Leukotriene B 4 (LTB 4 ) is a potent chemoattractant for neutrophils and is thought to play a role in a variety of inflammatory responses in humans. The metabolism of LTB 4 in vitro is complex with several competing pathways of biotransformation, but metabolism in vivo, especially for normal human subjects, is poorly understood. As part of a Phase I Clinical Trial of human tolerance to LTB 4 , four human subjects were injected with 150 nmol/kg LTB 4 with one additional subject as placebo control. The urine of the subjects was collected in two separate pools (0 -6 and 7-24 h), and aliquots from these urine collections were analyzed using high performance liquid chromatography, UV spectroscopy, and negative ion electrospray ionization tandem mass spectrometry for metabolites of LTB 4 . In the current investigation, 11 different metabolites of LTB 4 were identified in the urine from those subjects injected with LTB 4 , and none were present in the urine from the placebo-injected subject. The unconjugated LTB 4 metabolites found in urine were structurally characterized as 18-carboxy-LTB 4 , 10,11-dihydro-18-carboxy-LTB 4 , 20-carboxy-LTB 4 , and 10,11-dihydro-20-carboxy-LTB 4 . Several glucuronide-conjugated metabolites of LTB 4 were characterized including 17-, 18-, 19-, and 20-hydroxy-LTB 4 , 10-hydroxy-4,6,12-octadecatrienoic acid, LTB 4 , and 10,11-dihydro-LTB 4 . The amount of LTB 4 glucuronide (16.7-29.4 pmol/ml) and 20-carboxy-LTB 4 (18.9 -30.6 pmol/ml) present in the urine of subjects injected with LTB 4 was determined using an isotope dilution mass spectrometric assay before and after treatment of the urine samples with -glucuronidase. The urinary metabolites of LTB 4 identified in this investigation were excreted in low amounts, yet it is possible that one or more of these metabolites could be used to assess LTB 4 biosynthesis following activation of the 5-lipoxygenase pathway in vivo.Leukotriene B 4 (LTB 4 , 1 (5S,12R)-dihydroxy-6,14Z-8,10E-eicosatetraenoic acid) is a biologically active metabolite of arachidonic acid that is chemotactic for the human neutrophil and a potent lipid mediator of inflammation (1). LTB 4 is not stored within a cell but synthesized following activation of certain cells through release of arachidonic acid by the cytosolic phospholipase A 2 (2) and activation of the enzyme 5-lipoxygenase (3). The immediate product of the 5-lipoxygenase pathway is the reactive epoxide intermediate leukotriene A 4 that is transformed by leukotriene A 4 hydrolase into LTB 4 (4). A specific G-protein-coupled receptor for LTB 4 has now been cloned and expressed (5) and is known to be expressed by many cell types including the neutrophil (6). Through this receptor, LTB 4 is a potent stimulus of many functional responses of cells that are involved in immune responses (7) such as neutrophils, monocytes, macrophages, and various lymphocytes. LTB 4 is therefore thought to be an important component of the host defense mechanisms and is currently under investigation as a potent drug for the prophylaxis and/...