Serine: benefits, dosage, contraindications
Family or group:
Amino acids
Indications
Scoring methodology
EFSA approval.
Schizophrenia ✪✪✪✪✪
D-serine, taken as an adjunct to antipsychotic therapies, could improve symptoms of schizophrenia. Meta-analyses of small clinical trials show modest improvements in negative symptoms with doses of D-serine 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 in a study where D-serine 3 g/day for 10 weeks was inferior to olanzapine 30 mg. These results suggest that D-serine could be a useful adjunct to modulate 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 a single 2.1 g dose of D-serine improved attention, verbal memory, and vigilance. In older adults, 30 mg/kg of D-serine enhanced spatial memory and problem solving. Another study of a combination of L-serine, glutamate, and other amino acids reported gains in orientation and spatial cognition after 4 weeks. These data, although promising, require further research to validate long-term effects. D-serine also appears to have a beneficial effect on mood, particularly in cases of depression. In patients with major depressive disorder, 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 being studied for their role in improving cognitive functions. Studies on Alzheimer's disease show that elevated levels of D-serine in the blood or cerebrospinal fluid may be associated with better cognition, although analyses also show an inverse correlation between D-serine levels and Mini-Mental State Examination (MMSE) scores, suggesting more complex regulation. nnD-serine acts as a co-agonist of the N-methyl-D-aspartate (NMDA) receptor, which is essential for synaptic plasticity and learning. nnIn animals, an age-related decrease in D-serine levels is associated with memory decline that can be corrected by supplementation. L-serine also supports the production of sphingolipids and glycolipids, key components of cell membranes and myelin, which strengthens neuronal connectivity and cognitive functions.nn
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 the positive and negative symptoms of schizophrenia, as well as the treatment of disorders such as depression, where dysfunction of glutamatergic signaling is observed. In addition, L-serine may reduce the formation of neurotoxic deoxysphingolipids in diseases such as 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 rhythms.
Usages associés
Safe dosage
Adult: 2 g
D-serine is used at doses of 30 mg/kg per day (about 2 g) for 6 to 16 weeks, or 60 mg/kg per day (about 4 g) for 4 weeks, with apparent safety. L-serine can be consumed up to 400 mg/kg per day (about 25 g) for one year without significant adverse effects. Doses greater 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, could increase the risk of nephrotoxicity.
Precautions
Breastfeeding: avoid
Data are insufficient to assess the safety of L-serine or D-serine in quantities greater than those present in foods.
Pregnancy: avoid
Data are insufficient to assess the safety of L-serine or D-serine in quantities greater than those present in foods.
Oral
2 - 3 g
