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 was recognized because of its involvement in protein and lipid metabolism. More recently, its role as a precursor of essential molecules such as 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 their roles in the body. L-serine is the predominant form in the diet and human metabolism, where it contributes to many essential biological functions. D-serine is produced in small amounts from L-serine by an enzyme, and plays a key role in the central nervous system. These two forms, although similar, have distinct properties. L-serine is essential for the synthesis of nucleotides and nucleic acids, which are involved in cell division and DNA repair. Furthermore, it contributes to the production of essential neurotransmitters, such as serotonin, often called the "happiness hormone". The latter plays an important role in the regulation of mood, stress, and sleep, positioning L-serine as a potential agent in improving circadian rhythms and sleep quality. Finally, D-serine, its derived form, is particularly active in the central nervous system. It acts in concert with glutamate to stimulate certain brain receptors, called NMDA receptors, which are necessary for strengthening neuronal connections and for memory. These properties make it a promising avenue for the prevention and treatment of neurological disorders such as schizophrenia, cognitive disorders, and neurodegenerative diseases.

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Amino acids


Indications

Scoring methodology

EFSA approval.

Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with consistently positive conclusions for the indication.
Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with positive conclusions for the indication.
One or more randomized studies, or several cohorts or epidemiological studies, with positive conclusions for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or conflicting.
No clinical studies to date that can demonstrate the indication.


Schizophrenia
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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

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 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

posologieOral

posologie2 g


Properties


Cognitive function

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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

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 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

Schizophrenia


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.