The story of fatty acid ethyl (FAEE) encompasses nearly 40 years of re
search. For more than half of this time, the investigation was limited
to documenting the presence of ethyl ester synthesis in different cel
ls and tissues. In the last three years, increasing evidence has emerg
ed that FAEE contribute to ethanol-induced organ damage, with a variet
y of different mechanisms proposed for mediation of this toxic effect.
In addition, multiple enzymatic activities associated with FAEE forma
tion have been described. Independent of their role in mediating cell
injury, it has very recently been shown that FAEE are useful short-ter
m and long-term serum markers of ethanol intake, given their appearanc
e in the blood rapidly after ethanol ingestion and their presence when
ethanol is no longer detectable.