Nutrient chapter

Spermidine

Spermidine is a polyamine supplied by cellular synthesis, food and microbes. Explore NAD- and iron-dependent hypusination, amino-acid and SAM metabolism, transport, autophagy, immune cells, mitochondrial proteins and ion channels. Human trial results, failed rescues and experimental limitations are retained. No human dietary spermidine-deficiency threshold is established.

87 recorded mechanisms · 15 availability situations · 9 preserved sources. Draft and verified records are labeled separately.

The mechanisms

What the sources say this nutrient does, one relationship at a time. Plain wording comes first; the technical statement follows.

  1. Human DHPS binds NAD and spermidine; NAD-dependent chemistry initiates aminobutyl transfer.

    NAD+ → DHPS source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Purified human DHPS crystallography and single-turnover assays.
    limitations
    NAD is regenerated during the reaction; this does not measure NAD depletion or establish niacin supplementation benefit.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    A niacin-derived coenzyme participates in using spermidine.
    primary_references
    Half Way to Hypusine-Structural Basis for Substrate Recognition by Human Deoxyhypusine Synthase. · 2020 · https://pubmed.ncbi.nlm.nih.gov/32235505/ · DOI 10.3390/biom10040522

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 14–20

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Purified human DHPS crystallography and single-turnover assays. · source_derived_draft · unverified_draft

    ## spermidine-dhps-nad A niacin-derived coenzyme participates in using spermidine. Human DHPS binds NAD and spermidine; NAD-dependent chemistry initiates aminobutyl transfer. Model: Purified human DHPS crystallography and single-turnover assays. Limitations: NAD is regenerated during the reaction; this does not measure NAD depletion or establish niacin supplementation benefit. Evidence access: Primary full text Half Way to Hypusine-Structural Basis for Substrate Recognition by Human Deoxyhypusine Synthase. · 2020 · https://pubmed.ncbi.nlm.nih.gov/32235505/ · DOI 10.3390/biom10040522
    Complete structured claim and evidence
  2. The human DHPS study measured an apparent spermidine binding KD of about 4 micromolar using the reported FRET assay.

    Spermidine → DHPS source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Recombinant human DHPS; assay-dependent apparent affinity.
    limitations
    Binding affinity is not a dietary requirement, plasma target or treatment dose.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    The first enzyme recognizes spermidine directly.
    primary_references
    Half Way to Hypusine-Structural Basis for Substrate Recognition by Human Deoxyhypusine Synthase. · 2020 · https://pubmed.ncbi.nlm.nih.gov/32235505/ · DOI 10.3390/biom10040522

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 22–28

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Recombinant human DHPS; assay-dependent apparent affinity. · source_derived_draft · unverified_draft

    ## spermidine-dhps-binding The first enzyme recognizes spermidine directly. The human DHPS study measured an apparent spermidine binding KD of about 4 micromolar using the reported FRET assay. Model: Recombinant human DHPS; assay-dependent apparent affinity. Limitations: Binding affinity is not a dietary requirement, plasma target or treatment dose. Evidence access: Primary full text Half Way to Hypusine-Structural Basis for Substrate Recognition by Human Deoxyhypusine Synthase. · 2020 · https://pubmed.ncbi.nlm.nih.gov/32235505/ · DOI 10.3390/biom10040522
    Complete structured claim and evidence
  3. Spermine bound human DHPS and generated a smaller NADH fluorescence response than spermidine.

    Spermine → DHPS source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Single-turnover fluorescence and structural assays; apparent spermine KD about 81 micromolar.
    limitations
    The assay probes an initial reaction step, not successful cellular replacement of spermidine for complete eIF5A hypusination.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    A related polyamine can participate in part of the chemistry.
    primary_references
    Half Way to Hypusine-Structural Basis for Substrate Recognition by Human Deoxyhypusine Synthase. · 2020 · https://pubmed.ncbi.nlm.nih.gov/32235505/ · DOI 10.3390/biom10040522

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 30–36

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Single-turnover fluorescence and structural assays; apparent spermine KD about 81 micromolar. · source_derived_draft · unverified_draft

    ## spermidine-spermine-first-step A related polyamine can participate in part of the chemistry. Spermine bound human DHPS and generated a smaller NADH fluorescence response than spermidine. Model: Single-turnover fluorescence and structural assays; apparent spermine KD about 81 micromolar. Limitations: The assay probes an initial reaction step, not successful cellular replacement of spermidine for complete eIF5A hypusination. Evidence access: Primary full text Half Way to Hypusine-Structural Basis for Substrate Recognition by Human Deoxyhypusine Synthase. · 2020 · https://pubmed.ncbi.nlm.nih.gov/32235505/ · DOI 10.3390/biom10040522
    Complete structured claim and evidence
  4. Purified human DHPS transferred radiolabeled aminobutyl from deoxyhypusine-eIF5A to 1,3-diaminopropane, regenerating spermidine.

    DHPS → Spermidine source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Human enzyme, NAD, labeled protein and diamine substrate.
    limitations
    No in-vivo flux or dominant recycling contribution established.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    An unfinished protein modification can be reversed in vitro.
    primary_references
    Reversal of the deoxyhypusine synthesis reaction. Generation of spermidine or homospermidine from deoxyhypusine by deoxyhypusine synthase. · 2003 · https://pubmed.ncbi.nlm.nih.gov/12788913/ · DOI 10.1074/jbc.M304247200

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 38–44

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human enzyme, NAD, labeled protein and diamine substrate. · source_derived_draft · unverified_draft

    ## spermidine-dhps-reversal An unfinished protein modification can be reversed in vitro. Purified human DHPS transferred radiolabeled aminobutyl from deoxyhypusine-eIF5A to 1,3-diaminopropane, regenerating spermidine. Model: Human enzyme, NAD, labeled protein and diamine substrate. Limitations: No in-vivo flux or dominant recycling contribution established. Evidence access: Primary abstract Reversal of the deoxyhypusine synthesis reaction. Generation of spermidine or homospermidine from deoxyhypusine by deoxyhypusine synthase. · 2003 · https://pubmed.ncbi.nlm.nih.gov/12788913/ · DOI 10.1074/jbc.M304247200
    Complete structured claim and evidence
  5. The same reversal assay did not remove the side chain from hypusine-containing eIF5A.

    eIF5A1 with hypusine at residue 50 → DHPS source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Purified human DHPS comparison of deoxyhypusine and hypusine protein substrates.
    limitations
    Assay-specific non-reversal does not establish lifetime stability of the protein.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    The second modification step stabilizes the completed product.
    primary_references
    Reversal of the deoxyhypusine synthesis reaction. Generation of spermidine or homospermidine from deoxyhypusine by deoxyhypusine synthase. · 2003 · https://pubmed.ncbi.nlm.nih.gov/12788913/ · DOI 10.1074/jbc.M304247200

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 46–52

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Purified human DHPS comparison of deoxyhypusine and hypusine protein substrates. · source_derived_draft · unverified_draft

    ## spermidine-hydroxylation-lock The second modification step stabilizes the completed product. The same reversal assay did not remove the side chain from hypusine-containing eIF5A. Model: Purified human DHPS comparison of deoxyhypusine and hypusine protein substrates. Limitations: Assay-specific non-reversal does not establish lifetime stability of the protein. Evidence access: Primary abstract Reversal of the deoxyhypusine synthesis reaction. Generation of spermidine or homospermidine from deoxyhypusine by deoxyhypusine synthase. · 2003 · https://pubmed.ncbi.nlm.nih.gov/12788913/ · DOI 10.1074/jbc.M304247200
    Complete structured claim and evidence
  6. Spectroscopy established a coupled diiron center in human DOHH, whose reduced state activates oxygen.

    Ferrous iron → DOHH source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Purified recombinant human DOHH; EPR, Mossbauer, XAS and Raman spectroscopy.
    limitations
    Not a clinical iron-deficiency threshold or evidence that extra iron improves spermidine responses.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Iron is part of the enzyme that completes hypusination.
    primary_references
    Human deoxyhypusine hydroxylase, an enzyme involved in regulating cell growth, activates O2 with a nonheme diiron center. · 2009 · https://pubmed.ncbi.nlm.nih.gov/19706422/ · DOI 10.1073/pnas.0904553106

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 54–60

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Purified recombinant human DOHH; EPR, Mossbauer, XAS and Raman spectroscopy. · source_derived_draft · unverified_draft

    ## spermidine-dohh-iron Iron is part of the enzyme that completes hypusination. Spectroscopy established a coupled diiron center in human DOHH, whose reduced state activates oxygen. Model: Purified recombinant human DOHH; EPR, Mossbauer, XAS and Raman spectroscopy. Limitations: Not a clinical iron-deficiency threshold or evidence that extra iron improves spermidine responses. Evidence access: Primary abstract Human deoxyhypusine hydroxylase, an enzyme involved in regulating cell growth, activates O2 with a nonheme diiron center. · 2009 · https://pubmed.ncbi.nlm.nih.gov/19706422/ · DOI 10.1073/pnas.0904553106
    Complete structured claim and evidence
  7. Human DOHH structures resolved a peroxo-diiron intermediate involved in hydroxylating deoxyhypusine-eIF5A.

    Molecular oxygen → DOHH source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Human enzyme; 1.7-angstrom structures and spectroscopy.
    limitations
    DOHH is not a collagen-type 2-oxoglutarate hydroxylase; do not infer the same vitamin C requirement.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Oxygen chemistry completes the protein modification.
    primary_references
    Crystal Structure of the Peroxo-diiron(III) Intermediate of Deoxyhypusine Hydroxylase, an Oxygenase Involved in Hypusination. · 2015 · https://pubmed.ncbi.nlm.nih.gov/25865244/ · DOI 10.1016/j.str.2015.03.002

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 62–68

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human enzyme; 1.7-angstrom structures and spectroscopy. · source_derived_draft · unverified_draft

    ## spermidine-dohh-oxygen Oxygen chemistry completes the protein modification. Human DOHH structures resolved a peroxo-diiron intermediate involved in hydroxylating deoxyhypusine-eIF5A. Model: Human enzyme; 1.7-angstrom structures and spectroscopy. Limitations: DOHH is not a collagen-type 2-oxoglutarate hydroxylase; do not infer the same vitamin C requirement. Evidence access: Primary abstract Crystal Structure of the Peroxo-diiron(III) Intermediate of Deoxyhypusine Hydroxylase, an Oxygenase Involved in Hypusination. · 2015 · https://pubmed.ncbi.nlm.nih.gov/25865244/ · DOI 10.1016/j.str.2015.03.002
    Complete structured claim and evidence
  8. Spermidine inhibited rat-testis deoxyhypusine hydroxylase in vitro, less potently than spermine.

    Spermidine → Rat deoxyhypusine hydroxylase / Dohh source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Rat testis enzyme; comparative polyamine inhibition kinetics.
    limitations
    High-concentration enzyme inhibition is not a contradiction of cellular hypusination rescue; no human inhibitory threshold established.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    More substrate upstream does not guarantee more activity downstream.
    primary_references
    Inhibition of deoxyhypusine hydroxylase by polyamines and by a deoxyhypusine peptide. · 1989 · https://pubmed.ncbi.nlm.nih.gov/2765563/ · DOI 10.1016/0167-4838(89)90195-7

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 70–76

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Rat testis enzyme; comparative polyamine inhibition kinetics. · source_derived_draft · unverified_draft

    ## spermidine-dohh-high-polyamine More substrate upstream does not guarantee more activity downstream. Spermidine inhibited rat-testis deoxyhypusine hydroxylase in vitro, less potently than spermine. Model: Rat testis enzyme; comparative polyamine inhibition kinetics. Limitations: High-concentration enzyme inhibition is not a contradiction of cellular hypusination rescue; no human inhibitory threshold established. Evidence access: Primary abstract Inhibition of deoxyhypusine hydroxylase by polyamines and by a deoxyhypusine peptide. · 1989 · https://pubmed.ncbi.nlm.nih.gov/2765563/ · DOI 10.1016/0167-4838(89)90195-7
    Complete structured claim and evidence
  9. Human SAT1 catalyzes N1-acetylation of spermidine using acetyl-CoA.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Purified recombinant human SAT1 kinetics and structural analysis.
    limitations
    Acetyl-CoA dependence connects to CoA metabolism, not demonstrated pantothenate depletion.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    A CoA-dependent step changes how spermidine is recycled.
    primary_references
    Mechanistic and structural analysis of human spermidine/spermine N1-acetyltransferase. · 2007 · https://pubmed.ncbi.nlm.nih.gov/17516632/ · DOI 10.1021/bi700256z

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 78–84

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Purified recombinant human SAT1 kinetics and structural analysis. · source_derived_draft · unverified_draft

    ## spermidine-sat1-substrate A CoA-dependent step changes how spermidine is recycled. Human SAT1 catalyzes N1-acetylation of spermidine using acetyl-CoA. Model: Purified recombinant human SAT1 kinetics and structural analysis. Limitations: Acetyl-CoA dependence connects to CoA metabolism, not demonstrated pantothenate depletion. Evidence access: Primary abstract Mechanistic and structural analysis of human spermidine/spermine N1-acetyltransferase. · 2007 · https://pubmed.ncbi.nlm.nih.gov/17516632/ · DOI 10.1021/bi700256z
    Complete structured claim and evidence
  10. Human SAT1 kinetics support a random sequential mechanism involving acetyl donor and polyamine in a ternary complex.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Human SAT1 initial-velocity, inhibition and pH experiments.
    limitations
    Mechanism does not quantify whole-body acetyl-CoA competition.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Both the donor and the polyamine must reach the enzyme.
    primary_references
    Mechanistic and structural analysis of human spermidine/spermine N1-acetyltransferase. · 2007 · https://pubmed.ncbi.nlm.nih.gov/17516632/ · DOI 10.1021/bi700256z

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 86–92

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human SAT1 initial-velocity, inhibition and pH experiments. · source_derived_draft · unverified_draft

    ## spermidine-sat1-cosubstrate Both the donor and the polyamine must reach the enzyme. Human SAT1 kinetics support a random sequential mechanism involving acetyl donor and polyamine in a ternary complex. Model: Human SAT1 initial-velocity, inhibition and pH experiments. Limitations: Mechanism does not quantify whole-body acetyl-CoA competition. Evidence access: Primary abstract Mechanistic and structural analysis of human spermidine/spermine N1-acetyltransferase. · 2007 · https://pubmed.ncbi.nlm.nih.gov/17516632/ · DOI 10.1021/bi700256z
    Complete structured claim and evidence
  11. Recombinant human PAOX oxidized N1-acetylspermidine with Km 2.1 micromolar and kcat 15 per second.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Purified human enzyme.
    limitations
    Do not apply these values to unmodified spermidine or a human plasma target.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    The acetylated molecule has its own enzyme kinetics.
    primary_references
    Properties of recombinant human N1-acetylpolyamine oxidase (hPAO): potential role in determining drug sensitivity. · 2005 · https://pubmed.ncbi.nlm.nih.gov/15791459/ · DOI 10.1007/s00280-004-0936-5

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 94–100

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Purified human enzyme. · source_derived_draft · unverified_draft

    ## spermidine-paox-acetylspermidine The acetylated molecule has its own enzyme kinetics. Recombinant human PAOX oxidized N1-acetylspermidine with Km 2.1 micromolar and kcat 15 per second. Model: Purified human enzyme. Limitations: Do not apply these values to unmodified spermidine or a human plasma target. Evidence access: Primary abstract Properties of recombinant human N1-acetylpolyamine oxidase (hPAO): potential role in determining drug sensitivity. · 2005 · https://pubmed.ncbi.nlm.nih.gov/15791459/ · DOI 10.1007/s00280-004-0936-5
    Complete structured claim and evidence
  12. Human PAOX oxidized N1-acetylspermine with Km 0.85 micromolar and kcat 31.7 per second.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Purified human enzyme.
    limitations
    Substrate specificity differs from SMOX; enzyme turnover is not whole-body turnover.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Back-conversion depends on which polyamine was acetylated.
    primary_references
    Properties of recombinant human N1-acetylpolyamine oxidase (hPAO): potential role in determining drug sensitivity. · 2005 · https://pubmed.ncbi.nlm.nih.gov/15791459/ · DOI 10.1007/s00280-004-0936-5

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 102–108

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Purified human enzyme. · source_derived_draft · unverified_draft

    ## spermidine-paox-acetylspermine Back-conversion depends on which polyamine was acetylated. Human PAOX oxidized N1-acetylspermine with Km 0.85 micromolar and kcat 31.7 per second. Model: Purified human enzyme. Limitations: Substrate specificity differs from SMOX; enzyme turnover is not whole-body turnover. Evidence access: Primary abstract Properties of recombinant human N1-acetylpolyamine oxidase (hPAO): potential role in determining drug sensitivity. · 2005 · https://pubmed.ncbi.nlm.nih.gov/15791459/ · DOI 10.1007/s00280-004-0936-5
    Complete structured claim and evidence
  13. The recombinant human PAOX preparation did not efficiently oxidize unacetylated spermine.

