Nicotinic acetylcholine receptors (nAChRs) are combinations of subunits arranged as pentamers encircling a central cation channel. At least nine ␣ and four  subunits are expressed in the central and peripheral nervous systems; their presence in autonomic ganglia, the adrenal medulla, and central nervous system, with accompanying responses elicited by nicotinic agonists, point to their involvement in cardiovascular homeostasis. nAChRs formed by ␣3, ␣5, and 4 subunits may regulate blood pressure (BP) by mediating release of catestatin, the endogenous nicotinic antagonist fragment of chromogranin A (CHGA) and potent inhibitor of catecholamine secretion. Genes encoding these subunits (CHRNA3, CHRNA5, and CHRNB4) are clustered on human chromosome 15q24. Because variation in this cluster may alter autonomic regulation of BP, we sequenced ϳ15 kilobase pairs in 15q24 containing their coding and 5Ј-and 3Ј-untranslated regions in 80 individuals. We identified 63 variants: 25 in coding regions of CHRNA3, CHRNA5, and CHRNB4 and 48 noncoding single-nucleotide polymorphisms (SNPs). Haplotype frequencies varied across ethnic populations. We assessed the contribution of six SNPs in the putative catestatin binding region of CHRNA3 and CHRNB4 to autonomic traits. In twins, catestatin and BP were heritable. CHRNA3 SNPs and haplotypes containing K95K (G285A) associated with circulating plasma catestatin, epinephrine levels, as well as systolic BP, suggesting altered coupling of the nAChRs to BP. Studies of chromaffin cells in vitro reveal that nicotinic agonist stimulation releases catecholamines and CHGA, a process augmented by overexpression of CHRNA3 and blocked by catestatin. These cellular events suggest a homeostatic mechanism underlying the pleiotropic actions of CHRNA3 genetic variation on autonomic function observed in twins.Nicotinic acetylcholine receptors (nAChRs) are homomeric and heteromeric assemblies of five subunits (Grutter and Changeux, 2001;Karlin, 2002). These subunits are encoded by homologous genes expressed in nerve, muscle, and endocrine cells. The subunits surround an agonist-mediated ion channel that gates currents generated by the flow of cations (Na ϩ and Ca 2ϩ ) from extracellular to intracellular space. Agonist association at specific subunit interfaces gives rise to a concerted conformational change that propagates to the transmembrane spanning region. Rapid gating of cations causes transient depolarization of the cell membrane. In preganglionic sympathetic neurons, depolarization enhances