Recurrent microdeletions and microduplications of a 600 kb genomic region of chromosome 16p11.2 have been implicated in childhood-onset developmental disorders1-3. Here we report the strong association of 16p11.2 microduplications with schizophrenia in two large cohorts. In the primary sample, the microduplication was detected in 12/1906 (0.63%) cases and 1/3971 (0.03%) controls (P=1.2×10-5, OR=25.8). In the replication sample, the microduplication was detected in 9/2645 (0.34%) cases and 1/2420 (0.04%) controls (P=0.022, OR=8.3). For the series combined, microduplication of 16p11.2 was associated with 14.5-fold increased risk of schizophrenia (95% C.I. [3.3, 62]). A meta-analysis of multiple psychiatric disorders showed a significant association of the microduplication with schizophrenia, bipolar disorder and autism. The reciprocal microdeletion was associated only with autism and developmental disorders. Analysis of patient clinical data showed that head circumference was significantly larger in patients with the microdeletion compared with patients with the microduplication (P = 0.0007). Our results suggest that the microduplication of 16p11.2 confers substantial risk for schizophrenia and other psychiatric disorders, whereas the reciprocal microdeletion is associated with contrasting clinical features.
ABSTACT Cell surface adenosine receptors mediate either stimulation or inhibition of adenylate cyclase activity [ATP pyrophosphate-lyase (cyclizing), EC 4.6.1.1], and the receptors that mediate these different responses can be discriminated with selected adenosine analogs. 5'-N-Ethylcarboxamideadenosine is a more potent agonist at stimulatory receptors (Ra) than is N8-phenylisopropyladenosine, whereas the reverse potency order is seen with inhibitory receptors (Ri). The potency of adenosine is intermediate between the potencies of these two analogs. The relative potencies of adenosine receptor agonists are maintained in physiological responses in intact cells, such as steroidogenesis and inhibition of lipolysis. As with adrenergic receptors, subelasses of adenosine receptors differ functionally and pharmacologically. Adenosine modifies the physiological function and cyclic AMP concentration in a large variety of cell types by interacting with external receptors (1-3), the basic properties of which were described by Sattin and Rall (4). In plasma membrane preparations from many different cell types, adenosine and several purine-modified analogs stimulate adenylate cyclase activity [ATP pyrophosphate-lyase (cyclizing), EC 4.6.1.1] (1-5), whereas in adipocyte membranes the adenosine receptor mediates decreased activity (1,3,6). Previously published studies suggested that, despite their superficial similarities, stimulatory and inhibitory adenosine receptors might differ. Thus, whereas N6-phenylisopropyladenosine (PIA) and N6-methyladenosine were equipotent in stimulating the Leydig tumor cell adenylate cyclase (5), the former analog was far more potent that N6-methyladenosine in inhibiting the adipocyte adenylate cyclase (7). However, the fat cell studies were performed in the presence of adenosine deaminase, added to metabolize adenosine resulting from breakdown of the substrate, ATP. In this case, the analogs might have acted either at the receptor or by inhibiting the adenosine deaminase, which has a rather broad substrate specificity (8). Another method to circumvent interference from "intrinsic" adenosine is the use of dATP as the cyclase substrate (9). Metabolism of this substrate yields 2'-deoxyadenosine, which has little activity at adenosine receptors. In this report we present a pharmacological investigation of stimulatory and inhibitory receptors associated with adenylate cyclases, using dATP as substrate in the absence of adenosine deaminase. From a screening of numerous adenosine analogs we have selected two that demonstrate the existence of subclasses of adenosine receptors: PIA and 5'-N-ethylcarboxamideadenosine (NECA). The relative potencies of the analogs in the adenylate cyclase studies are maintained in physiological studies in intact cells.* Fig. 1 presents a comparison of the concentration dependencies of adenosine, PIA, and NECA in their actions on three adenylate cyclase systems: liver and 1-10 Leydig cell enzymes, which are activated by adenosine, and rat adipocyte enzyme, which is inhibit...
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