Professional Documents
Culture Documents
E. Dumin . H. Wolosker
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 208 Neurobiology of DSerine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 208 A Physiological Regulator of NMDA Receptors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209 Serine Racemase: Biosynthesis of DSerine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211 Regulation of DSerine Production . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 212 DSerine Metabolism and Transport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 212 DSerine Release . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 214 New Roles for DSerine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 215 DSerine and NMDA Receptor Dysfunction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 215 Neuromodulator or Neurotransmitter? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 216
DSerine:
3 Neurobiology of DAspartate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 217 3.1 DAspartate in the Nervous and Endocrine System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 217 3.2 Role of Endogenous DAspartate: Still Mysterious After Two Decades . . . . . . . . . . . . . . . . . . . . . . . . . . . 218 3.3 DAspartate Transport and Release . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 218 3.4 Biosynthesis of DAspartate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 218 3.5 DAspartate Metabolism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219 3.6 DAspartate as Precursor for Endogenous NMDA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219 4 Conclusions and perspectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219
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Abstract: DAmino acids are generally perceived as unnatural isomers and are thought not to play a role in mammals. In the recent years, data obtained from several laboratories established the occurrence of large amounts of Dserine and Daspartate in the mammalian brain, where they seem to play unique roles. Endogenous Dserine is a highafnity ligand of the glycine site of NMDA receptors and is required for NMDA receptor activation. Synthesis of endogenous Dserine is catalyzed by serine racemase enzyme, which directly converts L into Dserine in the brain. DAspartate is enriched in neuroendocrine tissues and has been implicated in the regulation of hormone synthesis and release. DSerine and Daspartate are substrates for plasma membrane amino acid transporters and metabolized by specic peroxisomal oxidases. We now review several aspects of the neurobiology of these Damino acids, including their actions, target receptors, metabolic pathways, and roles in pathological conditions related to NMDA receptor dysfunction. List of Abbreviations: AMPA, a-Amino-3-Hydroxy-5-Methylisoxasole-4-Propionic Acid; NMDA, N-Methyl D-Aspartate; PLP, Pyridoxal 50 -Phosphate
Introduction
The origin of life on Earth is intimately related to the selection of stereochemical favorable compounds. Except for glycine, all common amino acids exhibit a chiral center resulting in the occurrence of two different enantiomers (L and D). Although the chemical properties of L and Damino acids are identical, Lamino acids were selected as the protein-building blocks as proteins are synthesized exclusively from L and not Damino acids. The sporadic presence of Damino acid residues in proteins is due to posttranslational modications in aged proteins rather than direct incorporation during translation (Fujii et al., 1999; Young et al., 2005). The presence of Damino acids in bacteria has been recognized a long time ago, where they constitute the bacterial cell wall, making it more resistant to proteases (Izaki et al., 1968). Later studies identied free Damino acids in the cytosol of invertebrate cells, but their role remained elusive (Srinivasan et al., 1962; Corrigan, 1969; DAniello and Giuditta, 1978). Till recently, Damino acids were thought not to exist in substantial quantities in higher organisms, and little or no attention has been directed toward their study. In recent years, remarkable quantities of Damino acids were discovered in the mammalian brain, especially Dserine and Daspartate (Dunlop et al., 1986; Fisher et al., 1991; Hashimoto et al., 1993a). They are not incorporated into proteins or peptides, constituting a free amino acid pool in the brain. In the last few years, there has been considerable progress in the understanding of the role of Dserine and Daspartate in the brain. There is experimental evidence that these enantiomers play important neurobiological roles, with implications for the pathophysiology of human diseases. The biosynthetic enzyme for Dserine in the brain has been discovered (Wolosker et al., 1999a, b; De Miranda et al., 2000), and Dserine seems to be a major modulator of NMDA receptor transmission (Mothet et al., 2000). DAspartate role is less clear and it has been linked to the regulation of hormone release (DAniello et al., 1996, 2000b; Takigawa et al., 1998; Wang et al., 2000). In the following sessions, we discuss several aspects of Damino acid distribution and role in the nervous system, as well as their recently discovered biosynthetic and metabolic pathways. Although several Damino acids exist at trace levels in the brain, we now review only Dserine and Daspartate since these are the only Damino acids present at signicant levels (Wolosker et al., 2002). The study of Damino acids in the brain can now be considered an exciting new eld in molecular neuroscience.
