Citrate is related to lipid metabolism as an activator of acetyl CoA carbox
ylase, which regulates fatty acid synthesis. Lipid peroxides have a major r
ole in the initiation of atherosclerosis. In order to determine the relatio
nship between plasma levels of citrate and lipid peroxides and lipid fracti
ons, we measured levels of plasma citrate, lipid fractions and thiobarbitur
ic acid reactive substances (TBARS) in controls and patients with coronary
atherosclerosis. There was no significant difference between the plasma cit
rate level of the control and patient groups. In the patient group plasma c
holesterol, triglyceride, LDL (low density lipoprotein) cholesterol and TEA
RS levels were significantly higher, but HDL (high density lipoprotein) cho
lesterol level was significantly lower, than in the control group. Our resu
lts indicate that lipids and lipid peroxides may be markers of coronary ath
erosclerosis while citrate may not. Med Sci Res 27:197-199 (C) 1999 Lippinc
ott Williams & Wilkins.