Lipid metabolism disorder is closely related to metabolic
diseases,
inflammation, and cancer. The concentration of citrate in the cytosol
has a significant impact on lipid synthesis. The expression of citrate
transporters (SLC13A5 and SLC25A1) and metabolic enzymes (ACLY) proves
to be substantially raised in various diseases related to disorders
of lipid metabolism, such as hyperlipemia, nonalcoholic fatty liver
disease, and prostate cancer. Targeting key proteins in the citrate
transport and metabolic pathways is considered an effective strategy
for treating various metabolic diseases. However, there is currently
only one ACLY inhibitor approved for marketing, and no SLC13A5 inhibitor
has entered clinical research. Further development of drugs targeting
citrate transport and metabolism is needed for the treatment of metabolic
diseases. This perspective summarizes the biological role, therapeutic
potential, and research progress of citrate transport and metabolism
and then discusses the achievements and prospects of modulators targeting
citrate transport and metabolism for therapeutic applications.