Cited by 157Nicotinic Acetylcholine Receptors StudySmoking Behavior and CessationNeuroscience and Neuropharmacology Research

Mechanisms of Nicotine Addiction

Open access
Picciotto, Marina R., Kenny, Paul J.·2021·Cold Spring Harbor Perspectives in Medicine

Abstract

Tobacco smoking results in more than five million deaths each year and accounts for ∼90% of all deaths from lung cancer.3 Nicotine, the major reinforcing component of tobacco smoke, acts in the brain through the neuronal nicotinic acetylcholine receptors (nAChRs).The nAChRs are allosterically regulated, ligand-gated ion channels consisting of five membrane-spanning subunits.Twelve mammalian α subunits (α2-α10) and three β subunits (β2-β4) have been cloned.The predominant nAChR subtypes in mammalian brain are those containing α4 and β2 subunits (denoted as α4β2 Ã nAChRs).The α4β2 Ã nAChRs mediate many behaviors related to nicotine addiction and are the primary targets for currently approved smoking cessation agents.Considering the large number of nAChR subunits in the brain, it is likely that nAChRs containing subunits in addition to α4 and β2 also play a role in tobacco smoking.Indeed, genetic variation in the CHRNA5-CHRNA3-CHRNB4 gene cluster, encoding the α5, α3, and β4 nAChR subunits, respectively, has been shown to increase vulnerability to tobacco dependence and smoking-associated diseases including lung cancer.Moreover, mice, in which expression of α5 or β4 subunits has been genetically modified, have profoundly altered patterns of nicotine consumption.In addition to the reinforcing properties of nicotine, the effects of nicotine on appetite, attention, and mood are also thought to contribute to establishment and maintenance of the tobacco smoking habit.Here, we review recent insights into the behavioral actions of nicotine, and the nAChR subtypes involved, which likely contribute to the development of tobacco dependence in smokers.

AI snapshot

Written from the paper’s full text.

TL;DR

This review synthesizes evidence on the nicotinic acetylcholine receptor (nAChR) subtypes and neural circuits that mediate nicotine's reinforcing, aversive, and withdrawal-related actions, arguing that α4β2-containing receptors in the mesolimbic dopamine system drive reinforcement while α5/α3/β4-containing receptors in the habenula-interpeduncular pathway limit intake. It also covers nAChR contributions to nicotine's effects on mood, attention, and appetite, and suggests these subtypes as targets for smoking-cessation therapeutics.

Key findings

  • α4β2* nAChRs are the predominant brain subtypes and mediate nicotine reinforcement: β2 knockout abolishes nicotine-mediated DA release, locomotor activation, self-administration, and place preference, while α4 knockout abolishes i.c.v. nicotine self-administration; hypersensitive α4 or α6 knockin shifts the dose-response for DA neuron firing leftward and produces place preference at very low nicotine doses.
  • α4/α6/β2* nAChRs on VTA dopamine neurons are identified as essential for nicotine reinforcement; α6 knockout mice do not acquire nicotine self-administration, and α6/β2-selective conotoxins infused into the VTA disrupt self-administration and reduce progressive-ratio motivation.
  • The CHRNA5 SNP rs16969968 (minor allele frequency = 0.42 in those of European descent) increases tobacco dependence risk by ∼30% with one copy and more than doubles it with two; the same 15q25 variation is a major risk factor for lung cancer and COPD.
  • α5* nAChRs in the MHb-IPN pathway limit nicotine intake: α5 knockout mice self-administer far more nicotine at higher unit doses, and reexpression of α5 in the MHb-IPN abolishes this increase; β4 overexpression reduces consumption, and α5/α2 knockouts show no somatic withdrawal signs after mecamylamine precipitation.
  • Nicotine's non-reinforcing effects involve distinct subtypes: β4* nAChRs on hypothalamic POMC neurons are necessary for nicotine's appetite suppression (smokers weigh ∼5 kg less than nonsmokers on average), β2* nAChRs in prelimbic mPFC are important for visual attention, and β2* and α7* nAChRs in hippocampus and basolateral amygdala regulate anxiety- and depression-like behaviors.

Methods

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1101/cshperspect.a039610

Cites

143 of 145 references verified1 citation errors · 1 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

91 of 193 cited sources checked · 43 supported · 0 flagged · accuracy not yet measured

  • Premisecitation

    The α6 subunit appears to be selectively expressed in DA neurons.

    “The α6 subunit appears to be selectively expressed in DA neurons (Le Novere et al. 1996;Drenan et al. 2008b)”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites Le Novere et al. 1996 source

      The title in our indexed copy says α6 subunit mRNA is selectively concentrated in catecholaminergic nuclei of the rat brain. The available passages do not specifically identify DA neurons or establish selective expression in them; they support the broader localization claim only. (LLM, conf=0.78)

      Experimental — accuracy not yet measured
    • cites Drenan et al. 2008b

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Premisecitation

    Knockout of the α4 subunit abolishes intracerebroventricular self-administration of nicotine.

