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Brain reactivity to nicotine cues mediates the link between resting-state connectivity and cue-induced craving in individuals who smoke or vape nicotine

Laura Murray, Ph.D.

Laura Murray, Ph.D.

Featured Paper of the Month – November 2025

Published in Neuropsychopharmacology by Laura Murray and Amy Janes of the NIDA IRP Cognitive and Pharmacological Neuroimaging Section.

Summary

Patterns of nicotine use have changed rapidly in recent years. This project tested whether brain and subjective responses to nicotine cues differed between individuals who smoke versus vape nicotine, and whether brain function at rest was related to how the brain responded to nicotine cues and how exposure to nicotine cues influences subjective craving. People who smoke or vape nicotine showed no differences in their brain responses and subjective craving responses to nicotine cues. Both groups showed strong brain responses to nicotine-related images, especially in networks involved in attention and internal focus. Individuals with greater connectivity between these networks at rest, and weaker prefrontal regulatory responses to cues, reported higher craving after exposure to nicotine cues. Together, these findings suggest that stronger intrinsic network coupling may limit the brain’s ability to regulate in the presence of salient nicotine cues, increasing susceptibility to nicotine craving across both smoking and vaping.

A figure from this study

A figure from this study

Publication Information

Murray, Laura; Scavnicky, Maria K; Korponay, Cole; Lukas, Scott E; Frederick, Blaise B; Janes, Amy C

Brain reactivity to nicotine cues mediates the link between resting-state connectivity and cue-induced craving in individuals who smoke or vape nicotine Journal Article

In: Neuropsychopharmacology, vol. 50, no. 6, pp. 983–990, 2025, ISSN: 1740-634X.

Abstract | Links

@article{pmid40082646,
title = {Brain reactivity to nicotine cues mediates the link between resting-state connectivity and cue-induced craving in individuals who smoke or vape nicotine},
author = {Laura Murray and Maria K Scavnicky and Cole Korponay and Scott E Lukas and Blaise B Frederick and Amy C Janes},
url = {https://pubmed.ncbi.nlm.nih.gov/40082646/},
doi = {10.1038/s41386-025-02083-6},
issn = {1740-634X},
year = {2025},
date = {2025-05-01},
urldate = {2025-05-01},
journal = {Neuropsychopharmacology},
volume = {50},
number = {6},
pages = {983--990},
abstract = {Individual differences in brain intrinsic functional connectivity (FC) and reactivity to nicotine cues are linked to variability in clinical outcomes in nicotine dependence. However, the relative contributions and potential interdependencies of these brain imaging-derived phenotypes in the context of craving and nicotine dependence are unclear. Moreover, it is unknown whether these relationships differ in individuals who smoke versus vape nicotine. To investigate these questions, eighty-six individuals who use nicotine daily (n = 67 smoking, n = 19 vaping) completed either a smoking or vaping cue-reactivity task and a resting-state scan during functional magnetic resonance imaging (fMRI). Validating the efficacy of the smoking and vaping tasks, both cohorts displayed robust reactivity to nicotine versus neutral cues in the default mode network (DMN) and the anterior insula (AI), a primary node of the salience network (SN), which did not habituate over time. In the smoking and vaping groups, lower prefrontal reactivity to nicotine versus neutral cues and greater resting-state FC between nodes of the SN and DMN were associated with higher cue-induced craving. Moreover, we found that the former partially mediated the latter, suggesting a mechanism in which high resting SN-DMN connectivity increases craving susceptibility partly via a constraining effect on regulatory prefrontal reactivity to cues. These relationships were not impacted by group, suggesting that links between brain function and craving are similar regardless of smoking or vaping nicotine.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}

Close

Individual differences in brain intrinsic functional connectivity (FC) and reactivity to nicotine cues are linked to variability in clinical outcomes in nicotine dependence. However, the relative contributions and potential interdependencies of these brain imaging-derived phenotypes in the context of craving and nicotine dependence are unclear. Moreover, it is unknown whether these relationships differ in individuals who smoke versus vape nicotine. To investigate these questions, eighty-six individuals who use nicotine daily (n = 67 smoking, n = 19 vaping) completed either a smoking or vaping cue-reactivity task and a resting-state scan during functional magnetic resonance imaging (fMRI). Validating the efficacy of the smoking and vaping tasks, both cohorts displayed robust reactivity to nicotine versus neutral cues in the default mode network (DMN) and the anterior insula (AI), a primary node of the salience network (SN), which did not habituate over time. In the smoking and vaping groups, lower prefrontal reactivity to nicotine versus neutral cues and greater resting-state FC between nodes of the SN and DMN were associated with higher cue-induced craving. Moreover, we found that the former partially mediated the latter, suggesting a mechanism in which high resting SN-DMN connectivity increases craving susceptibility partly via a constraining effect on regulatory prefrontal reactivity to cues. These relationships were not impacted by group, suggesting that links between brain function and craving are similar regardless of smoking or vaping nicotine.

Close

  • https://pubmed.ncbi.nlm.nih.gov/40082646/
  • doi:10.1038/s41386-025-02083-6

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