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Details

Stereochemistry RACEMIC
Molecular Formula C7H16NO3.C5H3N2O4
Molecular Weight 317.2952
Optical Activity ( + / - )
Defined Stereocenters 0 / 2
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of CARNITINE OROTATE

SMILES

C[N+](C)(C)CC(O)CC(O)=O.[O-]C(=O)C1=CC(=O)NC(=O)N1

InChI

InChIKey=MBULCFMSBDQQQT-UHFFFAOYSA-N
InChI=1S/C7H15NO3.C5H4N2O4/c1-8(2,3)5-6(9)4-7(10)11;8-3-1-2(4(9)10)6-5(11)7-3/h6,9H,4-5H2,1-3H3;1H,(H,9,10)(H2,6,7,8,11)

HIDE SMILES / InChI

Molecular Formula C5H4N2O4
Molecular Weight 156.0963
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Molecular Formula C7H15NO3
Molecular Weight 161.1989
Charge 0
Count
Stereochemistry MIXED
Additional Stereochemistry No
Defined Stereocenters 0 / 2
E/Z Centers 0
Optical Activity ( + / - )

L-carnitine (L-beta-hydroxy-gamma-N,N,N-trimethylaminobutyric acid) is conditionally necessary for mitochondrial transport and metabolism of long-chain fatty acids, and thus for myocardial energetic metabolism. D-carnitine is not biologically active and might interfere with proper utilization of the L isomer, and so there are claims that the racemic mixture (DL-carnitine) should be avoided. The pharmacological effects of carnitine are stereospecific: L-carnitine was effective in various animal and clinical studies, while D- and DL-carnitine was found to be ineffective or even toxic to some cells and tissues, such as muscle cells and the myocardium. DL-carnitine caused symptoms of myasthenia and cardiac arrhythmias, which disappeared after L-carnitine administration.

Approval Year

Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
PubMed

PubMed

TitleDatePubMed
Inflammatory and fibrotic processes are involved in the cardiotoxic effect of sunitinib: Protective role of L-carnitine.
2016-01-22
Inhibition of mitochondrial carnitine/acylcarnitine transporter by H(2)O(2): molecular mechanism and possible implication in pathophysiology.
2013-04-25
L-Carnitine rescues ketamine-induced attenuated heart rate and MAPK (ERK) activity in zebrafish embryos.
2012-04
Downregulation of oxidative and nitrosative apoptotic signaling by L-carnitine in Ifosfamide-induced Fanconi syndrome rat model.
2012
Inhibition of gene expression of organic cation/carnitine transporter and antioxidant enzymes in oxazaphosphorines-induced acute cardiomyopathic rat models.
2012
The protection role of heat shock protein 70 (HSP-70) in the testes of cadmium-exposed rats.
2012
Bezafibrate upregulates carnitine palmitoyltransferase II expression and promotes mitochondrial energy crisis dissipation in fibroblasts of patients with influenza-associated encephalopathy.
2011-11
The disruption of L-carnitine metabolism by aluminum toxicity and oxidative stress promotes dyslipidemia in human astrocytic and hepatic cells.
2011-06-24
Selective regulation of cardiac organic cation transporter novel type 2 (OCTN2) in dilated cardiomyopathy.
2011-06
L-carnitine protects against nickel-induced neurotoxicity by maintaining mitochondrial function in Neuro-2a cells.
2011-05-15
Transcellular movement of hydroxyurea is mediated by specific solute carrier transporters.
2011-04
Inhibition of gene expression of heart fatty acid binding protein and organic cation/carnitine transporter in doxorubicin cardiomyopathic rat model.
2010-08-25
The plasma carnitine concentration regulates renal OCTN2 expression and carnitine transport in rats.
2010-06-10
Valproate-induced hyperammonemic encephalopathy, rapidly improved by i.v. carnitine and glucose/thiamine.
2010-06
Integration of metabolomics and transcriptomics data to aid biomarker discovery in type 2 diabetes.
2010-05
Comparative effects of captopril and l-carnitine on blood pressure and antioxidant enzyme gene expression in the heart of spontaneously hypertensive rats.
2010-04-25
Vincristine-induced peripheral neuropathy in a neonate with congenital acute lymphoblastic leukemia.
2010-04
Inhibition of hepatic carnitine palmitoyl-transferase I (CPT IA) by valproyl-CoA as a possible mechanism of valproate-induced steatosis.
2010-03-01
Increased urinary losses of carnitine and decreased intramitochondrial coenzyme A in gentamicin-induced acute renal failure in rats.
2010-01
Identification of a novel organic anion transporter mediating carnitine transport in mouse liver and kidney.
2010
Organic cation/carnitine transporter OCTN3 is present in astrocytes and is up-regulated by peroxisome proliferators-activator receptor agonist.
2009-12
Peroxisome proliferator-activated receptor alpha plays a crucial role in L-carnitine anti-apoptosis effect in renal tubular cells.
2009-10
Interaction between pivaloylcarnitine and L-carnitine transport into L6 cells overexpressing hOCTN2.
2009-08-14
Inactivation by omeprazole of the carnitine transporter (OCTN2) reconstituted in liposomes.
2009-05-15
Pharmacological analysis demonstrates dramatic alteration of D1 dopamine receptor neuronal distribution in the rat analog of L-DOPA-induced dyskinesia.
2009-04-15
L-carnitine mediates protection against DNA damage in lymphocytes of aged rats.
2009-04
Progression of diethylnitrosamine-induced hepatic carcinogenesis in carnitine-depleted rats.
2009-03-21
The carnitine transporter SLC22A5 is not a general drug transporter, but it efficiently translocates mildronate.
2009-02
Carnitine deficiency: a possible risk factor in paracetamol hepatotoxicity.
2009-02
Carnitine deficiency aggravates carboplatin nephropathy through deterioration of energy status, oxidant/anti-oxidant balance, and inflammatory endocoids.
2008-12-05
High concentrations of stavudine impair fatty acid oxidation without depleting mitochondrial DNA in cultured rat hepatocytes.
2008-06
Role of Na+/L-carnitine transporter (OCTN2) in renal handling of pivaloylcarnitine and valproylcarnitine formed during pivalic acid-containing prodrugs and valproic acid treatment.
2008
Mechanism of the inhibitory effect of zwitterionic drugs (levofloxacin and grepafloxacin) on carnitine transporter (OCTN2) in Caco-2 cells.
2006-11
Acute renal failure due to phenazopyridine (Pyridium) overdose: case report and review of the literature.
2006-11
L-carnitine ameliorates doxorubicin-induced nephrotic syndrome in rats.
2006-08
Involvement of recognition and interaction of carnitine transporter in the decrease of L-carnitine concentration induced by pivalic acid and valproic acid.
2006-08
Positive regulation of hepatic carnitine palmitoyl transferase 1A (CPT1A) activities by soy isoflavones and L-carnitine.
2006-03
Effects of doxorubicin-containing chemotherapy and a combination with L-carnitine on oxidative metabolism in patients with non-Hodgkin lymphoma.
2006-02
Cardio-protective effects of carnitine in streptozotocin-induced diabetic rats.
2006-01-19
Pivotal role of Harakiri in the induction and prevention of gentamicin-induced hearing loss.
2005-11-01
Lethal cardiomyopathy in epidermolysis bullosa associated with amitriptyline.
2005-08
Effect of L-carnitine supplementation on acute valproate intoxication.
1996-07
Muscle carnitine deficiency associated with zidovudine-induced mitochondrial myopathy.
1994-10
Effect of L-carnitine on the zidovudine-induced destruction of human myotubes. Part I: L-carnitine prevents the myotoxicity of AZT in vitro.
1994-07
Zidovudine-induced mitochondrial myopathy is associated with muscle carnitine deficiency and lipid storage.
1994-04
Modulation of ethanol-mediated CYP2E1 induction by clofibrate and L-carnitine in rat liver.
1993-12
Echocardiographic assessment of anthracycline cardiotoxicity during different therapeutic regimens.
1987
Carnitine protection against adriamycin-induced cardiomyopathy in rats.
1986-02-10
Effect of administration of carnitine on the severity of myocardial infarction induced by isoproterenol in rats.
1986-02
Antagonism of doxorubicin cardiotoxicity by carnitine is specific of the L-diasteroisomer.
1981-05
Patents

