Abstract
It has been widely accepted that the hypofunction of the N-methyl-d-aspartate-type glutamate receptor (NMDAR) may be implicated in the pathophysiology of both positive- and negative-cognitive symptomatologies of schizophrenia because NMDAR antagonists, including phencyclidine (PCP) and anti-NMDAR antibodies, mimic these respective antipsychotic-responsive and antipsychotic-resistant symptoms. d-Serine and other agonists for the glycine modulatory site of the NMDAR, which facilitate the receptor function, are found to not only inhibit behavioral models of schizophrenia and hyperdopaminergic transmission caused by schizophrenomimetics, PCP, and amphetamines, in experimental animals, but also ameliorate the entire extent of the above schizophrenic symptoms. Moreover, d-serine has been revealed to be a brain-enriched endogenous substance displaying an NMDAR-like distribution. At least, in the forebrain areas, the NMDAR function levels are under control of the extracellular d-serine concentrations that are regulated in a different manner from that of classical neurotransmitters by neuronal and glial activities, the calcium-permeable AMPA receptor, the Asc-1 neutral amino acid transporter, and the neuronal serine racemase, a d-serine synthesizing enzyme. These findings raise the possibility that insufficient extracellular d-serine signaling could be a part of a key factor that leads to the presumed hypofunction of the NMDAR in schizophrenia. Further investigations on the molecular and cellular mechanisms of the d-serine metabolism and their alterations in schizophrenia may contribute to the elucidation of the pathophysiology of and development of a novel therapeutic approach to this intractable mental disorder.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Abi-Dargham A, van de Giessen E, Slifstein M et al (2009) Baseline and amphetamine-stimulated dopamine activity are related in drug-naïve schizophrenic subjects. Biol Psychiatry 65(12):1091–1093
Anis NA, Berry SC, Burton NR et al (1983) The dissociative anaesthetics, ketamine and phencyclidine, selectively reduce excitation of central mammalian neurons by N-methyl-aspartate. Br J Pharmacol 79:565–575
Balla A, Sershen H, Serra M (2003) Subchronic continuous phencyclidine administration potentiates amphetamine-induced frontal cortex dopamine release. Neuropsychopharmacology 28(1):34–44
Balla A, Schneider S, Sershen H et al (2012) Effects of novel, high affinity glycine transport inhibitors on frontostriatal dopamine release in a rodent model of schizophrenia. Eur Neuropsychopharmacol 22(12):902–910
Balu DT, Li Y, Puhl MD et al (2013) Multiple risk pathways for schizophrenia converge in serine racemase knockout mice, a mouse model of NMDA receptor hypofunction. Proc Natl Acad Sci U S A 110(26):E2400–E2409
Bendikov I, Nadri C, Amar S et al (2007) A CSF and postmortem brain study of d-serine metabolic parameters in schizophrenia. Schizophr Res 90(1–3):41–51
Benneyworth MA, Basu AC, Coyle JT (2011) Discordant behavioral effects of psychotomimetic drugs in mice with altered NMDA receptor function. Psychopharmacology (Berlin) 213(1):143–153
Brouwer A, Luykx JJ, van Boxmeer L et al (2013) NMDA-receptor coagonists in serum, plasma, and cerebrospinal fluid of schizophrenia patients: a meta-analysis of case-control studies. Neurosci Biobehav Rev 37(8):1587–1596
Chumakov I, Blumenfeld M, Guerassimenko O et al (2002) Genetic and physiological data implicating the new human gene G72 and the gene for d-amino acid oxidase in schizophrenia. Proc Natl Acad Sci U S A 99(21):13675–13680
Contreras PC (1990) d-serine antagonized phencyclidine- and MK-801-induced stereotyped behavior and ataxia. Neuropharmacology 29(3):291–293
