National Institutes of Health has taken the position that the evidence is inconclusive .The omega-3/omega-6 fatty acid "tone" of experimental animals or of humans ingesting nonprescription fi sh oil tablets or prescription supplements (Lovaza®) can be determined by measuring the ratio of omega-3 to omega-6 fatty acids in blood or in red blood cell membranes. Commercial kits are available for these relatively simple blood tests that involve quantifying fatty acid levels in plasma ( 4 ) or fatty acyl compositions of red blood cell lipids ( 5 ). Unfortunately, there is no validated method for estimating tissue levels of omega-3 versus omega-6 fatty acids noninvasively, such as by measuring appropriate metabolites in the urine.Prostaglandins (PG) can be formed from either arachidonic acid (AA), an omega-6 fatty acid, or from EPA, an omega-3 fatty acid, through the sequential actions of a phospholipase A 2 , cyclooxygenase-1 (COX-1) or cyclooxygenase-2 (COX-2), and a PG synthase ( 6-10 ). Methods are available for measuring 2-series urinary PG metabolites formed from AA, including the major PGE 2 metabolite (PGEM) tetranor ( 11 ), two dinor metabolites of prostacyclin ( 12 ) and PGD 2 ( 13 ), and thromboxane B 2 metabolites ( 14 ). We reasoned that quantifi cation of a major urinary 3-series PG metabolite(s) of EPA in conjunction with measuring an appropriate 2-series PG metabolite might prove useful in estimating the AA/EPA ratio in tissue phospholipid precursors of PGs.Previous examination of the major urinary metabolites of PGE 3 performed in rats indicated that one of the metabolites is the tetranor derivative of PGE 3 formed via two steps of Abstract Western diets are enriched in omega-6 vs. omega-3 fatty acids, and a shift in this balance toward omega-3 fatty acids may have health benefi ts. There is limited information about the catabolism of 3-series prostaglandins (PG) formed from eicosapentaenoic acid (EPA), a fi sh oil omega-3 fatty acid that becomes elevated in tissues following fi sh oil consumption. Quantifi cation of appropriate urinary 3-series PG metabolites could be used for noninvasive measurement of omega-3 fatty acid tone. Here we describe the preparation of tritium-and deuterium-labeled 6-keto-PGF 2 ␣ and their use in identifying urinary metabolites in mice using LC-MS/MS. The major 6-keto-PGF 2 ␣ urinary metabolites included dinor-6-keto-PGF 2 ␣ ( ف 10%) and dinor-13, 14-dihydro-6,15-diketo-PGF 1 ␣ ( ف 10%). These metabolites can arise only from the enzymatic conversion of EPA to the 3-series PGH endoperoxide by cyclooxygenases, then PGI 3 by prostacyclin synthase and, fi nally, nonenzymatic hydrolysis to 6-keto-PGF 2 ␣ . The 6-keto-PGF derivatives are not formed by free radical mechanisms that generate isoprostanes, and thus, these metabolites provide an unbiased marker for utilization of EPA by cyclooxygenases. -Kuklev,