Sample Use Guides

in rat: supplemented with dl-carnitine (DLC) (1.2 mmol . kg-1. d-1)
Route of Administration: Oral
Using rat phrenic nerve diaphragm preparations indirectly and directly stimulated with high rate pulses, D-carnitine (30 and 60 micro M), L-carnitine (60 micro M) and DL-carnitine (60 micro M) were shown to induce tetanic fade (D-carnitine = 19.7 +/- 3.1%, N = 6; L-carnitine = 16.6 +/- 2.4%, N = 6; DL-carnitine = 14.9 +/- 2.1%, N = 6) without any reduction of maximal tetanic tension. It was shown, that tetanic fade induced by L- and DL-carnitine was antagonized by choline (60 micro M).
Substance Class Chemical
Created
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on Mon Mar 31 19:27:45 GMT 2025
Edited
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on Mon Mar 31 19:27:45 GMT 2025
Record UNII
83EYV27FW2
Record Status Validated (UNII)
Record Version
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Name Type Language
CARNITINE OROTATE
WHO-DD  
Common Name English
1-PROPANAMINIUM, 3-CARBOXY-2-HYDROXY-N,N,N-TRIMETHYL-, 1,2,3,6-TETRAHYDRO-2,6-DIOXO-4-PYRIMIDINECARBOXYLATE (1:1)
Preferred Name English
Carnitine orotate [WHO-DD]
Common Name English
Code System Code Type Description
CAS
32543-38-7
Created by admin on Mon Mar 31 19:27:45 GMT 2025 , Edited by admin on Mon Mar 31 19:27:45 GMT 2025
PRIMARY
EVMPD
SUB01065MIG
Created by admin on Mon Mar 31 19:27:45 GMT 2025 , Edited by admin on Mon Mar 31 19:27:45 GMT 2025
PRIMARY
FDA UNII
83EYV27FW2
Created by admin on Mon Mar 31 19:27:45 GMT 2025 , Edited by admin on Mon Mar 31 19:27:45 GMT 2025
PRIMARY
SMS_ID
100000084895
Created by admin on Mon Mar 31 19:27:45 GMT 2025 , Edited by admin on Mon Mar 31 19:27:45 GMT 2025
PRIMARY
PUBCHEM
57357953
Created by admin on Mon Mar 31 19:27:45 GMT 2025 , Edited by admin on Mon Mar 31 19:27:45 GMT 2025
PRIMARY
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ACTIVE MOIETY