Depoortere R, Perrault G, Sanger DJ (1999) Prepulse inhibition of the startle reflex in rats: effects of compounds acting at various sites on the NMDA receptor complex. Behav Pharmacol 10(1):51–62
Detera-Wadleigh SD, McMahon FJ (2006) G72/G30 in schizophrenia and bipolar disorder: review and meta-analysis. Biol Psychiatry 60(2):106–114
Deutch AY, Tam SY, Freeman AS et al (1987) Mesolimbic and mesocortical dopamine activation induced by phencyclidine: contrasting pattern to striatal response. Eur J Pharmacol 134(3):257–264
Ermilov M, Gelfin E, Levin R et al (2013) A pilot double-blind comparison of d-serine and high-dose olanzapine in treatment-resistant patients with schizophrenia. Schizophr Res 150(2–3):604–605
Fukasawa Y, Segawa H, Kim JY et al (2000) Identification and characterization of a Na(+)-independent neutral amino acid transporter that associates with the 4F2 heavy chain and exhibits substrate selectivity for small neutral d- and l-amino acids. J Biol Chem 275(13):9690–9698
Gliddon CM, Shao Z, LeMaistre JL et al (2009) Cellular distribution of the neutral amino acid transporter subtype ASCT2 in mouse brain. J Neurochem 108(2):372–383
Goltsov AY, Loseva JG, Andreeva TV et al (2006) Polymorphism in the 5′-promoter region of serine racemase gene in schizophrenia. Mol Psychiatry 11:325–326
Gouzoulis-Mayfrank E, Heekeren K, Neukirch A et al (2005) Psychological effects of (S)-ketamine and N, N-dimethyltryptamine (DMT): a double-blind, cross-over study in healthy volunteers. Pharmacopsychiatry 38(6):301–311
Hashimoto A, Nishikawa T, Oka T et al (1991) d-Alanine inhibits methamphetamine-induced hyperactivity in rats. Eur J Pharmacol 202:105–107
Hashimoto A, Nishikawa T, Hayashi T et al (1992a) The presence of free d-serine in rat brain. FEBS Lett 296:33–36
Hashimoto A, Nishikawa T, Oka T et al (1992b) Determination of free amino acid enantiomers in rat brain and serum by high performance liquid chromatography after derivatization with N-tert.-butyloxycarbonyl-l-cysteine and o-phthaldialdehyde. J Chromatogr 582:41–48
Hashimoto A, Nishikawa T, Oka T et al (1993a) Endogenous d-serine in rat brain: N-Methyl-d-aspartate receptor-related distribution and aging. J Neurochem 60:783–786
Hashimoto A, Kumashiro S, Nishikawa T et al (1993b) Embryonic development and postnatal changes in free d-aspartate and d-serine in the human prefrontal cortex. J Neurochem 61:348–351
Hashimoto A, Nishikawa T, Konno R et al (1993c) Free d-serine, d-aspartate and d-alanine in central nervous system and serum in mutant mice lacking d-amino acid oxidase. Neurosci Lett 152:33–36
Hashimoto A, Oka T, Nishikawa T (1995a) Extracellular concentration of endogenous free d-serine in the rat brain as revealed by in vivo microdialysis. Neuroscience 66(3):635–643
Hashimoto A, Oka T, Nishikawa T (1995b) Anatomical distribution and postnatal changes in endogenous free d-aspartate and d-serine in rat brain and periphery. Eur J Neurosci 7:1657–1663
Hashimoto K, Fujita Y, Horio M et al (2009) Co-administration of a d-amino acid oxidase inhibitor potentiates the efficacy of d-serine in attenuating prepulse inhibition deficits after administration of dizocilpine. Biol Psychiatry 65(12):1103–1106
Hata N, Nishikawa T, Umino A et al (1990) Evidence for involvement of N-methyl-d-aspartate receptor in tonic inhibitory control of dopaminergic transmission in rat medial frontal cortex. Neurosci Lett 120(1):101–104
Hayashi F, Takahashi K, Nishikawa T (1997) Uptake of l- and d-serine in C6 glioma cells. Neurosci Lett 239:85–88
Henneberger C, Papouin T, Oliet SH et al (2010) Long-term potentiation depends on release of d-serine from astrocytes. Nature 463(7278):232–236
