Schizophrenia is a highly heritable neuropsychiatric disorder affecting ϳ1% of the world's population. Linkage and association studies have identified multiple candidate schizophrenia susceptibility genes whose functions converge on the glutamatergic neurotransmitter system. One such susceptibility gene encoding D-amino acid oxidase (DAO), an enzyme that metabolizes the NMDA receptor (NMDAR) co-agonist D-serine, has the potential to modulate NMDAR function in the context of schizophrenia. To further investigate its cellular regulation, we sought to identify DAO-interacting proteins that participate in its functional regulation in rat cerebellum, where DAO expression is especially high. Immunoprecipitation with DAO-specific antibodies and subsequent mass spectrometric analysis of coprecipitated proteins yielded 24 putative DAO-interacting proteins. The most robust interactions occurred with known components of the presynaptic active zone, such as bassoon (BSN) and piccolo (PCLO). The interaction of DAO with BSN was confirmed through co-immunoprecipitation assays using DAOand BSN-specific antibodies. Moreover, DAO and BSN colocalized with one another in cultured cerebellar granule cells and in synaptic junction membrane protein fractions derived from rat cerebellum. The functional consequences of this interaction were studied through enzyme assay experiments, where DAO enzymatic activity was significantly inhibited as a result of its interaction with BSN. Taking these results together, we hypothesize that synaptic D-serine concentrations may be under tight regulation by a BSN-DAO complex. We therefore predict that this mechanism plays a role in the modulation of glutamatergic signaling through NMDARs. It also furthers our understanding of the biology underlying this potential therapeutic entry point for schizophrenia and other psychiatric disorders.Several lines of evidence, including NMDAR 2 antagonist studies, pharmacological intervention at the glycine modulatory site, postmortem patient brain analysis, and genetic studies, implicate NMDAR hypofunction in schizophrenia etiology (1). One potential approach for restoring NMDAR signaling is to increase the concentration of NMDAR co-agonists, such as D-serine and D-alanine (2-5). Levels of D-serine have been shown to be reduced in the CSF and serum of schizophrenic patients compared with control subjects (6, 7), which may reflect an increase in the activity of D-amino acid oxidase (DAO), the enzyme that catalyzes D-serine and D-alanine degradation (8,9). Supporting this hypothesis are reports of increased DAO activity in schizophrenic patients (10 -12).Genetic association of DAO with schizophrenia has been demonstrated in several (13-17) but not all (18 -21) linkage and association studies (22). Nevertheless, association studies have identified several single-nucleotide polymorphisms (SNPs) within the gene encoding G72, a putative DAO-interacting protein, which are associated with schizophrenia (14,15,17,23).Data from DAO functional knock-out mice provide further s...