) and oleate ( cis -18:1n-9) are the two predominant unsaturated fatty acids in the diet and are associated with several health benefits (1). ␣ -Linolenate ( cis -18:3n-3) is much less common in the diet but also has well-known health benefits, particularly against coronary artery disease and mortality (2-5). Elaidate, the main trans -isomer of oleate ( trans -18:1n Ϫ 9), which is mainly formed by food industry hydrogenation of vegetable oils, is associated with health concerns, particularly an increased risk of hypercholesterolemia (6-8). Despite their different abundances in the diet and different health implications, structurally, these four fatty acids are broadly similar in having 18 carbons and one to three double bonds. Nevertheless, comprehensive, comparative information is lacking about their metabolism that could help account for their differing health attributes in humans. This could be especially helpful in identifying potential reasons why trans -fatty acids may be hypercholesterolemic.The overall objective of this study was to gain insight into the differential health effects of these four common 18-carbon dietary unsaturated fatty acids by tracing their metabolism in healthy women using uniformly carbon-13 labeled (U-13 C) stable isotope tracers. This was a crossover study in which free-living healthy subjects consuming a self-selected diet orally ingested a tracer dose of [U-13 C]oleate, [U-13 C]elaidate, [U-13 C]linoleate, and [U-13 C] ␣ -linolenate in random sequential order with washout periods between each tracer. 13 C was measured in breath (  -oxidation), plasma fatty acids, and adipose tissue (storage) by high-precision gas chromatography-combustion-isotope ratio mass spectrometry (GC-C-IRMS). Thus, the amount of each tracer used for energy, esterified to different lipid classes in plasma, desaturated and chain-elongated to long-chain PUFAs or stored in adipose tissue, was measured over a period of 8 days. MRI was used to quantify adipose tissue volumes to obtain pool size. Relationships between abdominal subcutaneous fat volume, blood lipids, plasma fatty acid profiles, and the metabolism of these tracers were also determined to identify conAbbreviations: AP, atom percent; APE, atom percent excess; AUC, area under the curve; CE, cholesteryl ester; GC-C-IRMS, gas chromatography-combustion-isotope ratio mass spectrometry; PL, phospholipid; U-13 C, uniformly carbon-13 labeled.