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Topic:Athletic Horses

The topic of athletic horses encompasses the study and analysis of horses that are trained and conditioned for performance in various disciplines such as racing, show jumping, dressage, and eventing. These horses are subject to specialized training regimens and nutritional plans to optimize their physical capabilities and performance outcomes. Research in this area often focuses on aspects such as biomechanics, cardiovascular fitness, muscle physiology, and injury prevention. This topic includes a collection of peer-reviewed research studies and scholarly articles that explore the physiological adaptations, training methodologies, and health management practices associated with maintaining and enhancing the performance of athletic horses.
Training- and competition-related changes on circulating adrenocorticotropic hormone and cortisol response in Thoroughbred Racehorses.
Journal of equine veterinary science    September 4, 2026   106137 doi: 10.1016/j.jevs.2026.106137
Cravana C, Fazio E, Satué K, Brancato G, Deborah F.Exercise is a physiological challenge inducing intensity-dependent hypothalamic-pituitary-adrenal (HPA) axis responses. The hypothesis was that training and racing sessions induce different HPA axis activation. Objective: To assess whether different exercise sessions affect equine adrenal responsiveness according to age and sex. Methods: Ten clinically healthy Thoroughbred racehorses (6 females and 4 males) were recruited. Four were 2 years old and six were 3 years old. Horses were subjected to two exercise conditions: training and competitive racing sessions. Blood samples were collected at r...
Exercise-Induced Acid-Base, Electrolyte, and Metabolic Responses in Colombian Creole Horses Across Different Gait Modalities.
Animals : an open access journal from MDPI    September 2, 2026   Volume 16, Issue 17 2738 doi: 10.3390/ani16172738
Zuluaga-Cabrera AM, Escobar-Riomalo JE, Giraldo-Arboleda MF, Morales-Castañeda JM, Barbosa da Costa G, Martinez ID, Lenis YY, Arias-Gutiérrez MP.Exercise physiology in Colombian Creole Horses remains poorly characterized despite the breed's extensive use in athletic activities. The objective of this study was to evaluate exercise-induced changes in blood biochemical and gas parameters and to determine whether these responses differed according to sex, geographic origin, or gait modality. An analytical observational study with repeated measures was conducted in 76 athletic CCHs. Blood samples were obtained from the jugular vein at rest and immediately after exercise to measure acid-base indicators (pH, carbon dioxide pressure, bicarbona...
Electrocardiographic recording in horses at rest: a concordance analysis of two methods.
Veterinary research communications    September 1, 2026   Volume 50, Issue 6 545 doi: 10.1007/s11259-026-11486-9
Cardiac arrhythmias are frequently detected during routine auscultation in athletic horses. Assessment of their clinical significance requires electrocardiography (ECG) to analyze waveforms and intervals. In recent years, portable ECG devices have been introduced to simplify electrocardiographic examination, offering advantages such as ease of use and the ability to review results via a smartphone. This study evaluated the utility and accuracy of a portable ECG device compared with a standard electrocardiograph. Simultaneous ECG recordings were obtained from 28 healthy adult horses at rest usi...
Evaluation of Microvascular Flow Imaging and Power Doppler Ultrasonography in an Equine Model of Induced Superficial Digital Flexor Tendonitis. Garcia-Collao MR, Ortved K, Stefanovski D, Christensen JL, Underwood C.Superficial digital flexor tendon (SDFT) injuries are common in athletic horses and are associated with prolonged healing and high reinjury rates. Conventional ultrasonography provides structural information but limited physiologic assessment. This study compared microvascular imaging (MVI) and Power Doppler (PD) for evaluating vascular changes in a collagenase-induced equine SDFT injury model and assessed the effect of scanning technique on vascular signal detection. Eight adult Thoroughbred horses underwent bilateral collagenase-induced SDFT injury, with one forelimb randomly assigned to int...
Clinical and microbiota alterations in performance horses undergoing long-distance transport.
Journal of veterinary internal medicine    July 14, 2026   Volume 40, Issue 4 aalag137 doi: 10.1093/jvimsj/aalag137
Mahalingam-Dhingra A, Bedenice D, da Silva DRR, Mazan M, Hall T, Tenney W, Widmer G.Transport-associated pneumonia contributes substantially to morbidity, impaired welfare, and economic loss in high-performance horses and may be associated with alterations in the respiratory microbiota. Objective: Examine the effect of long-distance transport on the respiratory microbiota and correlate changes in microbiota diversity and composition with systemic and airway inflammation. Methods: Seventeen client-owned performance horses transported from New England to Florida under optimized trailering conditions, and 12 non-traveling horses. Methods: Physical examination, blood testing, nas...
