“…eIF5A hypusination can potentially be increased by arginine supplementation, or more directly by spermidine itself. Indeed, arginine supplementation can improve endothelial dysfunction and immune responses, and possibly serve as an adjuvant to cancer treatments (Beal et al, 2019; Deveaux et al, 2016; Kim et al, 2018). In the context of erythroid differentiation, arginine was shown to increase hemoglobin levels in patients with renal disease (Tarumoto et al, 2007) but it was not efficacious in hydroxyurea-treated patients with sickle cell disease (Little et al, 2009), possibly because protein synthesis was not limiting.…”