“…The initial two studies performed by Kim et al and Bhang et al were performed on plasma with relatively small sample size and showed that healthy adult smokers had decreased plasma BDNF than the non-smokers; when smoking was ceased for > 4 weeks, BDNF levels increased to the non-smoker's levels or above (Kim et al, 2007, Bhang et al, 2010. The subsequent studies performed on serum with larger sample size showed that both schizophrenic (Zhang et al, 2010) and healthy adults (Suriyaprom et al, 2013, Jamal et al, 2015, Neves et al, 2017 had increased serum BDNF levels and this was associated /correlated with the amount and duration of cigarette smoking and blood cortisol levels, but not with the BDNF Val66Met genotype (Suriyaprom et al, 2013). Combined, these studies provide strong evidence that nicotine exposure in humans affects BDNF expression and this is most likely to be a consequence of the changes in brain BDNF levels, something that animal studies have helped to clarify as discussed in the next section.…”