OTC Gene (Ornithine Transcarbamylase)

Genetic and Functional Insights into Ornithine Transcarbamylase Deficiency

Gene Information Card

Symbol OTC
Full Name Ornithine transcarbamylase
Gene Type Protein coding
Chromosomal Location Xp11.4
NCBI Gene ID 5009 ncbi.nlm.nih.gov/gene/5009
Ensembl ID ENSG00000036473
UniProt ID P00480
OMIM ID 300461
HGNC ID 8512
Aliases OTCase; MGC126232; MGC126234

Description

The OTC gene encodes ornithine transcarbamylase, a mitochondrial enzyme that catalyzes the conversion of ornithine and carbamoyl phosphate to citrulline in the urea cycle. This cycle is essential for detoxifying ammonia in the liver. Mutations in OTC lead to ornithine transcarbamylase deficiency (OTCD), an X-linked inborn error of metabolism characterized by hyperammonemia, which can cause neurological damage and life-threatening episodes.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Ornithine transcarbamylase deficiency (OTCD) Loss-of-function mutations reduce enzyme activity, impairing urea cycle and causing ammonia accumulation. OMIM #311250; ClinVar; multiple publications
Hyperammonemia, episodic Partial enzyme deficiency leads to intermittent hyperammonemia triggered by stress or high protein intake. OMIM; clinical reports
X-linked intellectual disability (in some carriers) Carrier females may exhibit mild symptoms due to skewed X-inactivation. Case studies; ClinVar

Expression Profile

Tissue Expression
Tissue nTPM level
Liver High (nTPM ~ 200) High expression; primary site of urea cycle
Small intestine Moderate (nTPM ~ 50) Expression in enterocytes
Kidney Low (nTPM ~ 10) Low expression; minor role
Other tissues Very low or not detected Restricted expression
Cell Line Expression
Cell Line nTPM Notes
HepG2 (liver cancer cell line) High Relevant for urea cycle studies
HEK293 (embryonic kidney) Low Used for recombinant expression
HeLa (cervical cancer) Not detected No significant expression
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.119G>A (p.Arg40His) Missense Common (~5% of OTCD cases) Reduced enzyme activity; mild phenotype
c.386G>A (p.Arg129His) Missense Reported Severe deficiency; neonatal onset
c.583G>A (p.Gly195Arg) Missense Reported Loss of function; severe
c.77T>C (p.Leu26Pro) Missense Rare Enzyme instability; late-onset
Mutation functional classification

Loss of Function (LOF)

Most OTC mutations are loss-of-function, reducing or abolishing enzyme activity, leading to urea cycle impairment.

Gain of Function (GOF)

No gain-of-function mutations reported for OTC.

Dominant Negative (DN)

Not applicable; OTC is X-linked and functions as a trimer; some missense mutations may exert dominant-negative effects in carriers, but evidence is limited.

Gene Ontology (GO)

• ornithine carbamoyltransferase activity • amino acid binding
• mitochondrion • urea cycle
• arginine biosynthetic process • response to ammonia

Pathways

Urea cycle
Arginine and proline metabolism
Metabolic pathways

Protein Summary

Ornithine transcarbamylase is a homotrimeric mitochondrial enzyme. Each subunit binds to carbamoyl phosphate and ornithine to produce citrulline. The enzyme is critical for nitrogen disposal. Defects lead to accumulation of ammonia and orotic acid. The protein is synthesized in the cytoplasm and imported into mitochondria via an N-terminal signal peptide.

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