“…Different from nicotine, cotinine is safe and does not elicit addictive behaviors in mammals, including humans ( Yim and Hee, 1995 ; Hatsukami et al, 1997 ; Vainio et al, 1998 ; Zevin et al, 2000 ; Echeverria and Zeitlin, 2012 ; Thomopoulos et al, 2013 ). Cotinine has shown to protect astrocytes from the toxic effects of chronic and acute stress in vivo ( Alvarez-Ricartes et al, 2018 ; Mendoza et al, 2018 ; Oliveros-Matus et al, 2020 ) and to prevent the loss of presynaptic proteins such as synaptophysin in the PFC and hippocampus of mice subjected to chronic stress ( Grizzell et al, 2014 ; Grizzell and Echeverria, 2015 ). In addition, cotinine has shown to reduce the activation of macrophages ( Rehani et al, 2008 ) and be neuroprotective, reducing plaque deposition, tau hyperphosphorylation, and cognitive impairment while increasing the expression of the postsynaptic density protein 95 (PSD95) in transgenic AD mice overexpressing human Aβ peptides ( Terry et al, 2005 , 2012 , 2015 ; Echeverria et al, 2011 ; Echeverria and Zeitlin, 2012 ; Patel et al, 2014 ; Grizzell et al, 2017 ).…”