Two oxidation products of cotinine, 5-hydroxycotinine (5-HC) and cotinine N-oxide (CNO), were identified for the first time in vivo in the plasma of C57BL/6 mice after injection of nicotine (1 mg/kg) or exposure to e-cigarette containing 2.4% nicotine.Liquid-chromatography mass-spectrometry (LCMS) was used to separate 3hydroxycotinine (3-HC), 5-HC and CNO and to quantify each by the sensitive direct detection of their parent ion with m/z of 193.097. In nicotine-injected mice, 5-HC was as abundant as 3-HC 15 min post-injection, and CNO was readily detectable. In e-cigexposed mice with plasma nicotine level resembling that of human smokers, plasma 5-HC and CNO, as well as 3-HC, were readily quantifiable at the end of the 4-h exposure time. In nicotine-injected mice, the combined concentration of 3-HC + 5-HC + CNO, all formed from cotinine by CYP2A5, was higher (P<0.01) in females than in males, although the male-female difference in cotinine plasma level did not reach statistical significance. The result highlights the importance of considering these three oxidation products of cotinine in examining cotinine metabolism and disposition. Coumarin 7hydroxylase activity, a specific marker of CYP2A5, measured in the hepatic microsomes of untreated mice showed that females have higher activity (P<0.001) than males (N=8/sex). The abundance of plasma 5-hydroxycotinine in nicotine-treated mice raises intriguing questions about the site of its origin (hepatic or possibly kidney CYP2A5) and the routes of its disposition because urinary excretion of 5-HC has not been detected by LC-MS/MS in mice, and is controversial in human smokers.Significance statement.