Serine: Benefits, Dosage, Contraindications

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Serine is a non-essential amino acid, naturally present in the body and abundantly found in various protein-rich foods, such as meat, eggs, dairy products, soy, and peanuts. Synthesized in the body from glycine and 3-phosphoglycerate, a metabolic intermediate, it plays a key role in several biological processes. Historically, its importance has been recognized due to its involvement in protein and lipid metabolism. More recently, its role as a precursor of essential molecules like phosphatidylserine and sphingomyelin, components of cell membranes, has been highlighted. Serine exists in two active forms: L-serine and D-serine, which differ in their molecular orientation and roles in the body. L-serine is the predominant form in diet and human metabolism, where it contributes to many essential biological functions. D-serine, produced in small amounts from L-serine by an enzyme, plays a key role in the central nervous system. These two forms, while similar, possess distinct properties. L-serine is essential for the synthesis of nucleotides and nucleic acids involved in cell division and DNA repair. Furthermore, it partakes in the production of essential neurotransmitters like serotonin, often referred to as the "happiness hormone." This plays an important role in mood regulation, stress, and sleep, positioning L-serine as a potential agent in improving circadian cycles and sleep quality. Finally, D-serine, its derived form, is particularly active in the central nervous system. It works in collaboration with glutamate to stimulate certain brain receptors called NMDA receptors, necessary for strengthening neuronal connections and memory. These properties make it a promising pathway for the prevention and treatment of neurological disorders like schizophrenia, cognitive disorders, and neurodegenerative diseases.

Other name(s) 

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Amino acids


Indications

Rating methodology

EFSA approval.

Several clinical trials (> 2) randomized controlled with double blind, including a significant number of patients (>100) with consistently positive outcomes for the indication.
Several clinical trials (> 2) randomized controlled with double blind, and including a significant number of patients (>100) with positive outcomes for the indication.
One or more randomized studies or multiple cohorts or epidemiological studies with positive outcomes for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or contradictory.
Lack of clinical studies to date that can demonstrate the indication.


Schizophrenia
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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

posologieOral

posologie2 - 3 g


Cognitive Performance, Emotional Balance
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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

posologieOral

posologie2 g


Properties


Cognitive Function

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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

Cognitive Performance

Neurological

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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

Schizophrenia


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.