“…49 Potential causes of pathological DNA hypermethylation which have been indicated as risk factors for schizophrenia include some environmental insults, such as ephemeral ischemia with a consequent increase of DNA methylation, nitric oxide, which has neurodegenerative effects in focal ischemia, intrauterine environmental conditions and maternal malnutrition, alcohol abuse during pregnancy, birth and obstetric complications, as well as exposure to drugs and chemicals, hormonal status (for example, estradiol, estrogen, steroid hormones) and viral infections. 49,165,168 Besides the above data, 49,158,161,162 reported downregulation of histone deacetylase 3 in the temporal cortex of patients with schizophrenia 102 and epigenetic variations in the genes for serotonin 2A (HTR2A) and the dopamine D3 (DRD3) and D2 (DRD2) receptors 163,169 provide further supplementary evidence for the contribution of epigenetic misregulation in schizophrenia. Interestingly, the finding of different degrees of methylation of the promoter area of DRD2 between the right and left striatum 169 introduces the possibility that the epigenetic mechanisms play a role in brain hemisphere laterality 165 and provides a new interpretation of the reported anomalous cerebral asymmetry in affected individuals.…”