Activity type, sex, season, and number of prior starts are associated with proximal sesamoid bone fractures in Thoroughbred racehorses in South Korea.
Journal of the American Veterinary Medical Association    July 8, 2026   1-8 doi: 10.2460/javma.26.04.0244
Choi Y, Parkin TD.To identify risk factors associated with proximal sesamoid bone fractures in Thoroughbreds in South Korea. Unassigned: A retrospective case-control design with multivariable logistic regression was used. This study included 138 Thoroughbreds diagnosed with proximal sesamoid bone fractures following racetrack activity between 2020 and 2025. Additionally, 580 healthy Thoroughbreds (635 observations) with at least 1 racetrack activity during the same period were included as controls. Unassigned: A total of 7 risk factors were identified. Races or trials had markedly higher fracture risk than race...
Thoroughbred horses susceptible to Recurrent Exertional Rhabdomyolysis have elevated skeletal muscle mitochondrial capacities.
Journal of applied physiology (Bethesda, Md. : 1985)    July 3, 2026   doi: 10.1152/japplphysiol.00156.2026
Wesolowski LT, Artman JL, Semanchik PL, Carson CP, Fenger CK, Pagan JD, Valberg SJ, White-Springer SH.Recurrent Exertional Rhabdomyolysis (RER) is a skeletal muscle disease that can intermittently impede careers of equine athletes. Manifesting as episodes of muscular stiffness and degeneration, RER causes lost training and competition days. RER is associated with abnormal intracellular calcium (Ca) regulation. Calcium released from the sarcoplasmic reticulum to initiate contraction may also be transported into mitochondria, which impacts energy production. RER-susceptible horses exhibit down-regulated mitochondrial proteins but upregulated mitochondrial genes. Thus, mitochondrial function may ...
Prevalence of insulin dysregulation in a sport horse population as determined by traditional and stall-side testing.
Equine veterinary journal    July 1, 2026   doi: 10.1002/evj.70204
Hallowell KL, Horne CR, Miller CS, Tufts SR, Dembek K, Love KR, van Eps AW, Schnabel LV.The prevalence of insulin dysregulation (ID) has not been investigated in sport horses. Stall-side insulin assays offer convenience but need further validation. Objective: To determine the prevalence of and risk factors for ID in a sport horse population using an oral sugar test (OST) and assess agreement between stall-side and validated laboratory assays for insulin quantification. Methods: Prospective cross-sectional study. Methods: One hundred eighty sport horses presenting for orthopaedic evaluation at a university hospital (N = 140) or local farms (N = 40) were tested for ID using...
Validation of a smart textile electrocardiographic monitoring device in racehorses during high-speed exercise.
Equine veterinary journal    June 25, 2026   doi: 10.1002/evj.70205
Kapusniak A, Hitchens PL, Bailey S, McCrae P, Nath L, Franklin S.Exercise-associated cardiac arrhythmias may contribute to poor performance and sudden cardiac death in horses. Widespread monitoring is limited by device availability and suitability for field use. Objective: To (1) compare electrocardiographic (ECG) quality from a smart textile system (Myant Skiin Equine) with a reference device (Televet II) during exercise, and (2) evaluate whether arrhythmia detection with Myant Skiin Equine is comparable to the Televet II. Methods: Prospective blinded clinical study. Methods: Fifty racehorses (25 Thoroughbreds, 25 Standardbreds) underwent up to three high-...
Mitochondrial Adaptations to Exercise Training in Equine Skeletal Muscle: A Narrative Review.
Life (Basel, Switzerland)    June 16, 2026   Volume 16, Issue 6 1008 doi: 10.3390/life16061008
The horse represents one of the most physiologically specialized athletic mammals, capable of sustaining both high-intensity and prolonged exercise. Central to this remarkable performance capacity is the metabolic adaptability of skeletal muscle and its mitochondrial network. This narrative review synthesizes current evidence from equine, human, and rodent studies on exercise-induced mitochondrial remodeling in equine skeletal muscle. A comprehensive literature search was conducted across PubMed, Web of Science, and Scopus using terms related to equine exercise physiology, mitochondrial biolog...
