Abstract

In the past, the importance of serine to pathologic or physiologic anomalies was inadequately addressed. Omics research has significantly advanced in the last two decades, and metabolomic data of various tissues has finally brought serine metabolism to the forefront of metabolic research, primarily for its varied role throughout the central nervous system. The retina is one of the most complex neuronal tissues with a multitude of functions. Although recent studies have highlighted the importance of free serine and its derivatives to retinal homeostasis, currently few reviews exist that comprehensively analyze the topic. Here, we address this gap by emphasizing how and why the de novo production and demand for serine is exceptionally elevated in the retina. Many basic physiological functions of the retina require serine. Serine-derived sphingolipids and phosphatidylserine for phagocytosis by the retinal pigment epithelium (RPE) and neuronal crosstalk of the inner retina via D-serine require proper serine metabolism. Moreover, serine is involved in sphingolipid–ceramide balance for both the outer retina and the RPE and the reductive currency generation for the RPE via serine biosynthesis. Finally and perhaps the most vital part of serine metabolism is free radical scavenging in the entire retina via serine-derived scavengers like glycine and GSH. It is hard to imagine that a single tissue could have such a broad and extensive dependency on serine homeostasis. Any dysregulation in serine mechanisms can result in a wide spectrum of retinopathies. Therefore, most critically, this review provides a strong argument for the exploration of serine-based clinical interventions for retinal pathologies.

Highlights

  • In the past, the importance of serine to pathologic or physiologic anomalies was inadequately addressed

  • Considerable evidence has indicated that both the retinal pigment epithelium (RPE) and Müller cells of the inner retina have the requisite enzymes for serine biosynthesis

  • Besides the significant contribution of these two tissues to the serine pool of the entire retina, we established the role de novo serine synthesis plays in redox currency generation and in mitigating free radical stress for both the neural retina and RPE

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Summary

Why Is Serine Important to the Entire Retina?

Serine is a non-essential amino acid directly involved in cellular homeostasis, proliferation, and differentiation [1,2]. Serine uptake occurs either by delivery from the bloodstream or it can be synthesized by the anabolism of the glycolytic intermediate, 3-phosphoglycerate (3-PG) [4] in the retina (neural retina-RPE, Figure 1). The rate limiting step for serine biosynthesis is the reaction involving phosphoglycerate dehydrogenase (PHGDH), which converts 3-phosphoglycerate into phosphoserine. This is followed by the removal of the phosphate. Other an integral acid in multiple essential proteins, serineinvolved is essential It has than been being previously shownamino that the retina expresses high levels of all free enzymes in for generating cysteine, glycine, methionine, and sphingolipids [5]. The RPE appears to express even higher levels than the neural retina intermediates.

De Novo Serine in Müller
Why Does the Retina Need to Synthesize Serine?
Serine and Sphingolipids
Serine and RPE Phagocytosis
The Role of D-Serine
Serine and Epigenetic Regulation
Serine Is an Anti-Oxidant and Mediator of Inflammation
Consequences of Aberrations in Serine Metabolism
Inherited Retinal Degeneration
Diabetic Retinopathy
Novel Insights
Findings
Concluding Remarks
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