title: 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.
authors.affiliation: Department of Psychiatry, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chiba 260-8670, Japan. hashimoto@faculty.chiba-u.ac.jp
authors.forename: Kenji
authors.initials: K
authors.lastname: Hashimoto
authors.forename: Takeshi
authors.initials: T
authors.lastname: Fukushima
authors.forename: Eiji
authors.initials: E
authors.lastname: Shimizu
authors.forename: Shin-ichi
authors.initials: S
authors.lastname: Okada
authors.forename: Naoya
authors.initials: N
authors.lastname: Komatsu
authors.forename: Naoe
authors.initials: N
authors.lastname: Okamura
authors.forename: Kaori
authors.initials: K
authors.lastname: Koike
authors.forename: Hiroki
authors.initials: H
authors.lastname: Koizumi
authors.forename: Chikara
authors.initials: C
authors.lastname: Kumakiri
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Imai
authors.forename: Masaomi
authors.initials: M
authors.lastname: Iyo
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000544:Alzheimer Disease / Q000097:blood* / Q000188:drug therapy; D014150:Antipsychotic Agents / Q000008:administration & dosage; D016022:Case-Control Studies; D016009:Chi-Square Distribution; D002851:Chromatography, High Pressure Liquid / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008609:Mental Status Schedule / Q000706:statistics & numerical data; D008875:Middle Aged; D019998:Racemases and Epimerases / Q000097:blood; D012694:Serine / Q000097:blood* / Q000737:chemistry; D018709:Statistics, Nonparametric; D000099300:Serine Racemase
chemical_list: D014150:Antipsychotic Agents; D019998:Racemases and Epimerases; D012694:Serine; D000099300:Serine Racemase