Heresco-Levy U, Javitt DC, Ebstein R et al (2005) d-serine efficacy as add-on pharmacotherapy to risperidone and olanzapine for treatment-refractory schizophrenia. Biol Psychiatry 57(6):577–585
Horio M, Kohno M, Fujita Y et al (2011) Levels of d-serine in the brain and peripheral organs of serine racemase (Srr) knock-out mice. Neurochem Int 59(6):853–859
Irifune M, Sato T, Kamata Y et al (1998) Inhibition by diazepam of ketamine-induced hyperlocomotion and dopamine turnover in mice. Can J Anaesth 45(5 Pt 1):471–478
Ishimaru M, Kurumaji A, Toru M (1994) Increases in strychnine-insensitive glycine binding sites in cerebral cortex of chronic schizophrenics: evidence for glutamate hypothesis. Biol Psychiatry 35:84–95
Ishiwata S, Ogata S, Umino A et al (2013a) Increasing effects of S-methyl-l-cysteine on the extracellular d-serine concentrations in the rat medial frontal cortex. Amino Acids 44(5):1391–1395
Ishiwata S, Umino A, Umino M et al (2013b) Modulation of extracellular d-serine content by calcium permeable AMPA receptors in rat medial prefrontal cortex as revealed by in vivo microdialysis. Int J Neuropsychopharmacol 16(6):1395–1406
Ishiwata S, Umino A, Balu DT et al (2015) Neuronal serine racemase regulates extracellular d-serine levels in the adult mouse hippocampus. J Neural Transm 122(8):1099–1103
Javitt DC, Zukin SR (1991) Recent advances in the phencyclidine model of schizophrenia. Am J Psychiatry 148(10):1301–1308
Johnson JW, Ascher P (1987) Glycine potentiates the NMDA response in cultured mouse brain neurons. Nature 325(6104):529–531
Kanahara N, Shimizu E, Ohgake S et al (2008) Glycine and D: −serine, but not D: −cycloserine, attenuate prepulse inhibition deficits induced by NMDA receptor antagonist MK-801. Psychopharmacology (Berlin) 198(3):363–374
Kane JM, Honigfeld G, Singer J et al (1988) Clozapine in treatment-resistant schizophrenics. Psychopharmacol Bull 24(1):62–67
Kanematsu S, Ishii S, Umino A et al (2006) Evidence for involvement of glial cell activity in the control of extracellular d-serine contents in the rat brain. J Neural Transm 113:1717–1721
Kantrowitz JT, Malhotra AK, Cornblatt B et al (2010) High dose d-serine in the treatment of schizophrenia. Schizophr Res 121(1–3):125–130
Kantrowitz JT, Woods SW, Petkova E et al (2015) d-serine for the treatment of negative symptoms in individuals at clinical high risk of schizophrenia: a pilot, double-blind, placebo-controlled, randomised parallel group mechanistic proof-of-concept trial. Lancet Psychiatry 2(5):403–412
Kartvelishvily E, Schleper M, Balan L et al (2006) Neuron-derived d-serine release provides a novel means to activate N-Methyl-d-aspartate receptors. J Biol Chem 281:14151–14162
Kashiwa A, Nishikawa T, Nishijima K et al (1995) Dizocilpine (MK-801) elicits a tetrodotoxin-sensitive increase in extracellular release of dopamine in rat medial frontal cortex. Neurochem Int 26(3):269–279
Kim PM, Aizawa H, Kim PS et al (2005) Serine racemase: activation by glutamate neurotransmission via glutamate receptor interacting protein and mediation of neuronal migration. Proc Natl Acad Sci U S A 102(6):2105–2110
Kishimoto H, Simon JR, Aprison MH (1981) Determination of the equilibrium dissociation constants and number of glycine binding sites in several areas of the rat central nervous system, using a sodium-independent system. J Neurochem 37(4):1015–1024
Kleckner NW, Dingledine R (1988) Requirement for glycine in activation of NMDA-receptors expressed in Xenopus oocytes. Science 241(4867):835–837
Kumashiro S, Hashimoto A, Nishikawa T (1995) Free d-serine in post-mortem brains and spinal cords of individuals with and without neuropsychiatric diseases. Brain Res 681:117–125
Labrie V, Fukumura R, Rastogi A et al (2009) Serine racemase is associated with schizophrenia susceptibility in humans and in a mouse model. Hum Mol Genet 18(17):3227–3243
