Human meibomian gland secretions (also known as meibum) were analyzed for the presence of cholesteryl esters (Chl-E) using HPLC in combination with atmospheric pressure chemical ionization mass spectrometry. A special procedure based on detection of the in-source generated ion m/z 369 was developed to monitor all Chl-E simultaneously. The structures of the detected compounds were studied using in-source and postsource fragmentation of the precursor (M1H) 1 ions. In concordance with previous studies, Chl-E were found in all of the tested samples and comprised ?31% of the entire lipid pool (w/w, dry weight). There were at least 20 different saturated and unsaturated Chl-E species observed, whose fatty acid residues ranged from C18 to C34. Monounsaturated fatty acids were the most visible components of the Chl-E pool. The eleven most prominent compounds were: C20:0-, C22:1-, C22:0-, C24:1-, C24:0, C25:0-, C26:1-, C26:0-, C28:1-, C28:0-, and C30:1-Chl-E. Other Chl-containing compounds were detected but not identified at the time. Therefore, Chl-E are a depot for very long chain saturated and monounsaturated fatty acids in human meibum. Meibomian glands that are located at the margins of human upper and lower eyelids produce secretions (also known as meibum) formed of a complex mixture of various nonpolar and polar lipids (1-31). The primary role of meibum is to form the bulk of a so-called preocular tear film lipid layer (TFLL), which covers the entire ocular surface and fulfills various roles including antievaporatory, antibacterial, lubricating, nutritional, and others. The lipid composition of TFLL is critical for maintaining the stability of the preocular tear film, deterioration of which has been associated with various ocular diseases and pathological conditions. Human meibum has been shown to have a large number of diverse lipid species, including wax esters (WE) (3, 5-7, 12, 16-20, 25, 26), cholesteryl esters (Chl-E) (3,5,7,11,12,18,20,25,26), mono-, di-, and triacyl glycerols (3, 5-7, 14, 16-18, 20, 21, 25, 26), hydrocarbons (6), free fatty acids (31), sterols (1, 3-7, 9, 11-13, 16-20), phospholipids (2,6,7,15,19,21,22,25,26), ceramides (6, 21), and many other poorly identified lipid compounds. Historically, the main methods used to characterize meibomian lipids were TLC (3-5, 15, 20-22), gas-liquid chromatography (6-10, 13), and gas chromatography-electron ionization GC-MS (11, 15, 20-22, 30, 31), HPLC with UV detection (15,(20)(21)(22), infrared spectrometry (27, 28), and, more recently, various types of modern mass spectrometry (MS) techniques with or without HPLC (16,17,19,23,25,26). Recently, we developed and implemented normal phase (NP) HPLC-MS protocols that allowed us to evaluate the lipid composition of human meibum (25,26). This approach has proven to be well-suited for analyses of very hydrophobic components of human meibum, which in our hands was found to be consisted primarily of WE, Chl-E, and triacyl glycerols, with all other compounds being minor constituents. For example, the over...