Knowledge of the physiological roles of the purinergic system and its influ
ence on other neurotransmitter systems has greatly advanced. In this articl
e, a purinergic model is proposed as an attempt to integrate several findin
gs in schizophrenia. According to this hypothesis, a purinergic system dysf
unction would mainly result in reduced adenosinergic activity. This model a
lso addresses the systemic aspects of schizophrenia, based on peripheral ro
les of purines, such as modulation of the immune system. (C) 2000 Harcourt
Publishers Ltd.