“…It has been shown that insulin, glucose, fatty acids, pyruvate, and ketone bodies inhibit CoA biosynthesis, while glucocorticoids and glucagon, as well as drugs such as clofibrate, increase tissue concentration of CoA (8 -12). Altered homeostasis of CoA has been observed in diverse disease states, such as diabetes, starvation, alcoholism, Reye syndrome, mediumchain acyl CoA dehydrogenase deficiency, vitamin B 12 deficiency, hypertension, and certain types of tumors (13)(14)(15)(16)(17)(18)(19).…”