Neurobiology of DSerine
has been shown to occur at high levels in the brain, where it is an endogenous coagonist of NMDA receptors. > Table 9-1 summarizes the properties and disposition of Dserine, which suggest a major role for this Damino acid in the nervous system.
DSerine
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Enriched in the mammalian brain Astroglia and some neurons Endogenous coagonist of NMDA receptor Coagonist site of NMDA receptors Serine racemase Peroxisomal Damino acid oxidase, a,belimination catalyzed by serine racemase Neutral amino acid transporters Elicited by glutamate through reversal of ASCTlike transporter and vesicular release from cultured astrocytes Adjuvant for neuroleptic treatment in schizophrenia PLP inhibitors, Lserine Osulfate, cysteine, phenazines
References Hashimoto et al. (1993a, 1992a) Schell et al. (1995, 1997a), Kartvelishvily (2006) Mothet et al. (2000) Kleckner and Dingledine (1988) Wolosker et al. (1999a, b), De Miranda et al. (2000) Nagata (1992), Foltyn et al. (2005) Hayashi et al. (1997), Ribeiro et al. (2002) Schell et al. (1995), Ribeiro et al. (2002), Mothet et al. (2005) Tsai et al. (1998), HerescoLevy et al. (2005) Wolosker et al. (1999b), Panizzutti et al. (2001), Kim et al. (2005)
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the mammalian brain. Levels of Dserine in the brain are about onethird those of Lserine, while peripheral tissues contain only trace amounts of Dserine. Moreover, brain levels of Dserine are comparable or higher than many common Lamino acids such as asparagine, isoleucine, valine, and tryptophan (Hashimoto et al., 1992b). This led Hashimoto et al. (1992a) to suggest that Dserine could be an endogenous coagonist of NMDA receptors. The possibility that Dserine was an endogenous coagonist of NMDA receptors was soon strengthened by detailed immunohistochemical studies carried out by Snyder group (Schell et al., 1995, 1997a). Using a selective antibody against Dserine, Schell et al. (1995) found that Dserine is enriched in areas containing highest levels of NMDA receptors, including the rostral cerebral cortex, hippocampus, and striatum. DSerine densities are much less in the caudal part of the brain, including the adult cerebellum. By contrast, glycine immunoreactivity is higher in caudal areas of the brain, where densities of NMDA receptors are lower (Schell et al., 1997a). The inverse localizations of Dserine and glycine led Schell and coworkers to propose that endogenous Dserine was closer to NMDA receptors than glycine. Moreover, the authors found that Dserine densities were localized in astrocytes in the gray matter, raising the possibility that Dserine would be released from astrocytes ensheathing the synapse to activate neuronal NMDA receptors (Schell et al., 1995; Snyder and Ferris, 2000). Additional data support the notion that Dserine is a relevant endogenous coagonist of NMDA receptors. Microdialysis experiments demonstrated that extracellular Dserine concentration is similar or higher than glycine in some brain areas such as cerebral cortex and striatum (Hashimoto et al., 1995, 2000; Ciriacks and Bowser, 2004). The threedimensional structure of Dserine is similar to that of glycine, and its afnity for NMDA receptors is comparable or even higher than glycine (Matsui et al., 1995). A structural explanation for this nding comes from the analysis of Xray structures of the binding core of NR1 subunit of NMDA receptors (Furukawa and Gouaux, 2003). The crystal structures revealed that agonist binding is critically dependent on a series of hydrogen bonds to sidechain and mainchain atoms, as well as to water molecules. Furukawa and Gouaux (2003) proposed that Dserine binds more tightly to the receptor in comparison with glycine because it makes three additional hydrogen bonds and displaces a water molecule. Interestingly, Lserine