What is the intermediate linking the urea cycle with the Tricarboxylic Acid (TCA) cycle?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: May 26, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

From the Research

The intermediate linking the urea cycle with the TCA cycle is fumarate, which is produced when argininosuccinate is cleaved to form arginine, and can then enter the TCA cycle directly, where it is converted to malate by the enzyme fumarase 1. This connection creates a metabolic bridge between nitrogen disposal (urea cycle) and energy production (TCA cycle).

  • The urea cycle and TCA cycle are closely linked, with the urea cycle deriving one of its nitrogens through transamination of oxalacetate to form aspartate, and returning fumarate to the TCA cycle 2.
  • The interconnection of these cycles demonstrates how the body efficiently manages both nitrogen waste and energy metabolism, particularly during periods of protein catabolism when both pathways need to function coordinately.
  • Additionally, aspartate, which donates its amino group in the urea cycle, is regenerated from oxaloacetate in the TCA cycle, creating another connection between these pathways 3.
  • This metabolic integration is important because it allows the carbon skeleton of amino acids to be utilized for energy production after the nitrogen has been removed for excretion.
  • The regulation of enzymes in the urea cycle and arginine metabolism is complex, involving transcriptional regulation by glucagon, insulin, and glucocorticoids in liver, and by pro- and antiinflammatory cytokines in nonhepatic cells 4.
  • The study of argininosuccinate lyase deficiency, a urea cycle disorder, has provided insights into the importance of this intermediate step in the urea cycle and its connection to the TCA cycle 5.

References

Research

Argininosuccinate lyase deficiency.

Genetics in medicine : official journal of the American College of Medical Genetics, 2012

Research

Urea biosynthesis I. The urea cycle and relationships to the citric acid cycle.

The American journal of clinical nutrition, 1977

Research

Argininosuccinate lyase deficiency-argininosuccinic aciduria and beyond.

American journal of medical genetics. Part C, Seminars in medical genetics, 2011

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.