“…However, it is likely that excitotoxicity is involved at least in part in the neuropathology of this disorder since Gly is a co-agonist of NMDA receptors (McNamara and Dingledine, 1990;Patel et al, 1990;Hara et al, 1993;Kure et al, 1997;Katsuki et al, 2007;Kono et al, 2007;Kikuchi et al, 2008). On the other hand, considering that normal Gly values in human body fluids are sufficiently high to saturate the binding site for Gly on the NMDA-type glutamate receptors, it is feasible that higher concentrations of Gly may not cause overstimulation of these receptors (Obrenovitcha et al, 1997). Thus, other mechanisms may underlie brain damage in NKH.…”