binds 300fold less tightly than Dserine on NMDA receptors. Modeling of Lserine binding using Dserine as a guide showed that the hydroxyl group of Lserine unfavorably interacts in the binding pocket, providing astonishing Disomer specicity (Furukawa and Gouaux, 2003). More direct evidence that NMDA receptor is the target for endogenous Dserine came from experiments utilizing Damino acid oxidase treatment to selectively deplete endogenous Dserine in hippocampal cell cultures (Mothet et al., 2000). DAmino acid oxidase specically degrades D but not Lamino acids or glycine (Mattevi et al., 1996). Thus, the application of puried Damino acid oxidase preparation led to depletion of endogenous Dserine without affecting glycine levels in hippocampal primary cultures. Depletion of Dserine led to a 60%70% decrease in spontaneous activity attributed to postsynaptic NMDA receptor, while AMPA responses were unaffected (Mothet et al., 2000). Although the demonstration that Dserine is an endogenous coagonist of NMDA receptors in cell cultures was clear, its role in a more physiological preparation was uncertain. DAmino acid oxidase treatment was much less effective in hippocampal slices, in which it only depleted about 19% of total Dserine (Mothet et al., 2000), precluding any conclusion about the role of Dserine in this preparation. Subsequent studies conrmed that addition of Damino acid oxidase led to a decrease in NMDA receptor responses in the retina and in longterm potentiation of synaptic activity in the hippocampus (Stevens et al., 2003; Yang et al., 2003, 2005; Miller, 2004). Despite the reported ineffectiveness of Damino acid oxidase in hippocampal slices, these studies did not check if Dserine levels were actually depleted after Damino acid oxidase treatment. One concern with experiments employing Damino acid oxidase is that it displays very low afnity for Dserine (about 50 mM at pH 7.4) (DAniello et al., 1993b). In addition, commercial preparations of Damino acid oxidase may contain many impurities, including Daspartate oxidase, which quickly degrades NMDA (Shleper et al., 2005). Thus, unless levels of Dserine are not carefully monitored, it is not possible to evaluate the specicity of the treatment with Damino acid oxidase. Recently, a new developed technique overcame many caveats encountered with the use of Damino acid oxidase as a tool to remove Dserine. The bacterial Dserine deaminase enzyme degrades Dserine to pyruvate
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and ammonia (Marceau et al., 1988), being three orders of magnitude more efcient than Damino acid oxidase as judged by its kinetic parameters. By using this enzyme, it was possible to completely remove endogenous Dserine from hippocampal organotypic slices preparation (Shleper et al., 2005). Depletion of endogenous Dserine in organotypic slices virtually abolished NMDA receptorelicited neurotoxicity. By contrast, depletion of Dserine did not affect kainate neurotoxicity. This indicates that endogenous Dserine is the dominant and necessary coagonist for NMDA receptor neurotoxicity. Endogenous Dserine may also regulate important developmental processes. During cerebellar development, granule cells migrate from the external to the internal granule cell layer (Komuro and Rakic, 1993). Bergman glia, which contains high levels of endogenous Dserine, serves as scaffold for granule cell migration. Blockage of NMDA receptor at granule cells decreases the rate of migration (Komuro and Rakic, 1993). Recent observation suggests that endogenous Dserine presumably released by Bergman glia mediates the NMDA receptordependent neuronal migration in the cerebellum (Kim et al., 2005). Since migrating granule cells do not make conventional synaptic connections, the modulatory action of glialreleased Dserine reects a novel mechanism for neuromodulation (Kim et al., 2005).
