Nicotine, like several other abused drugs, is known to act on the reward system in the brain. Smoking-associated cues produce smoking urges and cravings accompanied by autonomic dysfunction to these cues in smokers. The present study was aimed at investigating whether cues related to smoking elicit the autonomic response in smokers. The subjective and physiological reactivity of 7 smokers and 12 nonsmokers in a supine position to smoking-related visual cues was assessed under indirect dim light using a self-assessment manikin and a specially designed pupillometer. The experimental procedure consisted of the elicitation and measurement of pupil size (PS) while the subjects viewed a smoking image and images from three valencedefined categories (i.e., pleasant, unpleasant, and neutral), based on normative affective ratings selected from the International Affective Picture System. Both groups produced significantly larger PS increases in response to pleasant or unpleasant images compared to neutral images. Smokers, viewing smoking-related visual cues but no other affective images, produced significantly larger PS's compared to nonsmokers. Moreover, smokers rated the smoking image with more pleasure and arousal than nonsmokers. These findings suggest that cues related to smoking induce not only a subjective emotional alteration, but also sympathetic activation, measured by the time-series PS data in smokers.Key words: addiction, autonomic, emotion, nicotine, arousal.A great many studies suggest that responses to drug-related cues maintain drug use and undermine cessation attempts [1]. Exposure to smoking-related cues has been reported to increase self-reported craving and cardiovascular reactivity compared to neutral cues, and enhanced cue reactivity predicts a decreased likelihood of successful cessation [2]. In smokers, smoking-related cues elicit smoking urges and craving, which are accompanied by an attentional bias for these cues [3]. Cue reactivity has been considered a key factor that modulates motivational goaldirected behavior associated with com-pulsive drug taking and relapse.Psychophysiological variables of interest during affective picture viewing have changed skin conductance response and heart rate as reliable indicators of arousal [4]. Numerous laboratory-based cue reactivity studies have found that various drug-related cues elicited strong cravings and physiological responses among addicts, such as alcoholics and smokers [5,6]. Based on the incentive sensitization theory, the central mechanisms of smoking-associated salient stimuli on brain activation have been investigated using functional magnetic resonance imaging (fMRI) and positron emission tomography (PET) [7]. Reactivity to smoking cues has been commonly indexed by behavioral measures as well as measures of autonomic nervous system (ANS) activity, including systolic and diastolic blood pressures, vasoconstriction, heart rate, heart rate variability, and event-related heart rate deceleration [8,9].Pupil size (PS) has been used as a pa...