Phosphatidylserine: benefits, dosage, contraindications

Mis à jour le

Phosphatidylserine (PS) is a membrane phospholipid synthesized by prokaryotic and eukaryotic cells. PS is synthesized from phosphatidylcholine or phosphatidylethanolamine by exchanging the head-group base for serine, and this reaction is catalyzed by phosphatidylserine synthase 1 and phosphatidylserine synthase 2 located in the endoplasmic reticulum. PS is the most abundant phospholipid in the human brain. It is necessary for the health of neuronal cell membranes and myelin and is important for neuronal membrane functions such as maintaining the cell's internal environment, signal transduction, release of secretory vesicles, cell-to-cell communication, and regulation of cell growth. Although the body can synthesize phosphatidylserine, the body obtains most phosphatidylserine from dietary sources. Phosphatidylserine is present in small amounts in most foods, notably beef brain, fish (mackerel, tuna), chicken heart, liver, and white beans. Exogenous PS is efficiently absorbed in humans, crosses the blood-brain barrier, and safely slows, interrupts, or reverses the biochemical alterations and structural deterioration of nerve cells that occur with aging. Thus, consumption of phosphatidylserine may reduce the risk of dementia and cognitive disorders in older adults.

Other name(s) 

PS

Scientific name(s)

Phosphatidylserine

Family or group: 

Fatty Acids

Active ingredients:

Phospholipids


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.


Alzheimer's disease
✪✪✪✪✪

Phosphatidylserine appears to improve activities of daily living, verbal expression, and sociability in subjects with Alzheimer's disease, as well as a slight improvement in memory and concentration. nnPhosphatidylserine appears to be more effective in patients with less severe symptoms. In addition, it may lose its effectiveness with prolonged use. After 16 weeks of treatment, the progression of Alzheimer's disease appears to overcome any benefit from phosphatidylserine. nnA daily dose of 300 to 400 mg (divided into 2 or 3) for a maximum of 16 weeks has been used.nn

Posologie

posologieOral

posologie300 - 400 mg

duration16 - weeks


Cognitive decline
✪✪✪✪✪

Phosphatidylserine levels in the brain decrease with age. Supplementation could thus improve memory and cognitive function in older adults. Indeed, clinical studies show that phosphatidylserine improves attention, alertness, verbal fluency, and memory in older adults with cognitive impairment. Phosphatidylserine also appears to minimize age-related loss of neuronal dendrites and atrophy of cholinergic neurons. In 2003, the United States Food and Drug Administration (FDA) determined that it would allow a qualified health claim stating that consumption of phosphatidylserine may reduce the risk of developing age-related cognitive decline. However, the FDA determined that there is very little scientific evidence to support this claim. A dose of 100 mg of bovine- or plant-derived phosphatidylserine was used three times daily for up to 6 months. In addition, 1 to 3 capsules per day of a specific product were used, containing soy-derived phosphatidylserine 100 mg/capsule, docosahexaenoic acid (DHA) 19.5 mg/capsule, and eicosapentaenoic acid (EPA) 6.5 mg/capsule, for 15 weeks.

Posologie

posologieOral administration

posologie100 - 300 mg

duration12 weeks


Synergies


Dementia
✪✪✪✪✪

In 2003, the United States Food and Drug Administration (FDA) determined that it would allow a qualified health claim stating that consumption of phosphatidylserine may reduce the risk of dementia in elderly people. However, the FDA determined that there is very little scientific evidence to support this claim.

Posologie

posologieBy mouth

posologie100 - 300 mg


Cognitive performance
✪✪✪✪✪

The main clinical application of phosphatidylserine (PS) is to correct disorders of mental functioning in middle-aged and elderly people. In several randomized, double-blind, placebo-controlled trials, PS improved memory, learning, word recall, and other cognitive functions.

Posologie

posologieBy mouth

posologie100 - 300 mg


Depression
✪✪✪✪✪

In a small double-blind trial in women suffering from major depression, phosphatidylserine significantly improved symptoms of depression and anxiety as well as cognition, irritability, and sociability. A dose of 300 mg per day for 30 days was used.

