In smoker's brain, rodent brain, and in cultured cells expressing nicotinic receptors, chronic nicotine treatment induces an increase in the total number of high affinity receptors for acetylcholine and nicotine, a process referred to as up-regulation. Up-regulation induced by 1 mM nicotine reaches 6-fold for ␣32 nicotinic receptors transiently expressed in HEK 293 cells, whereas it is much smaller for ␣34 receptors, offering a rationale to investigate the molecular mechanism underlying upregulation. In this expression system binding sites are mainly intracellular, as shown by [ 3 H]epibatidine binding experiments and competition with the impermeant ligand carbamylcholine. Systematic analysis of 2/4 chimeras demonstrates the following. (i) The extracellular domain critically contributes to up-regulation. (ii) Only residues belonging to two 2 segments, 74 -89 and 106 -115, confer up-regulation to 4, mainly by decreasing the amount of binding sites in the absence of nicotine; on an atomic three-dimensional model of the ␣32 receptor these amino acids form a compact microdomain that mainly contributes to the subunit interface and also faces the acetylcholine binding site. (iii) The 4 microdomain is sufficient to confer to 2 a 4-like upregulation. (iv) This microdomain makes an equivalent contribution to the up-regulation differences between ␣42 and ␣44. We propose that nicotine, by binding to immature oligomers, elicits a conformational reorganization of the microdomain, strengthening the interaction between adjacent subunits and, thus, facilitating maturation processes toward high affinity receptors. This mechanism may be central to nicotine addiction, since ␣42 is the subtype exhibiting the highest degree of up-regulation in the brain.Nicotine is the primary substance responsible for tobacco addiction, a major cause of death in western societies (1, 2). Chronic exposure to nicotine causes a strong addiction, which is mediated by the interaction of nicotine with neuronal nicotinic acetylcholine receptors (nAChRs), 1 a class of pentameric allosteric ligand-gated ion channels engaged in cholinergic nicotinic transmission in the brain (3, 4).Post-mortem analysis of brain slices from smokers (5, 6) and from rats or mice chronically treated with nicotine (7-10) reveals large increases in the number of high affinity nicotinic binding sites, a phenomenon termed up-regulation. Nicotine up-regulates the ␣32 (11, 12), ␣42 (13-18), ␣7 (11, 19), and (␣1)21␥␦ (19) nAChR subtypes reconstituted in cell lines or in Xenopus oocytes.In addition to the increased number of sites, modulation of the magnitude of the nicotine-elicited electrophysiological response is also observed upon chronic nicotine incubation of cell lines expressing recombinant nAChRs. This functional potentiation of the response is observed with nAChR oligomers ␣42 and ␣32 reconstituted in mammalian cell lines (12,20). But functional depression almost systematically takes place with the same combination of subunits reconstituted in Xenopus oocytes...