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Possible role of D-serine in the pathophysiology of Alzheimer's disease.

Abstract
Several lines of evidence suggest that D-serine may function as an endogenous agonist of the glycine site on the N-methyl-D-aspartate (NMDA) receptor that has been implicated in the pathophysiology of Alzheimer's disease (AD). The purpose of the study was to determine whether serum levels of D- and L-serine in patients with AD are altered as compared with normal controls. Serum levels of D- and L-serine in patients of AD and age- and gender-matched normal controls were determined using a high-performance liquid chromatography (HPLC). Serum levels of D-serine in the patients with AD were slightly (z=-1.77, p=0.078) lower than those of normal controls. In contrast, serum levels of L-serine in the patients were slightly (z=-1.73, p=0.083) higher than those of controls. In addition, the percentage (%) of D-serine in the total (L+D) serine in the patients was significantly (z=-2.36, p=0.018) lower than that of controls. The present study suggests that the reduced activity of serine racemase, an enzyme catalyzing the formation of D-serine from L-serine may play a role in the pathophysiology of AD.
AuthorsKenji Hashimoto, Takeshi Fukushima, Eiji Shimizu, Shin-ichi Okada, Naoya Komatsu, Naoe Okamura, Kaori Koike, Hiroki Koizumi, Chikara Kumakiri, Kazuhiro Imai, Masaomi Iyo
JournalProgress in neuro-psychopharmacology & biological psychiatry (Prog Neuropsychopharmacol Biol Psychiatry) Vol. 28 Issue 2 Pg. 385-8 (Mar 2004) ISSN: 0278-5846 [Print] England
PMID14751437 (Publication Type: Comparative Study, Journal Article)
Chemical References
  • Antipsychotic Agents
  • Serine
  • Racemases and Epimerases
  • serine racemase
Topics
  • Aged
  • Aged, 80 and over
  • Alzheimer Disease (blood, drug therapy)
  • Antipsychotic Agents (administration & dosage)
  • Case-Control Studies
  • Chi-Square Distribution
  • Chromatography, High Pressure Liquid (methods)
  • Female
  • Humans
  • Male
  • Mental Status Schedule (statistics & numerical data)
  • Middle Aged
  • Racemases and Epimerases (blood)
  • Serine (blood, chemistry)
  • Statistics, Nonparametric

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