The mnemonic
Ornithine Carbamoyl Citrulline Argininosuccinate Arginine
What each word stands for
- OrnithineCombines with carbamoyl phosphate (OTC) to form citrulline
- CitrullineExported from mitochondria; combines with aspartate
- ArgininosuccinateFormed by argininosuccinate synthetase
- ArginineFormed by argininosuccinate lyase; arginase releases urea and ornithine
Why it matters clinically
Defects cause hyperammonaemia; OTC deficiency is the only X-linked one, with raised orotic acid.
Where it stops being reliable
It covers the intermediates, not the enzymes' locations (first two steps mitochondrial, rest cytosolic) or the regulator N-acetylglutamate.
Teaching aid, still awaiting independent review. Confirm facts in a standard source.