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(De Miranda et al., 2002). This is the rst indication that serine racemase is linked to energy metabolism. However, further studies on the role of serine racemasederived pyruvate will be required to clarify its role in cellular metabolism. LThreonine is also a substrate for serine racemase both in vitro and in vivo. Elimination of water from Lthreonine is strictly dependent on ATP, generating 2oxobutyrate and ammonia (Foltyn et al., 2005). Different from Lserine, threonine is not epimerized by serine racemase. The physiological role of Lthreonine utilization by serine racemase is not clear. The a,belimination catalyzed by serine racemase can be explained by the known reactions catalyzed by PLP (Morino and Snell, 1967; Schnackerz et al., 1979; Faraci and Walsh, 1988). > Figure 9-1 describes the chemical mechanism for racemization and a,belimination of Lserine (Foltyn et al., 2005). PLP is bound to the enzyme through an internal aldimine with Lys56. Reaction with the substrate Lserine generates an external aldimine intermediate. Subsequent aproton abstraction forms a resonancestabilized carbanion, which has a planar conguration. Reprotonation of this intermediate on the opposite face of the planar carbanion generates the Dserine external aldimine intermediate. DSerine is released via transimination with Lys56, regenerating the free enzyme. The resonancestabilized carbanion is also an intermediate for the a,belimination reaction. Elimination of the bhydroxyl group from the carbanionic intermediate leads to the formation of the aminoacrylatePLP intermediate. Subsequent transimination releases the initial aminoacrylate product and regenerates free enzyme. The aminoacrylate released undergoes rapid nonenzymatic hydrolysis to give pyruvate and ammonia (> Figure 9-1).
. Figure 9-1 Reaction mechanism of Lserine racemization and a,belimination. For details, see text and Foltyn et al. (2005). Reproduced with permission
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pain caused by exacerbation of NMDA receptor activity in the spinal cord dorsal horn neurons (Wake et al., 2001). DAmino acid oxidase, however, occurs only at very low levels in the forebrain areas, such as the cerebral cortex and hippocampus, where high levels of Dserine are quite constant from 3 to 86 weeks old rats. Moreover, mutant mice possessing inactive Damino acid oxidase enzyme exhibit large increases in Dserine in the cerebellum and brain stem but do not display increased Dserine in forebrain areas (Hashimoto et al., 1993b). This strongly suggests that Dserine is not signicantly degraded by Damino acid oxidase enzyme in the forebrain. Recently, it has been shown that serine racemase catalyzes the degradation of cellular Dserine itself, through the a,belimination of water and subsequent production of pyruvate and ammonia. a,bElimination with Dserine is observed both in vitro and in cells (Foltyn et al., 2005). Thus, addition of Dserine to cells overexpressing serine racemase or astrocytes infected with lentivirus containing serine racemase leads to increased metabolism of Dserine (Foltyn et al., 2005). Several serine racemase mutants at a exible loop of serine racemase display impairment of a,belimination activity and increased racemization activity. This suggests a novel role for the a,belimination reaction, which is to limit the achievable Dserine concentration. a,bElimination also competes with the reverse serine racemase reaction (conversion of D into Lserine). No signicant reversal is observed with physiological levels of Dserine due to the transformation of Dserine into pyruvate (Foltyn et al., 2005). It has been proposed that elimination of water from Dserine may be important to limit Dserine levels in brain areas where Damino acid oxidase is poorly expressed (Foltyn et al., 2005). On its synthesis and release from the cells, Dserine stimulates NMDA receptors at the coagonist site. DSerine action could be terminated by Dserine reuptake into the cells. It is possible that serine racemase further degrades excess Dserine taken up into the cells through its a,belimination activity. This might constitute a mechanism for regulating intracellular Dserine concentration upon Dserine reuptake. One caveat of such model is that Dserine reuptake, rather than metabolism, is the key for termination of Dserine actions. Selective transporters for Dserine have not been identied yet, but at least two different neutral amino acid transport systems are candidates to mediate Dserine transport. The ASCT and asc1 types of neutral amino acid transporters can not only transport Dserine but also display high afnity for Lserine, Lalanine, Lcysteine, among others (Hayashi et al., 1997; Fukasawa et al., 2000; Nakauchi et al., 2000; Javitt et al., 2002; Ribeiro et al., 2002; Helboe et al., 2003). The afnity for Dserine has been reported to be 0.65 and 0.05 mM for ASCTlike and asc1 transporter, respectively (Nakauchi et al., 2000; Ribeiro et al., 2002). Despite its low afnity, the ASCTlike transporter present in astrocytes mediates Dserine release by heteroexchange mechanism (Ribeiro et al., 2002). While ASCTtype transporters are present in glia (Hayashi et al., 1997; Ribeiro et al., 2002), asc1 transporter is mainly neuronal (Helboe et al., 2003; Matsuo et al., 2004). Further studies on the regulation of Dserine transport and metabolism will shed light on the regulation of NMDA receptor coagonist levels in the brain.