    Human N1-acetylpolyamine oxidase / PAOX → Spermine source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Purified enzyme comparison.
    limitations
    Do not substitute PAOX for SMOX in the graph.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Acetylation changes substrate recognition.
    primary_references
    Properties of recombinant human N1-acetylpolyamine oxidase (hPAO): potential role in determining drug sensitivity. · 2005 · https://pubmed.ncbi.nlm.nih.gov/15791459/ · DOI 10.1007/s00280-004-0936-5

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 110–116

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Purified enzyme comparison. · source_derived_draft · unverified_draft

    ## spermidine-paox-spermine-null Acetylation changes substrate recognition. The recombinant human PAOX preparation did not efficiently oxidize unacetylated spermine. Model: Purified enzyme comparison. Limitations: Do not substitute PAOX for SMOX in the graph. Evidence access: Primary abstract Properties of recombinant human N1-acetylpolyamine oxidase (hPAO): potential role in determining drug sensitivity. · 2005 · https://pubmed.ncbi.nlm.nih.gov/15791459/ · DOI 10.1007/s00280-004-0936-5
    Complete structured claim and evidence
  14. ATP13A2 supports lysosomal polyamine export to cytosol after endocytic uptake; spermine had the highest tested affinity.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Purified human transporter and cellular transport experiments.
    limitations
    Polyamine-class result; strongest affinity was for spermine, not necessarily spermidine.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    A molecule can enter a cell yet remain trapped in a compartment.
    primary_references
    ATP13A2 deficiency disrupts lysosomal polyamine export. · 2020 · https://pubmed.ncbi.nlm.nih.gov/31996848/ · DOI 10.1038/s41586-020-1968-7

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 118–124

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Purified human transporter and cellular transport experiments. · source_derived_draft · unverified_draft

    ## spermidine-atp13a2-export A molecule can enter a cell yet remain trapped in a compartment. ATP13A2 supports lysosomal polyamine export to cytosol after endocytic uptake; spermine had the highest tested affinity. Model: Purified human transporter and cellular transport experiments. Limitations: Polyamine-class result; strongest affinity was for spermine, not necessarily spermidine. Evidence access: Primary abstract ATP13A2 deficiency disrupts lysosomal polyamine export. · 2020 · https://pubmed.ncbi.nlm.nih.gov/31996848/ · DOI 10.1038/s41586-020-1968-7
    Complete structured claim and evidence
  15. Loss or disease-associated impairment of ATP13A2 reduced export function and worsened high-polyamine lysosomal injury.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Human transporter/cell experiments; neuronal and nematode validation in the paper.
    limitations
    Do not infer that dietary spermidine treats ATP13A2 disease; high-exposure findings retain their context.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    A transport defect can make extra polyamine harmful.
    primary_references
    ATP13A2 deficiency disrupts lysosomal polyamine export. · 2020 · https://pubmed.ncbi.nlm.nih.gov/31996848/ · DOI 10.1038/s41586-020-1968-7
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 126–132

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human transporter/cell experiments; neuronal and nematode validation in the paper. · source_derived_draft · unverified_draft

    ## spermidine-atp13a2-failure A transport defect can make extra polyamine harmful. Loss or disease-associated impairment of ATP13A2 reduced export function and worsened high-polyamine lysosomal injury. Model: Human transporter/cell experiments; neuronal and nematode validation in the paper. Limitations: Do not infer that dietary spermidine treats ATP13A2 disease; high-exposure findings retain their context. Evidence access: Primary abstract ATP13A2 deficiency disrupts lysosomal polyamine export. · 2020 · https://pubmed.ncbi.nlm.nih.gov/31996848/ · DOI 10.1038/s41586-020-1968-7
    Complete structured claim and evidence
  16. CRISPR disruption of the first membrane-associated region of ATP13A3 impaired spermidine transport in human pancreatic cancer cells.

    Human ATP13A3 → Spermidine source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Human pancreatic cancer lines and radiolabeled uptake assays.
    limitations
    Cancer-cell uptake is not proof of human intestinal absorption; impairment is explicit.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Cellular uptake depends on a distinct transport protein.
    primary_references
    ATP13A3 facilitates polyamine transport in human pancreatic cancer cells. · 2022 · https://pubmed.ncbi.nlm.nih.gov/35260637/ · DOI 10.1038/s41598-022-07712-4
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 134–140

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human pancreatic cancer lines and radiolabeled uptake assays. · source_derived_draft · unverified_draft

    ## spermidine-atp13a3-uptake Cellular uptake depends on a distinct transport protein. CRISPR disruption of the first membrane-associated region of ATP13A3 impaired spermidine transport in human pancreatic cancer cells. Model: Human pancreatic cancer lines and radiolabeled uptake assays. Limitations: Cancer-cell uptake is not proof of human intestinal absorption; impairment is explicit. Evidence access: Primary full text ATP13A3 facilitates polyamine transport in human pancreatic cancer cells. · 2022 · https://pubmed.ncbi.nlm.nih.gov/35260637/ · DOI 10.1038/s41598-022-07712-4
    Complete structured claim and evidence
  17. Purified human SLC18B1 transported spermidine into proteoliposomes by proton exchange.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Reconstituted purified human transporter.
    limitations
    Not a measurement of brain exposure after an oral supplement.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Vesicles use a proton gradient to store polyamines.
    primary_references
    Identification of a mammalian vesicular polyamine transporter. · 2014 · https://pubmed.ncbi.nlm.nih.gov/25355561/ · DOI 10.1038/srep06836
    transport_effect
    raises Recorded as transport of spermidine into proteoliposomes by proton exchange.
    transport_pool
    the secretory-vesicle lumen Recorded as transport of spermidine into proteoliposomes by proton exchange.

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 142–148

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Reconstituted purified human transporter. · source_derived_draft · unverified_draft

    ## spermidine-vesicle-transport Vesicles use a proton gradient to store polyamines. Purified human SLC18B1 transported spermidine into proteoliposomes by proton exchange. Model: Reconstituted purified human transporter. Limitations: Not a measurement of brain exposure after an oral supplement. Evidence access: Primary full text Identification of a mammalian vesicular polyamine transporter. · 2014 · https://pubmed.ncbi.nlm.nih.gov/25355561/ · DOI 10.1038/srep06836
    Complete structured claim and evidence
  18. Spermidine inhibited acetyltransferase activity of recombinant EP300 in vitro.

    Spermidine → EP300 source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Recombinant human EP300 assay with companion human-cell experiments.
    limitations
    Biochemical inhibition is not proof of selective target engagement after dietary exposure.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    One route changes protein acetylation.
    primary_references
    Spermidine induces autophagy by inhibiting the acetyltransferase EP300. · 2015 · https://pubmed.ncbi.nlm.nih.gov/25526088/ · DOI 10.1038/cdd.2014.215

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 150–156

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Recombinant human EP300 assay with companion human-cell experiments. · source_derived_draft · unverified_draft

    ## spermidine-ep300 One route changes protein acetylation. Spermidine inhibited acetyltransferase activity of recombinant EP300 in vitro. Model: Recombinant human EP300 assay with companion human-cell experiments. Limitations: Biochemical inhibition is not proof of selective target engagement after dietary exposure. Evidence access: Primary abstract Spermidine induces autophagy by inhibiting the acetyltransferase EP300. · 2015 · https://pubmed.ncbi.nlm.nih.gov/25526088/ · DOI 10.1038/cdd.2014.215
    Complete structured claim and evidence
  19. Spermidine induced autophagic-flux markers, including GFP-LC3 puncta and p62 depletion, in cultured human cells.

    Spermidine → Human cultured-cell autophagic flux source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Cultured human cells; pharmacological compound comparison.
    limitations
    Flux markers require their assay controls; not evidence of human lifespan extension.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    The cell’s recycling response increased in this experiment.
    primary_references
    Spermidine induces autophagy by inhibiting the acetyltransferase EP300. · 2015 · https://pubmed.ncbi.nlm.nih.gov/25526088/ · DOI 10.1038/cdd.2014.215

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 158–164

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Cultured human cells; pharmacological compound comparison. · source_derived_draft · unverified_draft

    ## spermidine-autophagic-flux The cell’s recycling response increased in this experiment. Spermidine induced autophagic-flux markers, including GFP-LC3 puncta and p62 depletion, in cultured human cells. Model: Cultured human cells; pharmacological compound comparison. Limitations: Flux markers require their assay controls; not evidence of human lifespan extension. Evidence access: Primary abstract Spermidine induces autophagy by inhibiting the acetyltransferase EP300. · 2015 · https://pubmed.ncbi.nlm.nih.gov/25526088/ · DOI 10.1038/cdd.2014.215
    Complete structured claim and evidence
  20. Spermidine-associated autophagy induction coincided with inhibition of mTORC1 signaling in the human-cell study.

    Spermidine → Mechanistic target of rapamycin complex 1 source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Cultured human cells.
    limitations
    Does not establish direct binding of spermidine to mTORC1 or a universal rapamycin-like effect.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    A nutrient-sensing signal changed alongside recycling.
    primary_references
    Spermidine induces autophagy by inhibiting the acetyltransferase EP300. · 2015 · https://pubmed.ncbi.nlm.nih.gov/25526088/ · DOI 10.1038/cdd.2014.215

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 166–172

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Cultured human cells. · source_derived_draft · unverified_draft

    ## spermidine-mtorc1 A nutrient-sensing signal changed alongside recycling. Spermidine-associated autophagy induction coincided with inhibition of mTORC1 signaling in the human-cell study. Model: Cultured human cells. Limitations: Does not establish direct binding of spermidine to mTORC1 or a universal rapamycin-like effect. Evidence access: Primary abstract Spermidine induces autophagy by inhibiting the acetyltransferase EP300. · 2015 · https://pubmed.ncbi.nlm.nih.gov/25526088/ · DOI 10.1038/cdd.2014.215
    Complete structured claim and evidence
  21. EP300 knockdown induced autophagy and reduced mTORC1 activity in the acetyltransferase screen.

    EP300 → Human cultured-cell autophagic flux source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Human-cell RNA interference screen of 43 acetyltransferases.
    limitations
    Does not prove all spermidine effects are mediated by EP300.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Removing a regulator supports a causal pathway.
    primary_references
    Spermidine induces autophagy by inhibiting the acetyltransferase EP300. · 2015 · https://pubmed.ncbi.nlm.nih.gov/25526088/ · DOI 10.1038/cdd.2014.215
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 174–180

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human-cell RNA interference screen of 43 acetyltransferases. · source_derived_draft · unverified_draft

    ## spermidine-ep300-loss Removing a regulator supports a causal pathway. EP300 knockdown induced autophagy and reduced mTORC1 activity in the acetyltransferase screen. Model: Human-cell RNA interference screen of 43 acetyltransferases. Limitations: Does not prove all spermidine effects are mediated by EP300. Evidence access: Primary abstract Spermidine induces autophagy by inhibiting the acetyltransferase EP300. · 2015 · https://pubmed.ncbi.nlm.nih.gov/25526088/ · DOI 10.1038/cdd.2014.215
    Complete structured claim and evidence
  22. DFMO inhibition of ODC1 reduced starvation-induced autophagic flux in U2OS and H4 cells.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Human tumor cell lines; 100 micromolar DFMO pretreatment and short HBSS starvation.
    limitations
    Pharmacological depletion differs from ordinary low dietary intake.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Blocking polyamine production can interrupt the fasting response.
    primary_references
    Spermidine is essential for fasting-mediated autophagy and longevity. · 2024 · https://pubmed.ncbi.nlm.nih.gov/39117797/ · DOI 10.1038/s41556-024-01468-x
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 182–188

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human tumor cell lines; 100 micromolar DFMO pretreatment and short HBSS starvation. · source_derived_draft · unverified_draft

    ## spermidine-fasting-odc Blocking polyamine production can interrupt the fasting response. DFMO inhibition of ODC1 reduced starvation-induced autophagic flux in U2OS and H4 cells. Model: Human tumor cell lines; 100 micromolar DFMO pretreatment and short HBSS starvation. Limitations: Pharmacological depletion differs from ordinary low dietary intake. Evidence access: Primary full text Spermidine is essential for fasting-mediated autophagy and longevity. · 2024 · https://pubmed.ncbi.nlm.nih.gov/39117797/ · DOI 10.1038/s41556-024-01468-x
    Complete structured claim and evidence
  23. Added spermidine rescued autophagic-flux suppression caused by DFMO during starvation.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Human U2OS/H4 cells; 10 micromolar spermidine, with 1 mM aminoguanidine in rescue conditions.
    limitations
    Serum-oxidase control matters; supplementation did not further raise flux in already-starved intact U2OS cells.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Replacing the missing metabolite restored a response.
    primary_references
    Spermidine is essential for fasting-mediated autophagy and longevity. · 2024 · https://pubmed.ncbi.nlm.nih.gov/39117797/ · DOI 10.1038/s41556-024-01468-x
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 190–196

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human U2OS/H4 cells; 10 micromolar spermidine, with 1 mM aminoguanidine in rescue conditions. · source_derived_draft · unverified_draft

    ## spermidine-fasting-rescue Replacing the missing metabolite restored a response. Added spermidine rescued autophagic-flux suppression caused by DFMO during starvation. Model: Human U2OS/H4 cells; 10 micromolar spermidine, with 1 mM aminoguanidine in rescue conditions. Limitations: Serum-oxidase control matters; supplementation did not further raise flux in already-starved intact U2OS cells. Evidence access: Primary full text Spermidine is essential for fasting-mediated autophagy and longevity. · 2024 · https://pubmed.ncbi.nlm.nih.gov/39117797/ · DOI 10.1038/s41556-024-01468-x
    Complete structured claim and evidence
  24. Three ODC1-directed siRNAs depleted polyamines and reduced starvation-induced autophagic flux.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Human U2OS cells.
    limitations
    ODC1 supplies several polyamines; depletion is not spermidine-specific.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Genetic evidence complements the inhibitor experiment.
    primary_references
    Spermidine is essential for fasting-mediated autophagy and longevity. · 2024 · https://pubmed.ncbi.nlm.nih.gov/39117797/ · DOI 10.1038/s41556-024-01468-x
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 198–204

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human U2OS cells. · source_derived_draft · unverified_draft

    ## spermidine-fasting-knockdown Genetic evidence complements the inhibitor experiment. Three ODC1-directed siRNAs depleted polyamines and reduced starvation-induced autophagic flux. Model: Human U2OS cells. Limitations: ODC1 supplies several polyamines; depletion is not spermidine-specific. Evidence access: Primary full text Spermidine is essential for fasting-mediated autophagy and longevity. · 2024 · https://pubmed.ncbi.nlm.nih.gov/39117797/ · DOI 10.1038/s41556-024-01468-x
    Complete structured claim and evidence
  25. PBMC hypusinated eIF5A increased during the studied multiday fasting regimen and remained elevated after food reintroduction.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Healthy human volunteers sampled during fasting.
    limitations
    Not a causal test of human longevity or a recommendation for prolonged fasting.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Human blood cells showed a pathway response.
    primary_references
    Spermidine is essential for fasting-mediated autophagy and longevity. · 2024 · https://pubmed.ncbi.nlm.nih.gov/39117797/ · DOI 10.1038/s41556-024-01468-x

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 206–212

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Healthy human volunteers sampled during fasting. · source_derived_draft · unverified_draft

    ## spermidine-fasting-human Human blood cells showed a pathway response. PBMC hypusinated eIF5A increased during the studied multiday fasting regimen and remained elevated after food reintroduction. Model: Healthy human volunteers sampled during fasting. Limitations: Not a causal test of human longevity or a recommendation for prolonged fasting. Evidence access: Primary full text Spermidine is essential for fasting-mediated autophagy and longevity. · 2024 · https://pubmed.ncbi.nlm.nih.gov/39117797/ · DOI 10.1038/s41556-024-01468-x
    Complete structured claim and evidence
  26. Disrupting eIF5A hypusination reduced nascent TFEB synthesis in the B-cell/autophagy study.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Mouse cellular experiments with translation labeling and hypusination perturbation.
    limitations
    Requirement is transcript- and context-dependent, not equal enhancement of all proteins.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Spermidine helps produce a regulator of cellular recycling.
    primary_references
    Polyamines Control eIF5A Hypusination, TFEB Translation, and Autophagy to Reverse B Cell Senescence. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31474573/ · DOI 10.1016/j.molcel.2019.08.005

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 214–220

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse cellular experiments with translation labeling and hypusination perturbation. · source_derived_draft · unverified_draft

    ## spermidine-tfeb-translation Spermidine helps produce a regulator of cellular recycling. Disrupting eIF5A hypusination reduced nascent TFEB synthesis in the B-cell/autophagy study. Model: Mouse cellular experiments with translation labeling and hypusination perturbation. Limitations: Requirement is transcript- and context-dependent, not equal enhancement of all proteins. Evidence access: Primary full text Polyamines Control eIF5A Hypusination, TFEB Translation, and Autophagy to Reverse B Cell Senescence. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31474573/ · DOI 10.1016/j.molcel.2019.08.005
    Complete structured claim and evidence
  27. Replacing the TFEB PPP motif with AAA partially rescued TFEB expression during GC7 treatment.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Murine TFEB constructs in NIH 3T3 cells.
    limitations
    Partial rescue; free proline supplementation was not tested.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    A sequence within the protein helps explain the dependency.
    primary_references
    Polyamines Control eIF5A Hypusination, TFEB Translation, and Autophagy to Reverse B Cell Senescence. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31474573/ · DOI 10.1016/j.molcel.2019.08.005

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 222–228

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Murine TFEB constructs in NIH 3T3 cells. · source_derived_draft · unverified_draft

    ## spermidine-tfeb-proline A sequence within the protein helps explain the dependency. Replacing the TFEB PPP motif with AAA partially rescued TFEB expression during GC7 treatment. Model: Murine TFEB constructs in NIH 3T3 cells. Limitations: Partial rescue; free proline supplementation was not tested. Evidence access: Primary full text Polyamines Control eIF5A Hypusination, TFEB Translation, and Autophagy to Reverse B Cell Senescence. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31474573/ · DOI 10.1016/j.molcel.2019.08.005
    Complete structured claim and evidence
  28. Spermidine supplementation restored the hypusination–TFEB–autophagy pathway and improved old-donor B-cell responses ex vivo.

