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The AtlasAmino acidsPolar, uncharged

SerineSer · S

A small amino acid made from glucose that feeds the folate cycle, builds the brain’s fats and, when it runs short, lets the nervous system poison itself with the wrong lipid.

Status Reference · not yet an episodeSources 25Reviewed October 2026
Structural formula of Serine, C3H7NO3.
Skeletal formula — every corner and every line end is a carbon, and the hydrogens on carbon are left implied.

Molecule · Ser · 7 heavy atoms

Serine

C3H7NO3105.09 g/mol

A small amino acid made from glucose that feeds the folate cycle, builds the brain’s fats and, when it runs short, lets the nervous system poison itself with the wrong lipid.

Built fromthe charted ones open their own entry

Codes
Ser · S
Formula
C3H7NO3
Molar mass
105.09 g/mol
Systematic name
(2S)-2-amino-3-hydroxypropanoic acid
Side chain
Hydroxymethyl: one carbon and a hydroxyl; small, polar and uncharged.
Class
Polar, uncharged
In the diet
Dispensable
Carbon skeleton
Glucogenic
pKa
α-COOH 2.21 · α-NH3+ 9.15
Isoelectric point
pH 5.68
Hydropathy
-0.8 (Kyte–Doolittle)
Codons
UCU UCC UCA UCG AGU AGC
Main transporters
SLC1A4 (ASCT1)

pKa and isoelectric point: Nelson and Cox, Lehninger Principles of Biochemistry, table of amino acid properties (free amino acid, 25 °C). Hydropathy: Kyte and Doolittle, J Mol Biol 1982. Essentiality: Reeds, J Nutr 2000. Formula and mass computed from the structure.

In brief

What it is

An amino acid with a single carbon carrying a hydroxyl group: small, polar and uncharged. The body makes it from 3-phosphoglycerate, an intermediate of glycolysis, in three steps 1,2.

Why it matters

Serine is the main source of one-carbon units for folate metabolism, and so of nucleotides and methylation 3; the precursor of glycine, cysteine, D-serine and the sphingolipids and phospholipids of membranes 1; and, as a target for kinases, one of the cell’s main phosphorylation sites 4.

Where it runs short

Inherited defects in serine synthesis cause microcephaly, seizures and developmental delay in children, and polyneuropathy in adults 2. In diabetic mice, low serine drove peripheral neuropathy through the build-up of toxic 1-deoxysphingolipids 5.

Where it turns

There is no known toxicity of excess dietary serine at food levels; in cancer, though, many tumours depend on serine, and in mice restricting dietary serine and glycine slowed some of them 6.

When serine runs short, the enzyme that should use it takes alanine instead, and makes a lipid the body cannot break down.

The molecule

Serine is alanine with a hydroxyl on its side chain. That hydroxyl is the business end: it is where kinases attach phosphate, so serine is one of the three amino acids, with threonine and tyrosine, through which much of cell signalling runs 4. In serine proteases a serine hydroxyl, activated by a neighbouring histidine, is what cuts the target protein 7.

Charge · pHSerine carries almost no net charge at the pH of blood.
+2+10-1-202468101214Blood · pH 7.4pI 5.68pHNet charge

Move across the chart to read the charge at any pH.

Computed from its pKa values (α-carboxyl 2.21, α-amino 9.15) by the Henderson–Hasselbalch equation, for the free amino acid in water at 25 °C. Inside a folded protein the same groups can shift by a unit or more. The faint lines are the other amino acids.

HydropathySerine scores -0.8: the 11th most water-loving of the twenty.
-4-20+2+4Arginine, -4.5RLysine, -3.9KAspartate, -3.5DGlutamate, -3.5EAsparagine, -3.5NGlutamine, -3.5QHistidine, -3.2HProline, -1.6PTyrosine, -1.3YTryptophan, -0.9WSerine, -0.8SThreonine, -0.7TGlycine, -0.4GAlanine, +1.8AMethionine, +1.9MCysteine, +2.5CPhenylalanine, +2.8FLeucine, +3.8LValine, +4.2VIsoleucine, +4.5I← Water-lovingWater-avoiding →

Kyte–Doolittle hydropathy index: positive values avoid water and tend to be buried inside a folded protein, negative values sit on its surface. Each letter is an amino acid; choose one to open it.

