Spermine is a constituent of all vertebrate cells. Nevertheless, it exerts
toxic effects if it accumulates in cells. Spermine is a natural substrate o
f the FAD-dependent polyamine oxidase, a constitutive enzyme of many cell t
ypes. It has been reported that the toxicity of spermine was enhanced if po
lyamine oxidase was inhibited. We were interested to examine spermine toxic
ity to human colon carcinoma-derived CaCo-2 cells because, in contrast to m
ost tumor cell lines, CaCo-2 cells undergo differentiation, which is parall
eled by changes in polyamine metabolism. CaCo-2 cells were remarkably resis
tant to spermine accumulation, presumably because spermine is degraded by p
olyamine oxidase at a rate sufficient to provide spermidine for the mainten
ance of growth. Inactivation of polyamine oxidase increased the sensitivity
to spermine. A major reason for the enhanced spermine cytotoxicity at low
polyamine oxidase activity is presumably the profound depletion of spermidi
ne, and the consequent occupation of spermidine binding sites by spermine.
Hydrogen peroxide and the aldehydes 3-aminopropanal and 3-acetamidopropanal
, the products of polyamine oxidase-catalyzed splitting of spermine and N-1
-acetylspermine, contribute little to spermine cytotoxicity. Activation of
caspase by spermine was insignificant, and the formation of DNA ladders, an
other indicator of apoptotic cell death, could not be observed. Thus it app
ears that cell death due to excessive accumulation of spermine in CaCo-2 ce
lls was mainly nonapoptotic. The content of brush border membranes did not
change between days 6 and 8 after seeding, and it was not affected by expos
ure of the cells to spermine. However, the activities of alkaline phosphata
se, sucrase, and aminopeptidase in nontreated cells were considerably enhan
ced during this period, but remained low if cells were exposed to spermine.
These changes appear to indicate that differentiation is prevented by into
xication with spermine, although other explanations cannot be excluded.