    Spermidine → Human older-donor B-cell response ex vivo source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    biomarker_context Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Primary human B cells from older donors.
    limitations
    Not an oral vaccine-efficacy trial or proof of whole-body immune rejuvenation.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Older immune cells responded in culture.
    primary_references
    Polyamines Control eIF5A Hypusination, TFEB Translation, and Autophagy to Reverse B Cell Senescence. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31474573/ · DOI 10.1016/j.molcel.2019.08.005
    trigger_kind
    biomarker_context Imported condition classification; unverified.

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 230–236

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Primary human B cells from older donors. · source_derived_draft · unverified_draft

    ## spermidine-bcell-human Older immune cells responded in culture. Spermidine supplementation restored the hypusination–TFEB–autophagy pathway and improved old-donor B-cell responses ex vivo. Model: Primary human B cells from older donors. Limitations: Not an oral vaccine-efficacy trial or proof of whole-body immune rejuvenation. Evidence access: Primary full text Polyamines Control eIF5A Hypusination, TFEB Translation, and Autophagy to Reverse B Cell Senescence. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31474573/ · DOI 10.1016/j.molcel.2019.08.005
    Complete structured claim and evidence
  29. Adding spermidine restored autophagic flux in stimulated T cells from older human donors.

    Spermidine → Human older-donor CD8 T-cell autophagy source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    biomarker_context Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Anti-CD3/CD28-stimulated donor cells; 10 micromolar spermidine.
    limitations
    Ex-vivo treatment does not establish an effective oral dose.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    The recycling response was recoverable in cultured T cells.
    primary_references
    Autophagy in T cells from aged donors is maintained by spermidine and correlates with function and vaccine responses. · 2020 · https://pubmed.ncbi.nlm.nih.gov/33317695/ · DOI 10.7554/eLife.57950
    trigger_kind
    biomarker_context Imported condition classification; unverified.

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 238–244

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Anti-CD3/CD28-stimulated donor cells; 10 micromolar spermidine. · source_derived_draft · unverified_draft

    ## spermidine-tcell-autophagy The recycling response was recoverable in cultured T cells. Adding spermidine restored autophagic flux in stimulated T cells from older human donors. Model: Anti-CD3/CD28-stimulated donor cells; 10 micromolar spermidine. Limitations: Ex-vivo treatment does not establish an effective oral dose. Evidence access: Primary full text Autophagy in T cells from aged donors is maintained by spermidine and correlates with function and vaccine responses. · 2020 · https://pubmed.ncbi.nlm.nih.gov/33317695/ · DOI 10.7554/eLife.57950
    Complete structured claim and evidence
  30. Spermidine restored TFEB protein and eIF5A hypusination in older-donor CD8 cells and in DFMO-treated young-donor cells.

    Spermidine → Human transcription factor EB / TFEB source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    biomarker_context Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Primary human T-cell cultures.
    limitations
    Total eIF5A and its modified fraction are different measurements.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    A measured protein response links the pathway to autophagy.
    primary_references
    Autophagy in T cells from aged donors is maintained by spermidine and correlates with function and vaccine responses. · 2020 · https://pubmed.ncbi.nlm.nih.gov/33317695/ · DOI 10.7554/eLife.57950
    trigger_kind
    biomarker_context Imported condition classification; unverified.

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 246–252

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Primary human T-cell cultures. · source_derived_draft · unverified_draft

    ## spermidine-tcell-tfeb A measured protein response links the pathway to autophagy. Spermidine restored TFEB protein and eIF5A hypusination in older-donor CD8 cells and in DFMO-treated young-donor cells. Model: Primary human T-cell cultures. Limitations: Total eIF5A and its modified fraction are different measurements. Evidence access: Primary full text Autophagy in T cells from aged donors is maintained by spermidine and correlates with function and vaccine responses. · 2020 · https://pubmed.ncbi.nlm.nih.gov/33317695/ · DOI 10.7554/eLife.57950
    Complete structured claim and evidence
  31. Spermidine improved effector-function readouts in cultured T cells from older donors.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Primary human cells; cytokine and effector-protein assays.
    limitations
    The vaccine cohort provided associations; subjects were not randomized to oral spermidine for vaccine enhancement.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Functional measurements accompanied the recycling markers.
    primary_references
    Autophagy in T cells from aged donors is maintained by spermidine and correlates with function and vaccine responses. · 2020 · https://pubmed.ncbi.nlm.nih.gov/33317695/ · DOI 10.7554/eLife.57950

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 254–260

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Primary human cells; cytokine and effector-protein assays. · source_derived_draft · unverified_draft

    ## spermidine-tcell-function Functional measurements accompanied the recycling markers. Spermidine improved effector-function readouts in cultured T cells from older donors. Model: Primary human cells; cytokine and effector-protein assays. Limitations: The vaccine cohort provided associations; subjects were not randomized to oral spermidine for vaccine enhancement. Evidence access: Primary full text Autophagy in T cells from aged donors is maintained by spermidine and correlates with function and vaccine responses. · 2020 · https://pubmed.ncbi.nlm.nih.gov/33317695/ · DOI 10.7554/eLife.57950
    Complete structured claim and evidence
  32. GC7 inhibition of hypusination reduced oxidative phosphorylation in IL-4-activated mouse macrophages.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Mouse bone-marrow-derived macrophages; 10 micromolar GC7 for 24 hours in the tracing experiment.
    limitations
    GC7 can have off-target effects; accompanying genetic experiments strengthen but do not make every effect specific.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Blocking the translation pathway changes fuel use.
    primary_references
    Polyamines and eIF5A Hypusination Modulate Mitochondrial Respiration and Macrophage Activation. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31130465/ · DOI 10.1016/j.cmet.2019.05.003
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 262–268

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse bone-marrow-derived macrophages; 10 micromolar GC7 for 24 hours in the tracing experiment. · source_derived_draft · unverified_draft

    ## spermidine-macrophage-respiration Blocking the translation pathway changes fuel use. GC7 inhibition of hypusination reduced oxidative phosphorylation in IL-4-activated mouse macrophages. Model: Mouse bone-marrow-derived macrophages; 10 micromolar GC7 for 24 hours in the tracing experiment. Limitations: GC7 can have off-target effects; accompanying genetic experiments strengthen but do not make every effect specific. Evidence access: Primary full text Polyamines and eIF5A Hypusination Modulate Mitochondrial Respiration and Macrophage Activation. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31130465/ · DOI 10.1016/j.cmet.2019.05.003
    Complete structured claim and evidence
  33. Hypusination disruption lowered expression of succinate dehydrogenase subunit A; its mitochondrial targeting sequence increased reporter dependence on eIF5A.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Mouse macrophage/MEF protein experiments and targeting-sequence reporters.
    limitations
    This is protein expression, not proof of riboflavin, CoA or B12 deficiency; the relevant cofactor requires separate evidence.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Making a cofactor-dependent enzyme is another potential bottleneck.
    primary_references
    Polyamines and eIF5A Hypusination Modulate Mitochondrial Respiration and Macrophage Activation. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31130465/ · DOI 10.1016/j.cmet.2019.05.003

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 270–276

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse macrophage/MEF protein experiments and targeting-sequence reporters. · source_derived_draft · unverified_draft

    ## spermidine-mitochondrial-target-sdha Making a cofactor-dependent enzyme is another potential bottleneck. Hypusination disruption lowered expression of succinate dehydrogenase subunit A; its mitochondrial targeting sequence increased reporter dependence on eIF5A. Model: Mouse macrophage/MEF protein experiments and targeting-sequence reporters. Limitations: This is protein expression, not proof of riboflavin, CoA or B12 deficiency; the relevant cofactor requires separate evidence. Evidence access: Primary full text Polyamines and eIF5A Hypusination Modulate Mitochondrial Respiration and Macrophage Activation. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31130465/ · DOI 10.1016/j.cmet.2019.05.003
    Complete structured claim and evidence
  34. Hypusination disruption lowered expression of succinyl-CoA ligase alpha; its mitochondrial targeting sequence increased reporter dependence on eIF5A.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Mouse macrophage/MEF protein experiments and targeting-sequence reporters.
    limitations
    This is protein expression, not proof of riboflavin, CoA or B12 deficiency; the relevant cofactor requires separate evidence.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Making a cofactor-dependent enzyme is another potential bottleneck.
    primary_references
    Polyamines and eIF5A Hypusination Modulate Mitochondrial Respiration and Macrophage Activation. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31130465/ · DOI 10.1016/j.cmet.2019.05.003

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 278–284

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse macrophage/MEF protein experiments and targeting-sequence reporters. · source_derived_draft · unverified_draft

    ## spermidine-mitochondrial-target-suclg1 Making a cofactor-dependent enzyme is another potential bottleneck. Hypusination disruption lowered expression of succinyl-CoA ligase alpha; its mitochondrial targeting sequence increased reporter dependence on eIF5A. Model: Mouse macrophage/MEF protein experiments and targeting-sequence reporters. Limitations: This is protein expression, not proof of riboflavin, CoA or B12 deficiency; the relevant cofactor requires separate evidence. Evidence access: Primary full text Polyamines and eIF5A Hypusination Modulate Mitochondrial Respiration and Macrophage Activation. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31130465/ · DOI 10.1016/j.cmet.2019.05.003
    Complete structured claim and evidence
  35. Hypusination disruption lowered expression of methylmalonyl-CoA mutase; its mitochondrial targeting sequence increased reporter dependence on eIF5A.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Mouse macrophage/MEF protein experiments and targeting-sequence reporters.
    limitations
    This is protein expression, not proof of riboflavin, CoA or B12 deficiency; the relevant cofactor requires separate evidence.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Making a cofactor-dependent enzyme is another potential bottleneck.
    primary_references
    Polyamines and eIF5A Hypusination Modulate Mitochondrial Respiration and Macrophage Activation. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31130465/ · DOI 10.1016/j.cmet.2019.05.003

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    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse macrophage/MEF protein experiments and targeting-sequence reporters. · source_derived_draft · unverified_draft

    ## spermidine-mitochondrial-target-mmut Making a cofactor-dependent enzyme is another potential bottleneck. Hypusination disruption lowered expression of methylmalonyl-CoA mutase; its mitochondrial targeting sequence increased reporter dependence on eIF5A. Model: Mouse macrophage/MEF protein experiments and targeting-sequence reporters. Limitations: This is protein expression, not proof of riboflavin, CoA or B12 deficiency; the relevant cofactor requires separate evidence. Evidence access: Primary full text Polyamines and eIF5A Hypusination Modulate Mitochondrial Respiration and Macrophage Activation. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31130465/ · DOI 10.1016/j.cmet.2019.05.003
    Complete structured claim and evidence
  36. Acute inhibition of hypusination impaired alternative macrophage activation while largely sparing glycolysis-associated classical activation.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Mouse macrophage in-vitro and in-vivo models.
    limitations
    Alternative activation is not universally beneficial or equivalent to lower inflammation in every disease.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    The same pathway affects immune states differently.
    primary_references
    Polyamines and eIF5A Hypusination Modulate Mitochondrial Respiration and Macrophage Activation. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31130465/ · DOI 10.1016/j.cmet.2019.05.003
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

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    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse macrophage in-vitro and in-vivo models. · source_derived_draft · unverified_draft

    ## spermidine-alternative-macrophage The same pathway affects immune states differently. Acute inhibition of hypusination impaired alternative macrophage activation while largely sparing glycolysis-associated classical activation. Model: Mouse macrophage in-vitro and in-vivo models. Limitations: Alternative activation is not universally beneficial or equivalent to lower inflammation in every disease. Evidence access: Primary full text Polyamines and eIF5A Hypusination Modulate Mitochondrial Respiration and Macrophage Activation. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31130465/ · DOI 10.1016/j.cmet.2019.05.003
    Complete structured claim and evidence
  37. Spermidine partially restored protein synthesis and mitochondrial respiration in fatty-acid-treated AML12 cells.

    Spermidine → Mouse AML12 mitochondrial respiration source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Mouse AML12 cells; 100 micromolar spermidine with palmitate/oleate for 48 hours.
    limitations
    This concentration is experimental, not a human dosing target.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    A lipid-stressed liver-cell model recovered part of its machinery.
    primary_references
    Spermidine-mediated hypusination of translation factor EIF5A improves mitochondrial fatty acid oxidation and prevents non-alcoholic steatohepatitis progression. · 2022 · https://pubmed.ncbi.nlm.nih.gov/36057633/ · DOI 10.1038/s41467-022-32788-x

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    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse AML12 cells; 100 micromolar spermidine with palmitate/oleate for 48 hours. · source_derived_draft · unverified_draft

    ## spermidine-liver-respiration A lipid-stressed liver-cell model recovered part of its machinery. Spermidine partially restored protein synthesis and mitochondrial respiration in fatty-acid-treated AML12 cells. Model: Mouse AML12 cells; 100 micromolar spermidine with palmitate/oleate for 48 hours. Limitations: This concentration is experimental, not a human dosing target. Evidence access: Primary full text Spermidine-mediated hypusination of translation factor EIF5A improves mitochondrial fatty acid oxidation and prevents non-alcoholic steatohepatitis progression. · 2022 · https://pubmed.ncbi.nlm.nih.gov/36057633/ · DOI 10.1038/s41467-022-32788-x
    Complete structured claim and evidence
  38. Dohh siRNA prevented spermidine rescue of mitochondrial protein expression and respiration under fatty-acid stress.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Mouse AML12 cells; genetic knockdown and rescue design.
    limitations
    Does not imply that all low DOHH activity is caused by iron deficiency.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    More spermidine could not bypass the missing enzyme.
    primary_references
    Spermidine-mediated hypusination of translation factor EIF5A improves mitochondrial fatty acid oxidation and prevents non-alcoholic steatohepatitis progression. · 2022 · https://pubmed.ncbi.nlm.nih.gov/36057633/ · DOI 10.1038/s41467-022-32788-x
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

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    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse AML12 cells; genetic knockdown and rescue design. · source_derived_draft · unverified_draft

    ## spermidine-liver-dohh-failure More spermidine could not bypass the missing enzyme. Dohh siRNA prevented spermidine rescue of mitochondrial protein expression and respiration under fatty-acid stress. Model: Mouse AML12 cells; genetic knockdown and rescue design. Limitations: Does not imply that all low DOHH activity is caused by iron deficiency. Evidence access: Primary full text Spermidine-mediated hypusination of translation factor EIF5A improves mitochondrial fatty acid oxidation and prevents non-alcoholic steatohepatitis progression. · 2022 · https://pubmed.ncbi.nlm.nih.gov/36057633/ · DOI 10.1038/s41467-022-32788-x
    Complete structured claim and evidence
  39. Hepatic DOHH mRNA was lower in sampled patients with NASH.

    Human NASH liver sampling context → DOHH source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Human liver expression comparison.
    limitations
    Association is not enzyme-activity measurement or proof that spermidine treats NASH.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Human tissue provides an association to test.
    primary_references
    Spermidine-mediated hypusination of translation factor EIF5A improves mitochondrial fatty acid oxidation and prevents non-alcoholic steatohepatitis progression. · 2022 · https://pubmed.ncbi.nlm.nih.gov/36057633/ · DOI 10.1038/s41467-022-32788-x

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    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human liver expression comparison. · source_derived_draft · unverified_draft

    ## spermidine-liver-nash-marker Human tissue provides an association to test. Hepatic DOHH mRNA was lower in sampled patients with NASH. Model: Human liver expression comparison. Limitations: Association is not enzyme-activity measurement or proof that spermidine treats NASH. Evidence access: Primary full text Spermidine-mediated hypusination of translation factor EIF5A improves mitochondrial fatty acid oxidation and prevents non-alcoholic steatohepatitis progression. · 2022 · https://pubmed.ncbi.nlm.nih.gov/36057633/ · DOI 10.1038/s41467-022-32788-x
    Complete structured claim and evidence
  40. Oral spermidine enhanced cardiac autophagy, mitophagy and mitochondrial respiration in the mouse aging study.

    Spermidine → Mouse cardiac autophagy and mitophagy source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Aging mice receiving spermidine in drinking water.
    limitations
    Not a clinical cardiac-treatment trial; separate downstream mechanisms remain model dependent.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Several measured cardiac maintenance processes changed.
    primary_references
    Cardioprotection and lifespan extension by the natural polyamine spermidine. · 2016 · https://pubmed.ncbi.nlm.nih.gov/27841876/ · DOI 10.1038/nm.4222

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    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Aging mice receiving spermidine in drinking water. · source_derived_draft · unverified_draft

    ## spermidine-heart-autophagy Several measured cardiac maintenance processes changed. Oral spermidine enhanced cardiac autophagy, mitophagy and mitochondrial respiration in the mouse aging study. Model: Aging mice receiving spermidine in drinking water. Limitations: Not a clinical cardiac-treatment trial; separate downstream mechanisms remain model dependent. Evidence access: Primary abstract Cardioprotection and lifespan extension by the natural polyamine spermidine. · 2016 · https://pubmed.ncbi.nlm.nih.gov/27841876/ · DOI 10.1038/nm.4222
    Complete structured claim and evidence
  41. Cardiomyocyte-specific Atg5 loss abolished the reported cardioprotective response to spermidine.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Genetically modified mice.
    limitations
    A required pathway is not proof that autophagy alone explains all cardiac effects.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    The recycling machinery was required for this benefit.
    primary_references
    Cardioprotection and lifespan extension by the natural polyamine spermidine. · 2016 · https://pubmed.ncbi.nlm.nih.gov/27841876/ · DOI 10.1038/nm.4222
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 334–340

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Genetically modified mice. · source_derived_draft · unverified_draft

    ## spermidine-heart-atg5 The recycling machinery was required for this benefit. Cardiomyocyte-specific Atg5 loss abolished the reported cardioprotective response to spermidine. Model: Genetically modified mice. Limitations: A required pathway is not proof that autophagy alone explains all cardiac effects. Evidence access: Primary abstract Cardioprotection and lifespan extension by the natural polyamine spermidine. · 2016 · https://pubmed.ncbi.nlm.nih.gov/27841876/ · DOI 10.1038/nm.4222
    Complete structured claim and evidence
  42. Spermidine increased titin phosphorylation in high-salt-fed Dahl salt-sensitive rats.

