D-Cyclosenne (~-4-amino-3-isoxazohdone)is an antibiotic that has primarily been used for tuberculosis therapy and acts by inhibiting bacterial cell wall synthesis (57). In addition to this tuberculostatic activity, D-cycloserine possesses partial agonist activity at the N-methyl-D-aspartate (NMDA) subtype of excitatory amino acid receptor, resulting in a variety of central nervous system effects independent of its antibiotic character.The NMDA receptor is a ligand-gated ion channel which is permeable to calcium as well as to monovalent cations. It has a number of modulatory sites in addition to the agonist (glutamate)-binding site, including a strychnine-insensitive glycine site, a polyamine modulatory site, and a PCP/dizocilpine-binding site (60, 83). Direct agonists of the glutamate receptor produce a wide variety of deleterious effects including seizures and neurotoxicity (59). Modulators of the NMDA receptor-associated glycine site are a more attractive option for enhancing the function of the NMDA receptor than are NMDA agonists, as they should lack the toxic properties of direct agonists. Occupancy of the glycine site is required for activation of the NMDA receptor channel (47). D-Cycloserine is a compound that acts as a partial agonist at the glycine site. In the absence of glycine, D-CyClOSerine potentiates NMDA-mediated synaptic responses, but in the presence of glycine D-cycloserine can reduce these responses (38, 61,92).The NMDA receptor is involved in a wide range of neurobiological processes including memory formation, neurodegeneration, seizure activity, and psychosis. D-CYcloserine, along with related partial agonists of the NMDA receptor-associated glycine site, possesses a more complex in vivo pharmacology than simple partial agonist activity. We will briefly discuss the pharmacokinetics and pharmacology of D-cyclo-