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Topic:Equine Diseases

Equine diseases encompass a wide range of health conditions that can affect horses, including infectious diseases, metabolic disorders, and genetic conditions. These diseases can impact the overall health, performance, and well-being of horses. Common equine diseases include equine influenza, equine herpesvirus, laminitis, and equine metabolic syndrome. Diagnosis and management of these diseases often require a combination of clinical evaluation, laboratory testing, and appropriate treatment strategies. This page gathers peer-reviewed research studies and scholarly articles that explore the etiology, pathophysiology, diagnosis, and treatment options for various equine diseases, providing valuable insights for veterinarians and researchers in the field.
Equine neutrophils express mRNA for tumour necrosis factor-alpha, interleukin (IL)-1beta, IL-6, IL-8, macrophage-inflammatory-protein-2 but not for IL-4, IL-5 and interferon-gamma.
Equine veterinary journal    January 5, 2002   Volume 33, Issue 7 730-733 doi: 10.2746/042516401776249246
Joubert P, Silversides DW, Lavoie JP.No abstract available
Effects of intestinal ischemia on in vitro activity of adjacent jejunum in samples obtained from ponies.
American journal of veterinary research    January 5, 2002   Volume 62, Issue 12 1973-1978 doi: 10.2460/ajvr.2001.62.1973
Malone ED, Kannan MS.To determine whether intestinal ischemia would alter activity of the jejunum in vitro or alter staining characteristics for certain types of enteric neurotransmitters. Methods: Jejunal samples obtained from 10 ponies. Methods: Jejunal samples were obtained from locations proximal and distal to an area of small intestine made ischemic for 60 minutes. A portion of each sample was stained to detect substance P-like immunoreactivity, cholinergic and adrenergic neurons, and nitric oxide synthase. Portions of the remaining samples were suspended in muscle baths. General activity patterns (frequency ...
International harmonisation of anthelmintic efficacy guidelines (Part 2).
Veterinary parasitology    January 5, 2002   Volume 103, Issue 4 277-297 doi: 10.1016/s0304-4017(01)00615-x
Vercruysse J, Holdsworth P, Letonja T, Conder G, Hamamoto K, Okano K, Rehbein S.The "International Co-operation on Harmonisation of Technical Requirements for Registration of Veterinary Medicinal Products (VICH)" is an international programme of co-operation between regulatory authorities and the animal health industries of the European Union, Japan and the United States of America which aims to harmonise the technical requirements for the registration of veterinary medicinal products. Australia and New Zealand participate as active observers. The objective of this second paper is to present additional guidelines established by the Working Group on anthelmintic guidelines...
Effects of topical administration of 0.005% latanoprost solution on eyes of clinically normal horses.
American journal of veterinary research    January 5, 2002   Volume 62, Issue 12 1945-1951 doi: 10.2460/ajvr.2001.62.1945
Willis AM, Diehl KA, Hoshaw-Woodard S, Kobayashi I, Vitucci MP, Schmall LM.To determine the effect of 0.005% latanoprost solution on intraocular pressure (IOP) of eyes of clinically normal horses and establish the frequency of adverse effects of drug administration. Methods: 20 adult clinically normal horses. Methods: IOP was recorded (7, 9, and 11 AM; 3, 5, and 7 PM) on days 1 and 2 (baseline), days 3 to 7 (treatment), and days 8 to 9 (follow-up). Latanoprost was administered to 1 randomly assigned eye of each horse every 24 hours during the treatment period, following the 7 AM IOP recording. Pupil size and the presence or absence of conjunctival hyperemia, epiphora...
IgG antibody responses to an inhaled antigen in horses with “heaves” (recurrent airway obstruction).
Veterinary immunology and immunopathology    January 5, 2002   Volume 84, Issue 3-4 169-180 doi: 10.1016/s0165-2427(01)00400-7
Ainsworth DM, Appleton JA, Antczak DF, Santiago MA, Aviza G.A controlled experimental system for the evaluation of pulmonary immune responses in horses with "heaves" (recurrent airway obstruction) has been developed. We hypothesized that the humoral immune response to an inhaled antigen in diseased horses would be different from that of healthy horses and that chronic pulmonary inflammation would bias the production of IgG isotypes in diseased horses as compared to healthy horses. Healthy and affected horses were housed in a natural challenge environment (stabled, fed dusty hay) and exposed by inhalation, to a nebulized solution of keyhole limpet hemoc...
