Evidence map›Paper›PMID 31212068›Full record

ArticleNeurobiology of disease2019

Neurotoxic astrocytes express the d-serine synthesizing enzyme, serine racemase, in Alzheimer's disease.

Darrick T Balu, Harry Pantazopoulos, Cathy C Y Huang, Kevin Muszynski, Theresa Lynn Harvey, Yota Uno, Jacki M Rorabaugh, Claire R Galloway, Christian Botz-Zapp, Sabina Berretta and 2 more

Open access · greenAbstract read
In one paragraph

Article in Neurobiology of disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 3 pooled it
5.1field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 3 syntheses or guidelines pooled it, 72 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Review
  5. Article
  6. Review
  7. Novel drug treatments for schizophrenia.Nature reviews. Drug discovery · 2026
    Review
  8. Article
  9. Article
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  12. Early involvement of D-serine in β-amyloid-dependent pathophysiology.Cellular and molecular life sciences : CMLS · 2025
    Article
  13. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Darrick T BaluDepartment of Psychiatry, Harvard Medical School, Boston, MA, USA; Translational Psychiatry Laboratory, McLean Hospital, Belmont, MA, USA. Electronic address: dbalu@mclean.harvard.edu.
Harry PantazopoulosDepartment of Psychiatry, Harvard Medical School, Boston, MA, USA; Translational Neuroscience Laboratory, McLean Hospital, Belmont, MA, USA.
Cathy C Y HuangDepartment of Psychiatry, Harvard Medical School, Boston, MA, USA; Translational Psychiatry Laboratory, McLean Hospital, Belmont, MA, USA.
Kevin MuszynskiDepartment of Psychiatry, Harvard Medical School, Boston, MA, USA; Translational Psychiatry Laboratory, McLean Hospital, Belmont, MA, USA.
Theresa Lynn HarveyDepartment of Psychiatry, Harvard Medical School, Boston, MA, USA; Translational Psychiatry Laboratory, McLean Hospital, Belmont, MA, USA.
Yota UnoDepartment of Psychiatry, Harvard Medical School, Boston, MA, USA; Translational Psychiatry Laboratory, McLean Hospital, Belmont, MA, USA.
Jacki M RorabaughDepartment of Human Genetics, Emory University School of Medicine, Atlanta, GA, USA.
Claire R GallowayDepartment of Human Genetics, Emory University School of Medicine, Atlanta, GA, USA.
Christian Botz-ZappDepartment of Human Genetics, Emory University School of Medicine, Atlanta, GA, USA.
Sabina BerrettaDepartment of Psychiatry, Harvard Medical School, Boston, MA, USA; Translational Neuroscience Laboratory, McLean Hospital, Belmont, MA, USA; Program in Neuroscience, Harvard Medical School, Boston, MA, USA.
David WeinshenkerDepartment of Human Genetics, Emory University School of Medicine, Atlanta, GA, USA.
Joseph T CoyleDepartment of Psychiatry, Harvard Medical School, Boston, MA, USA; Laboratory of Psychiatric and Molecular Neuroscience, McLean Hospital, Belmont, MA, USA.
Harvard University · USEmory University · US

Funding

PSYCHOSIS AND BRAIN GLUTAMATER01MH051290 · NIMH · MC LEAN HOSPITAL (BELMONT, MA) · PI COYLE, JOSEPH T. · 1994 to 2017
$5.0M
Stabilizing the Tripartite Synaptic Complex Following TBIR01NS098740 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Joacir Graciolli Graciolli Cordeiro, Daniel Jon Liebl · 2017 to 2026
$4.7M
Role of the Extracellular Matrix in the Pathophysiology of Alzheimer's disorder: Regulation by OTX2R01MH104488 · NIMH · MCLEAN HOSPITAL · PI BERRETTA, SABINA, WOO, TSUNG-UNG W. · 2015 to 2019
$2.8M
Thalamic axonal pathways and extracellular matrix abnormalities in schizophreniaR01MH105608 · NIMH · MCLEAN HOSPITAL · PI BERRETTA, SABINA · 2015 to 2018
$1.8M
Consequences of Locus Coeruleus Activation in a Rat Model of Alzheimer's DiseaseRF1AG047667 · NIA · EMORY UNIVERSITY · PI WEINSHENKER, DAVID · 2014 to 2014
$1.7M
NMDA receptor hypofunction contributes to the dendritic dysplasia in schizophreniR00MH099252 · NIMH · MCLEAN HOSPITAL · PI BALU, DARRICK T · 2015 to 2017
$726k
Defining the Role of Glial D-serine in Alzheimer's DiseaseR03AG063201 · NIA · MCLEAN HOSPITAL · PI BALU, DARRICK T · 2019 to 2020
$328k
NIA NIH HHS R03 AG063201NIA NIH HHS RF1 AG047667NIMH NIH HHS R00 MH099252NIMH NIH HHS R01 MH051290NIMH NIH HHS R01 MH104488NIMH NIH HHS R01 MH105608NINDS NIH HHS R01 NS098740
6 · The paper itself

Abstract

Although β-amyloid plaques are a well-recognized hallmark of Alzheimer's disease (AD) neuropathology, no drugs reducing amyloid burden have shown efficacy in clinical trials, suggesting that once AD symptoms emerge, disease progression becomes independent of Aβ production. Reactive astrocytes are another neuropathological feature of AD, where there is an emergence of neurotoxic (A1) reactive astrocytes. We find that serine racemase (SR), the neuronal enzyme that produces the N-methyl-d-aspartate receptor (NMDAR) co-agonist d-serine, is robustly expressed in A1-reactive neurotoxic astrocytes in the hippocampus and entorhinal cortex of AD subjects and an AD rat model. Furthermore, we observe intracellular signaling changes consistent with increased extra-synaptic NMDAR activation, excitotoxicity and decreased neuronal survival. Thus, reducing neurotoxic d-serine release from A1 inflammatory astrocytes could have therapeutic benefit for mild to advanced AD, when anti-amyloid strategies are ineffective.

Indexed as

Alzheimer DiseaseAnimalsAstrocytesDisease Models, AnimalEntorhinal CortexHippocampusHumansRacemases and EpimerasesRatsRats, TransgenicSerine RacemaseRacemases and EpimerasesSerine RacemaseComplement C3Death associated protein kinaseEntorhinal cortexExtrasynapticGlial fibrillary acidic proteinHippocampusN-methyl-d-asparate receptorTg-F344AD

Identifiers

PMID31212068
PMCPMC6689433
OpenAlexW2949257592

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.