For the love of paradox: from neurobiology to pharmacology.

Abstract:

:The acute and chronic effects of certain drugs can often be opposite. For example, in congestive heart failure acute administration of β-adrenoceptor agonists results in beneficial improvement in symptoms of the disease, but their chronic use increases mortality. Conversely, certain β-adrenoceptor antagonists/inverse agonists (β-blockers) initially cause a detrimental response by decreasing cardiac contractility in congestive heart failure, whereas chronic treatment with the same β-blockers improves contractility and survival. Furthermore, this time-dependent reversal of outcomes occurs in nonpharmacological interventions, such as exercise, and can even be observed in the response of plants to pruning or other stressors, with the results being a different short-term versus long-term effect. Here, we review some of these phenomena with a special emphasis on the temporal dissociation of pharmacological effects. Although Francis Colpaert used this knowledge to lead a drug discovery project for an analgesic compound that initially produced hyperalgesia, we focused on examples outside the central nervous system.

journal_name

Behav Pharmacol

journal_title

Behavioural pharmacology

authors

Bond RA,Giles H

doi

10.1097/FBP.0b013e328348ec6f

subject

Has Abstract

pub_date

2011-09-01 00:00:00

pages

385-9

issue

5-6

eissn

0955-8810

issn

1473-5849

journal_volume

22

pub_type

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