Cited by 371Nicotinic Acetylcholine Receptors StudySmoking Behavior and CessationNeurotransmitter Receptor Influence on Behavior

The DOI matches its Crossref record; 300 of the 305 references it cites were found in a registry or an index; none of the 310 sources its claims cite is checked for support yet.

Reward, Addiction, Withdrawal to Nicotine

Open access
De Biasi, Mariella, Dani, John A.·2011·Annual Review of Neuroscience

Abstract

Nicotine is the principal addictive component that drives continued tobacco use despite users' knowledge of the harmful consequences. The initiation of addiction involves the mesocorticolimbic dopamine system, which contributes to the processing of rewarding sensory stimuli during the overall shaping of successful behaviors. Acting mainly through nicotinic receptors containing the α4 and β2 subunits, often in combination with the α6 subunit, nicotine increases the firing rate and the phasic bursts by midbrain dopamine neurons. Neuroadaptations arise during chronic exposure to nicotine, producing an altered brain condition that requires the continued presence of nicotine to be maintained. When nicotine is removed, a withdrawal syndrome develops. The expression of somatic withdrawal symptoms depends mainly on the α5, α2, and β4 (and likely α3) nicotinic subunits involving the epithalamic habenular complex and its targets. Thus, nicotine taps into diverse neural systems and an array of nicotinic acetylcholine receptor (nAChR) subtypes to influence reward, addiction, and withdrawal.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

Nicotine drives reward and addiction mainly by acting on β2-containing nAChRs in the mesocorticolimbic dopamine system, increasing midbrain dopamine neuron firing and phasic bursts. Withdrawal depends on distinct nAChR subunits—especially α5, α2, and β4—in the habenulo-interpeduncular axis, so reward, addiction, and withdrawal are mediated by partially separate neural circuits.

Key findings

  • Nicotine increases dopamine neuron firing and phasic burst activity, with tonic firing roughly 4 Hz and phasic bursts roughly 20–80 Hz; β2* nAChRs, often with α4 and/or α6, are essential for nicotine reinforcement and dopamine release.
  • In mice lacking β2, nicotine does not induce phasic bursts, dopamine release, or self-administration; re-expression of β2 in the VTA, but not SNc, reinstates self-administration, and either α4 or α6 re-expression also reinstates it.
  • Somatic withdrawal signs depend on α5, α2, and β4 nAChR subunits in the medial habenula/interpeduncular nucleus (MHb/IPN); mecamylamine injected into Hb/IPN precipitates withdrawal, whereas injection into VTA, hippocampus, or cortex does not.
  • Withdrawal is associated with decreased extracellular dopamine in the NAc and increased dopamine output in the PFC; symptoms appear within a few hours and include irritability, anxiety, anger, difficulty concentrating, sleep disturbance, increased appetite, and weight gain.

Methods

  • Narrative review synthesizing published literature on nicotinic acetylcholine receptors, mesocorticolimbic dopamine circuitry, nicotine reward, neuroadaptations, and withdrawal.
  • Draws on animal models (especially mouse knockout and re-expression studies, rat electrophysiology, microdialysis, fast-scan cyclic voltammetry) and human genetic/imaging findings.
  • Main analysis is qualitative integration of cited studies rather than a systematic review, meta-analysis, or new primary data.

Limitations

  • Not stated in the paper: the review does not include a formal limitations section.
  • Evident from the text: it is a narrative review without described systematic search criteria, inclusion/exclusion rules, or quantitative synthesis.
  • Evident from the text: some conclusions are explicitly speculative, such as the proposed interpretation of SNP rs16969968 in CHRNA5 and its possible link to smoking behavior and addiction risk.

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

Integrity signals

Registry

Crossref · 10.1146/annurev-neuro-061010-113734

Cites

300 of 300 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

151 Not checked yet · 17 Own interpretation · 2 No basis given

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Show all 110 claims

  • It may state two separate claims as one. 60
60 of 60
  • The paper relies on this without support.

    No mRNA encoding nAChR subunits can be detected in the lateral habenula by in situ hybridization.

    “and no mRNA encoding for nAChR subunits can be detected in the LHb by in situ hybridization techniques.”
  • The paper relies on this without support.

    Smokers regulate puffing and inhalation depth to achieve the most desirable nicotine dose at the top of the inverted U dose-response curve.

    “Smokers finely control nicotine intake by regulating how they puff on a cigarette and how deeply they inhale. In that way, they achieve the most desirable nicotine dose, at the top of the inverted U dose-response curve.”
  • The paper relies on this without support.

    Bupropion inhibits nAChRs and is mainly a norepinephrine/dopamine reuptake blocker.

    “Although buproprion inhibits nAChRs, it is mainly a norepinephrine/DA re-uptake blocker.”
3 of 3

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1 of 1

Citations

Cites

Research works printed but not linked: 8

  1. Am. Psychiatr. Assoc. (APA), 2000, American Psychiatric Association, Diagnostic and Statistical Manual—IVTR
  2. Benowitz NL., 2001, Risks Associated with Smoking Cigarettes with Low Machine-Measured Yields of Tar and Nicotine, 39
  3. Corringer PJ, 2006, J. Physiol., 99, 162
  4. Ellison G, 1996, NIDA Res. Monogr., 163, 117
  5. Klemm WR., 2004, Med. Sci. Monit., 10, RA261
  6. Salas R, 2010, Front. Hum. Neurosci., 4, 36
  7. Smolka MN, 2005, Psychopharmacology, 184, 1
  8. Thorndike EL, 1911, Animal Intelligence

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Metadata

Authors
De Biasi, M., & Dani, J. A.
Affiliations
Baylor College of Medicine (US)
Venue
Annual Review of Neuroscience
Published
2011-07-21
Volume
34
Issue
1
Pages
105-130
ISSN
  • 0147-006X (ISSN-L)
  • 1545-4126
OpenAlex
W2165425515
Cited by
366
References
305
Citations by year
2026: 12 · 2025: 17 · 2024: 20 · 2023: 13 · 2022: 13 · 2021: 14 · 2020: 32 · 2019: 23 · 2018: 22 · 2017: 36 · 2016: 28 · 2015: 29 · 2014: 42 · 2013: 27 · 2012: 33
FWCI
3.13
Type
journal article
Language
en
Open access
Locations
  • Annual Review of Neuroscience (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • Cancer Research Institute
  • Cancer Prevention and Research Institute of Texas
  • National Institutes of Health
  • National Institute on Drug Abuse (R21DA029157, DA09411, DA017173, R01DA017173, R01DA009411, DA029157)
  • National Cancer Institute (U19CA148127)
  • National Institute of Neurological Disorders and Stroke (NS 21229, R37NS021229, R01NS021229)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Nicotinic Acetylcholine Receptors Study
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
Keywords
nicotine, nicotine dependence, nicotine withdrawal, reward, mesocorticolimbic dopamine system, nicotinic acetylcholine receptors, nicotinic receptor subunits, dopaminergic neurons, neural adaptation, habenula, tobacco use
MeSH terms
Animals, Cerebral Cortex, Dopamine, Humans, Limbic System, Neuronal Plasticity, Neurons, Nicotine, Receptors, Nicotinic, Reward, Substance Withdrawal Syndrome, Behavior, Addictive

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