Phenibut is clinically used
anxiolytic, mood elevator and
nootropic drug. R-
phenibut is responsible for the pharmacological activity of racemic
phenibut, and this activity correlates with its binding affinity for GABAB receptors. In contrast, S-
phenibut does not bind to GABAB receptors. In this study, we assessed the binding affinities of R-
phenibut, S-
phenibut,
baclofen and
gabapentin (GBP) for the α2-δ subunit of the
voltage-dependent calcium channel (
VDCC) using a subunit-selective
ligand, radiolabelled GBP. Binding experiments using rat brain membrane preparations revealed that the equilibrium dissociation constants (Kis) for R-
phenibut, S-
phenibut,
baclofen and GBP were 23, 39, 156 and 0.05μM, respectively. In the
pentylenetetrazole (PTZ)-induced seizure test, we found that at doses up to 100mg/kg, R-
phenibut did not affect PTZ-induced
seizures. The anti-nociceptive effects of R-
phenibut were assessed using the
formalin-induced paw-licking test and the chronic constriction injury (CCI) of the sciatic nerve model. Pre-treatment with R-
phenibut dose-dependently decreased the nociceptive response during both phases of the test. The anti-nociceptive effects of R-
phenibut in the
formalin-induced paw-licking test were not blocked by the GABAB receptor-selective antagonist CGP35348. In addition, treatment with R- and S-
phenibut alleviated the mechanical and
thermal allodynia induced by CCI of the sciatic nerve. Our data suggest that the binding affinity of R-
phenibut for the α2-δ subunit of the
VDCC is 4 times higher than its affinity for the GABAB receptor. The anti-nociceptive effects of R-
phenibut observed in the tests of
formalin-induced paw licking and CCI of the sciatic nerve were associated with its effect on the α2-δ subunit of the
VDCC rather than with its effects on GABAB receptors. In conclusion, our results provide experimental evidence for GBP-like, anti-nociceptive properties of R-
phenibut, which might be used clinically to treat
neuropathic pain disorders.