ABSTRACT. Tobacco use is the world’s leading cause of preventable death, according to the World Health
Organization. Within the US, cigarette smoking cases approximately one in five deaths, accounting for more than
480K deaths each year. Tobacco users who strive to quit usually relapse. In 2018, approximately 55% of adults
in the US who smoked tobacco had made a quit attempt within the past year; only roughly 8% successfully quit
for 6-12 months. Because of this, novel approaches are necessary to improve nicotine cessation success rates.
Nicotine, a compound highly involved in nicotine use disorder (NUD), binds to neuronal nicotinic acetylcholine
receptors (nAChRs) to activate brain reward and positive reinforcement circuits. Further, nicotine use results in
cholinergic tone imbalance caused, in part, by dysregulation of the nAChR a4ß2 subtype. The neuronal a4ß2
subtype expresses in two isoforms with high and low sensitivity to nicotinic agonist (HS (a4ß2)2ß2 and LS
(a4ß2)2a4, respectively). Nicotine upregulates functional a4ß2 nAChRs and enriches plasma membrane
expression of the HS (a4ß2)2ß2 isoform. These changes result in hypersensitive brain reward
(mesocorticolimbic) circuits while enhancing dopamine levels that reinforce rewarding behavior, contributing to
NUD. Restoring the cholinergic tone to be less sensitive and comparable to pre-nicotine levels, is likely to be
critical in the development of an efficacious approach to treating NUD. Little is known regarding chaperone
protein regulation of a4ß2 nAChR isoforms, a key proposal mission, and the ability of chaperone proteins to
counteract nicotine-driven a4ß2 isoform imbalance. To begin to answer some of these questions, we propose to
define the basis of visinin-like protein-1 (VILIP-1) functional effects on receptor physiology, the interaction site,
and VILIP-1-driven changes in a4ß2 nAChR plasma membrane expression. Our preliminary data consistently
show VILIP-1 attenuates a4ß2 nAChR function and enhances plasma membrane expression. These underlying
findings led us to our hypothesis that leveraging the interactions between VILIP-1 and a4ß2 nAChRs by a small
molecule may be a novel approach to treating NUD. Defining the VILIP-1/a4ß2 nAChR interaction site, as
proposed here, will remove critical barriers that stymie scientific and clinical NUD work, in addition to other
conditions affected by a4ß2 nAChR dysregulation. We will pursue the aims of this proposal by combining
electrophysiology studies of receptor function with live cell confocal microscopy. Funding of this application will
provide foundational support for PI Weltzin’s progress towards becoming an independent and established
researcher by demonstrating project fundability and feasibility, assay advancement, preliminary data generation,
and senior-author publications. Her mentorship team includes Drs. Miwa and Whiteaker, established nAChR
experts. In addition, the proposal will provide hands-on research support for underrepresented students in
biomedical science. Activities supported by this proposal will sustenance and enrich the research environment
at the University of Alaska Fairbanks.