Nicotine, a primary active component of tobacco, is a powerful stimulator of cell proliferation. The search for nicotine receptors linked to aberrant lung growth led to the discovery that nicotinic acetylcholine receptors (nAChRs) are significantly expressed in the non-neuronal tissues of the lung. 1 There are more than a dozen different nAChR subunit proteins, subdivided into ␣ and  subfamilies, which form pentameric ion channels consisting of either a single type of ␣ subunit (homopentamers) or a combination of ␣ and  subunits (heteropentamers).As ligand-gated ion channels, nAChRs undergo complex allosteric changes in response to binding either the endogenous ligand acetylcholine or exogenous ligands, including nicotine. Although nAChRs are classically linked to the plasma membrane depolarization required for neurotransmission, non-neuronal nAChRs in the lung act most frequently as calcium channels and have been linked to regulatory proteins such as src and phosphatidylinositol 3-kinase, which can control cell proliferation. 2 Moreover, although nAChR activation often leads to a positive feedback loop that induces receptor expression, chronic stimulation of nAChRs can lead to channel desensitization and decreased activity. Thus, elucidating functional roles for nAChRs is particularly complex and requires consideration of subunit composition, dose response, and duration of ligand stimulation.Although the majority of studies of nAChR function in the lung are related to the effects of nicotine on these receptors, little is known about the physiological functions of these receptors in regulating lung growth and repair. Emerging data show that airway epithelia secrete, process, reabsorb, and synthesize acetylcholine, underscoring a physiological role for nAChRs in normal lung function. 3 In this issue of The American Journal of Pathology, Maouche et al 4 used a multipronged approach to investigate roles for ␣7 nAChR, a widely expressed homopentamer, in regulating airway epithelial growth and differentiation.As a pseudostratified epithelium, the airway is composed of several phenotypically distinct cell types including ciliated cells, secretory cells, and basal cells, all in close proximity. By immunohistochemistry, Maouche et al found that basal cells, normally localized at the basement membrane, were enriched for ␣7 nAChR expression. Importantly, expression of ␣7 nAChRs was pronounced in proliferating cells in the developing lung. Given this and the more typical role for non-neuronal nAChRs in stimulating cell proliferation, it was interesting that functional experiments revealed a role for ␣7 nAChRs in limiting, not stimulating, basal cell proliferation. Specifically, the authors found that the injury response in airways of ␣7 nAChR-deficient mice was characterized by significant basal cell hyperplasia compared with wild-type mice. 4 Treatment of cultured human airway cells or ex vivo human lung explants with ␣-bungarotoxin, a neurotoxin capable of blocking ␣7 nAChR function, had a similar effect on the injury ...