Skip Navigation
Genetics Home Reference: your guide to understanding genetic conditions     A service of the U.S. National Library of Medicine®


Reviewed April 2009

What is the official name of the CHRNA4 gene?

The official name of this gene is “cholinergic receptor, nicotinic alpha 4.”

CHRNA4 is the gene's official symbol. The CHRNA4 gene is also known by other names, listed below.

What is the normal function of the CHRNA4 gene?

The CHRNA4 gene provides instructions for making one part (subunit) of a larger protein called a neuronal nicotinic acetylcholine receptor (nAChR). Each nAChR protein is made up of a combination of five subunits, usually two alpha (α) and three beta (β) subunits. Many different combinations are possible, and the characteristics of each nAChR protein depend on which subunits it contains. In the brain, nAChR proteins most commonly consist of two α4 subunits and three β2 subunits. The CHRNA4 gene is responsible for producing the α4 subunit.

In the brain, nAChR proteins are widely distributed and play an important role in chemical signaling between nerve cells (neurons). The nAChR proteins act as channels, allowing charged atoms (ions) including calcium, sodium, and potassium to cross the cell membrane. These channels open when attached to a brain chemical (neurotransmitter) called acetylcholine. The channels also open in response to nicotine, the addictive substance in tobacco.

Communication between neurons depends on neurotransmitters, which are released from one neuron and taken up by neighboring neurons. The release and uptake of these chemicals are tightly regulated to ensure that signals are passed efficiently and accurately between neurons. Researchers believe that nAChR channels play an important role in controlling the normal release and uptake of neurotransmitters.

A wide range of brain functions depend on nAChR channels, including sleep and arousal, fatigue, anxiety, attention, pain perception, and memory. The channels are also active before birth, which suggests that they are involved in early brain development. At least one drug that targets nAChR channels in the brain has been developed to help people quit smoking; other medications targeting these channels are under study for the treatment of schizophrenia, Alzheimer disease, and pain.

How are changes in the CHRNA4 gene related to health conditions?

autosomal dominant nocturnal frontal lobe epilepsy - caused by mutations in the CHRNA4 gene

At least four mutations in the CHRNA4 gene have been identified in people with autosomal dominant nocturnal frontal lobe epilepsy (ADNFLE). Most of these mutations change single protein building blocks (amino acids) in the α4 subunit of nAChR channels; one mutation inserts an extra amino acid into the α4 subunit.

CHRNA4 mutations make nAChR channels more sensitive to the neurotransmitter acetylcholine, allowing the channels to open more easily than usual. The resulting increase in ion flow across the cell membrane alters the release of neurotransmitters, which changes signaling between neurons. Researchers believe that the overexcitement of certain neurons in the brain triggers the abnormal brain activity associated with seizures. It is unclear why the seizures seen in ADNFLE start in the frontal lobes of the brain and occur most often during sleep.

other disorders - associated with the CHRNA4 gene

Several variations (polymorphisms) in the CHRNA4 gene likely contribute to a person's risk of tobacco dependence. Cigarettes and other forms of tobacco contain nicotine, a drug that interacts with nAChR channels in the brain to produce a feeling of heightened well-being and alertness. These changes in the brain make nicotine highly addictive.

Because nicotine exerts its effects on the brain primarily by interacting with nAChR channels, researchers have studied the subunits of these channels to see if genetic changes influence tobacco dependence. They found that several CHRNA4 polymorphisms are associated with a person's risk of becoming addicted to tobacco. Each polymorphism changes a single amino acid in the α4 subunit of nAChR channels. These changes alter the structure of nAChR channels, which presumably affects the release and uptake of neurotransmitters (including dopamine) in the brain. It is unclear how these changes in brain chemistry affect the risk of becoming dependent on tobacco.

Research has shown that genetic factors play an important role in a person's vulnerability to tobacco dependence. However, like other forms of addiction, tobacco dependence is a complex behavior determined by multiple genetic and environmental factors.

Where is the CHRNA4 gene located?

Cytogenetic Location: 20q13.33

Molecular Location on chromosome 20: base pairs 63,343,310 to 63,361,396

(Homo sapiens Annotation Release 107, GRCh38.p2) (NCBI (

The CHRNA4 gene is located on the long (q) arm of chromosome 20 at position 13.33.

The CHRNA4 gene is located on the long (q) arm of chromosome 20 at position 13.33.

More precisely, the CHRNA4 gene is located from base pair 63,343,310 to base pair 63,361,396 on chromosome 20.

See How do geneticists indicate the location of a gene? ( in the Handbook.

Where can I find additional information about CHRNA4?

You and your healthcare professional may find the following resources about CHRNA4 helpful.

You may also be interested in these resources, which are designed for genetics professionals and researchers.

