We determined carnitine concentrations in blood and in liver and abdom
inal muscle biopsy specimens in 13 men and 16 women undergoing electiv
e surgery (mostly gall-bladder removal). The data suggest that the car
nitine pools of plasma and erythrocytes are different. The erythrocyte
s show a higher acylcarnitine concentration than does plasma (P <0.001
). Several reference bases for values in tissues have been used-dry we
ight, noncollagen protein (NCP), and DNA-because these may be differen
tly influenced by disease. In liver specimens, the quotient NCP (g)/DN
A (g) was significantly higher in men, 54.4 +/- 6.3 (mean +/- SD), tha
n in women, 47.7 +/- 7.0 (P <0.01). Liver total carnitine content in r
elation to DNA was significantly higher in men than in women: 0.29 +/-
0.06 vs 0.22 +/- 0.08 mmol/g DNA (P <0.01). Free carnitine content wa
s significantly higher in men than in women independently of the refer
ence base, e.g., 3.7 +/- 1.0 mumol/g NCP for men vs 2.9 +/- 1.0 for wo
men (P <0.05). No difference was found between the sexes in the abdomi
nal muscle carnitine content, 20.6 +/- 6.7 mumol/g NCP for men vs 17.9
+/- 5.0 for women. Our study establishes control ranges, thereby prov
iding an important basis for studies of patients with abnormal carniti
ne metabolism.