    Spermidine → Rat titin / Ttn source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Hypertension/heart-failure rat model.
    limitations
    Not a demonstrated direct kinase target; blood-pressure reduction may contribute.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    A structural heart protein changed alongside cardiac function.
    primary_references
    Cardioprotection and lifespan extension by the natural polyamine spermidine. · 2016 · https://pubmed.ncbi.nlm.nih.gov/27841876/ · DOI 10.1038/nm.4222

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    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Hypertension/heart-failure rat model. · source_derived_draft · unverified_draft

    ## spermidine-rat-titin A structural heart protein changed alongside cardiac function. Spermidine increased titin phosphorylation in high-salt-fed Dahl salt-sensitive rats. Model: Hypertension/heart-failure rat model. Limitations: Not a demonstrated direct kinase target; blood-pressure reduction may contribute. Evidence access: Primary abstract Cardioprotection and lifespan extension by the natural polyamine spermidine. · 2016 · https://pubmed.ncbi.nlm.nih.gov/27841876/ · DOI 10.1038/nm.4222
    Complete structured claim and evidence
  43. The mouse study reported brain entry of dietary spermidine and increased hippocampal eIF5A hypusination.

    Spermidine → Mouse brain spermidine exposure source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Mouse exposure and hippocampal measurements.
    limitations
    Do not infer the same human brain exposure from a plasma measurement.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Brain delivery was tested in mice.
    primary_references
    Dietary spermidine improves cognitive function. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33852843/ · DOI 10.1016/j.celrep.2021.108985

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    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse exposure and hippocampal measurements. · source_derived_draft · unverified_draft

    ## spermidine-mouse-brain-entry Brain delivery was tested in mice. The mouse study reported brain entry of dietary spermidine and increased hippocampal eIF5A hypusination. Model: Mouse exposure and hippocampal measurements. Limitations: Do not infer the same human brain exposure from a plasma measurement. Evidence access: Primary abstract Dietary spermidine improves cognitive function. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33852843/ · DOI 10.1016/j.celrep.2021.108985
    Complete structured claim and evidence
  44. Neuron-specific Pink1 knockdown abolished spermidine-associated improvement of olfactory associative learning.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Aging Drosophila genetic experiments.
    limitations
    Does not establish treatment of human PINK1-associated disease.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    A mitophagy component was required for the learning response.
    primary_references
    Dietary spermidine improves cognitive function. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33852843/ · DOI 10.1016/j.celrep.2021.108985
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

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    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Aging Drosophila genetic experiments. · source_derived_draft · unverified_draft

    ## spermidine-fly-pink1 A mitophagy component was required for the learning response. Neuron-specific Pink1 knockdown abolished spermidine-associated improvement of olfactory associative learning. Model: Aging Drosophila genetic experiments. Limitations: Does not establish treatment of human PINK1-associated disease. Evidence access: Primary abstract Dietary spermidine improves cognitive function. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33852843/ · DOI 10.1016/j.celrep.2021.108985
    Complete structured claim and evidence
  45. Genetic reduction of eIF5A hypusination impaired brain respiration and accelerated age-associated behavioral deficits.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Adult Drosophila genetic perturbations.
    limitations
    Model-specific; the companion brain papers have overlapping investigators and are not fully independent.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    A pathway failure connects translation to brain energy use.
    primary_references
    eIF5A hypusination, boosted by dietary spermidine, protects from premature brain aging and mitochondrial dysfunction. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33852845/ · DOI 10.1016/j.celrep.2021.108941
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 366–372

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Adult Drosophila genetic perturbations. · source_derived_draft · unverified_draft

    ## spermidine-fly-hypusination A pathway failure connects translation to brain energy use. Genetic reduction of eIF5A hypusination impaired brain respiration and accelerated age-associated behavioral deficits. Model: Adult Drosophila genetic perturbations. Limitations: Model-specific; the companion brain papers have overlapping investigators and are not fully independent. Evidence access: Primary abstract eIF5A hypusination, boosted by dietary spermidine, protects from premature brain aging and mitochondrial dysfunction. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33852845/ · DOI 10.1016/j.celrep.2021.108941
    Complete structured claim and evidence
  46. Spermidine promoted muscle satellite-cell activation and regeneration in mice.

    Spermidine → Mouse muscle satellite-cell activation source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Mouse injury and satellite-cell models.
    limitations
    Not evidence of human muscle growth or sports-performance enhancement.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    The pathway also participates in repair outside the brain and immune system.
    primary_references
    Spermidine-eIF5A axis is essential for muscle stem cell activation via translational control. · 2024 · https://pubmed.ncbi.nlm.nih.gov/39251577/ · DOI 10.1038/s41421-024-00712-w

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 374–380

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse injury and satellite-cell models. · source_derived_draft · unverified_draft

    ## spermidine-muscle-activation The pathway also participates in repair outside the brain and immune system. Spermidine promoted muscle satellite-cell activation and regeneration in mice. Model: Mouse injury and satellite-cell models. Limitations: Not evidence of human muscle growth or sports-performance enhancement. Evidence access: Primary full text Spermidine-eIF5A axis is essential for muscle stem cell activation via translational control. · 2024 · https://pubmed.ncbi.nlm.nih.gov/39251577/ · DOI 10.1038/s41421-024-00712-w
    Complete structured claim and evidence
  47. Satellite-cell eIF5A knockout reduced MyoD translation and impaired the spermidine-associated activation response.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Mouse satellite-cell knockout, ribosome profiling and translation experiments.
    limitations
    Dependency does not show that every muscle protein is similarly regulated.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    A specific muscle-regulating protein is a translation target.
    primary_references
    Spermidine-eIF5A axis is essential for muscle stem cell activation via translational control. · 2024 · https://pubmed.ncbi.nlm.nih.gov/39251577/ · DOI 10.1038/s41421-024-00712-w
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

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    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse satellite-cell knockout, ribosome profiling and translation experiments. · source_derived_draft · unverified_draft

    ## spermidine-myod-translation A specific muscle-regulating protein is a translation target. Satellite-cell eIF5A knockout reduced MyoD translation and impaired the spermidine-associated activation response. Model: Mouse satellite-cell knockout, ribosome profiling and translation experiments. Limitations: Dependency does not show that every muscle protein is similarly regulated. Evidence access: Primary full text Spermidine-eIF5A axis is essential for muscle stem cell activation via translational control. · 2024 · https://pubmed.ncbi.nlm.nih.gov/39251577/ · DOI 10.1038/s41421-024-00712-w
    Complete structured claim and evidence
  48. Myod knockout prevented the spermidine-associated satellite-cell activation response.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Mouse satellite-cell genetic experiments.
    limitations
    Cell activation and long-term functional muscle repair are distinct outcomes.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    The downstream protein was itself necessary.
    primary_references
    Spermidine-eIF5A axis is essential for muscle stem cell activation via translational control. · 2024 · https://pubmed.ncbi.nlm.nih.gov/39251577/ · DOI 10.1038/s41421-024-00712-w
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

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    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse satellite-cell genetic experiments. · source_derived_draft · unverified_draft

    ## spermidine-myod-required The downstream protein was itself necessary. Myod knockout prevented the spermidine-associated satellite-cell activation response. Model: Mouse satellite-cell genetic experiments. Limitations: Cell activation and long-term functional muscle repair are distinct outcomes. Evidence access: Primary full text Spermidine-eIF5A axis is essential for muscle stem cell activation via translational control. · 2024 · https://pubmed.ncbi.nlm.nih.gov/39251577/ · DOI 10.1038/s41421-024-00712-w
    Complete structured claim and evidence
  49. Loss of Ptpn2 in intestinal epithelial or myeloid cells abolished spermidine protection in the colitis model; T-cell loss did not.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Mouse T-cell-transfer colitis with conditional deletions.
    limitations
    Mechanistic context difference, not an opposing scientific claim.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Which cell loses the protein changes the response.
    primary_references
    Spermidine Ameliorates Colitis via Induction of Anti-Inflammatory Macrophages and Prevention of Intestinal Dysbiosis. · 2023 · https://pubmed.ncbi.nlm.nih.gov/36995738/ · DOI 10.1093/ecco-jcc/jjad058
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

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    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse T-cell-transfer colitis with conditional deletions. · source_derived_draft · unverified_draft

    ## spermidine-gut-ptpn2 Which cell loses the protein changes the response. Loss of Ptpn2 in intestinal epithelial or myeloid cells abolished spermidine protection in the colitis model; T-cell loss did not. Model: Mouse T-cell-transfer colitis with conditional deletions. Limitations: Mechanistic context difference, not an opposing scientific claim. Evidence access: Primary full text Spermidine Ameliorates Colitis via Induction of Anti-Inflammatory Macrophages and Prevention of Intestinal Dysbiosis. · 2023 · https://pubmed.ncbi.nlm.nih.gov/36995738/ · DOI 10.1093/ecco-jcc/jjad058
    Complete structured claim and evidence
  50. Spermidine preserved barrier readouts in LPS-challenged epithelial–macrophage cocultures in a PTPN2-dependent setting.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Caco-2 and patient-derived macrophage cocultures; 100 micromolar spermidine, 24 hours.
    limitations
    Ex-vivo barrier readouts do not establish oral treatment efficacy for IBD.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Human cells allow a more direct test of the barrier pathway.
    primary_references
    Spermidine Ameliorates Colitis via Induction of Anti-Inflammatory Macrophages and Prevention of Intestinal Dysbiosis. · 2023 · https://pubmed.ncbi.nlm.nih.gov/36995738/ · DOI 10.1093/ecco-jcc/jjad058

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    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Caco-2 and patient-derived macrophage cocultures; 100 micromolar spermidine, 24 hours. · source_derived_draft · unverified_draft

    ## spermidine-gut-human-barrier Human cells allow a more direct test of the barrier pathway. Spermidine preserved barrier readouts in LPS-challenged epithelial–macrophage cocultures in a PTPN2-dependent setting. Model: Caco-2 and patient-derived macrophage cocultures; 100 micromolar spermidine, 24 hours. Limitations: Ex-vivo barrier readouts do not establish oral treatment efficacy for IBD. Evidence access: Primary full text Spermidine Ameliorates Colitis via Induction of Anti-Inflammatory Macrophages and Prevention of Intestinal Dysbiosis. · 2023 · https://pubmed.ncbi.nlm.nih.gov/36995738/ · DOI 10.1093/ecco-jcc/jjad058
    Complete structured claim and evidence
  51. Deleting the carboxypolyamine-decarboxylase orthologue disrupted spermidine synthesis in Campylobacter jejuni.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Bacterial gene deletion and polyamine analysis.
    limitations
    The paper’s microbiome-wide prevalence claim is based on genomic inference; not measured production in each human.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Bacteria can use a route different from the human SAM pathway.
    primary_references
    Alternative spermidine biosynthetic route is critical for growth of Campylobacter jejuni and is the dominant polyamine pathway in human gut microbiota. · 2011 · https://pubmed.ncbi.nlm.nih.gov/22025614/ · DOI 10.1074/jbc.M111.307835
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 414–420

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Bacterial gene deletion and polyamine analysis. · source_derived_draft · unverified_draft

    ## spermidine-microbial-route Bacteria can use a route different from the human SAM pathway. Deleting the carboxypolyamine-decarboxylase orthologue disrupted spermidine synthesis in Campylobacter jejuni. Model: Bacterial gene deletion and polyamine analysis. Limitations: The paper’s microbiome-wide prevalence claim is based on genomic inference; not measured production in each human. Evidence access: Primary abstract Alternative spermidine biosynthetic route is critical for growth of Campylobacter jejuni and is the dominant polyamine pathway in human gut microbiota. · 2011 · https://pubmed.ncbi.nlm.nih.gov/22025614/ · DOI 10.1074/jbc.M111.307835
    Complete structured claim and evidence
  52. Polyamine-auxotrophic Campylobacter deletion strains grew poorly; supplied related polyamines could rescue growth.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Bacterial culture; homospermidine and, less strongly, norspermidine rescue.
    limitations
    Do not turn a bacterial growth result into a human infection-risk estimate.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Polyamines can support microbial growth, including a pathogen.
    primary_references
    Alternative spermidine biosynthetic route is critical for growth of Campylobacter jejuni and is the dominant polyamine pathway in human gut microbiota. · 2011 · https://pubmed.ncbi.nlm.nih.gov/22025614/ · DOI 10.1074/jbc.M111.307835

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 422–428

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Bacterial culture; homospermidine and, less strongly, norspermidine rescue. · source_derived_draft · unverified_draft

    ## spermidine-microbial-growth Polyamines can support microbial growth, including a pathogen. Polyamine-auxotrophic Campylobacter deletion strains grew poorly; supplied related polyamines could rescue growth. Model: Bacterial culture; homospermidine and, less strongly, norspermidine rescue. Limitations: Do not turn a bacterial growth result into a human infection-risk estimate. Evidence access: Primary abstract Alternative spermidine biosynthetic route is critical for growth of Campylobacter jejuni and is the dominant polyamine pathway in human gut microbiota. · 2011 · https://pubmed.ncbi.nlm.nih.gov/22025614/ · DOI 10.1074/jbc.M111.307835
    Complete structured claim and evidence
  53. Cytoplasmic spermidine caused reversible voltage-dependent rectification of cloned HRK1 channels.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Xenopus oocyte inside-out patches; construct species unresolved in accessed abstract.
    limitations
    Do not relabel the channel as a verified human isoform or infer a serum-potassium effect.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Spermidine can limit outward potassium current.
    primary_references
    The mechanism of inward rectification of potassium channels: "long-pore plugging" by cytoplasmic polyamines. · 1995 · https://pubmed.ncbi.nlm.nih.gov/8648298/ · DOI 10.1085/jgp.106.5.923

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 430–436

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Xenopus oocyte inside-out patches; construct species unresolved in accessed abstract. · source_derived_draft · unverified_draft

    ## spermidine-kir-block Spermidine can limit outward potassium current. Cytoplasmic spermidine caused reversible voltage-dependent rectification of cloned HRK1 channels. Model: Xenopus oocyte inside-out patches; construct species unresolved in accessed abstract. Limitations: Do not relabel the channel as a verified human isoform or infer a serum-potassium effect. Evidence access: Primary abstract The mechanism of inward rectification of potassium channels: "long-pore plugging" by cytoplasmic polyamines. · 1995 · https://pubmed.ncbi.nlm.nih.gov/8648298/ · DOI 10.1085/jgp.106.5.923
    Complete structured claim and evidence
  54. Magnesium-associated unblock was almost instantaneous, whereas spermidine unblock was time dependent.

