Triacylglycerol (TAG) molecular weight distribution and regioisomeric structure of selected molecular weight species in human milk and in 32 human milk substitutes was determined. Negative ion chemical ionization mass spectrometry was used to determine the molecular weight distribution and collisionally induced dissociation tandem mass spectrometry applied to identify the sn-2 and sn-1/3 positions of fatty acids in TAG. The main molecular weight species of human milk TAG in decreasing order of abundance were 52:2, 52:3, 52:1, 54:3, 50:2, 50:1, 54:4, 48:1, 54:2, 48:2, 46:1, 52:4, and 50:3 (acyl carbon number/number of double bonds), constituting 83 mol% of total TAG molecular species. In human milk substitutes, the proportion of the corresponding molecular weight species varied from 33 to 87 mol%. The main TAG regioisomers within the molecular weight species 52:2, 52:3, and 50:1 in human milk were 18:1-16:0-18:1 (83 mol%), 18:1-16:0-18:2 (83 mol%), and 18:1-16:0-16:0 (80 mol%), respectively. In human milk substitutes, the corresponding proportions varied in a wide range of 0-82 mol%, 0-100 mol%, and 0-73 mol%, respectively. Although TAG structures in some human milk substitutes closely resembled those in human milk, the great variation among samples leads to the conclusion that it is still possible to improve the TAG composition in human milk substitutes by applying novel methods to synthesize structured TAG.Paper no. J9978 in JAOCS 79, 13-22 (January 2002).It is well known that fatty acids present in human milk are not randomly distributed in triacylglycerols (TAG) (1-8). The properties of TAG depend on the fatty acid combination constituting the molecule. Winter et al. (1) determined 170 fatty acid combinations in human milk TAG, the proportions of which differed from calculated random distribution. In addition to fatty acid combinations, the stereospecific positions of fatty acids within each combination affect the biochemical and nutritional properties of TAG. In human milk, 16:0 is predominantly located in sn-2 position of the TAG molecule, whereas 18:0, 18:1, and 18:2 have been reported to be preferentially esterified in sn-1/3 positions (2-6). Breckenridge et al. (3) reported the molar proportion of palmitic acid to be 16, 58, and 6% of total fatty acids in sn-1, sn-2, and sn-3 positions of human milk TAG, respectively. Christie and Clapperton (4) obtained very similar results (18.7, 57.1, 5.3%) as did Martin et al. ( 5), who concluded that the structure of TAG in colostrum (12.6, 53.5, 11.2%) and mature milk (12.4, 51.2, 11.7%) did not differ significantly. Weber et al.(6) reported that 69% of palmitic acid in human milk is esterified in the sn-2 position of the TAG, which is in accordance with the corresponding value of 71% reported by Breckenridge et al.(3). Correspondingly, 77-93, 87-92, and 78-84% of total 18:0, 18:1, and 18:2 in human milk have been reported to be esterified in sn-1/3 positions, respectively (3-5). The above results were obtained by analyzing TAG and/or products of chemical or enzyma...