About Ornithine Transcarbamylase (OTC) Deficiency

What is Ornithine Transcarbamylase (OTC) Deficiency?

Ornithine transcarbamylase (OTC) deficiency is an inherited disorder caused by a deficiency of the enzyme ornithine transcarbamylase (OTC). This enzyme is responsible for breaking down proteins and other nitrogen-containing compounds in the body. Without it, these compounds can build up to toxic levels, leading to a variety of symptoms, including seizures, intellectual disability, and coma. OTC deficiency is a rare disorder, affecting only about 1 in 40,000 to 100,000 people. Treatment typically involves a combination of dietary changes, medications, and supplements to reduce the buildup of toxic compounds.

What are the symptoms of Ornithine Transcarbamylase (OTC) Deficiency?

The symptoms of Ornithine Transcarbamylase (OTC) Deficiency vary depending on the severity of the condition, but can include:

- Poor feeding
- Vomiting
- Lethargy
- Irritability
- Seizures
- Hypoglycemia
- Hyperammonemia
- Hyperammonemic encephalopathy
- Intellectual disability
- Developmental delay
- Movement disorders
- Liver dysfunction
- Abnormal liver enzymes
- Jaundice
- Abnormal urine odor
- Abnormal ammonia levels in the blood

What are the causes of Ornithine Transcarbamylase (OTC) Deficiency?

OTC deficiency is caused by mutations in the OTC gene, which is responsible for producing the enzyme ornithine transcarbamylase. These mutations can be inherited from a parent or can occur spontaneously. In some cases, the cause of the mutation is unknown.

What are the treatments for Ornithine Transcarbamylase (OTC) Deficiency?

1. Dietary Therapy: A low-protein diet is recommended to reduce the amount of ammonia produced in the body.

2. Medications: Medications such as L-Citrulline, sodium benzoate, and arginine can be used to reduce the amount of ammonia in the body.

3. Liver Transplant: In severe cases, a liver transplant may be necessary to replace the damaged liver cells.

4. Gene Therapy: Gene therapy is a new treatment option that is being studied for OTC deficiency. It involves introducing a healthy gene into the body to replace the defective gene.

5. Enzyme Replacement Therapy: Enzyme replacement therapy is a new treatment option that is being studied for OTC deficiency. It involves introducing a healthy enzyme into the body to replace the defective enzyme.

What are the risk factors for Ornithine Transcarbamylase (OTC) Deficiency?

1. Genetic inheritance: OTC deficiency is an inherited disorder caused by mutations in the OTC gene.

2. Family history: Individuals with a family history of OTC deficiency are at an increased risk of developing the disorder.

3. Gender: OTC deficiency is more common in males than females.

4. Ethnicity: OTC deficiency is more common in individuals of Ashkenazi Jewish descent.

Is there a cure/medications for Ornithine Transcarbamylase (OTC) Deficiency?

Yes, there is a cure for Ornithine Transcarbamylase (OTC) Deficiency. Treatment typically involves a combination of medications, dietary changes, and supplements. Medications used to treat OTC deficiency include L-ornithine, L-citrulline, and sodium benzoate. Dietary changes may include a low-protein diet and avoiding foods high in nitrogen, such as dairy products, eggs, and legumes. Supplements such as vitamins, minerals, and amino acids may also be recommended.