“…For example, elevated polyamine levels are seen in urine of patients with RA, SLE, and kidney dysfunction in diabetes [12,55,66]. Polyamines Table 1 Polyamine interactions Polyamines and chromatin Spermine aids in chromatin condensation and radioprotection of DNA [22] Polyamines stabilize alternate DNA forms (e.g., Z-DNA), modulating supercoils and loops [23] Polyamines stimulate histone acetylation [24] Polyamines alter conformation of nucleosome core particles [21,25] Polyamines aid DNA repair [26] Polyamines are involved in DNA replication [27] Polyamines are essential in translation Spermidine-lysine conjugate oxidized to hypusine in translational initiation factor eIF5A [28] Spermidine required for aminoacyl-tRNA-synthetase to charge tRNA [29] Translation efficiency improved with polyamines stabilizing tRNA conformation [30] Polyamines help ribosome assembly and stabilization in nucleolus [29] are elevated in skeletal muscles in myasthenia gravis [71], erythrocytes in diabetes [69], and in synovial tissue and fluid in RA [52]. With regards to RA, besides elevated polyamine levels, IL-1ÎČ induces elevated SSAT activity and increased putrescine in synovial cells in RA [11], which fits with the increased PAO activity seen in synovial fluid of RA patients [13].…”