). The q11.2 region of chromosome 22 includes the catechol-O-methyltransferase (COMT) gene, which is critical in metabolizing dopamine by methylation. A common polymorphism involving a valine (VAL) to methionine (MET) substitution at codon 158 in the aminoacid sequence changes the stability of enzyme activity. As a result, the VAL variant produces 40% more enzyme activity than does the MET variant at normal body temperature (Chen et al., 2004). Because the dopamine transporter is much less abundant in prefrontal cortex (PFC) than in the striatum, the synaptic deactivation of dopamine in PFC depends to a much greater degree on COMT. For example, methylation accounts for more than 60% of metabolic degradation of dopamine in frontal cortex in comparison with 15% in the striatum and nucleus accumbens (Karoum, Chrapusta, & Egan, 1994).The observation that variation in a single gene could explain a large amount of variance in dopamine metabolism in PFC is particularly interesting in light of previous reports of a mediating role for dopamine in higher cognitive functions (Kimberg & D'Esposito, 2003). Although it is difficult to accurately measure dopamine levels in the human brain, genotypes for COMT could be used as an indicator of dopamine metabolism. The efficiency of PFC-mediated cognition in typically developing (TD) adults has already been shown to vary by the COMT genotype. A large-sample study by Egan et al. (2001) demonstrated that TD adults with homozygous VAL alleles made more perseverative errors than did those with homozygous MET alleles during the Wisconsin Card Sort Task, and this effect was deemed reliable in a more recent meta-analysis based on 17 published studies (Barnett, Jones, Robbins, & Müller, 2007). Egan et al. also conducted a functional imaging study using an N-back task in which participants were asked to indicate whether the current stimulus was the same as the one presented N trials before. They found that those with homozygous VAL alleles produced greater activation in PFC and in the anterior cingulate-which also receives rich dopaminergic innervation-than did those with homozygous MET alleles. The observed difference in brain activation when the performance level of the two groups was similar suggests less efficient processing in the relevant PFC circuitry in the VAL group. Similar findings were found with different cognitive paradigms that required high demands for cognitive control and attention regulation (Blasi et al., 2005;Winterer et al., 2006).It has been shown that the effect of dopamine levels on cognition follows an inverse U function in which a relatively small range of dopamine optimizes cognitive performance (Williams & Goldman-Rakic, 1995 Dopamine plays a critical role in regulating neural activity in prefrontal cortex (PFC) and modulates cognition via a hypothesized inverse U function. We investigated PFC function in children with chromosome 22q11.2 deletion syndrome (22q11.2DS) in which one copy of catechol-O-methyltransferase (COMT) is deleted, thereby shifting them towa...