Syndrome of High Gamma-Glutamyl Transferase in Racehorses.
The Veterinary clinics of North America. Equine practice    June 5, 2026   S0749-0739(26)00024-6 doi: 10.1016/j.cveq.2026.04.009
Haughan J, Cathcart J, Tomlinson JE.Horses in racing and race training can develop high gamma-glutamyl transferase (GGT) syndrome (HGS), or increased GGT without overt evidence of primary liver disease. Current evidence points toward overtraining and a response to oxidative stress, but the etiology is incompletely understood. Evidence for an association of HGS with poor performance is mixed. Without a clear understanding of the etiology, the only evidence-based treatment option is rest or reduced training intensity. More research is needed to determine whether HGS is a physiologic adaptation, perhaps indicative of overtraining b...
Research Trends and Emerging Frontiers in Racehorse Genetics: A Bibliometric Analysis.
Animals : an open access journal from MDPI    June 2, 2026   Volume 16, Issue 11 1705 doi: 10.3390/ani16111705
Huang Q, Yao X, Yang X, Wang T, Li X, Shan D, Su Y, Wang J.The global horse racing industry relies heavily on elite breeding. Therefore, a molecular understanding of athletic traits is crucial for the industry's advancement. This study utilized Bibliometrix, VOSviewer, and CiteSpace to conduct a comprehensive bibliometric analysis of 869 publications in the Web of Science Core Collection (2011-2025), decoding the academic landscape and evolutionary trajectory of equine genetics. The results indicate a significant upward trend in academic output since 2019, with the United States, South Korea, and the United Kingdom emerging as the primary contributors...
Association Between Vaquejada Practice and Biomarkers of Oxidative Stress, Inflammation, and Muscle Damage in Quarter Horses.
Veterinary sciences    May 29, 2026   Volume 13, Issue 6 531 doi: 10.3390/vetsci13060531
Nascimento RCMD, Guedes EAB, Silva RBD, Cerqueira ITI, Freire CCDS, Câmara DR, Moura FA, Escodro PB, Goulart MOF.Vaquejada (VQ) is a traditional Brazilian sport demanding high performance from Quarter Horse (QH) athletes. This study aimed to identify modifications in hematological, biochemical, inflammatory, and oxidative stress biomarkers associated with VQ training, comparing conditioned and non-conditioned horses. Blood samples were collected at rest from 70 healthy QH horses: 60 athletes (VQ-conditioned athlete group-AG) and 10 sedentary controls (breeding horses-CG). Using Linear Mixed Models alongside comprehensive hematological and biochemical analyses, the study found that AG horses exhibited an ...
Measuring Chuckwagon Racehorse Movement Asymmetry Before and After Racing Using Wearable GNSS-IMUs: A Preliminary Study.
Animals : an open access journal from MDPI    April 29, 2026   Volume 16, Issue 9 1361 doi: 10.3390/ani16091361
Eamon CM, van den Broek M, Garcia-Alamo K, De Bruyne C, Davis BL, Fallscheer M, Frostad S, Pajor E, Skotarek Loch S, Weller R, Chan ZYS, Pfau T.In Chuckwagon racing, teams of four Thoroughbred horses pull wagons at high speeds. Movement symmetry is a key locomotion metric linked to force production, racing direction, and lameness. Racehorse symmetry in trot during on-track warmups and cooldowns was assessed. Over 10 days, 60 horses (average 8 per day) were fitted with Global Navigation Satellite Systems combined with Inertial Measurement Unit (GNSS-IMU) sensors. Weight-bearing asymmetry was quantified using the minimum difference (MnD) in vertical trunk displacement between diagonal limb pairs, and push-off asymmetry was quantified us...
Review of articular cartilage repair techniques and their application in the horse.
Equine veterinary journal    April 28, 2026   doi: 10.1002/evj.70162
Barton CK, Nelson BB, Goodrich LR.Articular cartilage lesions represent a significant career-limiting problem in athletic horses. A healthy articular cartilage surface is vital for optimal joint function, and defects can result in irreversible degenerative changes. Successful treatment of cartilage lesions remains a long-standing challenge for orthopaedic surgeons, prompting ongoing research into new surgical techniques for their management. This narrative review describes surgical procedures for the treatment of cartilage/osteochondral lesions, as well as the use of the horse as a highly translational preclinical model to hum...
