22Cholinergic transmission must be tightly regulated at mammalian neuromuscular 23 junctions (NMJs) for motor neurons and skeletal muscles to properly communicate and 24 remain viable. Here, we examined the function of Lynx1, and endogenous regulator of 25 cholinergic transmission, at NMJs in mice. We show that Lynx1 interacts with and 26 modulates the activity of muscle nicotinic acetylcholine receptors (nAChRs) at NMJs. We 27 also demonstrate that deletion of Lynx1 prematurely and progressively increases the 28 incidence of NMJs with age-related features including fragmentation, nerve sprouting, 29 and multiple innervation. Deleterious changes at NMJs lacking Lynx1 ultimately culminate 30 in the atrophy and de-differentiation of muscle fibers from a fast to a slow phenotype, two 31 hallmarks of aged skeletal muscles. Additionally, we show that Lynx1 is markedly reduced 32 at aged NMJs of control mice, further indicating that Lynx1 plays important roles in 33 mitigating age-related changes at NMJs. These data show that Lynx1 is an attractive 34 target for preventing aging of NMJs and skeletal muscles. 35Neurotransmission is vital for proper communication across synapses in the 38 central and peripheral nervous systems, and thus normal cognitive and motor functions 1 . 39In the somatic motor system, cholinergic transmission initiates all voluntary movements. 40This occurs at the synapse between motor neurons and skeletal muscles, called the 41 neuromuscular junction (NMJ), where acetylcholine (ACh) released from motor axons 42 binds to nicotinic acetylcholine receptors (nAChRs) on skeletal muscles and drives 43 muscle contraction. Because of this critical role in voluntary movement, the cholinergic 44 system is tightly regulated to ensure the proper development, function, and viability of 45 skeletal muscles. For example, the composition and function of nAChRs pentamers 46 changes during development, and in response to conditions that affect the availability of 47 ACh 2 . As NMJs mature, the γ subunit of nAChRs is gradually replaced by the ε subunit 3-48 5 . The presence of the ε subunit reduces the open time of nAChRs, when bound to ACh, 49 and therefore attenuates their activity. This transition, from nAChRs containing γ to ε 50 subunits, is important for the normal development and function of adult NMJs, and thus 51 skeletal muscles 6 . Highlighting this point, mutations in the ε subunit causes congenital 52 myasthenic syndrome (CMS) 7-12 , a neuromuscular disease characterized by muscle 53 weakness and fatigue. The stability and function of adult nAChR pentamers has also been 54 shown to depend on proper phosphorylation of its subunits and on associations with other 55 key molecules involved in nAChR trafficking, clustering, and anchoring [13][14][15][16][17][18] . Thus, 56 multiple mechanisms have been found to alter the properties of nAChRs to regulate the 57 response of muscle fibers to changes in cholinergic transmission. 58Evidence continues to accumulate indicating that changes in the cholinergic 59 sys...