    “Similarly, knockout of the α4 subunit abolishes intracerebroventricular (i.c.v.) selfadministration of nicotine, consistent with evidence that α4/β2 Ã nAChRs are required for depolarization of DA neurons in the VTA (Exley et al. 2011;McGranahan et al. 2011).”
    Quote in the paperSubstantial claim2 of 2 sources checked
    • cites Exley et al. 2011 source

      The Results report that α4-knockout mice did not sustain nicotine self-administration beyond session 3, supporting the loss of sustained self-administration. But the experiment delivered nicotine intracranially into the VTA, not intracerebroventricularly, and the mice showed initial approach behavior rather than an immediate abolition of the response. (LLM, conf=0.90)

      Experimental — accuracy not yet measured
    • cites McGranahan et al. 2011 source

      The Results section, “α4*-nAChRs on Dopaminergic Neurons Mediate Nicotine Reward” (page unavailable), reports that α4-knockout mice did not develop nicotine conditioned place preference. The Methods section, “Conditioned Place Preference” (page unavailable), describes intraperitoneal nicotine injections, not intracerebroventricular self-administration. The paper supports a loss of nicotine reward in this test, but not the specified self-administration claim. (LLM, conf=0.87)

      Experimental — accuracy not yet measured
  • Premisecitation

    Nicotine can desensitize β2* nAChRs on GABAergic inputs to DA neurons, shifting from mixed excitation and inhibition to more unmixed stimulation of nAChRs on presynaptic glutamatergic terminals.

    “In addition, nicotine can desensitize β2 Ã nAChRs on GABAergic inputs to DA neurons, resulting in a shift from mixed excitation and inhibition of DA neurons by nicotine, to a more unmixed stimulation of nAChRs on presynaptic glutamatergic terminals (Mansvelder et al. 2002;Wooltorton et al. 2003).”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites Mansvelder et al. 2002 source
    • cites Wooltorton et al. 2003 source
  • Premisecitation

    The MHb projects almost exclusively to the IPN via the fasciculus retroflexus.

    “Unlike LHb, the MHb projects almost exclusively to the interpeduncular nucleus (IPN) via the fasciculus retroflexus (Fr) (Lecourtier and Kelly 2007;Hikosaka 2010).”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites Lecourtier and Kelly 2007 source
    • cites Hikosaka 2010 source

      The Abstract (page unavailable) says that MHb neurons project to the IPN and identifies the fasciculus retroflexus as the habenula’s output tract. It contrasts this with LHb projections to other midbrain areas, but does not establish that MHb projections to the IPN are almost exclusive. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
  • Premisecitation

    Mice lacking the α6 subunit do not acquire nicotine self-administration.

    “Mice lacking the α6 subunit do not acquire nicotine self-administration (Pons et al. 2008).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Pons et al. 2008 source
  • May combine two claims. 46
  • Classified as probably not a substantial claim. 3
  • May combine two claims.

    Premisecitation

    DA neurons express heteromeric nAChRs containing α4, α5, α6, β2, and β3 subunits in various combinations, with predominant subtypes being α4/β2/α5 and α4/α6/β2/β3.

    “DA neurons express heteromeric nAChRs containing the α4, α5, α6, β2, and β3 subunits in various combinations, with the predominant subtypes being α4/β2/α5 and α4/α6/ β2/β3.”
    Quote in the paperSubstantial claim2 of 2 sources checked
    • cites Klink et al. 2001 source

      In “The DA subtypes” (page unavailable), the paper proposes an α4/α5/β2 receptor, supporting one named subtype. But it proposes α4/α6/α5/β2—not α4/α6/β2/β3—for the other, and explicitly suggests that β3 does not enter DA somatodendritic receptors. The paper also describes these compositions as putative, rather than established. (LLM, conf=0.90)

      Experimental — accuracy not yet measured
    • cites Zoli et al. 2002 source

      The section on striatal receptor populations identifies α4, α5, α6, β2, and β3 in receptors on dopaminergic terminals. But it estimates four major populations: α4β2 and α4β2α5 at about 30% each, α6β2(β3) at about 25%, and α4α6β2(β3) at about 15%. Thus it does not support calling α4β2α5 and α4α6β2β3 the two predominant subtypes; β3 is also shown as optional in the latter composition. Page numbers were not provided in the passages. (LLM, conf=0.90)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    In mice with constitutive α6 knockout, intra-VTA self-administration of nicotine is not disrupted, whereas α4* nAChRs are necessary and sufficient for intra-VTA self-administration and nicotine-induced increases in DA neuron firing.

    “In contrast, in mice with constitutive knockout of the α6 subunit, intra-VTA selfadministration of nicotine is not disrupted, whereas α4 Ã nAChRs are necessaryand sufficient for both intra-VTA self-administration, as well as nicotine-induced increases in firing of DA neurons (Exley et al. 2011;McGranahan et al. 2011).”
    Quote in the paperSubstantial claim2 of 2 sources checked
    • cites Exley et al. 2011 source

      The Results (page unavailable) show that α6-knockout mice self-administered intra-VTA nicotine similarly to wild-type mice at 100 ng, but less at 10 ng. They also show that α4 deletion prevented sustained self-administration and eliminated nicotine-induced bursting, not all increases in DA-neuron firing rate. Targeted α4 re-expression only partially restored the firing response and did not fully restore long-term self-administration, so the claim that α4* receptors are sufficient for both outcomes overstates the findings. (LLM, conf=0.90)

      Experimental — accuracy not yet measured
    • cites McGranahan et al. 2011 source

      The Results section, “α4*-nAChRs on Dopaminergic Neurons Mediate Nicotine Reward” (page unavailable), shows that deleting α4 from dopamine neurons abolished nicotine conditioned place preference, supporting a role for α4* receptors in nicotine reward. The Discussion, “Nicotine CPP is Mediated by Dopaminergic α4*-nAChRs” (page unavailable), reports that nicotine-stimulated dopamine-neuron burst firing requires α4β2* receptors. This paper does not establish the stated findings about α6-knockout mice, intra-VTA nicotine self-administration, or sufficiency of α4* receptors for self-administration and increased firing. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Interpretationcitation

    α4 and α6 subunits are both required for nicotine to gate DA transmission in the NAc, suggesting that nAChRs in the NAc may be more important in motivation to self-administer nicotine and may affect acquisition of self-administration and nicotine-dependent locomotor activation.

