l-Ornithine decarboxylase (ODC) is essential for polyamine synthesis a
nd growth in mammalian cells; it provides putrescine that is usually c
onverted into the higher polyamines, spermidine and spermine. Many hig
hly specific and potent inhibitors of ODC are based on the lead compou
nd alpha-difluoromethylornithine (DFMO), which is an enzyme-activated
irreversible inhibitor. DFMO is accepted as a substrate by ODC and is
decarboxylated, leading to the formation of a highly reactive species
that forms a covalent adduct with either cysteine-360 (90%) or lysine-
69 (10%). Both modifications inactivate the enzyme. ODC activity is no
rmally very highly regulated at both transcriptional and post-transcri
ptional levels according to the growth state of the cell and the intra
cellular polyamine content. Experimental over-production of ODC can be
caused by either transfection with plasmids containing the ODC cDNA w
ith part of the 5'-untranslated region (5'UTR) deleted under the contr
ol of a very strong viral promoter, or transfection of plasmids that c
ause the overproduction of eIF-4E, reported to be a limiting factor in
the translation of mRNAs with extensive secondary structures in the 5
'UTR. In both cases, unregulated overexpression of ODC transforms NIH
3T3 cells to a neoplastic state. Along with studies showing that many
tumor promoters increase ODC activity and that a number of preneoplast
ic conditions and tumor samples show high levels of ODC, these results
suggest that ODC may act as an oncogene in an appropriate background.
This provides a rationale for the possible use of ODC inhibitors as c
hemopreventive agents. Further support comes from studies showing that
reducing ODC activity with DFMO abolishes the transformed phenotype o
f the NTH 3T3 cells overexpressing ODC; many studies found that treatm
ent with DFMO reduces tumor incidence in experimental animals exposed
to carcinogens. Although these results provide strong support for init
ial testing of DFMO as a chemopreventive agent, other means of reducin
g ODC activity should not be overlooked, including the use of other en
zyme-activated irreversible inhibitors with higher potency and/or bett
er pharmacokinetics than DFMO, use of dominant negative mutations or r
ibzymes to reduce active ODC levels, and use of regulators of ODC expr
ession. (C) 1995 Wiley-Liss, Inc.