We report a novel approach to derivatize the primary, secondary, and tertiary hydroxy group(s) of oxysterols with N,N-dimethylglycine (DMG) in the presence of both 1-ethyl-3-(3-dimethylaminopropyl)carbodiimide and 4-(N,N-dimethylamino)pyridine to yield their corresponding mono-or di-DMG esters. Eight oxysterols including 7-oxocholesterol, 5α,6α-and 5β,6β-epoxycholesterols, as well as 7α-, 7β-, 24(S)-, 25-, and 27-hydroxycholesterols, were studied. Electrospray ionization tandem mass spectrometric characterization of these singly or doubly protonated derivatives demonstrates the presence of an informative fragmentation pattern for each oxysterol derivative. Potential dissociation pathways for the production of these unique fragmentation patterns are proposed and discussed. Collectively, these informative and unique fragmentation patterns allow rapid and direct discrimination of the identities of 7α-, 7β-, 24(S)-, 25-, and 27-hydroxycholesterol isomers, as well as 5α,6α-and 5β,6β-epoxycholesterol isomers, thereby potentially providing a foundation for quantitative analysis of oxysterols in biological samples in combination with a chromatographic separation.Oxysterols are 27-carbon oxidation derivatives of cholesterol, which play multiple important roles in biological processes including mediation of inflammatory events in the development of atherosclerotic lesions, 1 regulation of cholesterol homeostasis, 2 maintenance of neuronal functions, 3 and activation of liver X receptors. 4 Oxysterols can be produced either by enzymatic or by non-enzymatic oxidation (known as autoxidation) and may also be obtained from dietary sources. 5-7The most common oxysterols are those derived by formation of hydroxyl, oxo, and epoxy moieties. 7α-, 24(S)-, and 27-Hydroxycholesterols are the major products generated by cholesterol hydroxylases. 8 7α-and 7β-Hydroxycholesterols are also produced through autoxidation of cholesterol. Whether 7β-hydroxycholesterol (which accounts for less than 10% of 7-hydroxycholesterol) is also the product of an enzymatic action is not well defined. Newly developed methods based on atmospheric pressure ionization techniques (e.g., electrospray ionization (ESI) and atmospheric pressure chemical ionization (APCI)) alleviate the thermal degradation problems encountered with GC/MS. LC/APCI-MS has been used to determine cholesterol oxidation products without derivatization. 23-27 However, unequivocal identification by APCI-MS/MS was impossible because the energy in collision-induced dissociation (CID) used in those studies was not sufficient to break the stable carbon-carbon bonds in sterols. 27 The most abundant ions are those resulting from non-specific fragmentation (e.g., loss of water). Although ESI-MS is in general more sensitive than APCI-MS for compounds that carry polar groups and has recently been used for analyses of anabolic steroids, 28 oxysterols are not readily detectable by ESI-MS due to their relatively low ionization efficiencies.Therefore, to resolve this problem, one option is to d...