Two isoforms of the human ornithine carrier, ORC1 and ORC2, have been identified by overexpression of the proteins in bacteria and by study of the transport properties of the purified proteins reconstituted into liposomes. Both transport L-isomers of ornithine, lysine, arginine, and citrulline by exchange and by unidirectional mechanisms, and they are inactivated by the same inhibitors. ORC2 has a broader specificity than ORC1, and L-and D-histidine, L-homoarginine, and D-isomers of ornithine, lysine, and ornithine are all substrates. Both proteins are expressed in a wide range of human tissues, but ORC1 is the predominant form. The highest levels of expression of both isoforms are in the liver. Five mutant forms of ORC1 associated with the human disease hyperornithinemia-hyperammonemia-homocitrullinuria were also made. The mutations abolish the transport properties of the protein. In patients with hyperornithinemia-hyperammonemia-homocitrullinuria, isoform ORC2 is unmodified, and its presence compensates partially for defective ORC1.Rat liver mitochondria contain an ornithine-citrulline transport protein, often known as the ornithine carrier (ORC) 1 (1-5). The reconstituted purified protein is highly active in ornithinecitrulline exchange and is somewhat less active in unidirectional transport of ornithine. It transports lysine and arginine also but does not transport histidine. The positive charges of ornithine and lysine are compensated by cotransport of a proton with citrulline in exchange. Its affinity for ornithine is lower than for other substrates, and under saturating internal concentrations it is not dependent on the nature of the countersubstrate. The exchange reaction operates by a simultaneous (sequential) mechanism, and the unidirectional transport of ornithine or lysine (but not of citrulline) is compensated by a proton. The exchange of cytosolic ornithine for matrix citrulline is part of the urea cycle (1, 3, 6), and the ornithine-H ϩ exchange also has an important role in the catabolism of excess arginine and the biosynthesis of polyamines (4).In Saccharomyces cerevisiae, the ornithine carrier is encoded by ARG11/ORT1, and its identity has been established by overexpression in bacteria, reconstitution, and study of its transport properties (7). Subsequently, the gene for the human mitochondrial ornithine carrier, which is defective in the hyperornithinemia-hyperammonemia-homocitrullinuria (HHH) syndrome (8), was identified by homology with the yeast sequence, and its function as an ORC was inferred from its ability to complement the defect of HHH fibroblasts by incorporating radioactive ornithine into cellular protein. The HHH phenotype is milder than those associated with a deficiency of an enzyme in the urea cycle, and it has been suggested that carriers with other functions can compensate for the defective protein by transporting ornithine (8).As described below, the human and mouse genomes contain a spliced pseudogene that in man encodes a second isoform, ORC2 (9). The isoforms are expressed...