Exercising electrocardiograms from Thoroughbred racehorses with exercise associated sudden death.
Equine veterinary journal    April 21, 2026   doi: 10.1002/evj.70166
Navas de Solis C, Durando M, Nath L, Durward-Akhurst S.Exercise associated sudden death (EASD), defined as a fatal collapse in a closely monitored and previously presumed clinically healthy horse that occurs during exercise or within approximately 1 h after exercise, is disproportionately more common in equine than in human athletes. Objective: To describe ECGs from EASD cases in Thoroughbred racehorses. Methods: Retrospective case series. Methods: An international call for potential cases was made through direct contact with relevant racing authorities requesting that trainers of horses which had experienced EASD consent to researchers gaining ac...
Cardiac arrhythmias during intense exercise in Thoroughbred racehorses: frequency and association with subsequent race performance.
Journal of veterinary internal medicine    March 24, 2026   Volume 40, Issue 2 aalag044 doi: 10.1093/jvimsj/aalag044
van Erck-Westergren E, O'Connor S, Stewart BD, Dubois G, Morton J, Hinchcliff KW, Ter Woort F.The frequency, characteristics, and relationship with performance of arrhythmias occurring during high-intensity exercise in Thoroughbred racehorses remain poorly understood. Objective: Describe the frequency, characteristics, and association with subsequent race performance of arrhythmias occurring during intense exercise. Methods: Seventy-one racehorses competing in races sanctioned by the Hong Kong Jockey Club. Methods: Risk-based case-control study. Single-lead ECGs were recorded during high-intensity trials using wearable devices. Ectopic depolarizations identified during warm-up, maximal...
Objective, Longitudinal Computed Tomographic Evaluation of the Metacarpal Condyles in Non-Lame Thoroughbred Racehorses.
Animals : an open access journal from MDPI    March 20, 2026   Volume 16, Issue 6 973 doi: 10.3390/ani16060973
Putnoki V, Pollard D, Dyson S, Boros K, Nagy A.There are limited data on sequential computed tomographic (CT) evaluation and objective CT assessment of the metacarpal condyles in Thoroughbred racehorses. This longitudinal study aimed to document changes in attenuation of the metacarpal condyles during the first two years of training and racing. Fan-beam CT examination of the metacarpophalangeal regions was performed on 40 non-lame Thoroughbred yearlings, and repeated four more times, approximately six months apart. Mean Hounsfield Unit (HU) measurements were obtained on sagittal reconstructions of the dorsal and palmar halves of the medial...
Detection of exercising ectopic atrial and ventricular beats using non-linear analysis of clinically normal racehorse electrocardiograms at rest or low-intensity exercise.
Scientific reports    March 13, 2026   doi: 10.1038/s41598-026-41281-0
Alexeenko V, Tavanaeimanesh H, Stein F, Gold J, Hughes L, McCue M, Marr C, Durward-Akhurst S, Jeevaratnam K.Cardiac arrhythmias are common in healthy athletic horses and may lead to poor athletic performance or exercise-associated sudden death. Early detection of high-risk horses is an important goal of cardiovascular diagnostics. We hypothesised that non-linear analysis of electrocardiogram disorderliness can be used to identify horses exhibiting intermittent ectopic atrial and ventricular heart rhythm abnormalities at exercise using brief, artifact-free recordings of normal sinus rhythm electrocardiograms collected at submaximal heart rates. In a convenience prospective cross-sectional study, ambu...
Omics integration reveals how the gut microbiota of Warmblood horses responds to equestrian show jumping-a short-duration, high-intensity technical exercise stress.
Animal microbiome    March 13, 2026   doi: 10.1186/s42523-026-00535-y
Yu S, Yue X, Yang Q, Xu P, Yuan H, Tang W, Luan Y, Wang Q.Intestinal microbial homeostasis and metabolic balance play a crucial role in maintaining normal physiological function in horses. Exogenous stress involving abrupt turns and jumps during show jumping significantly impacts intestinal microbial homeostasis and metabolic balance in these animals. Results: By comparing rectal (faecal) samples from 10 Warmblood horses collected before and immediately after a show jumping competition on the same day, we observed substantial alterations in intestinal microbial homeostasis and metabolic balance post-exercise. Microbial evenness significantly increase...
