NNN is a derivative of nicotine that is produced in the
curing of tobacco, in the burning of tobacco (such as with cigarettes), and in the acidic conditions of the stomach. Nicotine is converted into nornicotine via nicotine N-demethylase (NND), an enzyme found in the tobacco plant that works by removing the
methyl group from the nitrogen on the 5-membered ring of nicotine. From there, Nornicotine undergoes nitrosation (the conversion of organic compounds into nitroso derivatives by gaining a
nitrosonium (N=O) group) on that same nitrogen, converting it to NNN. The nitrosonium group forms from
nitrous acid (HNO2) under acidic conditions present in the tobacco curing process. It can also be formed in the stomach when stomach acid reacts with nitrite ions that are typically used as a salt to preserve red meats and inhibit bacterial growth. Nitrous acid becomes protonated on its hydroxy group to form nitrosooxonium. This compound then splits off to form nitrosonium and water. == Symptoms ==