    Mg2+ → Spermidine source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    HRK1 patch-clamp comparison.
    limitations
    This is a gating comparison, not evidence that one nutrient replaces the other.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Magnesium and spermidine influence the same channel with different kinetics.
    primary_references
    The mechanism of inward rectification of potassium channels: "long-pore plugging" by cytoplasmic polyamines. · 1995 · https://pubmed.ncbi.nlm.nih.gov/8648298/ · DOI 10.1085/jgp.106.5.923

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 438–444

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · HRK1 patch-clamp comparison. · source_derived_draft · unverified_draft

    ## spermidine-kir-magnesium Magnesium and spermidine influence the same channel with different kinetics. Magnesium-associated unblock was almost instantaneous, whereas spermidine unblock was time dependent. Model: HRK1 patch-clamp comparison. Limitations: This is a gating comparison, not evidence that one nutrient replaces the other. Evidence access: Primary abstract The mechanism of inward rectification of potassium channels: "long-pore plugging" by cytoplasmic polyamines. · 1995 · https://pubmed.ncbi.nlm.nih.gov/8648298/ · DOI 10.1085/jgp.106.5.923
    Complete structured claim and evidence
  55. Spermidine permeated activated GluN1/GluN2A and GluN1/GluN2B channels; reported Km values were 2.2 and 2.7 mM.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Receptors expressed in Xenopus oocytes and HEK293 cells; isotonic extracellular solutions.
    limitations
    Millimolar experimental kinetics are not physiological brain concentrations.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    A receptor channel can also provide an entry route.
    primary_references
    Spermidine and Ca(2+), but not Na(+), can permeate NMDA receptors consisting of GluN1 and GluN2A or GluN2B in the presence of Mg(2+). · 2015 · https://pubmed.ncbi.nlm.nih.gov/26086092/ · DOI 10.1016/j.bbrc.2015.06.081

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 446–452

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Receptors expressed in Xenopus oocytes and HEK293 cells; isotonic extracellular solutions. · source_derived_draft · unverified_draft

    ## spermidine-nmda-entry A receptor channel can also provide an entry route. Spermidine permeated activated GluN1/GluN2A and GluN1/GluN2B channels; reported Km values were 2.2 and 2.7 mM. Model: Receptors expressed in Xenopus oocytes and HEK293 cells; isotonic extracellular solutions. Limitations: Millimolar experimental kinetics are not physiological brain concentrations. Evidence access: Primary abstract Spermidine and Ca(2+), but not Na(+), can permeate NMDA receptors consisting of GluN1 and GluN2A or GluN2B in the presence of Mg(2+). · 2015 · https://pubmed.ncbi.nlm.nih.gov/26086092/ · DOI 10.1016/j.bbrc.2015.06.081
    Complete structured claim and evidence
  56. Spermidine uptake through the tested NMDA receptors required glycine and glutamate.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Heterologous receptor transport assays.
    limitations
    Requirement is for receptor activation, not evidence for an oral supplement combination.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Other amino acids gate this entry route.
    primary_references
    Spermidine and Ca(2+), but not Na(+), can permeate NMDA receptors consisting of GluN1 and GluN2A or GluN2B in the presence of Mg(2+). · 2015 · https://pubmed.ncbi.nlm.nih.gov/26086092/ · DOI 10.1016/j.bbrc.2015.06.081

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 454–460

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Heterologous receptor transport assays. · source_derived_draft · unverified_draft

    ## spermidine-nmda-ligands Other amino acids gate this entry route. Spermidine uptake through the tested NMDA receptors required glycine and glutamate. Model: Heterologous receptor transport assays. Limitations: Requirement is for receptor activation, not evidence for an oral supplement combination. Evidence access: Primary abstract Spermidine and Ca(2+), but not Na(+), can permeate NMDA receptors consisting of GluN1 and GluN2A or GluN2B in the presence of Mg(2+). · 2015 · https://pubmed.ncbi.nlm.nih.gov/26086092/ · DOI 10.1016/j.bbrc.2015.06.081
    Complete structured claim and evidence
  57. Calcium inhibited spermidine uptake through the tested NMDA receptors.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Receptor uptake assays in defined ionic solutions.
    limitations
    No dietary calcium–spermidine antagonism established.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Ions and polyamines can affect each other’s channel passage.
    primary_references
    Spermidine and Ca(2+), but not Na(+), can permeate NMDA receptors consisting of GluN1 and GluN2A or GluN2B in the presence of Mg(2+). · 2015 · https://pubmed.ncbi.nlm.nih.gov/26086092/ · DOI 10.1016/j.bbrc.2015.06.081

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 462–468

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Receptor uptake assays in defined ionic solutions. · source_derived_draft · unverified_draft

    ## spermidine-nmda-calcium Ions and polyamines can affect each other’s channel passage. Calcium inhibited spermidine uptake through the tested NMDA receptors. Model: Receptor uptake assays in defined ionic solutions. Limitations: No dietary calcium–spermidine antagonism established. Evidence access: Primary abstract Spermidine and Ca(2+), but not Na(+), can permeate NMDA receptors consisting of GluN1 and GluN2A or GluN2B in the presence of Mg(2+). · 2015 · https://pubmed.ncbi.nlm.nih.gov/26086092/ · DOI 10.1016/j.bbrc.2015.06.081
    Complete structured claim and evidence
  58. Spermidine and calcium influx persisted under magnesium conditions that strongly inhibited sodium influx.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Defined receptor assay solutions.
    limitations
    Voltage and ionic conditions are essential; no general claim that spermidine bypasses all NMDA magnesium block.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    A magnesium block is not identical for every permeating species.
    primary_references
    Spermidine and Ca(2+), but not Na(+), can permeate NMDA receptors consisting of GluN1 and GluN2A or GluN2B in the presence of Mg(2+). · 2015 · https://pubmed.ncbi.nlm.nih.gov/26086092/ · DOI 10.1016/j.bbrc.2015.06.081

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 470–476

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Defined receptor assay solutions. · source_derived_draft · unverified_draft

    ## spermidine-nmda-magnesium A magnesium block is not identical for every permeating species. Spermidine and calcium influx persisted under magnesium conditions that strongly inhibited sodium influx. Model: Defined receptor assay solutions. Limitations: Voltage and ionic conditions are essential; no general claim that spermidine bypasses all NMDA magnesium block. Evidence access: Primary abstract Spermidine and Ca(2+), but not Na(+), can permeate NMDA receptors consisting of GluN1 and GluN2A or GluN2B in the presence of Mg(2+). · 2015 · https://pubmed.ncbi.nlm.nih.gov/26086092/ · DOI 10.1016/j.bbrc.2015.06.081
    Complete structured claim and evidence
  59. Spermidine stimulated OAZ1 +1 frameshifting in engineered yeast; its response lacked the cooperativity seen with putrescine and spermine.

    Spermidine → Saccharomyces cerevisiae Oaz1 antizyme source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Yeast strains with synthesis/interconversion deletions and reporter modeling.
    limitations
    Do not transfer the quantitative yeast response to human OAZ1.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Polyamine abundance feeds back into synthesis control.
    primary_references
    Translational recoding as a feedback controller: systems approaches reveal polyamine-specific effects on the antizyme ribosomal frameshift. · 2011 · https://pubmed.ncbi.nlm.nih.gov/21303766/ · DOI 10.1093/nar/gkq1349

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 478–484

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Yeast strains with synthesis/interconversion deletions and reporter modeling. · source_derived_draft · unverified_draft

    ## spermidine-antizyme-feedback Polyamine abundance feeds back into synthesis control. Spermidine stimulated OAZ1 +1 frameshifting in engineered yeast; its response lacked the cooperativity seen with putrescine and spermine. Model: Yeast strains with synthesis/interconversion deletions and reporter modeling. Limitations: Do not transfer the quantitative yeast response to human OAZ1. Evidence access: Primary full text Translational recoding as a feedback controller: systems approaches reveal polyamine-specific effects on the antizyme ribosomal frameshift. · 2011 · https://pubmed.ncbi.nlm.nih.gov/21303766/ · DOI 10.1093/nar/gkq1349
    Complete structured claim and evidence
  60. Added spermidine generated hydrogen peroxide in several animal-serum-containing media but not the tested human-serum medium.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Serum comparisons and cultured cancer cells.
    limitations
    Do not mistake serum-generated oxidants for direct intracellular target engagement.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    The culture medium can transform the compound before cells respond.
    primary_references
    Oxidative degradation of polyamines by serum supplement causes cytotoxicity on cultured cells. · 2018 · https://pubmed.ncbi.nlm.nih.gov/29991686/ · DOI 10.1038/s41598-018-28648-8

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 486–492

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Serum comparisons and cultured cancer cells. · source_derived_draft · unverified_draft

    ## spermidine-serum-peroxide The culture medium can transform the compound before cells respond. Added spermidine generated hydrogen peroxide in several animal-serum-containing media but not the tested human-serum medium. Model: Serum comparisons and cultured cancer cells. Limitations: Do not mistake serum-generated oxidants for direct intracellular target engagement. Evidence access: Primary full text Oxidative degradation of polyamines by serum supplement causes cytotoxicity on cultured cells. · 2018 · https://pubmed.ncbi.nlm.nih.gov/29991686/ · DOI 10.1038/s41598-018-28648-8
    Complete structured claim and evidence
  61. Aminoguanidine prevented spermidine-associated cytotoxicity in the serum-containing NS1-cell experiment.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    1984 serum and oxygen-tension comparison; micromolar exposure range.
    limitations
    Historical serum oxidase activity is not automatically modern human SMOX identity.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Blocking extracellular oxidation changed the result.
    primary_references
    Spermidine cytotoxicity in vitro: effect of serum and oxygen tension. · 1984 · https://pubmed.ncbi.nlm.nih.gov/6715006/ · DOI 10.1007/BF02618188

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 494–500

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · 1984 serum and oxygen-tension comparison; micromolar exposure range. · source_derived_draft · unverified_draft

    ## spermidine-serum-toxicity-rescue Blocking extracellular oxidation changed the result. Aminoguanidine prevented spermidine-associated cytotoxicity in the serum-containing NS1-cell experiment. Model: 1984 serum and oxygen-tension comparison; micromolar exposure range. Limitations: Historical serum oxidase activity is not automatically modern human SMOX identity. Evidence access: Primary abstract Spermidine cytotoxicity in vitro: effect of serum and oxygen tension. · 1984 · https://pubmed.ncbi.nlm.nih.gov/6715006/ · DOI 10.1007/BF02618188
    Complete structured claim and evidence
  62. One micromolar spermidine enhanced erastin-associated lipid peroxidation and cell death in PC3 and DU145 cells.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Human prostate cancer cells; 1.25–5 micromolar erastin, 24-hour viability assays.
    limitations
    Not evidence of cancer prevention or a safe self-treatment combination.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    A cancer-cell context can turn the response toward iron-dependent injury.
    primary_references
    Spermidine inactivates proteasome activity and enhances ferroptosis in prostate cancer. · 2025 · https://pubmed.ncbi.nlm.nih.gov/40486852/ · DOI 10.1016/j.apsb.2025.02.023

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 502–508

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human prostate cancer cells; 1.25–5 micromolar erastin, 24-hour viability assays. · source_derived_draft · unverified_draft

    ## spermidine-erastin-sensitization A cancer-cell context can turn the response toward iron-dependent injury. One micromolar spermidine enhanced erastin-associated lipid peroxidation and cell death in PC3 and DU145 cells. Model: Human prostate cancer cells; 1.25–5 micromolar erastin, 24-hour viability assays. Limitations: Not evidence of cancer prevention or a safe self-treatment combination. Evidence access: Primary full text Spermidine inactivates proteasome activity and enhances ferroptosis in prostate cancer. · 2025 · https://pubmed.ncbi.nlm.nih.gov/40486852/ · DOI 10.1016/j.apsb.2025.02.023
    Complete structured claim and evidence
  63. The prostate-cell study linked spermidine-driven eIF5A hypusination to increased NRF2 translation.

    Spermidine → Human Nrf2 / NFE2L2 source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Human PC3/DU145 cells and hypusination perturbation.
    limitations
    Assay-specific pathway interpretation; does not mean NRF2 is always protective.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    A translation response can raise a stress regulator.
    primary_references
    Spermidine inactivates proteasome activity and enhances ferroptosis in prostate cancer. · 2025 · https://pubmed.ncbi.nlm.nih.gov/40486852/ · DOI 10.1016/j.apsb.2025.02.023

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 510–516

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human PC3/DU145 cells and hypusination perturbation. · source_derived_draft · unverified_draft

    ## spermidine-nrf2-translation A translation response can raise a stress regulator. The prostate-cell study linked spermidine-driven eIF5A hypusination to increased NRF2 translation. Model: Human PC3/DU145 cells and hypusination perturbation. Limitations: Assay-specific pathway interpretation; does not mean NRF2 is always protective. Evidence access: Primary full text Spermidine inactivates proteasome activity and enhances ferroptosis in prostate cancer. · 2025 · https://pubmed.ncbi.nlm.nih.gov/40486852/ · DOI 10.1016/j.apsb.2025.02.023
    Complete structured claim and evidence
  64. Spermidine/erastin treatment reduced proteasome activity and NRF2 degradation in the reported prostate-cell experiments.

    Spermidine → Human prostate-cell proteasome activity source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Human-cell proteasome activity and protein-stability assays.
    limitations
    Not proof that spermidine directly binds a specific proteasome subunit.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Protein accumulation can involve slower removal as well as faster production.
    primary_references
    Spermidine inactivates proteasome activity and enhances ferroptosis in prostate cancer. · 2025 · https://pubmed.ncbi.nlm.nih.gov/40486852/ · DOI 10.1016/j.apsb.2025.02.023

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 518–524

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human-cell proteasome activity and protein-stability assays. · source_derived_draft · unverified_draft

    ## spermidine-proteasome Protein accumulation can involve slower removal as well as faster production. Spermidine/erastin treatment reduced proteasome activity and NRF2 degradation in the reported prostate-cell experiments. Model: Human-cell proteasome activity and protein-stability assays. Limitations: Not proof that spermidine directly binds a specific proteasome subunit. Evidence access: Primary full text Spermidine inactivates proteasome activity and enhances ferroptosis in prostate cancer. · 2025 · https://pubmed.ncbi.nlm.nih.gov/40486852/ · DOI 10.1016/j.apsb.2025.02.023
    Complete structured claim and evidence
  65. The study linked elevated NRF2 to HMOX1 upregulation and increased labile ferrous iron during combination treatment.

    Human Nrf2 / NFE2L2 → Human heme oxygenase 1 / HMOX1 source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Human prostate cancer combination-treatment model.
    limitations
    NRF2/HMOX1 direction depends on cell state and iron handling; no universal ferroptosis prediction.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Heme breakdown links this response to iron availability.
    primary_references
    Spermidine inactivates proteasome activity and enhances ferroptosis in prostate cancer. · 2025 · https://pubmed.ncbi.nlm.nih.gov/40486852/ · DOI 10.1016/j.apsb.2025.02.023

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 526–532

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human prostate cancer combination-treatment model. · source_derived_draft · unverified_draft

    ## spermidine-hmox1-iron Heme breakdown links this response to iron availability. The study linked elevated NRF2 to HMOX1 upregulation and increased labile ferrous iron during combination treatment. Model: Human prostate cancer combination-treatment model. Limitations: NRF2/HMOX1 direction depends on cell state and iron handling; no universal ferroptosis prediction. Evidence access: Primary full text Spermidine inactivates proteasome activity and enhances ferroptosis in prostate cancer. · 2025 · https://pubmed.ncbi.nlm.nih.gov/40486852/ · DOI 10.1016/j.apsb.2025.02.023
    Complete structured claim and evidence
  66. PAOX/SMOX knockout reduced polyamine-associated sensitization to ferroptosis in A549 and HT1080 cells.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Human cancer-cell genetic experiments; mixed polyamine comparisons.
    limitations
    Polyamine-class result; do not attribute all experiments to spermidine alone.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Oxidative breakdown provides another route to lipid injury.
    primary_references
    Polyamine-mediated ferroptosis amplification acts as a targetable vulnerability in cancer. · 2024 · https://pubmed.ncbi.nlm.nih.gov/38504107/ · DOI 10.1038/s41467-024-46776-w
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 534–540

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human cancer-cell genetic experiments; mixed polyamine comparisons. · source_derived_draft · unverified_draft

    ## spermidine-oxidase-ferroptosis Oxidative breakdown provides another route to lipid injury. PAOX/SMOX knockout reduced polyamine-associated sensitization to ferroptosis in A549 and HT1080 cells. Model: Human cancer-cell genetic experiments; mixed polyamine comparisons. Limitations: Polyamine-class result; do not attribute all experiments to spermidine alone. Evidence access: Primary full text Polyamine-mediated ferroptosis amplification acts as a targetable vulnerability in cancer. · 2024 · https://pubmed.ncbi.nlm.nih.gov/38504107/ · DOI 10.1038/s41467-024-46776-w
    Complete structured claim and evidence
  67. Polyamine treatment did not deplete cellular glutathione in the reported comparison.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Human A549/HT1080 experiments; polyamine panel.
    limitations
    Does not negate GSH protection or generalize to every dose and cell type.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Iron-dependent injury did not require measured glutathione depletion.
    primary_references
    Polyamine-mediated ferroptosis amplification acts as a targetable vulnerability in cancer. · 2024 · https://pubmed.ncbi.nlm.nih.gov/38504107/ · DOI 10.1038/s41467-024-46776-w

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 542–548

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human A549/HT1080 experiments; polyamine panel. · source_derived_draft · unverified_draft

    ## spermidine-ferroptosis-gsh-null Iron-dependent injury did not require measured glutathione depletion. Polyamine treatment did not deplete cellular glutathione in the reported comparison. Model: Human A549/HT1080 experiments; polyamine panel. Limitations: Does not negate GSH protection or generalize to every dose and cell type. Evidence access: Primary full text Polyamine-mediated ferroptosis amplification acts as a targetable vulnerability in cancer. · 2024 · https://pubmed.ncbi.nlm.nih.gov/38504107/ · DOI 10.1038/s41467-024-46776-w
    Complete structured claim and evidence
  68. Oral 15 mg/day spermidine for five days did not significantly increase plasma spermidine or putrescine versus placebo.

    Spermidine → Human plasma spermidine concentration source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    biomarker_context Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Twelve healthy adults; blinded randomized crossover pharmacokinetic study.
    limitations
    Short study and plasma sampling do not exclude intracellular changes, other regimens or long-term effects.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Swallowing more did not measurably raise this plasma pool.
    primary_references
    High-Dose Spermidine Supplementation Does Not Increase Spermidine Levels in Blood Plasma and Saliva of Healthy Adults: A Randomized Placebo-Controlled Pharmacokinetic and Metabolomic Study. · 2023 · https://pubmed.ncbi.nlm.nih.gov/37111071/ · DOI 10.3390/nu15081852
    trigger_kind
    biomarker_context Imported condition classification; unverified.

