Cited by 229Nicotinic Acetylcholine Receptors StudySmoking Behavior and CessationSubstance Abuse Treatment and Outcomes

The DOI matches its Crossref record; 57 of the 64 references it cites were found in a registry or an index; 5 of the 36 sources its claims cite were checked for support.

Human Tobacco Smokers in Early Abstinence Have Higher Levels of β2* Nicotinic Acetylcholine Receptors than Nonsmokers

Open access

Abstract

Nicotine, the addictive chemical in tobacco smoke, initiates its actions in brain through nicotinic acetylcholine receptors (nAChRs). In particular, nAChRs containing β 2-subunits (β 2*-nAChRs) the most prevalent subtype, mediate the reinforcing properties of nicotine. We hypothesized that abnormal numbers of β 2*-nAChRs during early abstinence contribute to the perpetuation of addiction to tobacco smoking. Using molecular imaging, specifically single-photon emission computed tomography with the nAChR agonist radiotracer [123 I]5-IA-85380 ([123 I]5-IA), we imaged β 2*-nAChR availability in human smokers. First, using nonhuman primates treated chronically with nicotine, we estimated the time interval necessary for smokers to abstain from smoking so that residual nicotine would not interfere with [123 I]5-IA binding to the β 2*-nAChR as ∼7 d. Thus, we imaged human smokers at 6.8 ± 1.9 d (mean ± SD) of abstinence. Abstinence was confirmed by daily assessments of urinary cotinine and expired carbon monoxide levels. In smokers, [123 I]5-IA uptake was significantly higher throughout the cerebral cortex (26–36%) and in the striatum (27%) than in nonsmokers, suggesting higher β 2*-nAChR in recently abstinent smokers. β 2*-nAChR availability in recently abstinent smokers correlated with the days since last cigarette and the urge to smoke to relieve withdrawal symptoms but not the severity of nicotine dependence, severity of nicotine withdrawal, or the desire to smoke. Higher brain β 2*-nAChR during early abstinence indicates that, when smokers quit smoking, they do so in the face of a significant increase in the receptors normally activated by nicotine. Greater β 2*-nAChR availability during early abstinence may impact the ability of smokers to maintain abstinence.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

Using [123I]5-IA SPECT, this study found that human smokers in early abstinence have higher brain β2*-nicotinic acetylcholine receptor availability than nonsmokers. The authors suggest this upregulation may influence the ability to maintain smoking abstinence.

Key findings

  • Smokers imaged after 6.8 ± 1.9 d of abstinence showed significantly higher [123I]5-IA uptake than nonsmokers throughout cerebral cortex (26–36%) and in striatum (27%); region-of-interest analyses also showed higher uptake in cerebellum (25.2%) but not thalamus (8.7%, p = 0.1651).
  • In nonhuman primates, [123I]5-IA binding decreased 41–65% after 1–2 d of nicotine withdrawal, then increased 240–276% after 7 d of withdrawal, supporting an approximately 7 d abstinence interval before human imaging.
  • In smokers, β2*-nAChR availability correlated with days since last cigarette and with urge to smoke to relieve withdrawal symptoms, but not with severity of nicotine dependence, severity of nicotine withdrawal, or desire to smoke.

Methods

  • Two male adolescent rhesus macaques received oral nicotine dose escalation and were imaged with [123I]5-IA SPECT at baseline, after 6 weeks of nicotine plus 1–2 d withdrawal, and after 8 weeks of nicotine plus 7 d withdrawal.
  • Human smokers (n = 16) and nonsmokers (n = 16) matched on age and sex were imaged with [123I]5-IA SPECT using a bolus-plus-constant-infusion paradigm; smokers abstained for 6.8 ± 1.9 d, confirmed by urinary cotinine and expired carbon monoxide.
  • Regional β2*-nAChR availability was measured as V_T′ using MRI-guided regions of interest and voxel-based SPM2 analyses; group differences used MANOVA and t tests, and clinical correlations used Pearson’s correlation.

Limitations

  • The paper states that a species difference cannot be ruled out because nonhuman primates were male adolescents while human smokers were male and female adults, and it notes that interindividual variability in nicotine metabolism/CYP2A6 is expected.
  • The paper reports that technical problems precluded determining plasma levels in one monkey at 6 weeks/2 d withdrawal.
  • Evident from the text: human samples were small (n = 16 per group), cross-sectional, and correlational; V_T′ interpretation assumes no change in affinity and no difference in nondisplaceable uptake.

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

Integrity signals

Registry

Crossref · 10.1523/jneurosci.0546-06.2006

Cites

57 of 57 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

5 of 36 cited sources checked · 1 supported · 0 flagged · accuracy not yet measured

Show all 34 claims

  • It may state two separate claims as one. 14
  • Probably not a substantial claim. 13
24 of 24
  • The paper relies on this without support.

    Nicotine initiates its actions in the brain through nicotinic acetylcholine receptors (nAChRs).