    “However, α4 and α6 subunits are both required for the ability of nicotine to gate DA transmission in the NAc, suggesting that nAChRs in NAc may be more important in motivation to self-administer nicotine (Brunzell et al. 2010;Exley et al. 2011) and that this may affect acquisition of self-administration behavior (Pons et al. 2008;Gotti et al. 2010), as well as nicotine-dependent locomotor activ”
    Quote in the paperSubstantial claim2 of 3 sources checked
    • cites Brunzell et al. 2010 source

      Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.

      Experimental — accuracy not yet measured
    • cites Exley et al. 2011

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Pons et al. 2008 source

      Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.

      Experimental — accuracy not yet measured
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    The habenula is a diencephalic structure on the dorsomedial surface of the caudal thalamus, segregated into medial and lateral domains.

    “The habenula is a diencephalic structure located on the dorsomedial surface of the caudal thalamus that is segregated into medial (MHb) and lateral (LHb) domains (Lecourtier and Kelly 2007;Hikosaka 2010).”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites Lecourtier and Kelly 2007 source
    • cites Hikosaka 2010 source
  • May combine two claims.

    Premisecitation

    The LHb projects densely to the RMTg and has a well-established inhibitory effect on midbrain DA neuron firing.

    “In particular, the LHb projects densely to the rostromedial tegmental nucleus (RMTg) (Jhou et al. 2009), and has a well-established inhibitory effect on the firing of midbrain DA neurons (Lecourtier and Kelly 2007;Matsumoto and Hikosaka 2009;Hikosaka 2010;Bromberg-Martin and Hikosaka 2011).”
    Quote in the paperSubstantial claim2 of 3 sources checked
    • cites Jhou et al. 2009 source
    • cites Lecourtier and Kelly 2007 source
    • cites Matsumoto and Hikosaka 2009 source
  • May combine two claims.

    Premisecitation

    Expression of a hypersensitive α6 subunit in a BAC transgenic mouse line potentiates nicotine-induced burst firing in DA neurons and potentiates nicotine place preference at low doses.

    “Similarly, expression of a hypersensitive α6 subunit in a bacterial artificial chromosome (BAC) transgenic mouse line potentiates nicotine-induced burst firing in DA neurons, and potentiates nicotine place preference at low doses of nicotine (Drenan et al. 2008a(Drenan et al. , 2010)).”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites Drenan et al. 2008a

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Drenan et al. 2010 source

      The Results (α6α4* nAChR-mediated locomotion and behavioral analysis; page unavailable) identify the hypersensitive α6L9′S BAC mouse line. The Results (Burst firing selectively increases DA release in α6L9′S dorsal striatum; page unavailable) report that nicotine increases DA-neuron firing, but only suggest that it may increase burst firing. Our copy does not report nicotine place preference at low doses; its low-dose behavioral finding concerns locomotor activation. (LLM, conf=0.85)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    LHb neurons are excited by omission of anticipated rewards or exposure to aversive stimuli.

    “LHb neurons are excited by omission of anticipated rewards or exposure to aversive stimuli (Lecourtier and Kelly 2007;Matsumoto and Hikosaka 2009;Hikosaka 2010;Bromberg-Martin and Hikosaka 2011).”
    Quote in the paperSubstantial claim2 of 3 sources checked
    • cites Lecourtier and Kelly 2007 source
    • cites Matsumoto and Hikosaka 2009 source
    • cites Hikosaka 2010 source

      The Avoidance of punishment section reports that LHb neurons are excited by aversive stimuli, and the Reward-based decision-making section reports excitation by cues predicting a small reward. The paper also describes LHb reward-prediction-error signals, but the passages do not establish excitation specifically when an anticipated reward is omitted; a cue predicting no reward is not the same as an unexpected omission. Page numbers are unavailable in our copy. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    Conotoxins selective for α6/β2* nAChRs disrupt nicotine self-administration in rats when infused into the VTA and decrease motivation to lever press for nicotine on a progressive ratio schedule after training.

    “Similarly, conotoxins selective for α6/β2 Ã nAChRs disrupt nicotine self-administration in the rat when infused into the VTA (Gotti et al. 2010) and following selfadministration training, these conotoxins decrease the motivation to lever press for nicotine on a progressive ratio schedule (Brunzell et al. 2010).”
    Quote in the paperSubstantial claim2 of 2 sources checked
    • cites Gotti et al. 2010 source
    • cites Brunzell et al. 2010 source
  • May combine two claims.

    Interpretationreasoning

    Genetic variability in CHRNA5 is a major risk factor for lung cancer and COPD in smokers, likely reflecting higher tobacco dependence and greater exposure to carcinogens and toxins.

