christian Aalkjaer 5 , ebbe Boedtkjer 5 & inyeong choi 2 ✉ The previous reports on an addiction vulnerability marker in the human SLC4A7 gene encoding the na/Hco 3 transporter NBCn1 suggest that this pH-regulating protein may affect alcohol-related behavior and response. Here, we examined alcohol consumption and sensitivity to the sedative effects of alcohol in male NBCn1 knockout mice. These mice displayed lower pH in neurons than wildtype controls, determined by intracellular pH in hippocampal neuronal cultures. neurons from knockout mice had a higher action potential threshold and a more depolarized membrane potential, thus reducing membrane excitability. in a two-bottle free choice procedure, knockout mice consumed more alcohol than controls and consistently increased alcohol consumption after repeated alcohol deprivation periods. Quinine and sucrose preference was similar between genotypes. Knockout mice showed increased propensity for alcohol-induced conditioned place preference. In loss of righting reflex assessment, knockout mice revealed increased sensitivity to alcohol-induced sedation and developed tolerance to the sedation after repeated alcohol administrations. furthermore, chronic alcohol consumption caused NBCn1 downregulation in the hippocampus and striatum of mice and humans. These results demonstrate an important role of NBCn1 in regulation of alcohol consumption and sensitivity to alcohol-induced sedation. pH is a broad but important biological factor that can cause significant changes in brain function 1,2. pH can change activities of numerous proteins such as neurotransmitter receptors, ion channels, and synaptic transmission machinery proteins, and such changes perturb membrane excitability, firing properties, and intracellular signaling cascades 3,4. The physiological importance of pH in neurons has been documented 5,6 ; nonetheless, it is presently unclear whether pH affects reward, motivation and addiction. In the field of addiction research, pH disturbance has been viewed as the consequence of drug action or metabolism 7. For example, the risk of metabolic acidosis is increased by an overdose of drugs including cocaine, heroin, and ecstasy 8. Metabolic acidosis is also induced by chronic or heavy alcohol consumption 9,10. This metabolic complication is due to the conversion of alcohol to ketone bodies such as β-hydroxybutyrate, thus consuming HCO 3 −. For example, a study shows that about 25% of alcoholic admissions in hospitals have ketogenic acidosis 11 , which affects many organ functions. Nonetheless, little is known whether pH conversely affects drug consumption or drug-induced response. NBCn1 (SLC4A7) is a pH-regulating plasma membrane protein found in a variety of tissues 12. In most neurons, NBCn1 is predominantly localized to postsynaptic membranes 13 , where it transports Na + and HCO 3 − into neurons and buffers intracellular H +. Thus, the transporter regulates intracellular pH (pH i) in postsynaptic neurons and extracellular pH (pH o) in the synaptic cleft. Genome-wide assoc...