The knowledge of absorption, distribution, metabolism, and excretion (ADME) of new drug candidates is important for safe and insightful development. The rate of drug development failures attributable to ADME deficiencies exceeds 40% and, even after new drug approval, many drugs still display ADME problems. Notably, "a chemical cannot be a drug, no matter how active nor how specific its action, unless it is also taken appropriately into the body (absorption), distributed to the right parts of the body, metabolized in a way that does not instantly remove its activity, and eliminated in a suitable manner" (Ref. 1; p. 722). As a covalently acting endogenous mediator and a class of new drug candidates, electrophilic nitro-fatty acids [NO 2 -FAs (fatty acid nitroalkenes)] have displayed beneficial effects in preclinical animal models of metabolic and inflammatory disease (2-7). A synthetic homolog of a NO 2 -FA detected in plants and mammals (8,9), (E)-10-nitro-octadec-9-enoic acid [10-nitro-oleic acid (10-NO 2 -OA)], is now in phase 2 clinical trials for treating focal segmental glomerulosclerosis and will soon begin trials in pulmonary arterial hypertension and obese asthmatics.NO 2 -FAs are generated during inflammation and digestion by reactions between unsaturated fatty acids and the Abstract Electrophilic nitro-fatty acids [NO 2 -FAs (fatty acid nitroalkenes)] showed beneficial signaling actions in preclinical studies and safety in phase 1 clinical trials. A detailed description of the pharmacokinetics (PK) of NO 2 -FAs is complicated by the capability of electrophilic fatty acids to alkylate thiols reversibly and become esterified in various complex lipids, and the instability of the nitroalkene moiety during enzymatic and base hydrolysis. Herein, we report the mechanism and kinetics of absorption, metabolism, and distribution of the endogenously detectable and prototypical NO 2 -FA, 10-nitro-oleic acid (10-NO 2 -OA), in dogs after oral administration. Supported by HPLC-high-resolution-MS/MS analysis of synthetic and plasma-derived 10-NO 2 -OA-containing triacylglycerides (TAGs), we show that a key mechanism of NO 2 -FA distribution is an initial esterification into complex lipids. Quantitative analysis of plasma free and esterified lipid fractions confirmed time-dependent preferential incorporation of 10-NO 2 -OA into TAGs when compared with its principal metabolite, 10-nitro-stearic acid. Finally, new isomers of 10-NO 2 -OA were identified in vivo, and their electrophilic reactivity and metabolism characterized. Overall, we reveal that NO 2 -FAs display unique PK, with the principal mechanism of tissue distribution involving complex lipid esterification, which serves to shield the electrophilic character of this mediator from plasma and hepatic inactivation and thus permits efficient distribution to target organs.-Fazzari, M., D. A. Vitturi, S. R. Woodcock, S. R. Salvatore, B. A. Freeman, and F. J. Schopfer. Electrophilic fatty acid nitroalkenes are systemically transported and distributed upon esterification ...