    “In addition, the same genetic variability in CHRNA5 is also a major risk factor for lung cancer and chronic obstructive pulmonary disease (COPD) in smokers (Amos et al. 2008;Hung et al. 2008;Wang et al. 2010), likely reflecting higher levels of tobacco dependence in individuals carrying risk alleles and consequently greater exposure to carcinogens and”
    Quote in the paperSubstantial claim2 of 3 sources checked
    • cites Amos et al. 2008 source

      The Abstract reports that variants in a region containing CHRNA5 are associated with lung cancer risk in ever-smokers. It does not establish CHRNA5 specifically as the causal gene or address COPD. Its smoking-behavior analysis found only weak evidence of an effect on dependence and says the lung-cancer association persisted after adjustment for smoking exposure, so it does not support the proposed explanation of greater carcinogen exposure. (LLM, conf=0.89)

      Experimental — accuracy not yet measured
    • cites Hung et al. 2008 source

      The main text identifies a CHRNA5 variant among the markers most strongly associated with lung cancer, including in smokers. Our copy does not report a COPD association. The Supplementary Discussion says the authors found no association with their nicotine-dependence measures and considered tobacco addiction an unlikely explanation for the lung-cancer association, contrary to the proposed mechanism. (LLM, conf=0.90)

      Experimental — accuracy not yet measured
    • cites Wang et al. 2010

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Premisecitation

    Increased risk of tobacco dependence is associated with rs6495308, rs578776, or rs1051730 in CHRNA3, and with rs1948 in CHRNB4.

    “In addition to the rs16969968 SNP in CHRNA5, there is also increased risk of tobacco dependence in individuals carrying the rs6495308, rs578776, or rs1051730 SNPs in CHRNA3 (Berrettini et al. 2008;Saccone et al. 2009), and rs1948 in CHRNB4 (Schlaepfer et al. 2008).”
    Quote in the paperNot a substantial claim3 of 3 sources checked
    • cites Berrettini et al. 2008 source

      Table 2 (p. 2) identifies rs6495308 in CHRNA3 as associated with cigarettes smoked per day, which the paper uses as a measure relevant to nicotine dependence. Our copy does not identify rs578776 or rs1051730 as associated risk variants. The rs1948 claim is attached to Schlaepfer et al., not to Berrettini et al., so it is outside this citation assessment. (LLM, conf=0.87)

      Experimental — accuracy not yet measured
    • cites Saccone et al. 2009 source

      The Discussion and Conclusions (page unavailable) report an association with nicotine dependence for rs6495308 (OR 1.29), and the Results identify the major allele of rs578776 as a risk allele. The paper discusses rs1051730 as correlated with the dependence-associated locus, but gives its SNP-specific association figures for lung cancer, not tobacco dependence. The rs1948 claim is cited to Schlaepfer et al., not to this source. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
    • cites Schlaepfer et al. 2008 source

      The Results and Discussion report that the CC genotype of rs1948 in CHRNB4 predicts earlier tobacco initiation, including in a replication sample. They do not establish increased risk of tobacco dependence for rs1948. The other SNPs in the citing sentence are attributed to different sources, not to Schlaepfer et al. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    Electrophysiological studies show that α3 and β4 levels are strong throughout the ventral MHb, while α6, β2, β3, and α4 subunits are selectively found in some but not all of these neurons.

    “Electrophysiological studies have shown that, whereas α3 and β4 nAChR subunit levels are strong throughout the ventral MHb, α6, β2, β3, and α4 subunits are selectively found in some, but not all of these neurons (Shih et al. 2014).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Shih et al. 2014 source

      The Results report strong, even α3 and β4 localization throughout ventral MHb and regional differences for α4, α6, β2, and β3. But β2 immunoreactivity is reported throughout ventral MHb, and β3 is weak—not absent—in its lateral portion, so the claim that each is found in some but not all of these neurons overstates the evidence. The subunit-localization findings came from staining, although the study also used electrophysiology. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    The CHRNA5 SNP rs16969968 increases risk of tobacco dependence by about 30% in individuals carrying one copy and more than doubles risk in those carrying two risk alleles.

    “For example, a singlenucleotide polymorphism (SNP) in CHRNA5 (rs16969968), which is very common in those of European descent (minor allele frequency = 0.42), increases the risk of tobacco dependence by ∼30% in individuals carrying a single copy of the variant, and more than doubles the risk in those carrying two risk alleles (Bierut et al. 2008;Wang et al. 2009); this finding has been consistently”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites Bierut et al. 2008 source

      The Results (page unavailable) associate CHRNA5 rs16969968 with habitual versus light smoking, and the Discussion says the variant increases susceptibility to nicotine dependence. Our copy does not give the claimed risk increases of about 30% for one copy or more than twofold for two copies; a search for genotype-specific risk estimates did not find them. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
    • cites Wang et al. 2009

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Premisecitation

    The rs16969968 risk variant is associated with heavy smoking, early onset of smoking behavior, and a pleasurable buzz from tobacco.

    “The rs16969968 risk variant is associated with heavy smoking (Berrettini et al. 2008;Bierut et al. 2008;Grucza et al. 2008;Stevens et al. 2008), early onset of smoking behavior (Weiss et al. 2008), and with a”
    Quote in the paperSubstantial claim3 of 3 sources checked
    • cites Berrettini et al. 2008 source

      The Results (p. 3) associate a CHRNA3–CHRNA5 haplotype with cigarettes per day, supporting the heavy-smoking association at the haplotype level. The Discussion (p. 5) says rs16969968 itself was not genotyped in this paper's studies, so it does not establish that specific variant's association with heavy smoking. The printed citation attaches Berrettini et al. to heavy smoking, not to the separately cited early-onset claim or the buzz claim. (LLM, conf=0.87)

      Experimental — accuracy not yet measured
    • cites Bierut et al. 2008 source
    • cites Grucza et al. 2008 source
  • May combine two claims.

    Premisecitation

    Nicotine but not food intake was increased in GLP-1 receptor knockout mice.