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 550–556

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Twelve healthy adults; blinded randomized crossover pharmacokinetic study. · source_derived_draft · unverified_draft

    ## spermidine-human-plasma-null Swallowing more did not measurably raise this plasma pool. Oral 15 mg/day spermidine for five days did not significantly increase plasma spermidine or putrescine versus placebo. Model: Twelve healthy adults; blinded randomized crossover pharmacokinetic study. Limitations: Short study and plasma sampling do not exclude intracellular changes, other regimens or long-term effects. Evidence access: Primary full text High-Dose Spermidine Supplementation Does Not Increase Spermidine Levels in Blood Plasma and Saliva of Healthy Adults: A Randomized Placebo-Controlled Pharmacokinetic and Metabolomic Study. · 2023 · https://pubmed.ncbi.nlm.nih.gov/37111071/ · DOI 10.3390/nu15081852
    Complete structured claim and evidence
  69. The same trial found increased plasma spermine exposure after oral spermidine.

    Spermidine → Human plasma spermine concentration source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    biomarker_context Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Twelve-person crossover trial; 15 mg/day, five days.
    limitations
    Presystemic conversion was an interpretation, not proven by an isotope tracer; the fasting spermine comparison was not significant.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    A related metabolite changed instead.
    primary_references
    High-Dose Spermidine Supplementation Does Not Increase Spermidine Levels in Blood Plasma and Saliva of Healthy Adults: A Randomized Placebo-Controlled Pharmacokinetic and Metabolomic Study. · 2023 · https://pubmed.ncbi.nlm.nih.gov/37111071/ · DOI 10.3390/nu15081852
    trigger_kind
    biomarker_context Imported condition classification; unverified.

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 558–564

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Twelve-person crossover trial; 15 mg/day, five days. · source_derived_draft · unverified_draft

    ## spermidine-human-spermine A related metabolite changed instead. The same trial found increased plasma spermine exposure after oral spermidine. Model: Twelve-person crossover trial; 15 mg/day, five days. Limitations: Presystemic conversion was an interpretation, not proven by an isotope tracer; the fasting spermine comparison was not significant. Evidence access: Primary full text High-Dose Spermidine Supplementation Does Not Increase Spermidine Levels in Blood Plasma and Saliva of Healthy Adults: A Randomized Placebo-Controlled Pharmacokinetic and Metabolomic Study. · 2023 · https://pubmed.ncbi.nlm.nih.gov/37111071/ · DOI 10.3390/nu15081852
    Complete structured claim and evidence
  70. Twelve months of wheat-germ extract supplying 0.9 mg/day spermidine did not significantly improve the primary memory outcome versus placebo.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    100 adults aged 60–90 with subjective cognitive decline; randomized trial.
    limitations
    Extract rather than pure spermidine; dose and population specific. Difference -0.03, 95% CI -0.11 to 0.05, P=.47.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    The longer human trial did not confirm its main memory hypothesis.
    primary_references
    Effects of Spermidine Supplementation on Cognition and Biomarkers in Older Adults With Subjective Cognitive Decline: A Randomized Clinical Trial. · 2022 · https://pubmed.ncbi.nlm.nih.gov/35616942/ · DOI 10.1001/jamanetworkopen.2022.13875

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 566–572

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · 100 adults aged 60–90 with subjective cognitive decline; randomized trial. · source_derived_draft · unverified_draft

    ## spermidine-human-memory-null The longer human trial did not confirm its main memory hypothesis. Twelve months of wheat-germ extract supplying 0.9 mg/day spermidine did not significantly improve the primary memory outcome versus placebo. Model: 100 adults aged 60–90 with subjective cognitive decline; randomized trial. Limitations: Extract rather than pure spermidine; dose and population specific. Difference -0.03, 95% CI -0.11 to 0.05, P=.47. Evidence access: Primary full text Effects of Spermidine Supplementation on Cognition and Biomarkers in Older Adults With Subjective Cognitive Decline: A Randomized Clinical Trial. · 2022 · https://pubmed.ncbi.nlm.nih.gov/35616942/ · DOI 10.1001/jamanetworkopen.2022.13875
    Complete structured claim and evidence
  71. DHPS transfers spermidine-derived aminobutyl onto eIF5A Lys50 to form deoxyhypusine.

    DHPS → eIF5A1 with unmodified Lys50 source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    Human DHPS structural biochemistry.
    limitations
    NAD cycles during catalysis; it is not represented as a net consumed substrate here. This reaction modifies lysine already in a protein. It does not show that extra oral lysine increases the reaction or improves a clinical outcome.
    organism
    Human
    plain_language
    A particular protein lysine becomes a specialized translation-factor residue.
    primary_references
    [dhps-2020] Half Way to Hypusine-Structural Basis for Substrate Recognition by Human Deoxyhypusine Synthase (2020). https://pubmed.ncbi.nlm.nih.gov/32235505/
    tissue_or_cell_type
    Not specified as a whole tissue; see experimental model.

    L-Lysine: mechanism-first literature curation (2026-09-17) · lines 578–586

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human DHPS structural biochemistry. · source_derived_draft · unverified_draft

    ### dhps-eif5a-deoxyhypusine DHPS transfers spermidine-derived aminobutyl onto eIF5A Lys50 to form deoxyhypusine. Plain language: A particular protein lysine becomes a specialized translation-factor residue. Condition category: normal organism: Human tissue_or_cell_type: Not specified as a whole tissue; see experimental model. experimental_model: Human DHPS structural biochemistry. limitations: NAD cycles during catalysis; it is not represented as a net consumed substrate here. This reaction modifies lysine already in a protein. It does not show that extra oral lysine increases the reaction or improves a clinical outcome. [dhps-2020] Half Way to Hypusine-Structural Basis for Substrate Recognition by Human Deoxyhypusine Synthase (2020). https://pubmed.ncbi.nlm.nih.gov/32235505/
    Complete structured claim and evidence
  72. DOHH hydroxylates deoxyhypusine-eIF5A to hypusine-eIF5A using its oxygen-activating diiron center.

    DOHH → eIF5A1 with deoxyhypusine at residue 50 source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    Human DOHH structures and spectroscopy.
    limitations
    DOHH is a diiron enzyme, not a 2-oxoglutarate-dependent hydroxylase. This reaction modifies lysine already in a protein. It does not show that extra oral lysine increases the reaction or improves a clinical outcome.
    organism
    Human
    plain_language
    A second enzyme completes the special modification.
    primary_references
    [dohh-2015] Crystal Structure of the Peroxo-diiron(III) Intermediate of Deoxyhypusine Hydroxylase, an Oxygenase Involved in Hypusination (2015). https://pubmed.ncbi.nlm.nih.gov/25865244/ DOI: 10.1016/j.str.2015.03.002
    tissue_or_cell_type
    Not specified as a whole tissue; see experimental model.

    L-Lysine: mechanism-first literature curation (2026-09-17) · lines 588–596

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human DOHH structures and spectroscopy. · source_derived_draft · unverified_draft

    ### dohh-eif5a-hypusine DOHH hydroxylates deoxyhypusine-eIF5A to hypusine-eIF5A using its oxygen-activating diiron center. Plain language: A second enzyme completes the special modification. Condition category: normal organism: Human tissue_or_cell_type: Not specified as a whole tissue; see experimental model. experimental_model: Human DOHH structures and spectroscopy. limitations: DOHH is a diiron enzyme, not a 2-oxoglutarate-dependent hydroxylase. This reaction modifies lysine already in a protein. It does not show that extra oral lysine increases the reaction or improves a clinical outcome. [dohh-2015] Crystal Structure of the Peroxo-diiron(III) Intermediate of Deoxyhypusine Hydroxylase, an Oxygenase Involved in Hypusination (2015). https://pubmed.ncbi.nlm.nih.gov/25865244/ DOI: 10.1016/j.str.2015.03.002
    Complete structured claim and evidence
  73. Biochemical binding and structural experiments identify PLP as the human ODC coenzyme.

    PLP → Human ornithine decarboxylase / ODC1 source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Human and Leishmania ODC comparison; human inhibitor-bound structure.
    limitations
    Cofactor dependence does not establish that extra B6 raises polyamines in a replete person.
    nutrient_topic
    L-Arginine collection; tissue, species, dose and formulation distinctions retained. · L-Arginine
    plain_language
    The polyamine branch connects to vitamin B6.
    primary_references
    A structural insight into the inhibition of human and Leishmania donovani ornithine decarboxylases by 1-amino-oxy-3-aminopropane. · 2007 · https://pubmed.ncbi.nlm.nih.gov/17407445/ · DOI 10.1042/bj20070188

    L-Arginine: transport, metabolic branches, nutrient interactions, availability and discovery questions (2026-09-18) · lines 102–108

    AI-assisted research curation; primary-abstract references and experimental limitations individually identified. Not publisher full text. · supports · Human and Leishmania ODC comparison; human inhibitor-bound structure. · source_derived_draft · unverified_draft

    ## arg-odc-cofactor The polyamine branch connects to vitamin B6. Biochemical binding and structural experiments identify PLP as the human ODC coenzyme. Model: Human and Leishmania ODC comparison; human inhibitor-bound structure. Limitations: Cofactor dependence does not establish that extra B6 raises polyamines in a replete person. Evidence access: Primary abstract A structural insight into the inhibition of human and Leishmania donovani ornithine decarboxylases by 1-amino-oxy-3-aminopropane. · 2007 · https://pubmed.ncbi.nlm.nih.gov/17407445/ · DOI 10.1042/bj20070188
    Complete structured claim and evidence
  74. Human SRM uses putrescine as the amine acceptor for aminopropyl transfer from decarboxylated SAM.

    Putrescine → Spermidine source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Human enzyme structural, biochemical and mutagenesis experiments.
    limitations
    This consumes an aminopropyl donor, not a direct methyl transfer from ordinary SAM.
    nutrient_topic
    L-Arginine collection; tissue, species, dose and formulation distinctions retained. · L-Arginine
    plain_language
    Polyamine synthesis combines an ornithine-derived branch with a SAM-derived branch.
    primary_references
    Structure and mechanism of spermidine synthases. · 2007 · https://pubmed.ncbi.nlm.nih.gov/17585781/ · DOI 10.1021/bi602498k

    L-Arginine: transport, metabolic branches, nutrient interactions, availability and discovery questions (2026-09-18) · lines 134–140

    AI-assisted research curation; primary-abstract references and experimental limitations individually identified. Not publisher full text. · supports · Human enzyme structural, biochemical and mutagenesis experiments. · source_derived_draft · unverified_draft

    ## arg-srm Polyamine synthesis combines an ornithine-derived branch with a SAM-derived branch. Human SRM uses putrescine as the amine acceptor for aminopropyl transfer from decarboxylated SAM. Model: Human enzyme structural, biochemical and mutagenesis experiments. Limitations: This consumes an aminopropyl donor, not a direct methyl transfer from ordinary SAM. Evidence access: Primary abstract Structure and mechanism of spermidine synthases. · 2007 · https://pubmed.ncbi.nlm.nih.gov/17585781/ · DOI 10.1021/bi602498k
    Complete structured claim and evidence
  75. AMD1 decarboxylation generates the aminopropyl donor used in polyamine synthesis.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Human S-adenosylmethionine decarboxylase biochemical study.
    limitations
    Do not confuse aminopropyl donation with GAMT methyl transfer.
    nutrient_topic
    L-Arginine collection; tissue, species, dose and formulation distinctions retained. · L-Arginine
    plain_language
    SAM must be chemically changed before this branch uses it.
    primary_references
    Structural basis for putrescine activation of human S-adenosylmethionine decarboxylase. · 2008 · https://pubmed.ncbi.nlm.nih.gov/19053272/ · DOI 10.1021/bi801732m

    L-Arginine: transport, metabolic branches, nutrient interactions, availability and discovery questions (2026-09-18) · lines 150–156

    AI-assisted research curation; primary-abstract references and experimental limitations individually identified. Not publisher full text. · supports · Human S-adenosylmethionine decarboxylase biochemical study. · source_derived_draft · unverified_draft

    ## arg-amd-reaction SAM must be chemically changed before this branch uses it. AMD1 decarboxylation generates the aminopropyl donor used in polyamine synthesis. Model: Human S-adenosylmethionine decarboxylase biochemical study. Limitations: Do not confuse aminopropyl donation with GAMT methyl transfer. Evidence access: Primary abstract Structural basis for putrescine activation of human S-adenosylmethionine decarboxylase. · 2008 · https://pubmed.ncbi.nlm.nih.gov/19053272/ · DOI 10.1021/bi801732m
    Complete structured claim and evidence
  76. Putrescine stimulated human AMD1 autoprocessing and decarboxylation through a binding pocket separate from the active site.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Human AMD1 structures, binding measurements and targeted mutants.
    limitations
    Feedback demonstrated at enzyme level; not a measured systemic methyl-donor drain.
    nutrient_topic
    L-Arginine collection; tissue, species, dose and formulation distinctions retained. · L-Arginine
    plain_language
    A pathway product helps activate production of the next branch’s donor.
    primary_references
    Structural basis for putrescine activation of human S-adenosylmethionine decarboxylase. · 2008 · https://pubmed.ncbi.nlm.nih.gov/19053272/ · DOI 10.1021/bi801732m

    L-Arginine: transport, metabolic branches, nutrient interactions, availability and discovery questions (2026-09-18) · lines 142–148

    AI-assisted research curation; primary-abstract references and experimental limitations individually identified. Not publisher full text. · supports · Human AMD1 structures, binding measurements and targeted mutants. · source_derived_draft · unverified_draft

    ## arg-amd-feedback A pathway product helps activate production of the next branch’s donor. Putrescine stimulated human AMD1 autoprocessing and decarboxylation through a binding pocket separate from the active site. Model: Human AMD1 structures, binding measurements and targeted mutants. Limitations: Feedback demonstrated at enzyme level; not a measured systemic methyl-donor drain. Evidence access: Primary abstract Structural basis for putrescine activation of human S-adenosylmethionine decarboxylase. · 2008 · https://pubmed.ncbi.nlm.nih.gov/19053272/ · DOI 10.1021/bi801732m
    Complete structured claim and evidence
  77. Human spermine-synthase substrate/product structures and mutagenesis support aminopropyl transfer to spermidine.

    Spermidine → Spermine source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Human SMS structures and catalytic assays.
    limitations
    A pathway connection does not mean arginine is always rate limiting.
    nutrient_topic
    L-Arginine collection; tissue, species, dose and formulation distinctions retained. · L-Arginine
    plain_language
    The polyamine pathway extends beyond spermidine.
    primary_references
    Crystal structure of human spermine synthase: implications of substrate binding and catalytic mechanism. · 2008 · https://pubmed.ncbi.nlm.nih.gov/18367445/ · DOI 10.1074/jbc.m710323200

    L-Arginine: transport, metabolic branches, nutrient interactions, availability and discovery questions (2026-09-18) · lines 158–164

    AI-assisted research curation; primary-abstract references and experimental limitations individually identified. Not publisher full text. · supports · Human SMS structures and catalytic assays. · source_derived_draft · unverified_draft

    ## arg-sms The polyamine pathway extends beyond spermidine. Human spermine-synthase substrate/product structures and mutagenesis support aminopropyl transfer to spermidine. Model: Human SMS structures and catalytic assays. Limitations: A pathway connection does not mean arginine is always rate limiting. Evidence access: Primary abstract Crystal structure of human spermine synthase: implications of substrate binding and catalytic mechanism. · 2008 · https://pubmed.ncbi.nlm.nih.gov/18367445/ · DOI 10.1074/jbc.m710323200
    Complete structured claim and evidence
  78. The product-bound SMS structure supplied a mechanistic explanation for inhibition by methylthioadenosine.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Human SMS structural and biochemical study.
    limitations
    Product inhibition is not a measured dietary-arginine effect.
    nutrient_topic
    L-Arginine collection; tissue, species, dose and formulation distinctions retained. · L-Arginine
    plain_language
    A reaction product can slow its own production pathway.
    primary_references
    Crystal structure of human spermine synthase: implications of substrate binding and catalytic mechanism. · 2008 · https://pubmed.ncbi.nlm.nih.gov/18367445/ · DOI 10.1074/jbc.m710323200

    L-Arginine: transport, metabolic branches, nutrient interactions, availability and discovery questions (2026-09-18) · lines 166–172

    AI-assisted research curation; primary-abstract references and experimental limitations individually identified. Not publisher full text. · supports · Human SMS structural and biochemical study. · source_derived_draft · unverified_draft

    ## arg-sms-inhibition A reaction product can slow its own production pathway. The product-bound SMS structure supplied a mechanistic explanation for inhibition by methylthioadenosine. Model: Human SMS structural and biochemical study. Limitations: Product inhibition is not a measured dietary-arginine effect. Evidence access: Primary abstract Crystal structure of human spermine synthase: implications of substrate binding and catalytic mechanism. · 2008 · https://pubmed.ncbi.nlm.nih.gov/18367445/ · DOI 10.1074/jbc.m710323200
    Complete structured claim and evidence
  79. Human MAT2A formed S-adenosylmethionine before rapid triphosphate hydrolysis and product release in the kinetic study.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/33656855.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "1d45073f7187a06cfb9b2d630f94fa651239f0a9a5ae353b37d9af90750f2f38", "start_char": 0, "end_char": 1520, "text_sha256": "1d45073f7187a06cfb9b2d630f94fa651239f0a9a5ae353b37d9af90750f2f38"}
    experimental_model
    Human MAT2A kinetics, isotope exchange and inhibitor-bound crystallography
    exposure
    ATP/methionine reactions and PNPNP ligand complexes
    limitations
    Phosphoryl chemistry is not evidence that phosphate supplements boost methylation. Metal contacts were resolved with an experimental ATP-site ligand.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human recombinant enzyme
    plain_language
    Making the methyl donor SAM is coupled to ATP-derived phosphate chemistry.
    primary_references
    [phosphorus-p33656855] Mechanism and Inhibition of Human Methionine Adenosyltransferase 2A. (2021). https://pubmed.ncbi.nlm.nih.gov/33656855/ DOI: 10.1021/acs.biochem.0c00998
    tissue_or_cell_type
    Purified MAT2A active site

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 633–644

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human MAT2A kinetics, isotope exchange and inhibitor-bound crystallography · source_derived_draft · unverified_draft

    ### phosphorus-mat-sam Human MAT2A formed S-adenosylmethionine before rapid triphosphate hydrolysis and product release in the kinetic study. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: Making the methyl donor SAM is coupled to ATP-derived phosphate chemistry. organism: Human recombinant enzyme tissue_or_cell_type: Purified MAT2A active site experimental_model: Human MAT2A kinetics, isotope exchange and inhibitor-bound crystallography limitations: Phosphoryl chemistry is not evidence that phosphate supplements boost methylation. Metal contacts were resolved with an experimental ATP-site ligand. exposure: ATP/methionine reactions and PNPNP ligand complexes evidence_span: {"source_cache": "artifacts/phosphorus-research/33656855.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "1d45073f7187a06cfb9b2d630f94fa651239f0a9a5ae353b37d9af90750f2f38", "start_char": 0, "end_char": 1520, "text_sha256": "1d45073f7187a06cfb9b2d630f94fa651239f0a9a5ae353b37d9af90750f2f38"} [phosphorus-p33656855] Mechanism and Inhibition of Human Methionine Adenosyltransferase 2A. (2021). https://pubmed.ncbi.nlm.nih.gov/33656855/ DOI: 10.1021/acs.biochem.0c00998
    Complete structured claim and evidence
  80. Purified recombinant human ARG2 catalyzes arginine hydrolysis to ornithine and urea.