Transcriptomic signatures reveal systemic adaptations and immune modulation in response to training and competitive racing in horses.
Equine veterinary journal    March 7, 2026   doi: 10.1002/evj.70154
Dąbrowska I, Grzędzicka-Agko J, Kiełbik P, Trela M, Witkowska-Piłaszewicz O.The molecular mechanisms underlying adaptation to physical exertion and racing stress in horses remain incompletely understood. Peripheral blood transcriptomics offers a minimally invasive method to monitor systemic responses to exercise and identify biomarkers of adaptation or overload. Objective: To evaluate transcriptomic changes in peripheral blood of racehorses during different phases of training and competition and to identify molecular markers of physiological adaptation and race-induced stress. Methods: Prospective transcriptomic profiling of trained racehorses across three exercise co...
QT interval and cardiac restitution dynamics in racehorses: Observations during maximal effort.
American journal of physiology. Heart and circulatory physiology    March 5, 2026   doi: 10.1152/ajpheart.00785.2025
Avison A, Pyle WG, Sears W, Physick-Sheard PW.Sudden cardiac death is a leading cause of athletic death in both humans and horses, making racehorses a potentially valuable model for investigating sudden cardiac death. Cardiac restitution ratio (QT/TQ interval) is used to assess arrhythmia risk in humans, but investigations in athletes are scarce. The objective was to characterize QT interval and cardiac restitution ratio in Thoroughbred racehorses during maximal effort. Automated restitution analysis was performed using 2709 pairs of cardiac cycles from 30 Thoroughbred horses during races. Cardiac cycles were obtained during: pre-race; ac...
Untargeted LC-HRMS metabolomic analysis reveals exercise-induced biochemical alterations in endurance Arabian horses.
BMC veterinary research    March 3, 2026   doi: 10.1186/s12917-026-05378-y
Myćka G, Ropka-Molik K, Cywińska A, Stefaniuk-Szmukier M.BACKGROUND: Endurance exercise induces extensive metabolic remodeling in equine athletes, yet the global metabolic responses in purebred Arabian horses remain insufficiently characterized. This study aimed to investigate plasma metabolomic alterations associated with prolonged aerobic exercise using untargeted liquid chromatography–high-resolution mass spectrometry (LC-HRMS). RESULTS: Plasma samples from twelve trained Arabian horses were collected before and after 80-km endurance rides and analyzed using both hydrophilic interaction (HILIC) and reversed-phase (C18) chromatographic platforms...
How Inflamed Is the Horse in Training? Insights into Exercise-Induced Acute Phase Response in Endurance Horses.
International journal of molecular sciences    March 2, 2026   Volume 27, Issue 5 2328 doi: 10.3390/ijms27052328
Rakowska A, Biazik A, Sobuś M, Cywińska A.The article aimed to review the current literature analysing the complexity of an exercise-induced acute phase response in athletic horses undergoing intense training and endurance competitions. Since the endurance discipline demands physical fitness, exceptional health and excellent adaptation to an increasing workload, diagnostic methods of assessing the factors mentioned above are highly required. Athletic horses in endurance training undergo numerous metabolic but also immune adaptations, including changes in pro-inflammatory and anti-inflammatory cytokine levels. The inflammatory reaction...
Alterations in blood metabolites as biomarkers of fatigue and recovery in thoroughbred horses performing repeated bouts of high-intensity exercise.
Journal of animal science    February 26, 2026   Volume 104 skag063 doi: 10.1093/jas/skag063
Lungu GM, Barshick MR, Shafron AJ, El-Kadi SW, Williams BD, Wesolowski LT, Disilvestro AN, White-Springer SH, Johnson SE.High-intensity exercise in horses resulting in fatigue requires a better understanding of biomarkers defining the condition such that protocols detailing the return to work can be established. This study examined blood metabolite profiles after multiple sessions of high-intensity exercise to define physiological exhaustion. Adult Thoroughbred geldings (n = 10) underwent a standardized exercise test (SET) on a high-speed treadmill, with BHB, BCAAs, alanine, lactate, and CK measurements at regular intervals up to 6 h post-SET. Before and 24 h post-SET gluteus medius muscle samples were t...
