Epigenetic Explanation Hypothesis of the Post Accutane Syndrome.The things i gathered

Guys, i gathered some information from some people that who knows what they are talking about. Please read this and contribute, i hope this can help us and other PFS cases.

So a guy on T nation who studies medicine and pharmacy wrote me this on my PAS thread there. We talked a lot with this guy and he helped me a lot he thinks PFS works like this too:

It works like this.

1. There is an AR in the cytosol (water in the cell), it gets activated by AAS
2. It sets itself free from proteins (called HSPs) and travels (trans locates) into the cell nucleus
3. The AR has a region which binds to the ARE, a segment on the DNA
4. The receptor binds cofactors for transcription (depending on cell type, these are different)
5. The genes get transcribed (for example for muscle proteins) to mRNA
6. The mRNA gets translated into proteins

The androgen receptor itself is a protein. It gets destroyed like any other protein when itā€™s dysfunctional and then new AR gets synthesized.

What isotretinoin (or retinoids) does is, it interferes with step 4 and 5 as itā€™s receptor can bind other receptors.
What can happen is, through retinoids the expression of genes can be changed permanently as the regulation cascade changes when you block these steps.

Cells are 24/7 fine tuning these cascades so the cell can switch off and on genes through other ways. One way is, than the cell can change Step 1 if it inactivates the gene for the AR, so there is less AR. It can also interfere with Steps 3,4,5 and 6. So when you interfere with the signaling cascades, the cell reacts with different mechanisms. One can be methylation of genes to shut them off.

Another PAS guy since 1991, who did intensive research on epigenetics and whose mother is a doctor, wrote me some things like this, im quoting some conversations between me and him:

HE: It is weirder than being bitten by a radioactive spider. (Talks about PAS and PFS)

HE: Hereā€™s a neat factā€¦ radiation damage: the epigenetic molecule bonds to the DNAā€¦ they are 10,000 times weaker than the bonds holding the base pairs together.
So everyone who ever said radiation causes genetic damage, well, first comes the epigeneticā€¦ and if you do nothing, then well the DNA needed a bunch of those genes just to stay together: whops. To the extent that there are existing therapies which decrease the severity of minor radiation damageā€¦ thatā€™s epigenetic molecules being spared, supplemented, etc.Nothing can be done about the truly broken DNA, yikes.

ME: Omg So hopefully our DNA is not brokenā€¦ yet?

HE: Itā€™s notā€¦ or weā€™d be breaking out in cancers. and we donā€™t
our damage is more selective, and gentle, haha


He: They donā€™t want to accept that, also, the levels (hormones) can be fineā€¦ but there arenā€™t enough receptors to care. Or they are there, but no longer correct.

ME: But arenā€™t receptors always regenerate and re made? My prof. endo said the same

HE: They doā€¦ until the epigenetic markers are lost with ā€œageā€
We are aging very differently. The therapies are presuming that you have receptors that can respond.

Now he comments on the post of the T nation guy i shared above:

He: Yes. The DNA is not directly affected; however, some genes are responsible for the epigenetic factors, and some for the repair and maintenance of healthy DNA. So those can lead to DNA damage, indirectly
When I attempt to explain the (generalized) problem using only epigenetics, it works like this: some damage is from missing cells. These failed the apoptosis test - they were grossly, obviously not right. The DNA, forced to copy by the AR boost, did not have enough epigenetic molecule groups of different types. So some DNA wasnā€™t at all transcribing right.

But, other cells were not so short-changed, in the marker proteins on top of DNA. Those cells were retained, but some of the genesā€¦ especially long complex genes, and genes which work together to make something with many partsā€¦ that sort of complexity is what Iā€™m missing. Like, my skin doesnā€™t conduct electricity within it, laterally, so well. The simplest explanation is: gap junction proteins are missing (The guy developed sensitivity to electricity after PAS, interesting as hell.)

ME: Very valuable info

He: In another tissue, the blood brain barrier, there are analogous proteins, but they tie the inner and outer layer of the barrier together like a quilt. My BBB does not have so many of those, any longer. It can swell up from being near a lot of electricityā€¦ after an airline flight, Iā€™m a zombie, nearly. The wing is the worst, I think. itā€™s all too much.


  • I asked about the gene tests, especially the test @Gord did. It seems to me Gord found all the logical markers that why he got PFS.

Oftenā€¦ far too oftenā€¦ what they call a genetic test, is a test for gene product. They test for the transcribed proteinā€¦ presuming that all genes transcribe perfectly. This is always a terrible error
Take a typical rare specific cancer. They know that certain genetic variants lead to a tissue wearing out earlier than for other people of the same age. They test for those genes - proper DNA base pair testing. What do they find? For most cancers of that type, the genes test perfectly fine: 60, 90 percent of cancers are NOT genetic.