    Human arginase 2 / ARG2 → L-Arginine source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    Recombinant human ARG2 expressed in E. coli and purified
    exposure
    Substrate/product kinetics
    limitations
    Primary experimental scope only; no human dietary threshold, clinical treatment rule, or universal metal substitution is established.
    nutrient_topic
    Manganese research collection; topical membership is not evidence of a direct dietary effect. · Manganese
    organism
    Homo sapiens protein
    plain_language
    ARG2 breaks arginine into ornithine and urea.
    primary_references
    [mn-enz-11370664] Expression, purification, and characterization of human type II arginase. (2001). https://pubmed.ncbi.nlm.nih.gov/11370664/ DOI: 10.1006/abbi.2001.2324
    tissue_or_cell_type
    Purified ARG2

    Manganese: enzyme cofactors, glycosylation, transport and nutrient interactions (2026-09-17) · lines 572–582

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Recombinant human ARG2 expressed in E. coli and purified · source_derived_draft · unverified_draft

    ### mn-enz-arg2-hydrolysis Purified recombinant human ARG2 catalyzes arginine hydrolysis to ornithine and urea. Condition category: normal nutrient_topic: Manganese research collection; topical membership is not evidence of a direct dietary effect. plain_language: ARG2 breaks arginine into ornithine and urea. organism: Homo sapiens protein tissue_or_cell_type: Purified ARG2 experimental_model: Recombinant human ARG2 expressed in E. coli and purified limitations: Primary experimental scope only; no human dietary threshold, clinical treatment rule, or universal metal substitution is established. exposure: Substrate/product kinetics [mn-enz-11370664] Expression, purification, and characterization of human type II arginase. (2001). https://pubmed.ncbi.nlm.nih.gov/11370664/ DOI: 10.1006/abbi.2001.2324
    Complete structured claim and evidence
  81. The active truncated human ARG2 structure with a transition-state analogue supports a binuclear-manganese, metal-activated hydroxide mechanism for arginine hydrolysis.

    Mn2+ → Human arginase 2 / ARG2 source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    Crystal structure of active truncated human ARG2 with transition-state analogue
    exposure
    Boronic-acid inhibitor complex; 2.7-A structure
    limitations
    Structural consistency with the proposed mechanism; truncated active recombinant human ARG2 with inhibitor, not direct dietary manganese perturbation.
    nutrient_topic
    Manganese research collection; topical membership is not evidence of a direct dietary effect. · Manganese
    organism
    Homo sapiens protein
    plain_language
    Two manganese ions help ARG2 activate the water-derived attacking group.
    primary_references
    [mn-enz-12859189] Human arginase II: crystal structure and physiological role in male and female sexual arousal. (2003). https://pubmed.ncbi.nlm.nih.gov/12859189/ DOI: 10.1021/bi034340j
    tissue_or_cell_type
    Purified ARG2

    Manganese: enzyme cofactors, glycosylation, transport and nutrient interactions (2026-09-17) · lines 584–594

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Crystal structure of active truncated human ARG2 with transition-state analogue · source_derived_draft · unverified_draft

    ### mn-enz-arg2-metal-hydroxide The active truncated human ARG2 structure with a transition-state analogue supports a binuclear-manganese, metal-activated hydroxide mechanism for arginine hydrolysis. Condition category: normal nutrient_topic: Manganese research collection; topical membership is not evidence of a direct dietary effect. plain_language: Two manganese ions help ARG2 activate the water-derived attacking group. organism: Homo sapiens protein tissue_or_cell_type: Purified ARG2 experimental_model: Crystal structure of active truncated human ARG2 with transition-state analogue limitations: Structural consistency with the proposed mechanism; truncated active recombinant human ARG2 with inhibitor, not direct dietary manganese perturbation. exposure: Boronic-acid inhibitor complex; 2.7-A structure [mn-enz-12859189] Human arginase II: crystal structure and physiological role in male and female sexual arousal. (2003). https://pubmed.ncbi.nlm.nih.gov/12859189/ DOI: 10.1021/bi034340j
    Complete structured claim and evidence
  82. Purified human PPCS, PPCDC and bifunctional CoA synthase reconstituted CoA synthesis from phosphopantothenate in vitro.

    4-Phosphopantothenate → Coenzyme A source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    Provides the B5-derived CoA partner required by PDH, OGDH, BCKDH and OADH; simultaneous B1/B5 depletion was not tested.
    evidence
    [{"paper_key": "daugherty-2002-coa", "source_bundle": "artifacts/thiamine_metabolism_sources.json", "passage_ids": ["abstract"], "locator": "Primary publication abstract", "preservation": "Exact text retained in the source bundle; full source document retained when openly retrievable."}]
    experimental_model
    Reconstituted human enzyme pathway.
    limitations
    Cross-pathway connection is biochemical integration, not a tested clinical supplementation interaction.
    nutrient
    Thiamine (vitamin B1) · Thiamine (vitamin B1)
    nutrient_topic
    Thiamine research collection; topical membership is not evidence of a direct dietary effect. · Thiamine (vitamin B1)
    organism
    Homo sapiens
    plain_language
    Vitamin B5 supplies a separate carrier used after B1-dependent decarboxylation. The experiment starts with phosphorylated B5, so it does not test absorption or the first phosphorylation step.
    primary_references
    [daugherty-2002-coa] Complete reconstitution of the human coenzyme A biosynthetic pathway via comparative genomics (2002). https://pubmed.ncbi.nlm.nih.gov/11923312/ DOI: 10.1074/jbc.m201708200
    tissue_or_cell_type
    Purified recombinant enzymes

    Thiamine: mechanisms, deficiency and nutrient interactions (2026-09-17) · lines 731–743

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Reconstituted human enzyme pathway. · source_derived_draft · unverified_draft

    ### b1-coa-b5-downstream-biosynthesis Purified human PPCS, PPCDC and bifunctional CoA synthase reconstituted CoA synthesis from phosphopantothenate in vitro. Condition category: normal nutrient_topic: Thiamine research collection; topical membership is not evidence of a direct dietary effect. plain_language: Vitamin B5 supplies a separate carrier used after B1-dependent decarboxylation. The experiment starts with phosphorylated B5, so it does not test absorption or the first phosphorylation step. organism: Homo sapiens tissue_or_cell_type: Purified recombinant enzymes experimental_model: Reconstituted human enzyme pathway. limitations: Cross-pathway connection is biochemical integration, not a tested clinical supplementation interaction. evidence: [{"paper_key": "daugherty-2002-coa", "source_bundle": "artifacts/thiamine_metabolism_sources.json", "passage_ids": ["abstract"], "locator": "Primary publication abstract", "preservation": "Exact text retained in the source bundle; full source document retained when openly retrievable."}] cross_nutrient: Provides the B5-derived CoA partner required by PDH, OGDH, BCKDH and OADH; simultaneous B1/B5 depletion was not tested. nutrient: Thiamine (vitamin B1) [daugherty-2002-coa] Complete reconstitution of the human coenzyme A biosynthetic pathway via comparative genomics (2002). https://pubmed.ncbi.nlm.nih.gov/11923312/ DOI: 10.1074/jbc.m201708200
    Complete structured claim and evidence
  83. Cryo-EM of active human complex II resolved FAD within SDHA and located the succinate-fumarate active site between its FAD-binding and capping domains.

    SDHA → FAD source_derived_draftungraded
    Experimental context and source evidence
    evidence_spans
    [{"source_bundle": "artifacts/riboflavin_metabolism_sources.json", "source_key": "PMC10161127", "locator": "XML .//body//p", "paragraph_index": 3, "char_start": 0, "char_end": 2164, "evidence_access": "full-text"}]
    experimental_model
    Human complex II purified from HEK293F cells, cryo-EM, EPR and succinate-quinone activity assays.
    exposure
    No nutrient intervention; structural or biochemical characterization.
    limitations
    Structure establishes location, not nutritional sensitivity.
    nutrient_topic
    Riboflavin research collection; topical membership is not evidence of a direct dietary effect. · Riboflavin (vitamin B2)
    organism
    Homo sapiens
    plain_language
    The B2-derived cofactor sits in the catalytic SDHA part of complex II.
    primary_references
    [du-2023-human-complex-ii] Structure of the human respiratory complex II (2023). https://pubmed.ncbi.nlm.nih.gov/37098072/ DOI: 10.1073/pnas.2216713120
    tissue_or_cell_type
    HEK293F-derived purified complex II

    Riboflavin: mechanisms, deficiency and nutrient interactions (2026-09-17) · lines 636–647

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human complex II purified from HEK293F cells, cryo-EM, EPR and succinate-quinone activity assays. · source_derived_draft · unverified_draft

    ### b2-met-human-sdha-fad Cryo-EM of active human complex II resolved FAD within SDHA and located the succinate-fumarate active site between its FAD-binding and capping domains. Condition category: normal nutrient_topic: Riboflavin research collection; topical membership is not evidence of a direct dietary effect. plain_language: The B2-derived cofactor sits in the catalytic SDHA part of complex II. organism: Homo sapiens tissue_or_cell_type: HEK293F-derived purified complex II experimental_model: Human complex II purified from HEK293F cells, cryo-EM, EPR and succinate-quinone activity assays. limitations: Structure establishes location, not nutritional sensitivity. exposure: No nutrient intervention; structural or biochemical characterization. evidence_spans: [{"source_bundle": "artifacts/riboflavin_metabolism_sources.json", "source_key": "PMC10161127", "locator": "XML .//body//p", "paragraph_index": 3, "char_start": 0, "char_end": 2164, "evidence_access": "full-text"}] [du-2023-human-complex-ii] Structure of the human respiratory complex II (2023). https://pubmed.ncbi.nlm.nih.gov/37098072/ DOI: 10.1073/pnas.2216713120
    Complete structured claim and evidence
  84. Adenosylcobalamin-loaded human MMUT converts (R)-methylmalonyl-CoA to succinyl-CoA in the coupled enzyme assay.

    Experimental context and source evidence
    cross_nutrient
    false
    evidence_location
    Full text Results; Figures 2-4; cofactor off-loading and MMUT activity Methods
    experimental_model
    Purified human proteins
    exposure
    AdoCbl-loaded MMUT and methylmalonyl-CoA; thiokinase-coupled readout
    limitations
    Product formation is a coupled assay; cellular net flux was not measured.
    nutrient_topic
    Vitamin B12 research collection; topical membership is not evidence of a direct dietary effect. · Vitamin B12 (cobalamins)
    organism
    Homo sapiens
    plain_language
    Purified human MMUT used activated B12 to make succinyl-CoA from the matching methylmalonyl-CoA epimer.
    primary_references
    [mascarenhas-2023-nanoassembly] Architecture of the human G-protein-methylmalonyl-CoA mutase nanoassembly for B12 delivery and repair. (2023). https://pubmed.ncbi.nlm.nih.gov/37468522/ DOI: 10.1038/s41467-023-40077-4
    tissue_or_cell_type
    Purified protein assay

    Vitamin B12: mechanisms, deficiency and nutrient interactions (2026-09-17) · lines 1103–1115

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Purified human proteins · source_derived_draft · unverified_draft

    ### mmut-isomerizes-r-methylmalonyl-coa Adenosylcobalamin-loaded human MMUT converts (R)-methylmalonyl-CoA to succinyl-CoA in the coupled enzyme assay. Condition category: normal nutrient_topic: Vitamin B12 research collection; topical membership is not evidence of a direct dietary effect. plain_language: Purified human MMUT used activated B12 to make succinyl-CoA from the matching methylmalonyl-CoA epimer. organism: Homo sapiens tissue_or_cell_type: Purified protein assay experimental_model: Purified human proteins limitations: Product formation is a coupled assay; cellular net flux was not measured. exposure: AdoCbl-loaded MMUT and methylmalonyl-CoA; thiokinase-coupled readout cross_nutrient: false evidence_location: Full text Results; Figures 2-4; cofactor off-loading and MMUT activity Methods [mascarenhas-2023-nanoassembly] Architecture of the human G-protein-methylmalonyl-CoA mutase nanoassembly for B12 delivery and repair. (2023). https://pubmed.ncbi.nlm.nih.gov/37468522/ DOI: 10.1038/s41467-023-40077-4
    Complete structured claim and evidence
  85. Spermidine increased the HADHA-attributed activity readout in mouse cardiac lysates from treated animals.

    Spermidine → HADHA-attributed activity in lysate assay source_derived_draftungraded
    Experimental context and source evidence
    access_level
    full_text_and_supplement_review
    compartment
    Cardiac tissue / mitochondria
    dose
    30 mM in drinking water, as reported
    duration
    10 weeks in the Results; broader two-hit methods specify 15 weeks
    endpoint
    hadha-attributed-lysate-activity
    evidence_location
    Figure 8A/B
    experimental_model
    Mouse two-hit HFpEF model: 60% fat-calorie diet plus L-NAME 0.5 g/L drinking water; additional intervention as stated
    exposure
    spermidine
    limitations
    Single primary study; not independently replicated here. Cardiac and recombinant findings do not establish pulmonary endothelial, viral-sepsis or ARDS effects. This paper does not itself establish direct spermidine binding; that statement cites earlier work. Do not infer intake in mg/kg from water concentration. Lysate specificity/protocol units remain qualified.
    nutrient_topic
    Topical cross-reference only; no inheritance of another actor's effects. · Spermidine
    organism
    Mus musculus
    plain_language
    Spermidine increased the HADHA-attributed activity readout in mouse cardiac lysates from treated animals.
    primary_locator
    [{"cache": "artifacts/dlat-curation/heart-blocks.json", "block_index": 54, "text_sha256": "ecfe210aa0338ec52935a354f2bcc46289d65981b7b09fd4299e4e4f2fac4254", "xml_element_id": "Par22"}, {"cache": "artifacts/dlat-curation/heart-blocks.json", "block_index": 56, "text_sha256": "b4baf8321f41630eff2d66a4181f2907f674041d430ba7878fd278f33d4141cf", "xml_element_id": null}, {"cache": "artifacts/dlat-curation/heart-blocks.json", "block_index": 72, "text_sha256": "2b1ada63fe6c48d4296bbfb14a97940ac4a866b1d5171b0923851ec72f88ab15", "xml_element_id": "Par31"}, {"cache": "artifacts/dlat-curation/heart-blocks.json", "block_index": 102, "text_sha256": "299ae9af6e500af03d85d3cc327c60cb04e94f0618b6a9910780ac928e42faff", "xml_element_id": "Par46"}]
    primary_references
    https://doi.org/10.1038/s41467-026-70703-w
    route
    Drinking water
    sample_size
    4 per group
    tissue_or_cell_type
    Cardiac tissue and cardiomyocytes

    DLAT: cardiac fatty-acid oxidation and mitochondrial glutathione evidence · lines 641–657

    AI-assisted two-paper curation, 2026-09-20. Cardiac full-text/supplement review; CRC abstract only. No pulmonary endothelial validation. · supports · Mouse two-hit HFpEF model: 60% fat-calorie diet plus L-NAME 0.5 g/L drinking water; additional intervention as stated · source_derived_draft · unverified_draft

    Spermidine increased the HADHA-attributed activity readout in mouse cardiac lysates from treated animals. organism: Mus musculus tissue_or_cell_type: Cardiac tissue and cardiomyocytes experimental_model: Mouse two-hit HFpEF model: 60% fat-calorie diet plus L-NAME 0.5 g/L drinking water; additional intervention as stated compartment: Cardiac tissue / mitochondria dose: 30 mM in drinking water, as reported duration: 10 weeks in the Results; broader two-hit methods specify 15 weeks route: Drinking water primary_references: https://doi.org/10.1038/s41467-026-70703-w access_level: full_text_and_supplement_review evidence_location: Figure 8A/B endpoint: hadha-attributed-lysate-activity exposure: spermidine limitations: Single primary study; not independently replicated here. Cardiac and recombinant findings do not establish pulmonary endothelial, viral-sepsis or ARDS effects. This paper does not itself establish direct spermidine binding; that statement cites earlier work. Do not infer intake in mg/kg from water concentration. Lysate specificity/protocol units remain qualified. primary_locator: [{"cache": "artifacts/dlat-curation/heart-blocks.json", "block_index": 54, "text_sha256": "ecfe210aa0338ec52935a354f2bcc46289d65981b7b09fd4299e4e4f2fac4254", "xml_element_id": "Par22"}, {"cache": "artifacts/dlat-curation/heart-blocks.json", "block_index": 56, "text_sha256": "b4baf8321f41630eff2d66a4181f2907f674041d430ba7878fd278f33d4141cf", "xml_element_id": null}, {"cache": "artifacts/dlat-curation/heart-blocks.json", "block_index": 72, "text_sha256": "2b1ada63fe6c48d4296bbfb14a97940ac4a866b1d5171b0923851ec72f88ab15", "xml_element_id": "Par31"}, {"cache": "artifacts/dlat-curation/heart-blocks.json", "block_index": 102, "text_sha256": "299ae9af6e500af03d85d3cc327c60cb04e94f0618b6a9910780ac928e42faff", "xml_element_id": "Par46"}] plain_language: Spermidine increased the HADHA-attributed activity readout in mouse cardiac lysates from treated animals. sample_size: 4 per group
    Complete structured claim and evidence
  86. Spermidine-treated HFpEF mice showed improved fatty-acid-supported cardiac respiration.