What other names do people use for the CHRNA4 gene or gene products?

  • Acetylcholine receptor, neuronal nicotonic, alpha-4 subunit
  • BFNC
  • Cholinergic receptor, neuronal nicotinic, alpha polypeptide 4
  • cholinergic receptor, nicotinic, alpha 4
  • cholinergic receptor, nicotinic, alpha 4 (neuronal)
  • cholinergic receptor, nicotinic, alpha 4 subunit
  • cholinergic receptor, nicotinic, alpha polypeptide 4
  • EBN
  • EBN1
  • FLJ95812
  • NACRA4
  • neuronal nicotinic acetylcholine receptor alpha-4 subunit

See How are genetic conditions and genes named? ( in the Handbook.

What glossary definitions help with understanding CHRNA4?

acetylcholine ; acids ; amino acid ; anxiety ; autosomal ; autosomal dominant ; calcium ; cell ; cell membrane ; dopamine ; epilepsy ; gene ; ions ; mutation ; neuron ; neurotransmitters ; nicotine ; nocturnal ; perception ; polymorphism ; potassium ; protein ; receptor ; schizophrenia ; sodium ; subunit

You may find definitions for these and many other terms in the Genetics Home Reference Glossary.


  • Arneric SP, Holladay M, Williams M. Neuronal nicotinic receptors: a perspective on two decades of drug discovery research. Biochem Pharmacol. 2007 Oct 15;74(8):1092-101. Epub 2007 Jun 26. Review. (
  • Bertrand D, Picard F, Le Hellard S, Weiland S, Favre I, Phillips H, Bertrand S, Berkovic SF, Malafosse A, Mulley J. How mutations in the nAChRs can cause ADNFLE epilepsy. Epilepsia. 2002;43 Suppl 5:112-22. (
  • Bertrand S, Weiland S, Berkovic SF, Steinlein OK, Bertrand D. Properties of neuronal nicotinic acetylcholine receptor mutants from humans suffering from autosomal dominant nocturnal frontal lobe epilepsy. Br J Pharmacol. 1998 Oct;125(4):751-60. (
  • di Corcia G, Blasetti A, De Simone M, Verrotti A, Chiarelli F. Recent advances on autosomal dominant nocturnal frontal lobe epilepsy: "understanding the nicotinic acetylcholine receptor (nAChR)". Eur J Paediatr Neurol. 2005;9(2):59-66. Review. (
  • Feng Y, Niu T, Xing H, Xu X, Chen C, Peng S, Wang L, Laird N, Xu X. A common haplotype of the nicotine acetylcholine receptor alpha 4 subunit gene is associated with vulnerability to nicotine addiction in men. Am J Hum Genet. 2004 Jul;75(1):112-21. Epub 2004 May 20. (
  • Hutchison KE, Allen DL, Filbey FM, Jepson C, Lerman C, Benowitz NL, Stitzel J, Bryan A, McGeary J, Haughey HM. CHRNA4 and tobacco dependence: from gene regulation to treatment outcome. Arch Gen Psychiatry. 2007 Sep;64(9):1078-86. (
  • Kuryatov A, Gerzanich V, Nelson M, Olale F, Lindstrom J. Mutation causing autosomal dominant nocturnal frontal lobe epilepsy alters Ca2+ permeability, conductance, and gating of human alpha4beta2 nicotinic acetylcholine receptors. J Neurosci. 1997 Dec 1;17(23):9035-47. (
  • Li MD, Beuten J, Ma JZ, Payne TJ, Lou XY, Garcia V, Duenes AS, Crews KM, Elston RC. Ethnic- and gender-specific association of the nicotinic acetylcholine receptor alpha4 subunit gene (CHRNA4) with nicotine dependence. Hum Mol Genet. 2005 May 1;14(9):1211-9. Epub 2005 Mar 24. (
  • Marini C, Guerrini R. The role of the nicotinic acetylcholine receptors in sleep-related epilepsy. Biochem Pharmacol. 2007 Oct 15;74(8):1308-14. Epub 2007 Jun 23. Review. (
  • NCBI Gene (
  • Steinlein OK, Mulley JC, Propping P, Wallace RH, Phillips HA, Sutherland GR, Scheffer IE, Berkovic SF. A missense mutation in the neuronal nicotinic acetylcholine receptor alpha 4 subunit is associated with autosomal dominant nocturnal frontal lobe epilepsy. Nat Genet. 1995 Oct;11(2):201-3. (


The resources on this site should not be used as a substitute for professional medical care or advice. Users seeking information about a personal genetic disease, syndrome, or condition should consult with a qualified healthcare professional. See How can I find a genetics professional in my area? ( in the Handbook.

Reviewed: April 2009
Published: February 8, 2016