It has been found that increased activities of adenosine deaminase (ADA) and xanthine oxidase (XO), as well as elevated level of xanthine and hypoxanthine correlate with a higher risk of depression.198 This evidence indicates that enzymes and metabolites involved in purine metabolism, together with purinoceptors, profoundly influence the pathophysiological function of nervous system. Here, ADA is linked to major depressive disorder.