Lane HY, Chang YC, Liu YC et al (2005) Sarcosine or d-serine add-on treatment for acute exacerbation of schizophrenia: a randomized, double-blind, placebo-controlled study. Arch Gen Psychiatry 62(11):1196–1204
Lane HY, Lin CH, Huang YJ et al (2010) A randomized, double-blind, placebo-controlled comparison study of sarcosine (N-methylglycine) and d-serine add-on treatment for schizophrenia. Int J Neuropsychopharmacol 13(4):451–460
Laruelle M, Abi-Dargham A, van Dyck CH et al (1996) Single photon emission computerized tomography imaging of amphetamine-induced dopamine release in drug-free schizophrenic subjects. Proc Natl Acad Sci U S A 93(17):9235–9240
Li D, He L (2007) G72/G30 genes and schizophrenia: a systematic meta-analysis of association studies. Genetics 175(2):917–922
Lin CH, Chang HT, Chen YJ et al (2014) Distinctively higher plasma G72 protein levels in patients with schizophrenia than in healthy individuals. Mol Psychiatry 19(6):636–637
Lipina T, Labrie V, Weiner I et al (2005) Modulators of the glycine site on NMDA receptors, d-serine and ALX 5407, display similar beneficial effects to clozapine in mouse models of schizophrenia. Psychopharmacology (Berlin) 179(1):54–67
López-Gil X, Babot Z, Amargós-Bosch M et al (2007) Clozapine and haloperidol differently suppress the MK-801-increased glutamatergic and serotonergic transmission in the medial prefrontal cortex of the rat. Neuropsychopharmacology 32(10):2087–2097
Madeira C, Freitas ME, Vargas-Lopes C et al (2008) Increased brain d-amino acid oxidase (DAAO) activity in schizophrenia. Schizophr Res 101(1–3):76–83
Martin P, Carlsson ML, Hjorth S (1998) Systemic PCP treatment elevates brain extracellular 5-HT: a microdialysis study in awake rats. Neuroreport 9(13):2985–2988
Matoba M, Tomita U, Nishikawa T (1997) Characterization of 5, 7-dichlorokynurenate-insensitive [3H] d-serine binding to synaptosomal fraction isolated from rat brain tissues. J Neurochem 69:399–405
Matsui T, Sekiguchi M, Hasimoto A et al (1995) Functional comparison of d-serine and glycine in rodents: the effects on cloned NMDA receptors and the extracellular concentration. J Neurochem 65:454–458
Metzner L, Kottra G, Neubert K et al (2005) Serotonin, l-tryptophan, and tryptamine are effective inhibitors of the amino acid transport system PAT1. FASEB J 19(11):1468–1473
Morita Y, Ujike H, Tanaka Y et al (2007) A genetic variant of the serine racemase gene is associated with schizophrenia. Biol Psychiatry 61(10):1200–1203
Mothet JP, Parent AT, Wolosker H et al (2000) d-serine is an endogenous ligand for the glycine site of the N-methyl-d-aspartate receptor. Proc Natl Acad Sci U S A 97(9):4926–4931
Mothet JP, Pollegioni L, Ouanounou G et al (2005) Glutamate receptor activation triggers a calcium-dependent and SNARE protein-dependent release of the gliotransmitter d-serine. Proc Natl Acad Sci U S A 102(15):5606–5611
Nishijima K, Kashiwa A, Nishikawa T (1994) Preferential stimulation of extracellular release of dopamine in rat frontal cortex to striatum following competitive inhibition of the N-methyl-d-aspartate receptor. J Neurochem 63(1):375–378
Nishijima K, Kashiwa A, Hashimoto A et al (1996) Differential effects of phencyclidine and methamphetamine on dopamine metabolism in rat frontal cortex and striatum as revealed by in vivo dialysis. Synapse 22(4):304–312
Nishikawa T (2011) Analysis of free d-serine in mammals and its biological relevance. J Chromatogr B Anal Technol Biomed Life Sci 879:3169–3183
O’Brien KB, Miller RF, Bowser MT (2005) d-Serine uptake by isolated retinas is consistent with ASCT-mediated transport. Neurosci Lett 385(1):58–63
