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Review
. 2021 Jun;157(5):1652-1673.
doi: 10.1111/jnc.15356.

Addiction-related neuroadaptations following chronic nicotine exposure

Affiliations
Review

Addiction-related neuroadaptations following chronic nicotine exposure

Lauren Wills et al. J Neurochem. 2021 Jun.

Abstract

The addiction-relevant molecular, cellular, and behavioral actions of nicotine are derived from its stimulatory effects on neuronal nicotinic acetylcholine receptors (nAChRs) in the central nervous system. nAChRs expressed by dopamine-containing neurons in the ventral midbrain, most notably in the ventral tegmental area (VTA), contribute to the reward-enhancing properties of nicotine that motivate the use of tobacco products. nAChRs are also expressed by neurons in brain circuits that regulate aversion. In particular, nAChRs expressed by neurons in the medial habenula (mHb) and the interpeduncular nucleus (IPn) to which the mHb almost exclusively projects regulate the "set-point" for nicotine aversion and control nicotine intake. Different nAChR subtypes are expressed in brain reward and aversion circuits and nicotine intake is titrated to maximally engage reward-enhancing nAChRs while minimizing the recruitment of aversion-promoting nAChRs. With repeated exposure to nicotine, reward- and aversion-related nAChRs and the brain circuits in which they are expressed undergo adaptations that influence whether tobacco use will transition from occasional to habitual. Genetic variation that influences the sensitivity of addiction-relevant brain circuits to the actions of nicotine also influence the propensity to develop habitual tobacco use. Here, we review some of the key advances in our understanding of the mechanisms by which nicotine acts on brain reward and aversion circuits and the adaptations that occur in these circuits that may drive addiction to nicotine-containing tobacco products.

Keywords: Nicotine; addiction; desensitization; dopamine; habenula; interpeduncular nucleus; nicotinic acetylcholine receptor; reward; withdrawal.

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Conflict of interest statement

LW and PJK declare no conflicts of interest.

Figures

Figure 1.
Figure 1.. nAChR subtypes in brain reward and aversion systems.
(a) Major stoichiometries of nAChRs predicted to be expressed by neurons in the ventral tegmental area (VTA), nucleus accumbens (NAc), medial habenula (mHb) and interpeduncular nucleus (IPn). (b) Major circuits implicated in nicotine reward include dopamine neurons in lateral VTA that receive input from the pedunculopontine tegmental nucleus (PPTg) and laterodorsal tegmental nucleus (LDTg) and send projections to the NAc. Major circuits implicated in nicotine aversion include dopamine neurons in the medial VTA that receive input from the lateral habenula (lHb) and project to the prefrontal cortex (PFC) and neurons in the mHb that project to the IPn.

References

    1. Ables JL, Gorlich A, Antolin-Fontes B, Wang C, Lipford SM, Riad MH, Ren J, Hu F, Luo M, Kenny PJ, Heintz N and Ibanez-Tallon I (2017). “Retrograde inhibition by a specific subset of interpeduncular alpha5 nicotinic neurons regulates nicotine preference.” Proc Natl Acad Sci U S A 114(49): 13012–13017. - PMC - PubMed
    1. Ahnallen CG, Liverant GI, Gregor KL, Kamholz BW, Levitt JJ, Gulliver SB, Pizzagalli DA, Koneru VK and Kaplan GB (2012). “The relationship between reward-based learning and nicotine dependence in smokers with schizophrenia.” Psychiatry Res 196(1): 9–14. - PMC - PubMed
    1. Albuquerque EX, Pereira EF, Alkondon M and Rogers SW (2009). “Mammalian nicotinic acetylcholine receptors: from structure to function.” Physiol Rev 89(1): 73–120. - PMC - PubMed
    1. Alkondon M, Pereira EF, Eisenberg HM and Albuquerque EX (1999). “Choline and selective antagonists identify two subtypes of nicotinic acetylcholine receptors that modulate GABA release from CA1 interneurons in rat hippocampal slices.” J Neurosci 19(7): 2693–2705. - PMC - PubMed
    1. Armett CJ and Ritchie JM (1961). “The action of acetylcholine and some related substances on conduction in mammalian non-myelinated nerve fibres.” J Physiol 155: 372–384. - PMC - PubMed

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