Polyamine Metabolism and the DHPS/eIF5A Hypusination Axis: From Metabolic Reprogramming to a Therapeutic Achilles'

Kai-Li Liu1, Shuo Zhang1, Feng-Shuo Li1

  • 1College of Medical Engineering, Jining Medical University, Jining 272067, China.

Biomolecules
|May 4, 2026
PubMed

Insights

Melanoma hijacks the deoxyhypusine synthase (DHPS)/eukaryotic initiation factor 5A (eIF5A) pathway to fuel cancer growth and spread. Targeting this hypusination circuit offers a novel therapeutic strategy for melanoma.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • The polyamine metabolic pathway is crucial for cellular functions and is altered in cancer.
  • Melanoma, a deadly skin cancer, heavily relies on polyamine metabolism, specifically the hypusination of eIF5A.
  • The deoxyhypusine synthase (DHPS)/eukaryotic initiation factor 5A (eIF5A) hypusination circuit amplifies oncogenic signaling in melanoma.

Purpose of the Study:

  • To review current knowledge on the DHPS/eIF5A hypusination circuit's role in melanoma.
  • To explore the circuit's function in promoting tumor progression, invasion, and immune evasion.
  • To discuss novel therapeutic strategies targeting this pathway.

Main Methods:

  • Literature review of preclinical and clinical studies.
  • Analysis of the molecular mechanisms linking DHPS/eIF5A to melanoma.
  • Evaluation of emerging DHPS inhibitors.

Main Results:

  • The DHPS/eIF5A axis acts as a translational regulator for proteins driving melanoma growth and metastasis.
  • Hypusination enhances melanoma's phenotypic plasticity, invasion, and vasculogenic mimicry.
  • This pathway also modulates the tumor microenvironment to promote immune suppression.
  • Novel allosteric DHPS inhibitors show promising preclinical anti-melanoma activity.

Conclusions:

  • Targeting the DHPS/eIF5A axis disrupts melanoma's reliance on hyperactive translation and adaptive survival.
  • This approach offers a potential new therapeutic avenue for melanoma, complementing existing treatments.
  • Developing DHPS inhibitors could overcome therapy resistance and metastasis in melanoma.