Posologie

posologieOral administration

posologie300 mg

duration30 - days


Stress
✪✪✪✪✪

Phosphatidylserine appears to improve the ability of healthy young subjects to cope with stress, whether physical or psychological. Indeed, one study showed that taking 300 mg/day of phosphatidylserine for 30 days reduces perceived stress in students during timed mental arithmetic tests. Another double-blind trial showed that taking a phospholipid complex containing 400 mg of phosphatidylserine and 500 mg of phosphatidic acid significantly reduces stress hormones (adrenocorticotropic hormone and cortisol) compared with placebo.

Posologie

posologieOral administration

posologie300 - 400 mg

duration30 - days


Properties


Neurological

full-leaffull-leaffull-leafempty-leaf

It is thought that patients with dementia or age-related memory disorders have structural or functional abnormalities of neuronal membranes that lead to changes in neurotransmitter function. In addition, people with cognitive impairment often show alterations in levels of acetylcholine, norepinephrine, and serotonin. nnThus, some researchers believe that abnormal neuronal function may be attributable to changes in the brain's lipid composition. Exogenous administration of phosphatidylserine is thought to normalize the brain's lipid content and restore neuronal function to normal. nnFurthermore, animal and human studies show that phosphatidylserine improves stress management via the hypothalamic-pituitary-adrenal (HPA) axis, as well as the diurnal rhythms of pituitary hormone secretion.nnOther findings in animals have indicated that phosphatidylserine has an overall trophic (restorative) effect in the brain.nn

Usages associés

Alzheimer's disease, Depression, Stress

Cognitive function

full-leaffull-leaffull-leafempty-leaf

It is thought that patients with dementia or age-related memory disorders have structural or functional abnormalities of neuronal membranes that lead to changes in neurotransmitter function. In addition, people with cognitive dysfunction often show alterations in levels of acetylcholine, norepinephrine, and serotonin. nnThus, some researchers believe that abnormal neuronal function may be attributable to changes in the brain's lipid composition. Exogenous administration of phosphatidylserine is thought to normalize the brain's lipid content and restore neuronal function to normal. nnIn animal models, phosphatidylserine improves spatial memory and passive avoidance. nn

Usages associés

Cognitive decline, Dementia, Cognitive performance


Safe dosage

Adults aged 18 years and older: 100 mg - 300 mg

After more than 16 years of use as a dietary supplement, phosphatidylserine has no evidence of drug interactions or adverse effects at doses up to 800 mg/day. The standard dosing recommendation is 100 mg taken with meals, one to three times per day.

Child aged 4 to 18 years: 200 mg - 300 mg

Phosphatidylserine has been used safely in children aged 4 to 18 years taking doses of 200 to 300 mg per day for up to 4 months, according to clinical research.


Interactions

Médicaments

Acetylcholinesterase inhibitors: moderate interaction

Phosphatidylserine is thought to increase acetylcholine levels. Theoretically, the combination of phosphatidylserine and acetylcholinesterase inhibitors could abnormally increase acetylcholine levels and cause cholinergic side effects. Acetylcholinesterase inhibitors include donepezil, tacrine, rivastigmine, and galantamine.

Anticholinergics: moderate interaction

Phosphatidylserine is thought to increase acetylcholine levels. Theoretically, concomitant use of anticholinergic drugs and phosphatidylserine could reduce the effectiveness of the anticholinergic agent. Some anticholinergic drugs include atropine, benztropine, biperiden, procyclidine, trihexyphenidyl, and others.

Cholinergics: moderate interaction

Phosphatidylserine is thought to increase acetylcholine levels. Theoretically, combining phosphatidylserine with cholinergic medications could excessively raise acetylcholine levels and potentially cause cholinergic side effects. Some cholinergic medications include bethanechol, echothiophate (phospholine iodide), edrophonium, neostigmine, physostigmine, and pyridostigmine.


Precautions

Pregnant women: avoid

Avoid use due to lack of sufficient reliable information.

Breastfeeding women: avoid

Avoid use due to lack of sufficient reliable information.