Schizophrenia is a neuropsychiatric disorder of unknown etiology assoc
iated with subtle changes ill brain morphology. The cell recognition m
olecules (CRMs) neural cell adhesion molecule (N-CAM) and L1 are invol
ved in morphoregulatory events and numerous neurodevelopmental process
es. We found a selective increase of 105- to 115-kDa N-CAM in the hipp
ocampus and prefrontal cortex of patients with schizophrenia while oth
er N-CAM isoforms and L1 proteins were not altered. There was also evi
dence for an abnormality in CRM expression in schizophrenic patients:
concentrations of 200-kDa L1 were strongly correlated with expression
of N-CAM isoforms and cleaved L1 proteins In controls, whereas these c
orrelations were absent in patients with schizophrenia. The increase o
f the 105- to 115-kDa N-CAM isoform in the brains of patients with sch
izophrenia confirms previous cerebrospinal fluid findings. Increased N
-CAM in schizophrenia may result from structural brain abnormalities,
from glial processing of N-CAM, or from an aberration in the regulatio
n of N-CAM expression.