The genetic codeSerine has 6 codons. The code is redundant, so most single-letter changes at the third position still write serine.
The 64 codons of the standard genetic code. Codons for serine are marked.
1st ↓  2nd →UCAG3rd
UUUUPheUCUSerUAUTyrUGUCysU
UUCPheUCCSerUACTyrUGCCysC
UUALeuUCASerUAAStopUGAStopA
UUGLeuUCGSerUAGStopUGGTrpG
CCUULeuCCUProCAUHisCGUArgU
CUCLeuCCCProCACHisCGCArgC
CUALeuCCAProCAAGlnCGAArgA
CUGLeuCCGProCAGGlnCGGArgG
AAUUIleACUThrAAUAsnAGUSerU
AUCIleACCThrAACAsnAGCSerC
AUAIleACAThrAAALysAGAArgA
AUGMetACGThrAAGLysAGGArgG
GGUUValGCUAlaGAUAspGGUGlyU
GUCValGCCAlaGACAspGGCGlyC
GUAValGCAAlaGAAGluGGAGlyA
GUGValGCGAlaGAGGluGGGGlyG

Where it comes from

The body makes serine from 3-phosphoglycerate, a product of glycolysis, by three enzymes: phosphoglycerate dehydrogenase, the first and rate-limiting step, phosphoserine aminotransferase and phosphoserine phosphatase 2,8.

The brain cannot rely on blood serine, which crosses the blood–brain barrier poorly, so astrocytes make it and hand it to neurons through ASCT1 9.

DispensableMade from glucose through 3-phosphoglycerate, so not needed in the diet; the brain depends on making its own 1,9,10.

How much

None set; the body makes it from glucose 10.

Where it is in food

  • All protein; but blood serine reaches the brain poorly 9.

In the bottle · enzymatic or extractedIndustrial serine has come mainly from extraction and enzymatic catalysis; direct fermentation from sugar with engineered Corynebacterium glutamicum or Escherichia coli is being developed 11,12.

What the body does with it

Serine is the main entry to one-carbon metabolism. Serine hydroxymethyltransferase converts it to glycine while loading a carbon onto tetrahydrofolate, and those carbons build purines and thymidine for DNA and regenerate methionine for methylation; much of this happens in mitochondria 3.

Serine is also the backbone of membrane lipids. Serine palmitoyltransferase joins it to palmitate to begin every sphingolipid, and it forms the head group of phosphatidylserine 1,13. A racemase converts L-serine into D-serine, a co-agonist of NMDA receptors at synapses 14,15.

Many cancers lean on serine. In 2011 the first enzyme of serine synthesis, PHGDH, was found to be raised in 70% of oestrogen-receptor-negative breast cancers and required by those cells to grow 16. In mouse models of intestinal cancer and lymphoma, a diet without serine and glycine extended survival, though tumours driven by KRAS responded less 6.

In three sentences each

The one-carbon donor

Serine hydroxymethyltransferase splits serine into glycine and a one-carbon unit carried by folate, the main source of the carbons used to build purines and thymidine and to make methionine 3.

The wrong substrate

Serine palmitoyltransferase normally joins serine to palmitate to start sphingolipid synthesis; when serine is low it uses alanine instead, making 1-deoxysphingolipids that cannot be degraded and are toxic to nerves and retina 5,13,17.

Made in the brain

Serine crosses the blood–brain barrier poorly, so the brain makes its own in astrocytes and passes it to neurons through the transporter ASCT1; defects in either synthesis or transport damage the developing brain 1,9.

How it is made, moved and broken down

When serine runs short, serine palmitoyltransferase starts using alanine. The products, 1-deoxysphingolipids, lack the hydroxyl that cells need to break sphingolipids down, so they accumulate. Variants in the enzyme that favour alanine cause hereditary sensory and autonomic neuropathy type 1, and lowering serine in cells shifted their lipid profile towards that pattern 13.

Carbon skeleton · glucogenicSerine is converted to glycine and one-carbon units, and its carbon skeleton counts as glucogenic 3.