    “Conversely, nicotine but not food intake was increased in GLP-1 receptor knockout mice (Tuesta et al. 2017).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Tuesta et al. 2017 source
  • May combine two claims.

    Premisecitation

    Nicotine induces robust and dose-dependent increases in Fos immunoreactivity in NTS neurons, with this effect restricted almost to neurons expressing GLP-1.

    “It was shown that nicotine induces robust and dose-dependent increases in Fos immunoreactivity in NTS neurons, with this effect restricted almost neurons that express the neuropeptide glucagon-like peptide-1 (GLP-1) (Tuesta et al. 2017).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Tuesta et al. 2017 source

      The Results section, “Nicotine activates GLP-1 neurons in the NTS” (page unavailable), reports increased Fos-positive NTS cells after nicotine at two doses, including GLP-1-positive neurons. It does not establish a dose-dependent increase in the quoted passage, and it says a sizable fraction of Fos-positive NTS neurons were not GLP-1-positive, contrary to the claim of near-restriction to GLP-1 neurons. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
    • Rests on an assumption: α5, α3, and β4 nAChR subunits are densely expressed in the nucleus of the solitary tract in the hindbrain.
  • May combine two claims.

    Premisecitation

    GLP-1 neurons express α5 nAChR subunits, suggesting that nicotine's stimulatory effects on GLP-1 neurons are mediated at least in part by α5* nAChRs.

    “Using a line of Chrna5-tdTomato reporter mice, GLP-1 neurons were shown to express α5 nAChR subunits (Tuesta et al. 2017), suggesting that the stimulatory effects of nicotine on GLP-1 neurons is mediated at least in part by α5 Ã nAChRs.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Tuesta et al. 2017 source

      The Results section, “Nicotine activates GLP-1 neurons in the NTS” (page not provided), reports GLP-1-positive neurons with α5 reporter expression and suggests that α5* nAChRs on these neurons are activated by nicotine. However, the cited study used Chrna5-EGFP mice, not the Chrna5-tdTomato reporter mice named in the citing sentence; the Methods section, “Animals” (page not provided), confirms this distinction. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
    • Rests on an assumption: α5, α3, and β4 nAChR subunits are densely expressed in the nucleus of the solitary tract in the hindbrain.
  • May combine two claims.

    Premisecitation

    A large proportion of smokers report smoking to control symptoms of anxiety and depression, and the rate of smoking in individuals with affective disorders is more than double the general population rate.

    “Similarly, a large proportion of smokers report that they smoke to control symptoms of anxiety and depression (Picciotto et al. 2002), and the rate of smoking in individuals with affective disorders is more than double the rate in the general population (Kalman et al. 2005).”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites Picciotto et al. 2002 source
    • cites Kalman et al. 2005 source

      Only the smoking-rate clause is attributed to Kalman et al.; the claim about smoking to control symptoms cites Picciotto et al. The Abstract reports a general-population rate of about 23% and smoking rates of 55–70% in bipolar disorder, supporting a more-than-double comparison for bipolar disorder. But it reports 40–60% for major depression, so more than double is not supported across the full reported range of affective disorders. (LLM, conf=0.85)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    Mecamylamine, sazetidine, and amitriptyline are ineffective in mice lacking the β2 nAChR subunit.

    “Both the antagonist mecamylamine (Rabenstein et al. 2006) and the partial agonist sazetidine (Caldarone et al. 2011), as well as the classical antidepressant amitriptyline (Caldarone et al. 2004), are ineffective in mice lacking the β2 subunit”
    Quote in the paperSubstantial claim1 of 3 sources checked
    • cites Rabenstein et al. 2006

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Caldarone et al. 2011 source
    • cites Caldarone et al. 2004 source
  • May combine two claims.

    Premisecitation

    Mice lacking the β2 nAChR subunit show no difference in anxiety-like behavior at baseline or after nicotine administration.

    “no difference in anxiety-like behaviors were seen at baseline or following nicotine administration in mice lacking the β2 subunit (Caldarone et al. 2008)”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Caldarone et al. 2008 source
  • May combine two claims.

    Premisecitation

    Nicotine can stimulate the firing of both POMC neurons that signal satiety and neuropeptide Y (NPY) neurons that stimulate food seeking.

    “nicotine can stimulate the firing of both POMC neurons that signal satiety, and neuropeptide Y (NPY) neurons that stimulate food seeking (Parikh et al. 2007(Parikh et al. , 2008)).”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites Parikh et al. 2007 source
    • cites Parikh et al. 2008 source

      The Discussion describes nicotine-evoked neurotransmitter activity in the prefrontal cortex, not firing of POMC or NPY neurons. Searches for POMC, NPY, satiety, food seeking, and hypothalamic feeding found no passage in our copy addressing the attributed claim. (LLM, conf=0.76)

      Experimental — accuracy not yet measured
  • Classified as probably not a substantial claim. May combine two claims.

    Interpretationcitation

    Optimal levels of ACh contribute to encoding of both rewarding and aversive stimuli, while suprathreshold increases in ACh signaling favor encoding of aversive stimuli and lead to the negative encoding bias observed in anxiety and depressive disorders.

    “One possibility is that whereas optimal levels of ACh con-tribute to encoding of both rewarding and aversive stimuli, suprathreshold increases in ACh signaling, mediated by chronic stress or other stimuli that can lead to depression, favor encoding of aversive stimuli and lead to the type of negative encoding bias observed in human subjects with anxiety and depressive disorders (Mineur and Picciot”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Mineur and Picciotto 2019 source
  • May combine two claims.

