Eicosanoids, including the prostaglandins, leukotrienes, hydroxyeicosatetraenoic acids, epoxyeicosatetraenoic acids, and related compounds, are biosynthetic, bioactive mediators derived from arachidonic acid (AA), a 20:4(n-6) fatty acid. We have developed a comprehensive and sensitive mass spectral analysis to survey eicosanoid release from endotoxin-stimulated RAW 264.7 macrophage-like cells that is capable of detecting over 70 diverse eicosanoids and eicosanoid metabolites, should they be present. We now address the question: Are biologically significant eicosanoids being overlooked? Herein, we illustrate a general approach to diverse isotope metabolic profiling of labeled exogenous substrates using mass spectrometry (DIM-PLES/MS), demonstrated for one substrate (AA) and its resultant products (eicosanoids). RAW cells were incubated in medium supplemented with deuterium-labeled AA. When the cells are stimulated, two sets of eicosanoids are produced, one from endogenous AA and the other from the supplemented (exogenous) deuterium-labeled form. This produces a signature mass spectral "doublet" pattern, allowing for a comprehensive and diverse eicosanoid search requiring no previous knowledge or assumptions as to what these species may be, in contrast to traditional methods. We report herein observing unexpected AA metabolites generated by the cells, some of which may constitute novel bioactive eicosanoids or eicosanoid inactivation metabolites, as well as demonstrating differing metabolic pathways for the generation of isomeric prostaglandins and potential peroxisome proliferator-activated receptor activators. Unexpectedly, we report observing a series of 1a,1b-dihomologue prostaglandins, products of adrenic acid (22:4(n-6)), resulting from the two-carbon elongation of AA by the RAW cells.Starting in the early 1960s with the first structural characterization of the prostaglandins (1), mass spectrometry (MS) 2 has played a critical role in the biochemical study of eicosanoids. More recent advances in electrospray ionization-MS coupled to high-performance liquid chromatography have offered extremely sensitive and quantitative assays for most of the eicosanoids (2), without the need for chemical derivatization prior to analysis as was required by earlier gas chromatography electron ionization-MS methods (3). It is important to recognize, however, that while advances in high-performance LC-MS methods have offered extensive capabilities for surveying a number of different eicosanoid species in a single analysis, to date most efforts have focused on a specific eicosanoid or eicosanoid class, and additionally, with advanced knowledge and assumptions as to the identity of these species (4 -11). Recently, however, investigators have begun to explore the development of theoretical databases and algorithms based on virtual liquid chromatography-UV spectroscopy-tandem mass spectrometry (MS/MS) spectra and chromatograms for identifying potential lipid mediators without synthetic or authentic products as standards (12).System...