Comparison of the clearance of 99mTechnetium-DTPA from the lung and lung function indices derived from the single breath diagram for carbon dioxide in horses with chronic obstructive pulmonary disease.
Journal of veterinary medicine. A, Physiology, pathology, clinical medicine    January 5, 2002   Volume 48, Issue 9 553-561 doi: 10.1046/j.1439-0442.2001.00384.x
Herholz C, Phillip M, Straub R, Ueltschi G, Busato A.The elimination of carbon dioxide from the lung can be used to monitor ventilation and perfusion, and 99mtechnetium-diethylenetriaminepentaacetate (99mTc-DTPA) clearance is a highly sensitive index of alveolar epithelial integrity, which is a presupposition for effective gas exchange. The aim of this study was to determine whether a correlation exists between indices of lung function derived from the single breath diagram for CO2, and 99mTc-DTPA clearance in horses with chronic obstructive pulmonary disease. The rate of 99mTc-DTPA elimination was negatively and substantially correlated with th...
Duration of immunity induced by an adjuvanted and inactivated equine influenza, tetanus and equine herpesvirus 1 and 4 combination vaccine.
The veterinary quarterly    January 5, 2002   Volume 23, Issue 4 210-217 doi: 10.1080/01652176.2001.9695116
Heldens JG, Kersten AJ, Weststrate MW, van den Hoven R.An adjuvanted vaccine containing inactivated equine influenza, herpesvirus antigens, and tetanus toxoid was administered to young seronegative foals of 8 months of age by deep intramuscular injection in the neck (Group A). The first two vaccinations were given 4 weeks apart. The third was administered 6 months later. Another group of foals (Group B) was vaccinated according to the same scheme at the same time with monovalent equine herpes virus (EHV) vaccine (EHV1.4) vaccine. Antibody responses to the equine influenza (single radial haemolysis; SRH) and tetanus (ToBi ELISA) components of the v...
Fusobacterium equinum sp. nov., from the oral cavity of horses.
International journal of systematic and evolutionary microbiology    January 5, 2002   Volume 51, Issue Pt 6 1959-1963 doi: 10.1099/00207713-51-6-1959
Dorsch M, Lovet DN, Bailey GD.Two strains of gram-negative, anaerobic, non-sporulating rod that were isolated from the normal oral cavity and oral-associated disease from horses and which phenotypically resembled Fusobacterium necrophorum were characterized by sequencing of the 16S rRNA gene, phylogenetic analysis, DNA-DNA hybridization and phenotypic characterization. The results placed the novel strains as distinct members of the genus Fusobacterium. The novel species Fusobacterium equinum sp. nov. is proposed, with strain VPB 4027T (= NCTC 13176T = JCM 11174T) as the type strain.
Passive transfer of maternal immunoglobulin isotype antibodies against tetanus and influenza and their effect on the response of foals to vaccination.
Equine veterinary journal    January 5, 2002   Volume 33, Issue 7 644-650 doi: 10.2746/042516401776249435
Wilson WD, Mihalyi JE, Hussey S, Lunn DP.Influenza and tetanus-specific antibodies of the IgG sub-isotypes are posively transferred to foals via colostrum and inhibit their response to inactivated influenza vaccines and tetanus toxoid. High titres of influenza antibodies of IgGa and IgGb subisotypes and tetanus antibodies of the IgGa, IgGb and IgG(T) subisotypes were detected in postsucking serum samples collected from foals born to mares that had received booster doses of multicomponent vaccines during the last 2 months of gestation. Thereafter, titres declined in an exponential manner but were still detectable in all foals at age 2...
Effects of ‘navicular’ shoeing on equine distal forelimb kinematics on different track surface.