Made from glycolysisEach step has its own deficiency disorder 2,8.
  1. 3-Phosphoglycerate
  2. Phosphoglycerate dehydrogenasePHGDH · NAD⁺
  3. 3-Phosphohydroxypyruvate
  4. Phosphoserine aminotransferasePSAT1 · vitamin B6
  5. Phosphoserine
  6. Phosphoserine phosphatasePSPH
  7. Serine
Where it goesOne-carbon units, D-serine and sphingolipids 3,13,14.
  1. Serine + THF
  2. Serine hydroxymethyltransferaseSHMT1, SHMT2 · vitamin B6
  3. Glycine + methylene-THF
  4. Serine racemaseSRR · vitamin B6
  5. D-Serine
  6. Serine palmitoyltransferaseSPTLC1, SPTLC2 · vitamin B6
  7. Sphingolipids (or, with alanine, 1-deoxysphingolipids)

How it crosses membranes

  • SLC1A4 · ASCT1astrocytes and neurons — carries serine from astrocytes to neurons; recessive mutations cause microcephaly and hypomyelination 9

Where it matters most

Brain
Makes its own serine in astrocytes; synthesis and transport defects damage the developing brain 1,9.
Peripheral nerves
Damaged by 1-deoxysphingolipids when serine is low, in HSAN1 and in diabetic mice 5,13.
Retina
Serine deficiency and 1-deoxysphingolipids are implicated in macular telangiectasia type 2 17,18.
Tumours
Many depend on making or importing serine 6,16.

When it goes wrong

Inherited

Serine deficiency disorders

PHGDH, PSAT1, PSPH · autosomal recessive

Microcephaly, psychomotor delay and seizures in children, or a progressive polyneuropathy in adults, with low serine in CSF and plasma; they are treatable, so prompt recognition matters 2. Milder cases can present in adolescence as ichthyosis and neuropathy, where high-dose serine and glycine cleared the skin but barely helped the nerves 19.

How it is foundFasting plasma and CSF serine; gene sequencing 2.

Inherited

Neu–Laxova syndrome

PHGDH, PSAT1, PSPH · autosomal recessive

The most severe end of the serine synthesis disorders, with multiple malformations and death before or soon after birth 8,20.

How it is foundPrenatal ultrasound and sequencing 8.

Inherited

ASCT1 deficiency

SLC1A4 · autosomal recessive

Developmental delay, microcephaly and poor myelination, sometimes with seizures, from failure to move serine from astrocytes into neurons 9.

How it is foundExome sequencing 9.

Inherited

HSAN1 and SPTLC1-related ALS

SPTLC1, SPTLC2 · autosomal dominant

Variants that make serine palmitoyltransferase use alanine cause a sensory and autonomic neuropathy through 1-deoxysphingolipids; variants that free it from its regulators cause juvenile ALS through excess sphingolipid 13,21.

How it is foundPlasma sphingolipid profiling and sequencing 13.

Association

Diabetic neuropathy

Serine and glycine are consistently low in the metabolic syndrome. In mice, diabetes lowered serine, and low serine drove neuropathy through deoxysphingolipids 5. These are animal findings 22.

How it is foundResearch only.

How it is measured

Serine is measured in plasma and CSF in the standard amino acid analysis, compared with age-related reference values 2,23. In research, a serine tolerance test, giving serine and measuring how fast it is cleared, revealed abnormal serine handling in diabetic mice 5.

  • Plasma and CSF serineThe biochemical hallmark of the serine synthesis disorders is low serine in CSF and plasma 2.Needs age-specific reference values, since normal levels change with age 2.Late-onset, milder forms are easily missed 19.
  • 1-DeoxysphingolipidsThe abnormal lipids made when serine palmitoyltransferase uses alanine; raised in HSAN1 and in macular telangiectasia type 2 13,17.Research and specialist laboratories.

Food, supplements and the evidence

Establishedreplicated in people, for a named outcome

  • Serine, with glycine, treats the inherited serine synthesis disorders, and in one case treated a fetus before birth 19,24.

Uncertainsmall, short, mixed, surrogate or preclinical

  • Serine for diabetic neuropathy or macular telangiectasia, based on the deoxysphingolipid mechanism: shown in mice, untested in trials in people 5,17,22.
  • Dietary serine and glycine restriction against cancer: effective in some mouse models, not others 6.

Sold asthe claim on the label, against the evidence

  • Nothing in this column.

What is strange about it

A deficiency treated before birth. In 2004 a fetus found to have PHGDH deficiency showed a falling head circumference by 26 weeks; serine given to the mother restored head growth, and the child was developing normally at four years 24.

Macular telangiectasia type 2, a slow loss of central vision, is linked to low serine and toxic deoxysphingolipids, and is more common in people with type 2 diabetes 17,18. Its first approved treatment, in March 2025, was not a metabolic one but an implant of cells releasing a nerve growth factor into the eye 25.

