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===Performance=== Nicotine-containing products are sometimes used for the [[performance-enhancing substance|performance-enhancing]] effects of nicotine on cognition.<ref>{{cite journal | vauthors = Valentine G, Sofuoglu M | title = Cognitive Effects of Nicotine: Recent Progress | journal = Current Neuropharmacology | publisher = Bentham Science Publishers | date=May 2018 | volume = 16 | issue = 4 | pages = 403–414 | doi=10.2174/1570159X15666171103152136 | pmid = 29110618| pmc = 6018192 }}</ref> A 2010 meta-analysis of 41 [[double-blind]], [[placebo]]-controlled studies concluded that nicotine or smoking had significant positive effects on aspects of fine motor abilities, alerting and orienting attention, and episodic and working memory.<ref>{{cite journal | vauthors = Heishman SJ, Kleykamp BA, Singleton EG | title = Meta-analysis of the acute effects of nicotine and smoking on human performance | journal = Psychopharmacology | volume = 210 | issue = 4 | pages = 453–69 | date = July 2010 | pmid = 20414766 | pmc = 3151730 | doi = 10.1007/s00213-010-1848-1 }}</ref> A 2015 review noted that stimulation of the [[α4β2 nicotinic receptor]] is responsible for certain improvements in attentional performance;<ref>{{cite journal | vauthors = Sarter M | title = Behavioral-Cognitive Targets for Cholinergic Enhancement | journal = Current Opinion in Behavioral Sciences | volume = 4 | pages = 22–26 | date = August 2015 | pmid = 28607947 | pmc = 5466806 | doi = 10.1016/j.cobeha.2015.01.004 }}</ref> among the [[nicotinic receptor]] subtypes, nicotine has the highest [[binding affinity]] at the α4β2 receptor (k<sub>i</sub>=1 {{abbr|nM|nanomolar}}), which is also the biological target that mediates nicotine's [[addictive]] properties.<ref name="Nicotine IUPHAR">{{cite web|title=Nicotine: Biological activity|url=http://www.guidetopharmacology.org/GRAC/LigandDisplayForward?tab=biology&ligandId=2585|website=IUPHAR/BPS Guide to Pharmacology|publisher=International Union of Basic and Clinical Pharmacology|access-date=7 February 2016|quote=K<sub>i</sub>s as follows; α2β4=9900nM [5], α3β2=14nM [1], α3β4=187nM [1], α4β2=1nM [4,6]. Due to the heterogeneity of nACh channels we have not tagged a primary drug target for nicotine, although the α4β2 is reported to be the predominant high affinity subtype in the brain which mediates nicotine addiction}}</ref> Nicotine has potential beneficial effects, but it also has [[paradoxical reaction|paradoxical effects]], which may be due to the [[Yerkes–Dodson law|inverted U-shape of the dose-response curve]] or [[pharmacokinetic]] features.<ref>{{cite journal | vauthors = Majdi A, Kamari F, Vafaee MS, Sadigh-Eteghad S | title = Revisiting nicotine's role in the ageing brain and cognitive impairment | journal = Reviews in the Neurosciences | volume = 28 | issue = 7 | pages = 767–781 | date = October 2017 | pmid = 28586306 | doi = 10.1515/revneuro-2017-0008 | s2cid = 3758298 | url = https://findresearcher.sdu.dk/ws/files/140909555/Revisiting_nicotine_s_role_in_the_ageing_brain_and_cognitive_impairment.pdf }}</ref>
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