The veterinary quarterly    January 5, 2002   Volume 23, Issue 4 191-195 doi: 10.1080/01652176.2001.9695111
Scheffer CJ, Back W.Orthopaedic shoeing applied for disorders such as navicular disease is mostly evaluated on hard track surfaces, but very often horses are ridden only on soft tracks. To compare the effects of normal shoes, eggbar shoes, and shoes with heel wedges (5 degrees) on the kinematics of the distal forelimb on hard and soft track surfaces, eleven sound Dutch Warmblood horses were led across three different tracks (an asphalt, a fibre/sand mix (= Agterberg), and a pure sand track) with three different shoe types (a normal shoe, an eggbar shoe, and a shoe with heel wedges). The hoof rotation and the maxi...
Exercise alters the immune response to equine influenza virus and increases susceptibility to infection.
Equine veterinary journal    January 5, 2002   Volume 33, Issue 7 664-669 doi: 10.2746/042516401776249417
Folsom RW, Littlefield-Chabaud MA, French DD, Pourciau SS, Mistric L, Horohov DW.Equine influenza virus remains a major health concern for the equine industry in spite of ongoing vaccination programmes. Previous work has shown that the immune system of horses can be affected by strenuous exercise. The possible adverse consequence of exercise-induced alterations in lymphocyte responses measured in vitro was unknown. Here we demonstrate that subjecting vaccinated ponies to a 5 day strenuous exercise programme results in a significant suppression of their T cell-mediated immune response to equine influenza virus as measured by decreased lymphoproliferation and gamma interfero...
Production of biologically active equine interleukin 12 through expression of p35, p40 and single chain IL-12 in mammalian and baculovirus expression systems.
Equine veterinary journal    January 5, 2002   Volume 33, Issue 7 693-698 doi: 10.2746/042516401776249426
McMonagle EL, Taylor S, van Zuilekom H, Sanders L, Scholtes N, Keanie LJ, Hopkins CA, Logan NA, Bain D, Argyle DJ, Onions DE, Schijns VE, Nicolson L.Interleukin-12 (IL-12) is a key cytokine in the development of cell-mediated immune responses. Bioactive IL-12 is a heterodimeric cytokine composed of disulphide linked p35 and p40 subunits. The aim of this study was to verify biologically activity of the products expressed from equine interleukin-12 (IL-12) p35 and p40 cDNAs and to establish whether equine IL-12 could be expressed as a p35/p40 fusion polypeptide, as has been reported for IL-12a of several mammalian species. We report production of equine IL-12 through expression of p35 and p40 subunits in mammalian and insect cells and of a p...
Comparison of gene transfer efficiencies and gene expression levels achieved with equine infectious anemia virus- and human immunodeficiency virus type 1-derived lentivirus vectors.
Journal of virology    January 5, 2002   Volume 76, Issue 3 1510-1515 doi: 10.1128/jvi.76.3.1510-1515.2002
O'Rourke JP, Newbound GC, Kohn DB, Olsen JC, Bunnell BA.This report compares gene transfer efficiencies as well as durations and levels of gene expression for human immunodeficiency virus (HIV) and equine infectious anemia virus (EIAV) lentiviral vectors in a variety of human cell types in vitro. EIAV and HIV vectors transduced equivalent numbers of proliferating and G1/S- and G2/M-arrested cells, and both had very low efficiencies of transduction into G0-arrested cells. Analysis of the levels of both the enhanced green fluorescent protein (EGFP) and mRNA demonstrated that the HIV-transduced cells expressed greater levels of EGFP protein and RNA th...
Influence of environmental and genetic factors on allergen-specific immunoglobulin-E levels in sera from Lipizzan horses.
Equine veterinary journal    January 5, 2002   Volume 33, Issue 7 714-720 doi: 10.2746/042516401776249264
Eder C, Curik I, Brem G, Crameri R, Bodo I, Habe F, Lazary S, Sölkner J, Marti E.To investigate whether allergen-specific IgE production is influenced by environmental and genetic factors, IgE levels against 2 mould extracts (Alternaria alternata [Alt a] and Aspergillus fumigatus [Asp f]) and against recombinant (r) rAlt a 1, rAsp f 7 and rAsp f 8 were determined by ELISA in sera from 448 Lipizzan horses living in 6 studfarms. Statistical evaluation showed a significant effect of studfarm-specific environment on IgE levels against the different allergens, but genetic factors also influenced allergen-specific IgE production: an heritability of 0.33 was found for IgE levels ...