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A very promising approach to study the mechanism of Dserine release has been recently developed by Bowser group (Ciriacks and Bowser, 2004). Using capillary electrophoresis, the authors were able to measure endogenous Dserine release elicited by glutamate in brain slices. Further analysis of Dserine release in brain slices as well as direct demonstration of vesicular Dserine by immunoelectron microscopy will shed light on the mechanism of Dserine release.
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population studies (Liu et al., 2004; Schumacher et al., 2004). In support of a role of Dserine in schizophrenia, a statistically signicant decrease in serum Dserine was described in patients in schizophrenic subjects (Hashimoto et al., 2003). Despite the signicant association of schizophrenia with SNPs in Damino acid oxidase gene, the genetic data should be interpreted with caution. Schizophrenia is a complex and multifactorial disease, in which several genes are likely to be involved. The contribution of a single gene may be very difcult to ascertain. Additional studies with larger populations will be required to establish a role of Damino acid oxidase in schizophrenia. Individual contribution of each gene may be small and difcult to quantify. Also, biochemical data on the activity of Damino acid oxidase in schizophrenic tissue will be crucial to determine its role in the disease. The overproduction of glutamate has been widely implicated in a large number of acute and chronic degenerative diseases. The harmful effects of excessive glutamate occur mainly through activation of the NMDA receptors and consequently by massive calcium inux into the cell (Danysz and Parsons, 1998). Since Dserine is an endogenous agonist of NMDA receptors, selective inhibitors of serine racemase will be valuable tools for investigating the regulation of NMDA transmission. Overstimulation of NMDA receptors is implicated in neural damage following stroke (Choi and Rothman, 1990). Elevated extracellular concentrations of Dserine are observed after transient cerebral ischemia in rats (Lo et al., 1998), and drugs that block the glycine site of NMDA receptors prevent stroke damage in animal models (Wenk et al., 1998). It has been proposed that inhibitors of serine racemase provide a new strategy to decrease NMDA receptor coactivation and may be useful in conditions, such as stroke and neurodegenerative diseases, where overstimulation of NMDA receptors play a pathological role (Panizzutti et al., 2001). On the other hand, a possible caveat in using serine racemase inhibitors to prevent stroke damage is the long halflife of Dserine in the brain. Conceivably, inhibitors of both racemization and a,belimination activities of serine racemase will block Dserine synthesis, but removal of preformed Dserine will be slow due to the absence of Damino acid oxidase activity in the forebrain. In this context, ligands that stimulate selectively Dserine a,b elimination while inhibiting racemization will be more effective in decreasing brain Dserine.
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specic signals that stimulate Dserine synthesis and/or release together with their effect on NMDA receptor neurotransmission will help to establish Dserine as a transmitter. Future studies that address this important issue will require the technical capability to directly measure tiny amounts of Dserine in a very fast timescale.
