PMID- 25364290 OWN - NLM STAT- MEDLINE DCOM- 20150624 LR - 20211203 IS - 1958-5969 (Electronic) IS - 1294-8322 (Print) IS - 1294-8322 (Linking) VI - 16 IP - 3 DP - 2014 Sep TI - DNA methylation and demethylation as targets for antipsychotic therapy. PG - 419-29 AB - Schizophrenia (SZ) and bipolar disorder (BPD) patients show a downregulation of GAD67, reelin (RELN), brain-derived neurotrophic factor (BDNF), and other genes expressed in telencephalic GABAergic and glutamatergic neurons. This downregulation is associated with the enrichment of 5-methylcytosine and 5-hydroxymethylcytosine proximally at gene regulatory domains at the respective genes. A pharmacological strategy to reduce promoter hypermethylation and to induce a more permissive chromatin conformation is to administer drugs, such as the histone deacetylase (HDAC) inhibitor valproate (VPA), that facilitate chromatin remodeling. Studies in mouse models of SZ indicate that clozapine induces DNA demethylation at relevant promoters, and that this action is potentiated by VPA. By activating DNA demethylation, clozapine or its derivatives with VPA or other more potent and selective HDAC inhibitors may be a promising treatment strategy to correct the gene expression deficits detected in postmortem brain of SZ and BPD patients. FAU - Guidotti, Alessandro AU - Guidotti A AD - Psychiatric Institute, Department of Psychiatry, College of Medicine, University of Illinois at Chicago, Illinois, USA. FAU - Grayson, Dennis R AU - Grayson DR AD - Psychiatric Institute, Department of Psychiatry, College of Medicine, University of Illinois at Chicago, Illinois, USA. LA - eng GR - IROIMH093348/PHS HHS/United States GR - IROIMH101043/PHS HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review PL - England TA - Dialogues Clin Neurosci JT - Dialogues in clinical neuroscience JID - 101238198 RN - 0 (Antipsychotic Agents) RN - 0 (Reelin Protein) RN - EC 3.4.21.- (RELN protein, human) RN - EC 3.4.21.- (Reln protein, mouse) SB - IM MH - Animals MH - Antipsychotic Agents/*pharmacology/*therapeutic use MH - Chromatin Assembly and Disassembly/drug effects MH - DNA Methylation/*drug effects MH - Down-Regulation/drug effects MH - Humans MH - Mental Disorders/*drug therapy/enzymology/genetics MH - Reelin Protein PMC - PMC4214182 OTO - NOTNLM OT - bipolar OT - chromatin remodeling OT - clozapine epigenetics OT - histone deacetylase inhibitor OT - neuroleptic OT - psychosis OT - schizophrenia EDAT- 2014/11/05 06:00 MHDA- 2015/06/25 06:00 PMCR- 2014/09/01 CRDT- 2014/11/04 06:00 PHST- 2014/11/04 06:00 [entrez] PHST- 2014/11/05 06:00 [pubmed] PHST- 2015/06/25 06:00 [medline] PHST- 2014/09/01 00:00 [pmc-release] AID - 10.31887/DCNS.2014.16.3/aguidotti [doi] PST - ppublish SO - Dialogues Clin Neurosci. 2014 Sep;16(3):419-29. doi: 10.31887/DCNS.2014.16.3/aguidotti.