Ultrasonography of the podotrochlear apparatus in the horse using a transcuneal approach: technique and reference images. Busoni V, Denoix JM.The purpose of this paper is to describe the technique for ultrasonographic examination of the podotrochlear apparatus in the horse using a transcuneal approach. In this study, ultrasound scans were performed in 3 normal cadaver limbs and 5 sound horses and images were compared to anatomic sections to establish the normal ultrasonographic anatomy of the podotrochlear apparatus. Detailed description of transverse and sagittal reference ultrasonographic images of this region is provided. This new imaging technique allows the assessment of the distal sesamoid bone flexor surface, the distal porti...
Effects of exercise on biomechanical properties of the superficial digital flexor tendon in foals.
American journal of veterinary research    January 5, 2002   Volume 62, Issue 12 1859-1864 doi: 10.2460/ajvr.2001.62.1859
Cherdchutham W, Meershoek LS, van Weeren PR, Barneveld A.To determine the effects of exercise on biomechanical properties of the superficial digital flexor tendon (SDFT) in foals. Methods: 43 Dutch Warmblood foals. Methods: From 1 week until 5 months of age, 14 foals were housed in stalls and not exercised, 14 foals were housed in stalls and exercised daily, and 15 foals were maintained at pasture. Eight foals in each group were euthanatized at 5 months, and remaining foals were housed together in a stall and paddock until euthanatized at 11 months. After euthanasia, SDFT were isolated and fit in a material testing system. Mean cross-sectional area ...
In vitro responses of equine colonic arterial and venous rings to adenosine triphosphate.
American journal of veterinary research    January 5, 2002   Volume 62, Issue 12 1928-1933 doi: 10.2460/ajvr.2001.62.1928
Tetens J, Venugopal CS, Holmes EP, Koch CE, Hosgood G, Moore RM.To evaluate the in vitro effects of adenosine tryphosphate (ATP) on vasomotor tone of equine colonic vasculature. Methods: Arteries and veins from the left ventral colon of 14 mixed-breed horses euthanatized for reasons unrelated to cardiovascular or gastrointestinal tract disease. Methods: Endothelium-intact and -denuded arterial and venous rings were precontracted with 10(-7) and 1.8 x 10(-8) M endothelin-1, respectively. In 1 trial, endothelium-intact rings were also incubated with 10(-4) M N omega-nitro-L-arginine methyl ester (L-NAME) to inhibit nitric oxide (NO) production. Adenosine tri...
Detection of IgG and IgE serum antibodies to Culicoides salivary gland antigens in horses with insect dermal hypersensitivity (sweet itch).
Equine veterinary journal    January 5, 2002   Volume 33, Issue 7 707-713 doi: 10.2746/042516401776249363
Wilson AD, Harwood LJ, Björnsdottir S, Marti E, Day MJ.We postulated that all horses exposed to the bites of Culcoides (midges) would have an antibody response to the antigen secreted in Culcoides saliva, but that IgE antibody would be restricted to allergic individuals. Using immunohistology on sections of fixed Culicoides, we have demonstrated the presence of antibodies in horse serum which recognise Culicoides salivary glands. Antibodies were detected in the serum of horses with insect dermal hypersensitivity and in the serum of normal horses exposed to Culicoides bites. In contrast, no antibodies were detected in serum from native Icelandic po...
Evaluation of IgG concentration and IgG subisotypes in foals with complete or partial failure of passive transfer after administration of intravenous serum or plasma.
Equine veterinary journal    January 5, 2002   Volume 33, Issue 7 681-686 doi: 10.2746/042516401776249273
McClure JT, DeLuca JL, Lunn DP, Miller J.The purpose of this study was to evaluate the ability of an equine plasma product i.v. and a concentrated serum product i.v. to deliver antibodies to 46 foals with failure of passive transfer (FPT). Treatment of FPT was as per manufacturers recommendations, using plasma (950 ml/unit) or a concentrated serum product (250 ml/unit). Significant variables affecting the 3 day post-transfusion serum immunoglobulin G (IgG) concentration of foals included body weight, pretransfusion IgG concentration, number of product units transfused, foaling season and product administered. Plasma treatment had a g...
