More than 3 million deaths a year are attributable to smoking worldwide, and the use of tobacco is on the rise in developing countries. Consequently, tobacco use is one of the few causes of mortality that is increasing, with deaths projected to reach 10 million annually in 30-40 years. 1 In developed countries, smoking is presently estimated to cause 20% of all deaths, making it the largest single cause of preventable death. In the United States alone, smokingrelated illness causes more than 430 000 deaths and $150 billion in medical costs and lost productivity annually. 2 Nicotine is the primary addictive component of tobacco. [3][4][5][6][7] It motivates smoking by about 1.1 billion people, representing approximately one-third of the global population aged 15 and over. 8 The addictive power of tobacco is exemplified by the difficulty in quitting. Most attempts to quit smoking fail, and success is usually achieved only after repeated attempts. In the United States, nearly three-fourth of adult smokers want to stop. About one-third of these smokers try to quit each year, but only a few percent succeed. 9 Since it is such a serious health problem, nicotine addiction arising from tobacco use has been the focus of much research. For nicotine and other psychostimulant drugs of abuse, the accumulation of evidence supports the hypothesis that mesocorticolimbic dopamine (DA) systems mediate the reinforcement for continued drug use despite the harmful consequences. [3][4][5][6]10,11 Useful hypothesis of dopamine signaling in reward-based behaviors Rewards obtained from the environment serve as positive reinforcers that shape behaviors for success. Rewards provide the incentive to achieve goals that can yield pleasure and perpetuate life. Since the environment is variable and achieving desirable goals requires continual adjustments, rewards serve in an ongoing learning process that updates an animal's repertoire of behaviors. Exploiting the environment to achieve the natural rewards of food, shelter and, ultimately, reproductive success has evolutionarily produced important systems in the brain for the processing of reward-based learning. A wide range of studies, including electrical self-stimulation, selfadministration, place preference, in vivo imaging, pharmacology, and cellular electrophysiology have indicated that the neurotransmitter, DA, participates in these reward-based events. 3-6,10,11 Dopaminergic projections originating in the ventral tegmental area (VTA) and innervating the striatum, the amygdala, and the prefrontal cortex compose the mesocorticolimbic DA systems that have been specifically identified to be of primary, but not exclusive, importance.Addictive drugs tap into the reward-related neuronal systems, reinforcing and ultimately solidifying maladaptive behaviors. Years of experimentation have indicated that drugs such as cocaine, amphetamine, and nicotine mediate their reinforcing properties via the mesocorticolimbic DA systems. These drugs are self-administered in controlled animal studies, and the ...