    Experimental context and source evidence
    access_level
    full_text_and_supplement_review
    compartment
    Cardiac tissue / mitochondria
    dose
    30 mM drinking water, as reported
    duration
    10 weeks in Results
    endpoint
    mouse-cardiac-fao
    evidence_location
    Figure 8C–E
    experimental_model
    Mouse two-hit HFpEF model: 60% fat-calorie diet plus L-NAME 0.5 g/L drinking water; additional intervention as stated
    exposure
    spermidine
    limitations
    Single primary study; not independently replicated here. Cardiac and recombinant findings do not establish pulmonary endothelial, viral-sepsis or ARDS effects. Mouse model; no human dose or efficacy inference. Treatment duration differs from the general 15-week model description.
    nutrient_topic
    Topical cross-reference only; no inheritance of another actor's effects. · Spermidine
    organism
    Mus musculus
    plain_language
    Spermidine-treated HFpEF mice showed improved fatty-acid-supported cardiac respiration.
    primary_locator
    [{"cache": "artifacts/dlat-curation/heart-blocks.json", "block_index": 54, "text_sha256": "ecfe210aa0338ec52935a354f2bcc46289d65981b7b09fd4299e4e4f2fac4254", "xml_element_id": "Par22"}, {"cache": "artifacts/dlat-curation/heart-blocks.json", "block_index": 56, "text_sha256": "b4baf8321f41630eff2d66a4181f2907f674041d430ba7878fd278f33d4141cf", "xml_element_id": null}, {"cache": "artifacts/dlat-curation/heart-blocks.json", "block_index": 72, "text_sha256": "2b1ada63fe6c48d4296bbfb14a97940ac4a866b1d5171b0923851ec72f88ab15", "xml_element_id": "Par31"}]
    primary_references
    https://doi.org/10.1038/s41467-026-70703-w
    route
    Drinking water
    sample_size
    4 biological replicates
    tissue_or_cell_type
    Cardiac tissue and cardiomyocytes

    DLAT: cardiac fatty-acid oxidation and mitochondrial glutathione evidence · lines 660–676

    AI-assisted two-paper curation, 2026-09-20. Cardiac full-text/supplement review; CRC abstract only. No pulmonary endothelial validation. · supports · Mouse two-hit HFpEF model: 60% fat-calorie diet plus L-NAME 0.5 g/L drinking water; additional intervention as stated · source_derived_draft · unverified_draft

    Spermidine-treated HFpEF mice showed improved fatty-acid-supported cardiac respiration. organism: Mus musculus tissue_or_cell_type: Cardiac tissue and cardiomyocytes experimental_model: Mouse two-hit HFpEF model: 60% fat-calorie diet plus L-NAME 0.5 g/L drinking water; additional intervention as stated compartment: Cardiac tissue / mitochondria dose: 30 mM drinking water, as reported duration: 10 weeks in Results route: Drinking water primary_references: https://doi.org/10.1038/s41467-026-70703-w access_level: full_text_and_supplement_review evidence_location: Figure 8C–E endpoint: mouse-cardiac-fao exposure: spermidine limitations: Single primary study; not independently replicated here. Cardiac and recombinant findings do not establish pulmonary endothelial, viral-sepsis or ARDS effects. Mouse model; no human dose or efficacy inference. Treatment duration differs from the general 15-week model description. primary_locator: [{"cache": "artifacts/dlat-curation/heart-blocks.json", "block_index": 54, "text_sha256": "ecfe210aa0338ec52935a354f2bcc46289d65981b7b09fd4299e4e4f2fac4254", "xml_element_id": "Par22"}, {"cache": "artifacts/dlat-curation/heart-blocks.json", "block_index": 56, "text_sha256": "b4baf8321f41630eff2d66a4181f2907f674041d430ba7878fd278f33d4141cf", "xml_element_id": null}, {"cache": "artifacts/dlat-curation/heart-blocks.json", "block_index": 72, "text_sha256": "2b1ada63fe6c48d4296bbfb14a97940ac4a866b1d5171b0923851ec72f88ab15", "xml_element_id": "Par31"}] plain_language: Spermidine-treated HFpEF mice showed improved fatty-acid-supported cardiac respiration. sample_size: 4 biological replicates
    Complete structured claim and evidence
  87. Spermidine improved the reported diastolic phenotype of mice in the HFpEF experiment.

    Spermidine → Mouse cardiac diastolic impairment source_derived_draftungraded
    Experimental context and source evidence
    access_level
    full_text_and_supplement_review
    compartment
    Cardiac tissue / mitochondria
    dose
    30 mM drinking water
    duration
    10 weeks in Results
    endpoint
    mouse-cardiac-diastolic-impairment
    evidence_location
    Figure 8H–K; Supplementary Figure S24
    experimental_model
    Mouse two-hit HFpEF model: 60% fat-calorie diet plus L-NAME 0.5 g/L drinking water; additional intervention as stated
    exposure
    spermidine
    limitations
    Single primary study; not independently replicated here. Cardiac and recombinant findings do not establish pulmonary endothelial, viral-sepsis or ARDS effects. HADHA necessity for this systemic intervention was not established by a genetic blocking experiment.
    nutrient_topic
    Topical cross-reference only; no inheritance of another actor's effects. · Spermidine
    organism
    Mus musculus
    plain_language
    Spermidine improved the reported diastolic phenotype of mice in the HFpEF experiment.
    primary_locator
    [{"cache": "artifacts/dlat-curation/heart-blocks.json", "block_index": 54, "text_sha256": "ecfe210aa0338ec52935a354f2bcc46289d65981b7b09fd4299e4e4f2fac4254", "xml_element_id": "Par22"}, {"cache": "artifacts/dlat-curation/heart-blocks.json", "block_index": 56, "text_sha256": "b4baf8321f41630eff2d66a4181f2907f674041d430ba7878fd278f33d4141cf", "xml_element_id": null}]
    primary_references
    https://doi.org/10.1038/s41467-026-70703-w
    route
    Drinking water
    sample_size
    8 per group
    tissue_or_cell_type
    Cardiac tissue and cardiomyocytes

    DLAT: cardiac fatty-acid oxidation and mitochondrial glutathione evidence · lines 679–695

    AI-assisted two-paper curation, 2026-09-20. Cardiac full-text/supplement review; CRC abstract only. No pulmonary endothelial validation. · supports · Mouse two-hit HFpEF model: 60% fat-calorie diet plus L-NAME 0.5 g/L drinking water; additional intervention as stated · source_derived_draft · unverified_draft

    Spermidine improved the reported diastolic phenotype of mice in the HFpEF experiment. organism: Mus musculus tissue_or_cell_type: Cardiac tissue and cardiomyocytes experimental_model: Mouse two-hit HFpEF model: 60% fat-calorie diet plus L-NAME 0.5 g/L drinking water; additional intervention as stated compartment: Cardiac tissue / mitochondria dose: 30 mM drinking water duration: 10 weeks in Results route: Drinking water primary_references: https://doi.org/10.1038/s41467-026-70703-w access_level: full_text_and_supplement_review evidence_location: Figure 8H–K; Supplementary Figure S24 endpoint: mouse-cardiac-diastolic-impairment exposure: spermidine limitations: Single primary study; not independently replicated here. Cardiac and recombinant findings do not establish pulmonary endothelial, viral-sepsis or ARDS effects. HADHA necessity for this systemic intervention was not established by a genetic blocking experiment. primary_locator: [{"cache": "artifacts/dlat-curation/heart-blocks.json", "block_index": 54, "text_sha256": "ecfe210aa0338ec52935a354f2bcc46289d65981b7b09fd4299e4e4f2fac4254", "xml_element_id": "Par22"}, {"cache": "artifacts/dlat-curation/heart-blocks.json", "block_index": 56, "text_sha256": "b4baf8321f41630eff2d66a4181f2907f674041d430ba7878fd278f33d4141cf", "xml_element_id": null}] plain_language: Spermidine improved the reported diastolic phenotype of mice in the HFpEF experiment. sample_size: 8 per group
    Complete structured claim and evidence

Availability and dependencies

Each situation shows the normal role first, then what the sources report under a specific condition. A shortfall in the diet, a fault in the machinery, and a low blood reading are kept separate because they are not the same thing.

Blocked synthesis interrupts starvation-induced autophagy

Condition: machinery_impairment · DFMO or ODC1 siRNA reduces polyamine synthesis.

Normal role: Intracellular spermidine, accessible compartments and intact downstream enzymes permit context-specific polyamine responses.

Recorded consequence: Starvation-induced flux is reduced; added spermidine rescues the tested DFMO response.

Scope: Experimental machinery or exposure context; not a defined human dietary spermidine-deficiency syndrome.

More spermidine cannot bypass DOHH knockdown

Condition: machinery_impairment · Dohh is knocked down in fatty-acid-stressed mouse liver cells.

Normal role: Intracellular spermidine, accessible compartments and intact downstream enzymes permit context-specific polyamine responses.

Recorded consequence: Spermidine fails to restore the mitochondrial response.

Scope: Experimental machinery or exposure context; not a defined human dietary spermidine-deficiency syndrome.

Polyamines can become trapped in lysosomes

Condition: machinery_impairment · ATP13A2 export function is impaired.

Normal role: Intracellular spermidine, accessible compartments and intact downstream enzymes permit context-specific polyamine responses.

Recorded consequence: Cytosolic access is disrupted and high-polyamine lysosomal injury worsens.

Scope: Experimental machinery or exposure context; not a defined human dietary spermidine-deficiency syndrome.

Cardiac protection requires intact ATG5 machinery

Condition: machinery_impairment · Atg5 is deleted in cardiomyocytes.

Normal role: Intracellular spermidine, accessible compartments and intact downstream enzymes permit context-specific polyamine responses.

Recorded consequence: The spermidine-associated cardiac benefit is lost.

Scope: Experimental machinery or exposure context; not a defined human dietary spermidine-deficiency syndrome.

Missing translation machinery blocks muscle-cell activation

Condition: machinery_impairment · Satellite cells lose eIF5A or MyoD.

Normal role: Intracellular spermidine, accessible compartments and intact downstream enzymes permit context-specific polyamine responses.

Recorded consequence: The spermidine-associated activation response is impaired.

Scope: Experimental machinery or exposure context; not a defined human dietary spermidine-deficiency syndrome.

Gut-barrier response depends on the affected cell type

Condition: machinery_impairment · Ptpn2 is deleted in epithelial or myeloid cells.

Normal role: Intracellular spermidine, accessible compartments and intact downstream enzymes permit context-specific polyamine responses.

Recorded consequence: Protection from spermidine is lost in this colitis model.

Scope: Experimental machinery or exposure context; not a defined human dietary spermidine-deficiency syndrome.

Older-donor immune cells show a reversible pathway shortfall

Condition: biomarker_context · Older-donor cells are stimulated ex vivo.

Normal role: Intracellular spermidine, accessible compartments and intact downstream enzymes permit context-specific polyamine responses.

Recorded consequence: Added spermidine improves autophagy and related functional readouts.

Scope: Age-associated cellular observations and ex-vivo rescue, not proven dietary deficiency.

Oral intake and plasma spermidine can diverge

Condition: biomarker_context · Healthy adults receive 15 mg/day for five days.

Normal role: Intracellular spermidine, accessible compartments and intact downstream enzymes permit context-specific polyamine responses.

Recorded consequence: Plasma spermine exposure rises while spermidine does not significantly increase.

Scope: Experimental machinery or exposure context; not a defined human dietary spermidine-deficiency syndrome.

ATP13A3 disruption reduces uptake

Condition: machinery_impairment · ATP13A3 membrane-associated region is disrupted by CRISPR.

Normal role: Intracellular spermidine, accessible compartments and intact downstream enzymes permit context-specific polyamine responses.

Recorded consequence: Spermidine transport is impaired.

Scope: Experimental machinery or exposure context; not a defined human dietary spermidine-deficiency syndrome.

Removing EP300 changes autophagy

Condition: machinery_impairment · EP300 is knocked down in cultured human cells.

Normal role: Intracellular spermidine, accessible compartments and intact downstream enzymes permit context-specific polyamine responses.

Recorded consequence: Autophagy rises and mTORC1 signaling falls.

Scope: Experimental machinery or exposure context; not a defined human dietary spermidine-deficiency syndrome.

Hypusination inhibition impairs macrophage respiration

Condition: machinery_impairment · GC7 inhibits the hypusination pathway.

Normal role: Intracellular spermidine, accessible compartments and intact downstream enzymes permit context-specific polyamine responses.

Recorded consequence: Mitochondrial respiration and alternative activation decline.

Scope: Experimental machinery or exposure context; not a defined human dietary spermidine-deficiency syndrome.

Pink1 loss blocks the fly learning response

Condition: machinery_impairment · Neuron-specific Pink1 knockdown.

Normal role: Intracellular spermidine, accessible compartments and intact downstream enzymes permit context-specific polyamine responses.

Recorded consequence: The spermidine-associated learning improvement is abolished.

Scope: Experimental machinery or exposure context; not a defined human dietary spermidine-deficiency syndrome.

Reduced hypusination impairs fly brain respiration

Condition: machinery_impairment · Genetic reduction of hypusination.

Normal role: Intracellular spermidine, accessible compartments and intact downstream enzymes permit context-specific polyamine responses.

Recorded consequence: Brain respiration and age-associated behavioral function worsen.

Scope: Experimental machinery or exposure context; not a defined human dietary spermidine-deficiency syndrome.

Bacterial synthesis uses distinct machinery

Condition: machinery_impairment · Carboxyspermidine-decarboxylase gene deletion in Campylobacter.

Normal role: Intracellular spermidine, accessible compartments and intact downstream enzymes permit context-specific polyamine responses.

Recorded consequence: Bacterial spermidine synthesis is disrupted.

Scope: Experimental machinery or exposure context; not a defined human dietary spermidine-deficiency syndrome.

Oxidase loss changes ferroptosis susceptibility

Condition: machinery_impairment · PAOX/SMOX knockout in human cancer cells.

Normal role: Intracellular spermidine, accessible compartments and intact downstream enzymes permit context-specific polyamine responses.

Recorded consequence: Polyamine-associated ferroptosis sensitization is reduced.

Scope: Experimental machinery or exposure context; not a defined human dietary spermidine-deficiency syndrome.

The sources

Every document behind this chapter is preserved word for word. Open one to read it in full with its recorded conflicts marked in place.

  • DLAT: cardiac fatty-acid oxidation and mitochondrial glutathione evidenceAI-assisted two-paper curation, 2026-09-20. Cardiac full-text/supplement review; CRC abstract only. No pulmonary endothelial validation. · unverified_draftRead preserved source
  • L-Arginine: transport, metabolic branches, nutrient interactions, availability and discovery questions (2026-09-18)AI-assisted research curation; primary-abstract references and experimental limitations individually identified. Not publisher full text. · unverified_draftRead preserved source
  • L-Lysine: mechanism-first literature curation (2026-09-17)AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · unverified_draftRead preserved source
  • Manganese: enzyme cofactors, glycosylation, transport and nutrient interactions (2026-09-17)AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · unverified_draftRead preserved source
  • Phosphorus: metabolism, signaling and nutrient connections (2026-09-17)AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · unverified_draftRead preserved source
  • Riboflavin: mechanisms, deficiency and nutrient interactions (2026-09-17)AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · unverified_draftRead preserved source
  • Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19)AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · unverified_draftRead preserved source
  • Thiamine: mechanisms, deficiency and nutrient interactions (2026-09-17)AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · unverified_draftRead preserved source
  • Vitamin B12: mechanisms, deficiency and nutrient interactions (2026-09-17)AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · unverified_draftRead preserved source

Recorded disagreements

Where two sources say different things, both are kept and the difference is explained. You can discuss a disagreement or propose a mechanism that might account for it.

    Open questions in this collection

    Questions the curators could not answer from the sources in front of them, kept here with the reason each one is still open. These are gaps in this collection, not findings or proof that no one has studied them.

      Chapters are assembled from supplied drafts and curated literature summaries. Statements remain unverified against the primary studies, and the ledger is not medical advice.

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