    “Nicotine, the addictive chemical in tobacco smoke, initiates its actions in brain through nicotinic acetylcholine receptors (nAChRs).”
  • The paper relies on this without support.

    The addictive properties of tobacco smoke are attributed primarily to nicotine.

    “Although tobacco smoke contains Ͼ4000 chemicals, its addictive properties have been attributed primarily to nicotine.”
  • The authors state this as an assumption.

    V_T' is proportional to binding potential (Bmax/KD), assuming no change in affinity (KD) and that nondisplaceable uptake does not differ between animals and studies.

    “The primary outcome measure for regional brain uptake was V T Ј, which is proportional to the binding potential (BP) (B max /K D ), assuming that there is no change in affinity (K D ) and that nondisplaceable uptake does not differ between animals and studies.”
  • The paper relies on this without support.

    The time course of nicotine clearance and receptor availability in nonhuman primates is similar enough to humans to determine the necessary abstinence interval for human smokers.

    “First, using nonhuman primates treated chronically with nicotine, we estimated the time interval necessary for smokers to abstain from smoking so that residual nicotine would not interfere with [ 123 I]5-IA binding to the ␤ 2 *-nAChR as ϳ7 d.”
  • The paper relies on this without support.

    V_T' in humans reflects β2*-nAChR availability without changes in affinity or nondisplaceable uptake.

    “Regional ␤ 2 *-nAChR availability was determined by V T Ј (regional activity/total plasma parent), a highly reproducible outcome measure (Staley et al., 2005).”
  • The paper relies on this without support.

    Urinary cotinine levels below 250 ng/ml indicate sufficient abstinence from smoking.

    “On the SPECT scan day, urinary cotinine levels were Ͻ250 ng/ml for 14 of 16 smokers and Ͻ1000 ng/ml for two smokers.”
  • The paper relies on this without support.

    The nonhuman primate findings on nicotine-induced β2*-nAChR upregulation and clearance generalize to human smokers.

    “These findings were substantiated by our experiment in nonhuman primates that confirmed that higher ␤ 2 *-nAChR availability is at- tributable to nicotine (vs other chemicals in tobacco smoke)”
  • The paper relies on this without support.

    The [123I]5-IA VT' measure reflects β2*-nAChR availability (density of binding sites) in human brain without confounding by differences in blood flow or radioligand delivery.

    “Higher brain [ 123 I]5-IA uptake in recently abstinent smokers suggests greater availability of nicotine binding sites on ␤ 2 *- nAChRs.”
8 of 8

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Citations

Cites

Flagged first, then by citations

Show all 64 references

7 of the 64 references couldn’t be matched to a known paper.

Cited by

Sorted by citations

Items 201–223 of 223

Metadata

Authors
Staley, J. K., Krishnan-Sarin, S., Cosgrove, K. P., Krantzler, E., Frohlich, E., Perry, E., Dubin, J. A., Estok, K., Brenner, E., Baldwin, R. M., Tamagnan, G. D., Seibyl, J. P., Jatlow, P., Picciotto, M. R., London, E. D., O'Malley, S., & van Dyck, C. H.
Affiliations
  • Yale University (US)
  • VA Connecticut Healthcare System (US)
  • Institute for Neurodegenerative Disorders (US)
  • University of California, Los Angeles (US)
Corresponding author
Staley, Julie K.
Venue
The Journal of Neuroscience
Published
2006-08-23
Volume
26
Issue
34
Pages
8707-8714
ISSN
  • 0270-6474 (ISSN-L)
  • 1529-2401
OpenAlex
W2165081822
Cited by
229
References
64
Citations by year
2026: 3 · 2025: 5 · 2024: 5 · 2023: 6 · 2022: 4 · 2021: 4 · 2020: 26 · 2019: 7 · 2018: 16 · 2017: 8 · 2016: 13 · 2015: 11 · 2014: 18 · 2013: 20 · 2012: 9
FWCI
4.49
Type
journal article
Language
en
Open access
Locations
  • Journal of Neuroscience (publishedVersion, cc-by-nc-sa)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health
  • National Institute on Alcohol Abuse and Alcoholism (P50AA015632, K01AA000288)
  • National Institute on Drug Abuse (K02DA000436, R01DA015577, P50DA013334)
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
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords
nicotine withdrawal, smoking abstinence, nicotine dependence, striatum, cerebral cortex, urinary cotinine, carbon monoxide
MeSH terms
Adult, Animals, Azetidines, Cerebral Cortex, Corpus Striatum, Female, Humans, Macaca mulatta, Male, Middle Aged, Pyridines, Receptors, Nicotinic, Smoking, Nicotiana, Tomography, Emission-Computed, Single-Photon, Smoking Cessation

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.

A language model drew the claims from the paper on 2026-10-08, under version 3 of the claim definition (model deepseek-v4.1-flash, prompt extract-v3).

A second model labelled each claim on 2026-10-08 (model jev-1.13-20260917, definition revision gold-guideline-v0.2).

Cited sources are checked with a language model’s help (gpt-6-sol).

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review