Pan HC, Chou YC, Sun SH (2015) P2X7 R-mediated Ca(2+) -independent d-serine release via pannexin-1 of the P2X7 R-pannexin-1 complex in astrocytes. Glia 63(5):877–893
Panatier A, Theodosis DT, Mothet JP et al (2006) Glia-derived d-serine controls NMDA receptor activity and synaptic memory. Cell 125(4):775–784
Petersen RC, Stillman RC (1978) Phencyclidine (PCP) abuse: an appraisal. In: Petersen RC, Stillman RC (eds) NIDA research monograph 21. Superintendent of Documents, US Government Printing Office, Washington, DC, pp 1–17
Pilowsky LS, Bressan RA, Stone JM et al (2006) First in vivo evidence of an NMDA receptor deficit in medication-free schizophrenic patients. Mol Psychiatry 11(2):118–119
Rao TS, Kim HS, Lehmann J et al (1989) Differential effects of phencyclidine (PCP) and ketamine on mesocortical and mesostriatal dopamine release in vivo. Life Sci 45(12):1065–1072
Ribeiro CS, Reis M, Panizzutti R et al (2002) Glial transport of the neuromodulator d-serine. Brain Res 929(2):202–209
Rosenberg D, Kartvelishvily E, Shleper M et al (2010) Neuronal release of d-serine: a physiological pathway controlling extracellular d-serine concentration. FASEB J 24(8):2951–2961
Rosenberg D, Artoul S, Segal AC et al (2013) Neuronal d-serine and glycine release via the Asc-1 transporter regulates NMDA receptor-dependent synaptic activity. J Neurosci 33(8):3533–3544
Rutter AR, Fradley RL, Garrett EM et al (2007) Evidence from gene knockout studies implicates Asc-1 as the primary transporter mediating d-serine reuptake in the mouse CNS. Eur J Neurosci 25(6):1757–1766
Schell MJ, Molliver ME, Snyder SH (1995) d-serine, an endogenous synaptic modulator: localization to astrocytes and glutamate-stimulated release. Proc Natl Acad Sci U S A 92(9):3948–3952
Schizophrenia Working Group of the Psychiatric Genomics Consortium (2014) Biological insights from 108 schizophrenia-associated genetic loci. Nature 511(7510):421–427
Shi J, Badner JA, Gershon ES (2008) Allelic association of G72/G30 with schizophrenia and bipolar disorder: a comprehensive meta-analysis. Schizophr Res 98(1–3):89–97
Shimazu D, Yamamoto N, Umino A et al (2006) Inhibition of d-serine accumulation to the Xenopus Oocyte by expression of the rat ortholog of human 3′-phosphoadenosine 5′-phosphosulfate transporter gene isolated from the neocortex as d-serine modulator-1. J Neurochem 96:30–42
Shinkai T, De Luca V, Hwang R (2007) Association analyses of the DAOA/G30 and D-amino-acid oxidase genes in schizophrenia: further evidence for a role in schizophrenia. Neuromolecular 9(2):169–177
Singh SP, Singh V (2011) Meta-analysis of the efficacy of adjunctive NMDA receptor modulators in chronic schizophrenia. CNS Drugs 25(10):859–885
Smith SM, Uslaner JM, Yao L et al (2009) The behavioral and neurochemical effects of a novel d-amino acid oxidase inhibitor compound 8 [4H-thieno [3,2-b]pyrrole-5-carboxylic acid] and d-serine. J Pharmacol Exp Ther 328(3):921–930
Steffek AE, Haroutunian V, Meador-Woodruff JH (2006) Serine racemase protein expression in cortex and hippocampus in schizophrenia. Neuroreport 17(11):1181–1185
Stehberg J, Moraga-Amaro R et al (2012) Release of gliotransmitters through astroglial connexin 43 hemichannels is necessary for fear memory consolidation in the basolateral amygdala. FASEB J 26(9):3649–3657
Sullivan SJ, Miller RF (2010) AMPA receptor mediated d-serine release from retinal glial cells. J Neurochem 115(6):1681–1689
Sullivan SJ, Miller RF (2012) AMPA receptor-dependent, light-evoked d-serine release acts on retinal ganglion cell NMDA receptors. J Neurophysiol 108(4):1044–1051
Takahashi K, Hayashi F, Nishikawa T (1997) In vivo evidence for the link between l- and d-serine metabolism in rat cerebral cortex. J Neurochem 69:1286–1290
