Serine: Benefits, Dosage, Contraindications
Other name(s)
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Family or group:
Amino acids
Indications
Rating methodology
EFSA approval.
Schizophrenia ✪✪✪✪✪
D-serine taken as an adjunct to antipsychotic therapies, may improve symptoms of schizophrenia. Meta-analyses of small clinical studies show modest improvements in negative symptoms with D-serine doses ranging from 30 to 120 mg/kg per day for 4 to 12 weeks, or 2 to 3 grams per day for 6 to 16 weeks. However, D-serine alone appears less effective than standard antipsychotics, as shown by a study where 3 g/day of D-serine over 10 weeks was inferior to 30 mg of olanzapine. These results suggest that D-serine could be a useful complement for modulating glutamatergic signaling via NMDA receptors.
Posologie
Low d-serine levels in schizophrenia: A systematic review and meta-analysis
Improvement in mismatch negativity generation during d-serine treatment in schizophrenia: Correlation with symptoms
Sarcosine or D-serine add-on treatment for acute exacerbation of schizophrenia: a randomized, double-blind, placebo-controlled study
A multicenter, add-on randomized controlled trial of low-dose d-serine for negative and cognitive symptoms of schizophrenia
Cognitive Performance, Emotional Balance ✪✪✪✪✪
D-serine may improve certain cognitive functions. A clinical study in healthy adults showed that 2.1 g of D-serine in a single dose improved attention, verbal memory, and alertness. In older adults, 30 mg/kg of D-serine enhanced spatial memory and problem-solving. Another study on a combination of L-serine, glutamate, and other amino acids reported gains in orientation and spatial cognition after 4 weeks. While promising, this data requires further research to validate long-term effects. D-serine also appears to have a beneficial effect on mood, especially in cases of depression. In patients with major depression, lower plasma concentrations of D-serine have been associated with greater severity of depressive symptoms.
Posologie
Cerebrospinal fluid D-serine concentrations in major depressive disorder negatively correlate with depression severity
Behavioral and cognitive effects of the N-methyl-D-aspartate receptor co-agonist D-serine in healthy humans: initial findings
Effects of Five Amino Acids (Serine, Alanine, Glutamate, Aspartate, and Tyrosine) on Mental Health in Healthy Office Workers: A Randomized, Double-Blind, Placebo-Controlled Exploratory Trial
Properties
Cognitive Function
L-serine and its D-serine form are studied for their role in improving cognitive functions. Studies on Alzheimer's disease show that high levels of D-serine in blood or cerebrospinal fluid may be associated with better cognition, although analyses also show an inverse correlation between D-serine levels and scores on the Mini-Mental State Examination (MMSE), suggesting more complex regulation. D-serine acts as a co-agonist of the N-methyl-D-aspartate (NMDA) receptor, essential for synaptic plasticity and learning. In animals, an age-related decrease in D-serine levels is associated with memory decline, which can be corrected by supplementation. L-serine also supports the production of sphingolipids and glycolipids, key components of cell membranes and myelin, enhancing neuronal connectivity and cognitive functions.
Usages associés
Cerebrospinal Fluid and Serum d-Serine Levels in Patients with Alzheimer's Disease: A Systematic Review and Meta-Analysis
Effects of Five Amino Acids (Serine, Alanine, Glutamate, Aspartate, and Tyrosine) on Mental Health in Healthy Office Workers: A Randomized, Double-Blind, Placebo-Controlled Exploratory Trial
Neurological
L-serine and D-serine are involved in various neurological processes due to their role in glutamatergic signaling. D-serine modulates NMDA receptors, potentially improving positive and negative symptoms of schizophrenia, as well as the treatment of disorders like depression, where a dysfunction of glutamatergic signaling is observed. Moreover, L-serine could reduce the formation of neurotoxic deoxysphingolipids in diseases like hereditary sensory and autonomic neuropathy type 1 (HSAN1). Finally, preliminary research suggests a potential effect of L-serine on GABA receptors, promoting better sleep and regulation of circadian cycles.
Usages associés
Safety dosage
Adult: 2 g
D-serine is used at doses of 30 mg/kg per day (around 2 g) for 6 to 16 weeks, or 60 mg/kg per day (around 4 g) for 4 weeks, with apparent safety. L-serine can be consumed up to 400 mg/kg per day (approximately 25 g) for a year without significant adverse effects. Doses higher than 400 mg/kg/day (25 g) of L-serine may cause reversible effects such as nausea, vomiting, nystagmus, and seizures. D-serine, at doses of 120 mg/kg/day (about 8 g) or more, may increase the risk of nephrotoxicity.
Precautions
Breastfeeding woman: avoid
Data is insufficient to evaluate the safety of L-serine or D-serine in amounts exceeding those present in foods.
Pregnant woman: avoid
Data is insufficient to evaluate the safety of L-serine or D-serine in amounts exceeding those present in foods.