Increasing evidence indicates that fatty acid ethyl esters (FAEE) play a ro
le in ethanol-induced organ damage and may serve as long-term markers of et
hanol intake. This report summarizes the current knowledge on the toxicity
of FAEE, the enzymes associated with FAEE synthesis, FAEE as fatty acid sup
plements, the in vivo degradation of orally ingested FAEE and FAEE as marke
rs of ethanol intake. A list of major unanswered questions in each of these
categories is also included.