Pretty near any genetic problem can also be caused by defective epigenetic markings on a perfectly good gene. So with the results above, I donā€™t think they are testing DNA. That seems more expensive than sampling for product. But because they know nothing about epigenetics, they are presuming that there are particular defective genes underlying specific patients problems.


Itā€™s like imagine a building site with the different types of contractors, plumbing electrical plaster, etc. You need enough of each, in proportion. To get the ideal cell constructed. Now imagine that somebody hired three times as many plumbers, and one electrician. That cell is going to get built, but itā€™s no good it Has to be torn down

That is when apoptosis comes along to remove the faulty cell, without it being necrotic. The case of my friends long bones, it was easy to see how the missing bone cells allowed his weight to crunch the other ones, like a wall of stone with cardboard stones stuck in among the real ones

ME: So maybe Accutane turned of some genes in my system then? Like maybe androgen receptor transcription on particular tissues etc.

Yes, the vitamin A sensitive tissues got such an overload. They mostly do these tests with rats, the system is analogous enough, that they can harm a juvenile rat and watch the progressI think what you see is the epithelial cell going from a specialized form, back to a more limited version of that same specialized form


Accutane and depression (He had this, not me)

The work of researchers which I read suggests that the initial major problem with depression and Accutane is caused by the blood brain barrier being breached and too much vitamin a getting through to the hippocampus. The cells of the hippocampus are always reproducing its extruding like a little tongue and the tip is dying off. So with the higher vitamin a dose, more cells reproduced in that generation, but Many of them were defective, and killed off by the bodyā€™s natural process, apoptosis.

Intense dose of vitamin a and accelerates the trend towards the cells exhaustion, the point where itā€™s structurally intact but like a factory that no longer produces as many different products or as many of them, itā€™s comparatively inert to what it was.
Regarding depression and Accutane, I feel that this recent breakthrough is extremely relevant. After all, the skin of the blood brain barrier is epithelial, thatā€™s where the retinoid receptors are.

I mostly feel that weā€™re just lost in time. The ways to understand us havenā€™t been written into textbooks yet. The pieces are there, the explanations of what happened to particular cells. But these are mechanisms without reversalā€¦ itā€™s going to take engineering crispr probes to restore missing methyl groups and other epigenetic markers.


One of the important things I learned in my reading is that we are inheriting damage to the marker proteins on our DNA. We are told that we pass on genes, but we can also pass on genes that arenā€™t going to be transcribed correctly.

Iā€™m just saying, some of what Accutane made happen was built into my genes and on their surface already.

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ā€œBut these are mechanisms without reversalā€¦ itā€™s going to take engineering crispr probes to restore missing methyl groups and other epigenetic markersā€

That doesnā€™t sound too goodā€¦

Itā€™s just someoneā€™s opinion based on no credible understanding

I would say he is very credible. But of course as we know from our experiences, this is fully reversible. Epigenetics change.

@Toughluck24 He means that if we donā€™t respond to hormones well, it is hard to fix. He is not aware of the HRT recoveries and such since he does not have sexual symptoms. Everyone had been hit differently by the drug too, some PFS cases just have some low T issues for example.

I mean low T is easy to fix. I was talking about the people like myself who donā€™t respond to HRT.

I wonder what he would think about this article:

ā€œ The new tool is more complicated than scissors because ordinary CRISPR cannot turn genes on and off in a controlled manner without breaking the DNA. To make changes without harm to the DNA, CRISPR needs an assist from other large, complex proteins, known as ā€œeffectors.ā€ With the new combo tool, CRISPR finds the right gene, and the effector can flip the switch.ā€

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One reason I think :thinking: that Finasteride doesnā€™t damage some or much less than others is that it doesnā€™t cross the blood brain barrier as easily as it does in othersā€¦

Here is an addition:

ā€˜ā€˜Yes you are kind of right. Genes donā€™t change. The way they get expressed changes.ā€™ā€™

ā€™'I donā€™t know about these cases, it sounds very very suspicious. 1-2 hours cure with no effect at second exposure? That would be way way down in the ranking of the quality of evidence. (He does not know how crazy and weird PFS or PAS is, lol.)

But you are right in that even epigenetics would t be fast enough to change in that time frame. If itā€™s nearly instantly, then it must be a pathway which is fast and no nuclear pathway. But if itā€™s in 24 hours, then genetic pathways like nuclear receptors are likely.ā€™'

The guy on T nation wrote this when i asked about people who experience instant- temporary recoveries with different substances.

We have many here. I donā€™t know if it is a good thing that its not a nuclear pathway. Honestly, i have 0 knowledge about these things. Thats why i share for those who understand.

Some people who experienced temporary healings should chime in, we need to discuss this further.

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How does this guy have pas and not know about the temporary recoveries? He kind of lost credibility with that statement to me lol. He clearly hasnā€™t looked up all the people who have instant temporary recoveries.

Dude, that person got PAS in 1991ā€¦ And not everyone reads forums like us. And his PAS is very spesific, different than us.