A new modified live equine influenza virus vaccine: phenotypic stability, restricted spread and efficacy against heterologous virus challenge.
Equine veterinary journal    January 5, 2002   Volume 33, Issue 7 630-636 doi: 10.2746/042516401776249291
Chambers TM, Holland RE, Tudor LR, Townsend HG, Cook A, Bogdan J, Lunn DP, Hussey S, Whitaker-Dowling P, Youngner JS, Sebring RW, Penner SJ....Flu Avert IN vaccine is a new, live attenuated virus vaccine for equine influenza. We tested this vaccine in vivo to ascertain 1) its safety and stability when subjected to serial horse to horse passage, 2) whether it spread spontaneously from horse to horse and 3) its ability to protect against heterologous equine influenza challenge viruses of epidemiological relevance. For the stability study, the vaccine was administered to 5 ponies. Nasal swabs were collected and pooled fluids administered directly to 4 successive groups of naïve ponies by intranasal inoculation. Viruses isolated from th...
Arthrodesis of the equine proximal interphalangeal joint: a biomechanical comparison of two 7-hole 3.5-mm broad and two 5-hole 4.5-mm narrow dynamic compression plates.
Veterinary surgery : VS    January 5, 2002   Volume 31, Issue 1 85-93 doi: 10.1053/jvet.2002.29457
Watt BC, Edwards RB, Markel MD, McCabe R, Wilson DG.To compare the biomechanical characteristics and mode of failure of two different dynamic compression plate (DCP) techniques for proximal interphalangeal joint (PIPJ) arthrodesis in horses. Methods: Randomized block-design blocking on horse (1-5), method of fixation (two 7-hole, 3.5-mm broad DCP vs two 5-hole, 4.5-mm narrow DCP), side (left, right), and end (front, hind). Constructs were loaded to failure in 3-point bending in a dorsal-to-palmar (plantar) direction. Methods: Ten paired limbs from 5 equine cadavers. Methods: Two 7-hole, 3.5-mm broad dynamic compression plates (bDCP) were used i...
Cultures of equine respiratory epithelial cells and organ explants as tools for the study of equine influenza virus infection.
Archives of virology    January 5, 2002   Volume 146, Issue 11 2239-2247 doi: 10.1007/s007050170034
Lin C, Holland RE, Williams NM, Chambers TM.Equine nasal turbinate epithelial cells and tracheal rafts were maintained with sustained viability in culture. Both types of culture supported productive replication of equine influenza virus (equine-2, subtype H3N8) and cell death occurred through apoptosis following viral infection. Thus, primary respiratory epithelial cell and organ cultures of equine origin may be valuable as alternatives to the intact animal for studying the virus-host interaction of equine respiratory viruses including influenza.
Investigation of mRNA expression of tumor necrosis factor-alpha, interleukin-1beta, and cyclooxygenase-2 in cultured equine digital artery smooth muscle cells after exposure to endotoxin.
American journal of veterinary research    January 5, 2002   Volume 62, Issue 12 1957-1963 doi: 10.2460/ajvr.2001.62.1957
Rodgerson DH, Belknap JK, Moore JN, Fontaine GL.To determine messenger RNA expression of cyclooxygenase (COX)-2, tumor necrosis factor (TNF)-alpha, and interleukin- (IL)-1beta from cultured equine smooth muscle cells (SMC). Methods: Segments of palmar digital artery harvested from 6 clinically normal adult horses. Methods: Explants were collected from the tunica media of arteries for primary culture of SMC. Equine mononuclear cells were used as control cells. Subcultured vascular SMC and control cells were exposed to lipopolysaccharide (20 microg/ml and 100 ng/ml, respectively). Northern blot analysis with equine-specific probes for COX-2, ...
The equine larynx.
