“…Arecoline is a natural cholinomimetic drug that evokes a wide spectrum of pharmacological effects on the nervous, cardiovascular, digestive, and endocrine systems, and also has anti-parasitic effects ( Peng W et al, 2015 ; Peng W et al, 2015 ; Liu et al, 2016 ). Arecoline exhibits multiple adverse effects, including growth retardation, developmental defects, locomotive impairment, cardiovascular disorders, and hyporeflexia, as shown in studies of zebrafishes, mice, rats, and humans ( Pichini et al, 2005 ; Peng W. H et al, 2015 ; Peng et al, 2016 ; Dasgupta et al, 2017 ; Dasgupta et al, 2018 ; Winger, 2021 ). Arecoline induces severe toxicity on cellular and molecular levels, such as oral submucosal fibrosis, oral squamous cell carcinoma, and genotoxicity ( Liu et al, 2016 ; Drake and Pjh, 2018 ).…”