The effects of furosemide on pulmonary transmural pressure and exercise-induced pulmonary hemorrhage in supramaximally exercising thoroughbred racehorses.
Journal of veterinary internal medicine    February 26, 2026   Volume 40, Issue 1 aalaf024 doi: 10.1093/jvimsj/aalaf024
Massie S, Léguillette R, Jones JH, Guigand C, Sides RH, Jones KB, Warlick LM, Thueson EL, Troudt TA, Bayly WM.Maximal intensity exercise in equine athletes induces pulmonary capillary stress failure and exercise-induced pulmonary hemorrhage (EIPH) secondary to excessive transmural pressure (Ptm). Furosemide decreases EIPH severity and pulmonary arterial (PAP) and pulmonary wedge (PAW) pressures. Objective: Assess the effects of furosemide on Ptm and EIPH during supramaximal exercise. Methods: Six fit retired Thoroughbreds with consistent EIPH Grade ≥ 2. Methods: Horses performed a controlled crossover design protocol, completing standardized treadmill tests (120%V̇O2max) before and 4 h after int...
miRNAS and target genes are regulated post-training in quarter horse athletes.
Journal of equine veterinary science    January 20, 2026   Volume 158 105787 doi: 10.1016/j.jevs.2026.105787
Amaral TM, Ramos PDCA, Silva RA, Ferreira MM, Filho EDS.In the context of Brazilian equestrian sports, the Quarter Horse (QH) breed has the third largest population of registered horses and stands out for its numerous abilities in various disciplines. Studies on equine health and athletic performance parameters are scarce, especially involving molecular markers. Objective: This study aimed to investigate the differential expression of microRNAs and target genes involved in metabolic pathways of exercise and to assess hematological and clinical changes in 10 horses (Equus caballus Linnaeus) of the QH breed under different physiological conditions. H...
Genome-Wide DNA Methylation Analysis of Performance Variation in the 5000-m Speed Race of Yili Horses.
Animals : an open access journal from MDPI    January 19, 2026   Volume 16, Issue 2 302 doi: 10.3390/ani16020302
Shan D, Yao X, Ren W, Huang Q, Su Y, Li Z, Li L, Wang R, Ma S, Wang J.Whole-genome bisulfite sequencing (WGBS) was employed in this article to map blood DNA methylation profiles at single-base resolution in Yili horses before a 5000 m speed race, with comparative analysis of epigenetic differences between the 'elite group' and 'ordinary group' across six four-year-old stallions. The overall methylation level in the elite group was generally higher than that in the ordinary groups, with a minority of regions showing hypomethylation. For instance, the promoter regions of key metabolic and neuro-related genes exhibited significant hypomethylation. The article ident...
Endurance exercise induces distinct skeletal and cardiac mitochondrial adaptations in racehorses.
American journal of physiology. Heart and circulatory physiology    January 12, 2026   Volume 330, Issue 2 H531-H544 doi: 10.1152/ajpheart.00833.2025
Libak Haugaard S, Schneider MJ, Nissen SD, Saljic A, Fruergaard Andersen P, Carstensen H, Hopster-Iversen C, Jespersen T, Larsen S, Buhl R.Mitochondrial respiration sustains the high energy demands of endurance exercise, yet the extent to which atrial, ventricular, and skeletal muscle mitochondria adapt remains uncertain. At the same time, endurance athletes face an increased risk of atrial fibrillation (AF), but the role of cardiac metabolism in arrhythmia susceptibility is poorly understood. Here, we compared mitochondrial respiration in skeletal muscle and across all four cardiac chambers between trained and untrained racehorses ( = 34) to investigate adaptations associated with long-term endurance exercise. We further examine...
Exosome and miRNA Content Engagement in the Physical Exercise Response: What Is Known to Date in Atheltic Horses?
International journal of molecular sciences    January 4, 2026   Volume 27, Issue 1 520 doi: 10.3390/ijms27010520
To date, there is extensive scientific evidence affirming that physical exercise plays a fundamental role in both the prevention and treatment of various pathological conditions in humans as well as in animals. It is understood that the advantages of movement and exercise have a multifactorial origin and they depend on a category of bioactive molecules vehicolated by extracellular microvesicles known as exosomes. The exosomes act as potential delivery systems for messages within the organism. These findings have drawn significant attention, leading researchers to further investigate the role o...
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