Epigenetic Mechanisms of Depression and Antidepressant Action
Vincent Vialou, Jian Feng, Alfred Jay Robison, Eric J. Nestler
Annual Review of Pharmacology and Toxicology2013
Summary (paraphrased)
Landmark review (Nestler lab) establishing that antidepressants act through epigenetic mechanisms — histone modifications and DNA methylation in reward and mood circuitry — producing lasting changes in gene expression. The foundational plausibility argument that psychiatric drugs routinely remodel the brain epigenome.
Why it’s in the corpus
The plausibility backbone for epigenetic persistence on the PSSD axis: if therapeutic antidepressant action itself requires lasting epigenetic remodeling, persistent epigenetic side-effects after discontinuation are mechanistically unsurprising.
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