Elevated polyamine levels are characteristic of many types of neoplast
ic cells and tissues. We demonstrate that in transgenic mice overexpre
ssing ornithine decarboxylase in skin, changes in tissue polyamine lev
els, particularly putrescine, control the development and maintenance
of the neoplastic phenotype, A specific inhibitor of the transgene, al
pha-difluoromethylornithine (DFMO), reversibly blocked the appearance
of squamous papillomas after carcinogen treatment. Furthermore, treatm
ent of papilloma-bearing mice with DFMO caused rapid tumor regression,
also in a reversible manner. Although the rate of apoptosis in papill
omas was unaffected by acute DFMO treatment, tumor cell proliferation
was rapidly decreased after drug treatment. Conversely, proliferation
of normal epidermal keratinocytes was unaffected by DFMO treatment. Th
e regulatory polyamine in this model appears to be putrescine, the imm
ediate product of ornithine decarboxylase, These results demonstrate t
hat elevated polyamine levels are required for both the development an
d maintenance of the neoplastic phenotype in skin.