Serine supplements treat one disorder of serine palmitoyltransferase and should be avoided in the other. In HSAN1 they help by giving the enzyme its proper substrate; in the childhood ALS caused by variants in the same enzyme, which already makes too much sphingolipid, serine is expected to make things worse 13,21.

Where it connects

On the map

A star in Conditional amino acids, one of 14. Made from glycolysis, and the entry point to the one-carbon cycle that folate runs — which makes it the link between eating sugar and methylating DNA.

Find it on the map

Sources

25 sources, numbered as they are cited. Every one was checked against PubMed or its publisher before it was cited here; the note under each says what it shows and what it does not.

  1. 1
    Tabatabaie L, Klomp LW, Berger R, et al. L-serine synthesis in the central nervous system: a review on serine deficiency disorders.Mol Genet Metab · 2010 · 99(3):256–262doi:10.1016/j.ymgme.2009.10.012 · PMID 19963421

    Review of the pathway and its disorders.

  2. 2
    van der Crabben SN, Verhoeven-Duif NM, et al. An update on serine deficiency disorders.J Inherit Metab Dis · 2013 · 36(4):613–619doi:10.1007/s10545-013-9592-4 · PMID 23463425

    Three defects; low CSF and plasma serine; treatable.

  3. 3
    Ducker GS, Rabinowitz JD. One-carbon metabolism in health and disease.Cell Metab · 2017 · 25(1):27–42doi:10.1016/j.cmet.2016.08.009 · PMID 27641100

    Serine as the main source of one-carbon units.

  4. 4
    Olsen JV, Blagoev B, Gnad F, et al. Global, in vivo, and site-specific phosphorylation dynamics in signaling networks.Cell · 2006 · 127(3):635–648doi:10.1016/j.cell.2006.09.026 · PMID 17081983

    6,600 phosphorylation sites.

  5. 5
    Handzlik MK, Gengatharan JM, Frizzi KE, et al. Insulin-regulated serine and lipid metabolism drive peripheral neuropathy.Nature · 2023 · 614(7946):118–124doi:10.1038/s41586-022-05637-6 · PMID 36697822

    Mice; serine deficiency, deoxysphingolipids and neuropathy.

  6. 6
    Maddocks ODK, Athineos D, Cheung EC, et al. Modulating the therapeutic response of tumours to dietary serine and glycine starvation.Nature · 2017 · 544(7650):372–376doi:10.1038/nature22056 · PMID 28425994

    Mouse cancer models.

  7. 7
    Brosnan ME, Brosnan JT. Histidine metabolism and function.J Nutr · 2020 · 150(Suppl 1):2570S–2575Sdoi:10.1093/jn/nxaa079 · PMID 33000155

    The serine protease catalytic triad.

  8. 8
    Acuna-Hidalgo R, Schanze D, Kariminejad A, et al. Neu-Laxova syndrome is a heterogeneous metabolic disorder caused by defects in enzymes of the L-serine biosynthesis pathway.Am J Hum Genet · 2014 · 95(3):285–293doi:10.1016/j.ajhg.2014.07.012 · PMID 25152457

    12 families; all three enzymes.

  9. 9
    Damseh N, Simonin A, Jalas C, et al. Mutations in SLC1A4, encoding the brain serine transporter, are associated with developmental delay, microcephaly and hypomyelination.J Med Genet · 2015 · 52(8):541–547doi:10.1136/jmedgenet-2015-103104 · PMID 26041762

    ASCT1 deficiency; serine crosses the barrier poorly.

  10. 10
    Reeds PJ. Dispensable and indispensable amino acids for humans.J Nutr · 2000 · 130(7):1835S–1840Sdoi:10.1093/jn/130.7.1835S · PMID 10867060

    Serine as dispensable.

  11. 11
    Zhang X, Xu G, Shi J, et al. Microbial production of L-serine from renewable feedstocks.Trends Biotechnol · 2018 · 36(7):700–712doi:10.1016/j.tibtech.2018.02.001 · PMID 29500004

    Extraction and enzymatic catalysis as current routes.

  12. 12
    Xu G, Zhang X, Xiao W, et al. Production of L-serine and its derivative L-cysteine from renewable feedstocks using Corynebacterium glutamicum: advances and perspectives.Crit Rev Biotechnol · 2024 · 44(3):448–461doi:10.1080/07388551.2023.2170863 · PMID 36944486

    Fermentation in development.

