Several pathological conditions involve alterations in expression of neuronal nicotinic acetylcholine receptors (nAChRs).Although some studies have addressed processes involved with muscle nAChR expression, knowledge of the regulation of neuronal nAChRs is particularly sparse. The following studies were designed to investigate cellular mechanisms involved with expression of neuronal ␣34* nAChRs. Catecholamine secretion assays and receptor binding studies coupled with receptor alkylation were used to study the nAChR regulation and turnover. Alkylation of adrenal nAChRs results in a rapid and complete loss of receptor-mediated neurosecretion and surface [ 3 H]epibatidine binding sites. After alkylation, both neurosecretory function and nAChR binding slowly (24 -48 h) return to prealkylation levels. When cells are treated with the protein synthesis inhibitor puromycin, after alkylation, receptor-mediated neurosecretion does not recover. Long-term treatment (24 -48-h) with puromycin, in the absence of alkylation, results in a slow, time-dependent shift to the right, followed by a downward shift, in the nicotine concentration-response curve, documenting a disappearance of surface nAChRs. Puromycin treatment alone also results in a loss to both surface and intracellular [3 H]epibatidine binding sites. nAChR 4 subunit levels are significantly decreased after treatment with puromycin. These data support a constitutive turnover of adrenal ␣34* nAChRs, requiring continual de novo synthesis of new receptor protein.Nicotinic acetylcholine receptors (nAChRs) are ligandgated ion channels that have essential physiological roles in the central and peripheral nervous systems and are thought to be the primary mediators of nicotine addiction. Neuronal nAChRs have also been associated with a variety of other neurological disease states, all of which involve changes in expression or distribution of the nAChRs (Lindstrom, 1997). Several processes have been described that regulate neuronal nAChR expression and directly influence their functional activity. These processes have a temporal component. Loss of receptor function via desensitization occurs rapidly, usually within seconds or minutes. Receptor down-regulation develops over several hours. Receptor up-regulation occurs with some neuronal nAChR subtypes and also develops over several hours. Finally, tolerance and dependence generally take days to weeks to develop. Several mechanisms are probably involved with these processes, including alterations in receptor internalization, receptor recycling, receptor degradation, and/or receptor synthesis.At least three separate steps in the receptor expression/ turnover process may regulate the number of nAChRs expressed on the cell surface. These include alterations in nAChR formation and assembly (Mitra et al., 2001), nAChR transport to the cell surface (Rothhut et al., 1996;Keller et al., 2001), or nAChR stabilization in the cellular membrane (Peng et al., 1994). The rate-limiting processes involved in nAChR turnover remain to...