“…Tobacco cigarettes and e-cigarettes contain high levels of nicotine, which infer a high addiction liability through actions on nAChRs in the reward-related systems in the brain. Activation of nAChRs by nicotine leads to both similar and different actions as that found with acetylcholine, depending on the method of administration, dose, and frequency of exposure (McGehee et al, 1995;Picciotto et al, 2008;Chen et al, 2020;Fowler et al, 2020;Wittenberg et al, 2020). Moreover, in addition to changes in the brain, it should also be noted that long-term effects of nicotine are found in other organ systems, such as the lungs (Ariyoshi et al, 2002;Amos et al, 2008;Garcia-Arcos et al, 2016;Sun et al, 2017;Kyte and Gewirtz, 2018;Liu et al, 2018), although such peripheral actions of nicotine will not be reviewed further herein.…”