  13. 13
    Lone MA, Aaltonen MJ, Zidell A, et al. SPTLC1 variants associated with ALS produce distinct sphingolipid signatures through impaired interaction with ORMDL proteins.J Clin Invest · 2022 · 132(18):e161908doi:10.1172/JCI161908 · PMID 35900868

    HSAN1 and ALS variants; serine limitation shifts the profile.

  14. 14
    Wolosker H, Sheth KN, Takahashi M, et al. Purification of serine racemase: biosynthesis of the neuromodulator D-serine.Proc Natl Acad Sci U S A · 1999 · 96(2):721–725doi:10.1073/pnas.96.2.721 · PMID 9892700

    Rat brain enzyme; PLP-dependent.

  15. 15
    Papouin T, Ladépêche L, Ruel J, et al. Synaptic and extrasynaptic NMDA receptors are gated by different endogenous coagonists.Cell · 2012 · 150(3):633–646doi:10.1016/j.cell.2012.06.029 · PMID 22863013

    D-serine at synapses.

  16. 16
    Possemato R, Marks KM, Shaul YD, et al. Functional genomics reveal that the serine synthesis pathway is essential in breast cancer.Nature · 2011 · 476(7360):346–350doi:10.1038/nature10350 · PMID 21760589

    PHGDH raised in 70% of ER-negative breast cancers.

  17. 17
    Wu L, Chen-Li G, Sanabria MDM. Macular telangiectasia type 2: an update.J Int Med Res · 2026 · 54(8):3000605261473180doi:10.1177/03000605261473180 · PMID 42551495

    Serine deficiency and deoxysphingolipids in the retina.

  18. 18
    Jung M, Bucher F. Type 2 macular telangiectasia: pathogenesis — the interplay between neurodegeneration and metabolic changes.Klin Monbl Augenheilkd · 2026 · 243(9):894–900doi:10.1055/a-2936-0118 · PMID 42660511

    Fewer than 5% have a serine-pathway mutation; diabetes more common. In German.

  19. 19
    Shen Y, Peng Y, Huang P, et al. Juvenile-onset PSAT1-related neuropathy: a milder phenotype of serine deficiency disorder.Front Genet · 2022 · 13:949038doi:10.3389/fgene.2022.949038 · PMID 36061210

    Two adolescents with PSAT1 variants; serine and glycine cleared the skin, not the neuropathy.

  20. 20
    Abdelfattah F, Kariminejad A, Kahlert AK, et al. Expanding the genotypic and phenotypic spectrum of severe serine biosynthesis disorders.Hum Mutat · 2020 · 41(9):1615–1628doi:10.1002/humu.24067 · PMID 32579715

    15 families; a continuum.

  21. 21
    Syeda SB, Lone MA, Mohassel P, et al. Recurrent de novo SPTLC2 variant causes childhood-onset amyotrophic lateral sclerosis (ALS) by excess sphingolipid synthesis.J Neurol Neurosurg Psychiatry · 2024 · 95(2):103–113doi:10.1136/jnnp-2023-332132 · PMID 38041679

    Six patients; serine supplementation should be avoided in SPT-associated ALS.

  22. 22
    Hornemann T. Serine deficiency causes complications in diabetes.Nature · 2023 · 614(7946):42–43doi:10.1038/d41586-023-00054-9 · PMID 36697725

    Commentary on the mouse findings.

  23. 23
    Sharer JD, De Biase I, Matern D, et al. Laboratory analysis of amino acids, 2018 revision: a technical standard of the American College of Medical Genetics and Genomics (ACMG).Genet Med · 2018 · 20(12):1499–1507doi:10.1038/s41436-018-0328-6 · PMID 30459394

    Amino acid analysis methods.

  24. 24
    de Koning TJ, Klomp LW, van Oppen AC, et al. Prenatal and early postnatal treatment in 3-phosphoglycerate-dehydrogenase deficiency.Lancet · 2004 · 364(9452):2221–2222doi:10.1016/S0140-6736(04)17596-X · PMID 15610810

    One case.

  25. 25
    Hoy SM. Revakinagene taroretcel: first approval.Mol Diagn Ther · 2025 · 29(4):553–561doi:10.1007/s40291-025-00787-5 · PMID 40540142

    First FDA-approved treatment for MacTel type 2, March 2025.

This is education, not medical advice. Nothing on this page is written with knowledge of your history, your medications or your risks, and nothing here is a dose. Do not start or stop any treatment on the basis of it — talk to your own physician. Read the full medical disclaimer.

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