    Premisecitation

    α5/β2 nAChRs on layer 6 cortical glutamatergic projection neurons to the thalamus are essential in maturation of this circuit and for normal adult performance in passive avoidance.

    “α5/ β2 Ã nAChRs on layer 6 cortical glutamatergic projection neurons to the thalamus are essential in maturation of this circuit and for normal adult performance in passive avoidance, a somatosensory aversive learning task (King et al. 2003;Heath et al. 2010).”
    Quote in the paperSubstantial claim2 of 2 sources checked
    • cites King et al. 2003 source

      The Functional characterization section identifies β2-containing receptors on glutamatergic layer VI neurons projecting to the thalamus, and the Developmental expression section links their developmental expression to adult passive-avoidance performance (page numbers unavailable). The Discussion suggests they can affect synaptic maturation, but does not establish that they are essential for circuit maturation. The cited passages do not establish an α5 subunit role. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
    • cites Heath et al. 2010 source

      The Discussion (page unavailable) states that corticothalamic neurons must express β2 and α5 subunits for normal passive avoidance performance. It also says the knockout results suggest an α5-mediated current is important for normal circuit maturation, but does not establish that these receptors are essential for maturation. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    Knockdown of either α7 or β2 nAChR subunits in the BLA decreases cFos immunoreactivity and attenuates avoidance of anxiogenic stimuli, immobility in response to inescapable stress, and avoidance after social defeat.

    “knockdown of either α7 or β2 nAChR subunits in BLA decreases cFos immunoreactivity in the structure and attenuates avoidance of anxiogenic stimuli, immobility in response to inescapable stress, and avoidance after social defeat (Mineur et al. 2016).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Mineur et al. 2016 source

      In the section on downregulation of α7 and β2* receptors, both knockdowns reduced dark-compartment time and tail-suspension immobility. But only β2 knockdown significantly reduced c-fos immunoreactivity and increased social interaction after social defeat; α7 knockdown did neither. The claim incorrectly extends those two effects to both subunits. (LLM, conf=0.90)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    Lesions of the VTA and its primary projection area, the NAc, greatly attenuate nicotine self-administration and the psychostimulant properties of nicotine.

    “Lesions of the ventral tegmental area (VTA) and its primary projection area, the nucleus accumbens (NAc), greatly attenuate nicotine self-administration and the psychostimulant properties of nicotine”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Clarke et al. 1988 source
    • cites Corrigall et al. 1992 source
    • cites Corrigall et al. 1994 source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    The MHb contains neurons that produce acetylcholine or substance P, and a small population that produces interleukin-18.

    “MHb is comprised of neurons that produce the neurotransmitters acetylcholine (ACh) or substance P (Cuello et al. 1978;Eckenrode et al. 1987), and a small population that produce the cytokine interleukin-18 (IL-18) (Sugama et al. 2002).”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Cuello et al. 1978 source
    • cites Eckenrode et al. 1987 source
    • cites Sugama et al. 2002 source
  • May combine two claims.

    Premisecitation

    Selective viral reexpression of β2* or α4* nAChRs in the VTA is sufficient to support intra-VTA and systemic nicotine self-administration, identifying subtypes necessary for nicotine reinforcement and showing the importance of nAChRs within the VTA.

    “Selective viral reexpression of β2 Ã (Maskos et al. 2005;Pons et al. 2008) or α4 Ã nAChRs in the VTA is sufficient to support both intra-VTA (Maskos et al. 2005) and systemic nicotine self-administration (Pons et al. 2008), identifying the nAChR subtypes necessary for nicotine reinforcement, as well as showing the importance of nAChRs within the VTA itself for this behavior.”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Maskos et al. 2005 source
    • cites Pons et al. 2008 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Knockin of a hypersensitive α4 subunit shifts the dose-response curve for nicotine-induced increases in DA neuron firing to the left and results in nicotine place preference at very low doses.

    “Conversely, knockin of a hypersensitive α4 subunit shifts the dose-response curve for nicotine-induced increases in DA neuron firing to the left, and results in nicotine place preference at very low doses of the drug (Tapper et al. 2004).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Tapper et al. 2004 source
  • May combine two claims.

    Premisecitation

    Knockout of the α7 subunit in mice does not affect nicotine place preference or acquisition of nicotine self-administration.

    “Despite its contribution to nicotine-dependent plasticity in the VTA, knockout of the α7 subunit in mice does not affect nicotine place preference (Walters et al. 2006) or acquisition of nicotine self-administration (Pons et al. 2008).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Walters et al. 2006 source
    • cites Pons et al. 2008 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Antagonizing α7 type nAChRs in the NAc or anterior cingulate cortex in rats increases motivation to self-administer nicotine, whereas infusion of a selective α7 agonist decreases motivation.

    “However, antagonizing α7 type nAChRs in the NAc or anterior cingulate cortex in the rat increases the motivation to self-administer nicotine, whereas infusion of a selective α7 agonist decreases motivation, as measured using a progressive ratio schedule (Brunzell and McIntosh 2012).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Brunzell and McIntosh 2012

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Interpretationreasoning

    α7-type nAChRs may modulate rather than mediate nicotine reinforcement, so the effect of α7 knockout may be more subtle than knockout of β2* nAChRs.

    “α7-type nAChRs may modulate, rather than mediate, nicotine reinforcement and therefore the effect of α7 knockout may be more subtle than knockout of β2 Ã nAChRs.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Knockout of the β2 subunit abolishes nicotine-mediated DA release, nicotine-induced locomotor activation, nicotine self-administration, and nicotine place preference.

