“…However, whether smoking itself affects the response to stressors is controversial, because both reductions and increases in stress levels have been reported in smokers (Parrott, 1995;Koval et al, 2004;Croghan et al, 2006;Finkelstein et al, 2006). In animals, acute injection of nicotine, the principal psychoactive component of tobacco smoke, is a potent stimulus for secretion of the stress-responsive hypothalamo-pituitary-adrenal (HPA) axis hormones ACTH (Conte-Devolx et al, 1981;Cam and Bassett, 1983;Matta et al, 1987) and corticosterone (Balfour et al, 1975;Cam and Bassett, 1983). Acutely injected nicotine increased glutamate release and enhanced NMDA receptor activity in noradrenergic regions of the nucleus tractus solitarius projecting to the hypothalamic paraventricular nucleus (PVN) (Zhao et al, 2007), projections shown to stimulate norepinephrine release and activate corticotropin-releasing factor (CRF) neurons in PVN (Valentine et al, 1996;Matta et al, 1998).…”