Hkh2 cells reduced the accumulation of exogenous putrescine and total polyamine contents in DFMO treated cells, relative to non-DFMO-treated cells. These data demonstrate that exogenous putrescine is transported into GI tissues by caveolin-1-and NOS2-dependent mechanisms, but that the solute carrier transporter SLC3A2 can function bidirectionally to import putrescine under conditions of low tissue polyamines.caveolin-1; NOS2; SLC3A2; gastrointestinal tissue POLYAMINES ARE SMALL ORGANIC compounds that have two or more amino groups and are found in almost all organisms (6, 13). The major polyamines found in cells are spermidine and spermine, and their precursor putrescine. Among these, putrescine and spermidine are essential factors for cell growth (4). Polyamines can bind to anions such as DNA, RNA, and ATP and can thereby regulate their functions (9). The major sources of exogenous polyamines come from diet and luminal bacteria (11). An antibiotic treatment to remove microbial flora activity (7) or polyamine-free diet (15) increased the polyamine-depleting effect of the polyamine biosynthetic enzyme inhibitor difluoromethylornithine (DFMO). These results indicate that transport makes a significant contribution to cellular polyamine levels.We have identified the amino acid transporter SLC3A2 as a polyamine export protein in colon cancer-derived cells (24). SLC3A2 associated with the polyamine catabolic enzyme spermidine/spermine N 1 -acetyltransferase, SAT1, and catalyzed the export of acetylated polyamines by the polyamine/ arginine exchange reaction. As for polyamine uptake, we have reported that polyamine uptake was mediated by caveolaedependent endocytosis in colon cancer-derived cells (16).Caveolae are flask-shaped invaginations of plasma membrane with a diameter of 50 -100 nm. They have been implicated in endocytosis and signal transductions...