Tanii Y, Nishikawa T, Umino A et al (1990) Phencyclidine increases extracellular dopamine metabolites in rat medial frontal cortex as measured by in vivo dialysis. Neurosci Lett 112(2–3):318–323
Tanii Y, Nishikawa T, Hashimoto A et al (1991a) Stereoselective inhibition by d- and l-alanine of phencyclidineinduced locomotor stimulation in the rat. Brain Res 563:281–284
Tanii Y, Nishikawa T, Hibino H et al (1991b) Effects of allosteric agonists for the N-methyl d-aspartate receptor and their derivatives on phencyclidine-induced abnormal behavior in the rat. Brain Sci Ment Disord 2:497–502
Tanii Y, Nishikawa T, Hashimoto A et al (1994) Stereoselective antagonism by enantiomers of alanine and serine of phencyclidine-induced hyperactivity, stereotypy and ataxia in the rat. J Pharmacol Exp Ther 269:1040–1048
Tokutomi N, Kaneda M, Akaike N (1989) What confers specificity on glycine for its receptor site? Br J Pharmacol 97(2):353–360
Tsai GE, Lin PY (2010) Strategies to enhance N-methyl-d-aspartate receptor-mediated neurotransmission in schizophrenia, a critical review and meta-analysis. Curr Pharm Des 16(5):522–537
Tsai G, Yang P, Chung LC et al (1998) d-serine added to antipsychotics for the treatment of schizophrenia. Biol Psychiatry 44(11):1081–1089
Tsai GE, Yang P, Chung LC (1999) d-serine added to clozapine for the treatment of schizophrenia. Am J Psychiatry 156(11):1822–1825
Tuominen HJ, Tiihonen J, Wahlbeck K (2006) Glutamatergic drugs for schizophrenia. Cochrane Database Syst Rev 19(2):CD003730
Umino A, Takahashi K, Nishikawa T (1998) Characterization of phencyclidine-induced increase in prefrontal cortical dopamine metabolism in the rat. Br J Pharmacol 124:377–385
Verrall L, Walker M, Rawlings N et al (2007) d-Amino acid oxidase and serine racemase in human brain: normal distribution and altered expression in schizophrenia. Eur J Neurosci 26(6):1657–1669
Weiser M, Heresco-Levy U, Davidson M et al (2012) A multicenter, add-on randomized controlled trial of low-dose d-serine for negative and cognitive symptoms of schizophrenia. J Clin Psychiatry 73(6):e728–e734
White WF, Brown KL, Frank DM (1989) Glycine binding to rat cortex and spinal cord: binding characteristics and pharmacology reveal distinct populations of sites. J Neurochem 53(2):503–512
Whitton PS, Biggs CS, Pearce BR (1992) MK-801 increases extracellular 5-hydroxytryptamine in rat hippocampus and striatum in vivo. J Neurochem 58(4):1573–1575
Yamada K, Ohnishi T, Hashimoto K et al (2005) Identification of multiple serine racemase (SRR) mRNA isoforms and genetic analyses of SRR and DAO in schizophrenia and d-serine levels. Biol Psychiatry 57(12):1493–1503
Yamamoto N, Tomita U, Umino A et al (2001) Uptake of D-serine by synaptosomal P2 fraction isolated from rat brain. Synapse 42:84–86
Yan QS, Reith ME, Jobe PC et al (1997) Dizocilpine (MK-801) increases not only dopamine but also serotonin and norepinephrine transmissions in the nucleus accumbens as measured by microdialysis in freely moving rats. Brain Res 765(1):149–158
Yonezawa Y, Kuroki T, Kawahara T (1998) Involvement of gamma-aminobutyric acid neurotransmission in phencyclidine-induced dopamine release in the medial prefrontal cortex. Eur J Pharmacol 341(1):45–56
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer Japan
About this chapter
Cite this chapter
Nishikawa, T. (2016). d-Serine Signaling and Schizophrenia. In: Yoshimura, T., Nishikawa, T., Homma, H. (eds) D-Amino Acids. Springer, Tokyo. https://doi.org/10.1007/978-4-431-56077-7_6
Download citation
DOI: https://doi.org/10.1007/978-4-431-56077-7_6
Published:
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-56075-3
Online ISBN: 978-4-431-56077-7
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)