This document discusses polyamine synthesis and metabolism. It notes that ornithine and S-adenosylmethionine are precursors for polyamine synthesis. Ornithine decarboxylase converts ornithine to putrescine, and putrescine is then converted to spermidine and spermine with involvement of S-adenosylmethionine and decarboxylated S-adenosylmethionine. Polyamine oxidase can break down polyamines by oxidizing spermine to spermidine and putrescine, which are then excreted. Polyamines are involved in nucleic acid and protein synthesis.