A body of evidence indicates that D-serine is an intrinsic co-agonist for the N-methyl-D-aspartate (NMDA) type glutamate receptor. Thus, the author and collaborators have demonstrated that D-serine is present at high concentrations in mammals throughout the life with brain-preferring and NMDA receptor GRIN2B subunit-like distribution, although D-amino acids had long been believed to be uncommon in mammalian tissues. D-serine alone fails to activate the NMDA receptor but is required for activation of the receptor in vitro, suggesting that the D-amino acid could be a co-agonist for the receptor. The author's research group has also reported the biochemical processes of the synthesis, extracellular release, uptake and degradation of D-serine in mammalian brain tissues. Among these processes, D-serine biosynthesis is catalyzed by, at least, a vitamin B_6-dependent enzyme, serine racemase, and its degradation is mediated by a vitamin B_2-dependent enzyme, D-amino acid oxidase. The NMDA receptor plays pivotal roles in expression and regulation of a wide variety of higher order brain functions. Therefore, disturbed D-serine metabolism has been considered to be involved in the pathophysiology of neuropsychiatric disorders including schizophrenia. It is also hypothesized that, in the brain of patients with schizophrenia, hypofunction of the NMDA receptor occurs due to deficit in the extracellular D-serine signaling or other mechanisms based on the facts that NMDA receptor antagonists and anti-NMDA receptor antibodies cause schizophrenia-like positive, negative and cognitive symptomatologies.
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