I think you if you use something like pandoc it allows to at markups for centering and citation refs, which I'm guessing was used for .md => .tex to .pdf. But they will be rendered plain text in makrdown preview
MD => .tex to .pdf works with citations, but when I last used it I still had to write the tables in pure latex. With any even vaguely complex figures or subfigures, I had to resort to latex. The bulk of the text could be in MD, but I had to write non-trivial portions in latex.