| Rank |
Pathway / Axis |
Cancer Cells |
Normal Cells |
Label |
Primary Interpretation |
Notes |
| 1 |
Autophagy induction (ATG program) |
↑ autophagy → metabolic stress, growth restraint |
↑ autophagy → cytoprotection, homeostasis |
Driver |
Autophagy-first mechanism |
Spermidine robustly induces autophagy independent of mTOR inhibition; cancer cells are more vulnerable to enforced catabolism |
| 2 |
Epigenetic regulation (histone acetylation) |
↓ histone acetylation (via HAT inhibition) |
↓ acetylation (adaptive) |
Driver |
Chromatin-mediated transcriptional reprogramming |
Spermidine inhibits histone acetyltransferase activity, promoting a pro-autophagic, anti-proliferative transcriptional state |
| 3 |
Polyamine metabolism / homeostasis |
Disrupted polyamine balance |
Homeostatic buffering |
Driver |
Metabolic vulnerability |
Cancer cells are highly dependent on polyamine flux; spermidine perturbs this balance |
| 4 |
AMPK / mTOR nutrient-sensing axis |
↑ AMPK; ↓ mTOR signaling |
↑ AMPK (adaptive) |
Secondary |
Catabolic pressure |
Energy-sensing pathways reinforce autophagy and growth suppression |
| 5 |
Mitochondrial function / bioenergetics |
↓ metabolic flexibility |
↑ mitochondrial efficiency |
Secondary |
Energy stress vs optimization |
Autophagy-driven mitochondrial turnover stresses tumor bioenergetics while benefiting normal cells |
| 6 |
Reactive oxygen species (ROS) |
↑ ROS (secondary, stress-linked) |
↓ ROS |
Secondary |
Metabolism-linked redox shift |
ROS changes arise indirectly from autophagy and mitochondrial remodeling, not direct redox chemistry |
| 7 |
NRF2 antioxidant response |
↑ NRF2 (adaptive, secondary) |
↑ NRF2 (protective) |
Adaptive |
Redox homeostasis reinforcement |
NRF2 activation reflects compensatory antioxidant signaling rather than a cytotoxic mechanism |
| 8 |
Cell cycle / proliferation |
↓ proliferation / ↑ arrest |
↔ spared |
Phenotypic |
Cytostatic growth limitation |
Growth inhibition reflects sustained autophagy and epigenetic effects |
| 9 |
Apoptosis sensitivity |
↑ sensitivity to apoptosis (context-dependent) |
↓ apoptosis |
Phenotypic |
Threshold-dependent cell death |
Apoptosis occurs when catabolic stress exceeds adaptive capacity |