    “Knockout of the β2 subunit abolishes nicotine-mediated DA release (Picciotto et al. 1998;Grady et al. 2001), nicotine-induced locomotor activation (King et al. 2004), nicotine selfadministration (Picciotto et al. 1998;Maskos et al. 2005), and nicotine place preference (Walters et al. 2006;Brunzell et al. 2009;Mineur et al. 2009a).”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Picciotto et al. 1998 source
    • cites Grady et al. 2001 source
    • cites King et al. 2004 source
  • May combine two claims.

    Premisecitation

    Dependence on tobacco smoking depends on the balance between rewarding and aversive actions of nicotine and on escape from the aversive consequences of nicotine withdrawal.

    “Dependence on tobacco smoking depends not only on the balance between the rewarding and aversive action of nicotine described above, but also on escape from the aversive consequences of nicotine withdrawal (Doherty et al. 1995;Kenny and Markou 2001).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Doherty et al. 1995 source
    • cites Kenny and Markou 2001 source
  • May combine two claims.

    Premisecitation

    Most MHb neurons also produce and corelease glutamate, which is considered the major functional transmitter at the MHb-IPN synapse.

    “However, it is believed that most MHb neurons also produce and corelease glutamate, with this excitatory neurotransmitter considered the major functional transmitter at the MHb-IPN synapse (Mata et al. 1977;Vincent et al. 1980;Girod et al. 2000;Ren et al., 2011).”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Mata et al. 1977 source
    • cites Vincent et al. 1980 source
    • cites Girod et al. 2000 source
  • May combine two claims.

    Premisecitation

    The IPN receives massive cholinergic innervation from the MHb, with MHb cholinergic neurons coreleasing glutamate and providing the major source of glutamatergic input to the IPN.

    “The IPN receives massive cholinergic innervation from MHb (Ren et al. 2011), with MHb cholinergic neurons coreleasing glutamate and providing the major source of glutamatergic input to the IPN (Ren et al. 2011).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Ren et al. 2011 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    nAChRs are expressed throughout the brain on excitatory and inhibitory neurons, with the ability to increase inhibition when excitation is high and increase excitation when circuits are less active.

    “nAChRs are expressed throughout the brain on both excitatory and inhibitory neurons, with the ability to increase inhibition of circuits when excitation is high and to increase excitation when circuits are less active (Picciotto 2003).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Picciotto 2003 source
  • May combine two claims.

    Premisecitation

    Nicotine can modulate behavioral function bidirectionally, acting as a stimulant and increasing anxiety under some conditions and decreasing activity and anxiety in others.

    “The result of this circuit-level integration is that nicotine can modulate behavioral function bidirectionally, acting as a stimulant and increasing anxiety under some conditions and decreasing activity and anxiety in others (Picciotto 2003).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Picciotto 2003 source
  • May combine two claims.

    Interpretationnone given

    Nicotine reinforcement and avoidance of aversive withdrawal effects are fundamental for ongoing smoking, but other factors likely contribute to smoking behavior in humans.

    “Nicotine reinforcement and avoidance of the aversive effects of nicotine withdrawal are clearly fundamental for ongoing smoking, but a number of other factors are also likely to contribute to smoking behavior in humans.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Increasing acetylcholine signaling in the hippocampus via local knockdown of AChE results in increased avoidance of anxiogenic environments, increased immobility in response to inescapable stress, and decreased threshold for social defeat.

    “Increasing acetylcholine signaling in the hippocampus via local knockdown of acetylcholine esterase (AChE) results in increased avoidance of anxiogenic environments, in-creased immobility in response to inescapable stress, and decreased threshold for social defeat (Mineur et al. 2013).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Mineur et al. 2013 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Some individuals report smoking to improve attention, and smoking's ability to improve attentional function in individuals with schizophrenia likely contributes to their high rates of smoking.

    “Some individuals report that they smoke to improve attention (Rusted and Warburton 1992;Warburton et al. 1992), and the ability of smoking to improve attentional function in individuals with schizophrenia (George et al. 2002) is likely to contribute to their extremely high rates of smoking.”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Rusted and Warburton 1992 source
    • cites Warburton et al. 1992 source
    • cites George et al. 2002

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Premisecitation

    Nicotine produces both anxiety-reducing and anxiety-increasing effects in rodents.

    “Nicotine is known to have both anxiolytic and anxiogenic effects in rodents (File et al. 2000)”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites File et al. 2000 source
  • May combine two claims.

    Premisecitation

    Mice administered nicotine during adolescence show deficits in the 5-choice serial reaction time task associated with decreased expression of mGluR2 receptors, rescued by mGluR2 agonists.

    “Mice administered nicotine during the adolescent period show deficits in the 5-choice serial reaction time task that are associated with decreased expression of mGluR2 receptors, and that are rescued by administration of mGluR2 agonists (Counotte et al. 2011).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Counotte et al. 2011 source
  • May combine two claims.

    Premisecitation

    On average, smokers weigh approximately 5 kg less than nonsmokers and have significantly lower body mass index than nonsmokers.

    “On average, smokers weigh ∼5 kg less than nonsmokers and have significantly lower body mass index than nonsmokers (Albanes et al. 1987).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Albanes et al. 1987 source
  • May combine two claims.

    Interpretationreasoning

    Optimal nAChR stimulation is achieved at baseline in control subjects or wild-type mice with normal α7 nAChR levels, whereas nicotine from tobacco smoke can further improve attention in individuals with schizophrenia.

