This article is available online at http://www.jlr.org glycerols and four acyl groups, forming a dimeric structure with a glycerol linker between two phosphotidyl groups, providing a pair of sn1 and sn2 positions per CL molecule. In mammals, CL fatty acid composition is dominated by linolenic acid on the sn1 positions whereas the sn2 positions are occupied by monounsaturated, di-unsaturated, and polyunsaturated fatty acids ( 1-4 ). A symmetrical tetra-acyl CL has also been identifi ed with linolenic acid at the two sn1 and sn2 positions ( 5, 6 ). CL is a specifi c marker of mitochondria where it appears to play multiple roles related to energy transformation, apoptosis, and membrane integrity ( 7-12 ).It has been proposed that synthesis of CL is via conversion of phosphatidic acid into cytidinediphosphate-diacylglycerol (CDP-DAG) in the mitochondria, which then forms phosphatidylglycerolphosphate (PGP). PGP is converted to phosphatidylglycerol which then reacts with another molecule of CDP-DAG in presence of CL synthase to form CL ( 13-17 ). In order for CL to achieve its specifi c acyl composition, synthesized CL undergoes acyl chain remodeling with monolysocardiolipin (MLCL) as an intermediate. There are two proposed mechanisms for remodeling of CL from MLCL. The fi rst proposed pathway incorporates acyl-CoAs in the presence of monolysocardiolipin acyltransferase (MLCL AT) (18)(19)(20). Another proposed pathway, referred to as transacylation, has been reported in which acyl groups are directly transferred from phospholipids into MLCL ( 21-23 ).Fatty acids are either incorporated into the nascent CL backbone via CDP-DAG during its biosynthesis or its subsequent remodeling by MLCL AT. Specifi c composition of acyl groups within the sn1 and sn2 positions may be fi nalized through the process of transacylation. The fatty acids Abstract Cardiolipin (CL) is a unique phospholipid (PL) found in the mitochondria of mammalian cells. CL remodeling is accompanied by turnover of its fatty acid acyl groups. Abnormalities in CL remodeling have been found in Barth's syndrome, diabetes, and obesity. The objective of this study was to determine nonessential fatty acid turnover in CL and phosphatidylethanolamine (PE) in the rat heart in vivo. Sprague-Dawley rats were fed either a regular chow or a high-fat diet for 15 weeks, and consumed 6% deuteriumenriched drinking water as a tracer for 14 days. CL and PE were extracted from cardiac tissue and isolated by TLC. Fatty acids from CL, PE, and plasma were analyzed by GC/ MS for deuterium incorporation. Results showed oleate and vaccenate turnover were the highest in CL whereas palmitate and stearate turnover were low. Among the nonessential fatty acids in PE, turnover of stearate and vaccenate were the highest. The high turnover rate in vaccenate was unexpected, because vaccenate previously had no known metabolic or physiologic function. In conclusion, the similarly high turnover rates of both oleate and vaccenate readily suggest that remodeling is an important functional aspect of...