Neurobiology of DAspartate
DAspartate is the only other Damino acid reported to occur at signicant levels in the central nervous system. Lajtha and associates rst detected free Daspartate in mammalian brain and other tissues (Dunlop et al., 1986). Though aged proteins may exhibit a limited posttranslational racemization of L into Daspartate, brain Daspartate is not directly incorporated into proteins (Dunlop et al., 1986). > Table 9-2 summarizes the current knowledge on Daspartate disposition and possible roles in neuroendocrine tissues.
Neuroendocrine tissues and developing neurons Not known, endocrine modulator? Unclear. Glutamate site of NMDA receptors? From Laspartate in cultured cells. Biosynthetic enzyme not known Peroxisomal Daspartate oxidase Highafnity excitatory amino acid transporters Elicited by acethylcholine, nicotine and KCl depolarization from adrenal slices PLP inhibitor
References Dunlop et al. (1986), Hashimoto et al. (1993a), Schell et al. (1997b), Wolosker et al. (2000) DAniello et al. (1996), DAniello et al. (2000b) Olverman et al. (1988) Long et al. (1998), Wolosker et al. (2000) Dixon and Kenworthy (1967) Karlsen and Fonnum (1978), Taxt and StormMathisen (1984) Wolosker et al. (2000) Wolosker et al. (2000)
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medium over time, suggesting a biosynthetic pathway in cancer cells (Long et al., 1998). In neuronal primary cultures, Daspartate synthesis seems to be mediated by Laspartate racemization. Biochemical evidence for racemization comes from the detection of Daspartate synthesis from L[3H]aspartate in primary neuronal cultures of rat cerebral cortex (Wolosker et al., 2000). Addition of aminooxyacetic acid, an inhibitor of PLPdependent enzymes, inhibited Daspartate synthesis (Wolosker et al., 2000). This indicates that, like Dserine, a specic racemase toward Laspartate might exist. Nevertheless, attempts to biochemically purify an aspartate racemase have failed. Identication of aspartate racemase will be crucial to understand the biological role of this Damino acid. Despite the general believe that most of Daspartate is endogenous, one cannot discard that a signicant fraction of Daspartate has an exogenous origin or is carried away from its synthesis site to target tissues that do not possess a biosynthetic enzyme. Of notice is the occurrence of Daspartate in tissues that are blood brain barrier decient such as pituitary and pineal glands. Blood levels of Daspartate may be derived from Daspartate absorbed from the gut that escaped liver metabolism or from Daspartate synthesized elsewhere in the body (e.g., testis). Conceivably, Daspartate could be carried out by the blood to the pituitary and pineal gland, which possess a highafnity transporter that takes up extracellular Daspartate (Takigawa et al., 1998). Further studies will be required to evaluate if tissues like the pituitary and pineal gland synthesize their own Daspartate.
The eld of Damino acids research experienced signicant advances in the last few years. Several studies demonstrated an important physiological role of Dserine in excitatory neurotransmission. The physiological role of endogenous Daspartate and its derivative NMDA is still unclear, but major breakthrough is expected when their biosynthetic enzymes will be isolated. DSerine can now be considered a novel transmitterlike molecule in the brain, and the study of its neurobiology will shed light on the regulation of NMDA receptor neurotransmission. The isolation of serine racemase opened a new era in Damino acid research and will allow the study of the mechanisms regulating NMDA receptor coagonist levels in the
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brain. Although much remains to be understood, the demonstration of a physiological role for Dserine and the presence of a biosynthetic apparatus in mammals overturn classic concepts in biology, which usually consider Damino acids as unnatural products. In light of the NMDA receptor dysfunction in several human diseases, Dserine is likely may be relevant in several pathological states and lead to new therapies. Blockers of Dserine synthesis may be useful for conditions, such as stroke and neurodegenerative diseases, in which NMDA receptor stimulation plays a pathological role. In sum, Damino acid research now constitutes an exciting new eld in neurobiology and biochemistry, which is likely to attract increasing numbers of investigators.
References
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