    “These data suggest that optimal nAChR stimulation is achieved at baseline in control subjects or wild-type mice with normal α7 nAChR levels, whereas nicotine from tobacco smoke can further improve attention in individuals with schizophrenia.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    nAChRs in thalamo-cortico-thalamic loops are important for regulating glutamate release in this circuit and for mediating the effects of acetylcholine on attentional function.

    “nAChRs in thalamo-cortico-thalamic loops are important for regulating glutamate release in this circuit, and for mediating the effects of acetylcholine on attentional function (Heath and Picciotto 2009).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Heath and Picciotto 2009 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationnone given

    nAChR subtypes containing α5, α3, and/or β4 nAChR subunits have been implicated in regulating the aversive properties of nicotine that control the quantities of the drug consumed and in the development of tobacco dependence.

    “nAChR subtypes containing α5, α3, and/or β4 nAChR subunits have been implicated in regulating the aversive properties of nicotine that control the quantities of the drug consumed and in the development of tobacco dependence.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Previous nicotine exposure increases the motivation of mice to work for food, and this is caused by non-β2 nAChRs.

    “previous nicotine exposure increases the motivation of mice to work for food, and this is caused by non-β2 Ã nAChRs (Brunzell et al. 2006).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Brunzell et al. 2006 source
46 of 46
  • The paper relies on this without support.

    Nicotine is the major reinforcing component of tobacco smoke.

    “Nicotine, the major reinforcing component of tobacco smoke, acts in the brain through the neuronal nicotinic acetylcholine receptors (nAChRs).”
  • The paper relies on this without support.

    The predominant nAChR subtypes in mammalian brain are those containing α4 and β2 subunits.

    “The predominant nAChR subtypes in mammalian brain are those containing α4 and β2 subunits (denoted as α4β2 Ã nAChRs).”
  • The paper relies on this without support.

    GLP-1 receptors are Gs-coupled G-protein-coupled receptors that enhance cAMP production.

    “GLP-1 receptors are Gs-coupled G-proteincoupled receptors that enhance the production of cAMP.”
  • The paper relies on this without support.

    In pancreatic β cells, GLP-1-stimulated increases in cAMP cause phosphorylation and nuclear translocation of β-catenin, which dimerizes with TCF7L2.

    “In pancreatic β cells, GLP-1-stimulated increases in cAMP results in phosphorylation and nuclear translocation of β-catenin, which dimerizes with the transcription factor transcription factor 7-like 2 (TCF7L2).”
  • The paper relies on this without support.

    α5, α3, and β4 nAChR subunits are densely expressed in the nucleus of the solitary tract in the hindbrain.

    “In addition to the MHb-IPN pathway, α5, α3, and β4 nAChR subunits are densely expressed in the nucleus of the solitary tract (NTS) in the hindbrain.”
  • The paper relies on this without support.

    β2 nAChRs in the prelimbic medial prefrontal cortex are important for normal performance of the 5-choice serial reaction time task measuring visual attention.

    “Studies using knockout mice with lentiviralmediated reexpression have shown that β2 Ã nAChRs in the prelimbic medial prefrontal cortex (mPFC) are important for normal performance of the 5-choice serial reaction time task measuring visual attention.”
  • The paper relies on this without support.

    nAChR subtypes regulate baseline activity of the basolateral amygdala (BLA).

    “nAChR subtypes regulate baseline activity of the basolateral amygdala (BLA)”
  • The paper relies on this without support.

    The anorexic effects of smoking have been well-documented in human subjects.

    “The anorexic effects of smoking have been welldocumented in human subjects”
  • The paper relies on this without support.

    β2α4α6 nAChRs are critical for nicotine reward and reinforcement.

    “Whereas β2α4α6 Ã nAChRs are critical for nicotine reward and reinforcement”
  • The paper relies on this without support.

    β4 nAChRs on POMC neurons can signal satiety.

    “Although β4 Ã nAChRs on POMC neurons can signal satiety”
10 of 10

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

  • α2-α10 does not contain twelve subunits

    Minor

    The inclusive range α2 through α10 contains nine subunits, not twelve. The endpoints are eight steps apart, so even counting both endpoints gives only nine.

    Reported 12 · recomputed 8

1 of 1

Cites

Flagged first, then by citations

2 of the 147 references couldn’t be matched to a known paper.

Cited by

Sorted by citations

Authors
Picciotto, M. R., & Kenny, P. J.
Affiliations
  • Yale University (US)
  • Icahn School of Medicine at Mount Sinai (US)
Venue
Cold Spring Harbor Perspectives in Medicine
Published
2020-04-27
Volume
11
Issue
5
Pages
a039610
ISSN
2157-1422 (ISSN-L)
OpenAlex
W3017576137
Cited by
157
References
147
Citations by year
2026: 30 · 2025: 31 · 2024: 29 · 2023: 29 · 2022: 23 · 2021: 6 · 2020: 1
Type
posted content
Language
en
Open access
Locations
  • Cold Spring Harbor Perspectives in Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (submittedVersion)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Nicotinic Acetylcholine Receptors Study
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
Keywords
nicotine dependence, smoking, nicotinic acetylcholine receptors, alpha4beta2 nAChR, nAChR subunits, lung cancer, nicotine reinforcement, appetite
MeSH terms
Humans, Tobacco Use Disorder, Models, Animal

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-08.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-08.

Cited sources are checked by gpt-6-sol.

Statistics and arithmetic are recomputed, not judged.

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