SIR -The pathogenesis of schizophrenia has been suggested to involve not only dopaminergic overactivity but also abnormal function of signaling systems associated with second messengers.1 Go␣ is a member of the ␣ subunit family of GTP-binding proteins (G proteins), and interacts with muscarinic cholinergic, ␥-aminobutyric acid B, and dopamine D2 receptors.
2Tsukamoto et al 3 reported the sequence of human Go␣ genomic DNA. In the present study, we hypothesized that mutations in the Go␣ gene may be associated with the pathogenesis of schizophrenia.We investigated 175 unrelated Japanese patients (92 men and 83 women; mean age = 47.3 years, SD = 12.1) who met DSM-IV criteria for schizophrenia; 172 unrelated control subjects (76 men and 96 women; mean age = 41.8 years, SD = 12.7) were also studied. Written informed consent was obtained from all probands according to a research protocol approved by the ethics committee of Osaka City University Medical School. Using single strand conformational polymorphism (SSCP), one missense mutation, ATG→ACG (Met129→Thr129) in exon 4, and two silent mutations, ACT→ACC (Thr171) in exon 5 and AAA→AAG (Lys317) in exon 8B, were found in the Go␣ gene among patients with schizophrenia. The genotype distribution for each mutation was not significantly different from the distribution expected according to Hardy-Weinberg equilibrium. While silent mutations were not associated with schizophrenia (data not shown), significant excesses of the missense mutation in genotype (P = 0.012, 2 = 6.313, df = 1) and allele frequencies (P = 0.013, 2 = 6.193, df = 1) were found in patients compared with controls (Table 1).Some polymorphisms in human G protein genes have been suggested to confer susceptibility to bipolar disorder. However, while Berrettini et al 4 reported two intronic polymorphisms in introns 3 and 10 of Golf␣, no significant differences were found between patients with bipolar disorder and controls in the frequency of the two showed that a mutant form of Go␣ in which Trp132 was replaced by Phe showed a two-fold reduction in GDP dissociation rate. Trp132 is located in helix C of the ␣-helical domain which is considered with a GTPase activating protein domain, 7 only three residues downstream of the presently described missense mutation. We therefore believe that the missense mutation influences activity of adenylyl cyclase or GTP hydrolysis in Go␣ protein. As Go␣ interacts with several neurotransmitter receptors including dopamine D2 receptors, the missense mutation could be associated with abnormalities of multiple signaling systems, including dopaminergic overactivity.In conclusion, our results indicated that the missense mutation may play a pathogenetic role in a subset of patients with schizophrenia, rather than in most patients, since allele frequencies were small (schizophrenia, 0.031; control, 0.006). Further studies are needed in larger numbers of patients to elucidate the association of this missense mutation of Go␣ protein with clinical features and types of schizophrenia.