New Zealand veterinary journal    January 1, 2002   Volume 50, Issue sup3 117 doi: 10.1080/00480169.2002.36286
Goulden B.Abstract Extract A series of landmark studies on the function of the equine larynx was conducted by a group of researchers at Massey University between 1970 and 1987. These studies commenced with investigations on the normal laryngeal anatomy and physiology (Goulden et al 1976a; Anderson et al 1980; Quinlan et al 1982), and progressed to a clinical appraisal of laryngeal hemiplegia, the most important clinical disease affecting the horse's larynx (Goulden and Anderson 198 lab, 1982). The studies concluded with a series of in-depth cytological and pathological studies of the intrinsic laryngeal...
World association for the advancement of veterinary parasitology (WAAVP): second edition of guidelines for evaluating the efficacy of equine anthelmintics.
Veterinary parasitology    December 26, 2001   Volume 103, Issue 1-2 1-18 doi: 10.1016/s0304-4017(01)00574-x
Duncan JL, Abbott EM, Arundel JH, Eysker M, Klei TR, Krecek RC, Lyons ET, Reinemeyer C, Slocombe JO.These guidelines have been designed to assist in the planning, operation and interpretation of studies which would serve to assess the efficacy of drugs against internal parasites of horses. Although the term anthelmintic is used in the title and text, these guidelines include studies on drug efficacy against larvae of horse bot flies, Gasterophilus spp., which are non-helminth parasites commonly occurring in the stomach of horses. The advantages, disadvantages and application of critical and controlled tests are presented. Information is also provided on selection of animals, housing, feed, d...
Computerized detection of supporting forelimb lameness in the horse using an artificial neural network.
Veterinary journal (London, England : 1997)    December 26, 2001   Volume 163, Issue 1 77-84 doi: 10.1053/tvjl.2001.0608
Schobesberger H, Peham C.The purpose of this study was to investigate whether artificial neural networks could be used to determine equine lameness by computational means only. The integral parts of our approach were the combination of automated signal tracking of horses on a treadmill and the computational power of artificial neural networks (ANN). The motion of 175 horses trotting on a treadmill was recorded using the SELSPOT II system for motion analysis. Two cameras traced infrared (IR) markers on the head and on the left forehoof. The motion of the head was Fourier-transformed and further processed by a multilaye...
Caspase activation in equine influenza virus induced apoptotic cell death.
Veterinary microbiology    December 26, 2001   Volume 84, Issue 4 357-365 doi: 10.1016/s0378-1135(01)00468-0
Lin C, Holland RE, Donofrio JC, McCoy MH, Tudor LR, Chambers TM.Equine influenza virus (EIV) is the leading cause of acute respiratory infection in horses worldwide. In recent years, the precise mechanism by which influenza infection kills host cells is being re-evaluated. In this report, we examined whether caspases, a group of intracellular proteases, are activated following EIV infection and contribute to EIV-mediated cell death. Western blotting analysis indicated that a nuclear target of caspase-3, poly(ADP-ribose) polymerase (PARP) was proteolytically cleaved in EIV-infected MDCK cells, but not in mock-infected cells. In comparison with caspase-3 spe...
Fractures–a preventable hazard of racing thoroughbreds?
Veterinary journal (London, England : 1997)    December 26, 2001   Volume 163, Issue 1 19-29 doi: 10.1053/tvjl.2001.0610
Riggs CM.Fractures are a common cause of loss among Thoroughbred racehorses. A large proportion of these injuries occurs in the absence of a specific traumatic event and show typical characteristics of stress fractures. The fractures show a high degree of consistency in their morphology; they frequently share the same locations as incomplete cracks and they are often associated with pre-existing pathology (periosteal and endosteal new bone formation and intracortical remodelling). Bone is able to adapt to changes in its mechanical environment. Studies of the Thoroughbred racehorse show modification of ...
The role of international transport of equine semen on disease transmission.
Animal reproduction science    December 18, 2001   Volume 68, Issue 3-4 229-237 doi: 10.1016/s0378-4320(01)00159-2
Metcalf ES.Despite the numerous benefits of having the capability to transport semen internationally, there are serious potential ramifications if that semen is contaminated with a communicable disease. Bacteria: Many commensal bacteria colonize the exterior of the stallion penis and are not regarded as pathogenic. They may be cultured from an ejaculate. Alterations of the normal bacterial flora on the exterior genitalia may cause the growth of opportunistic bacteria such as Klebsiella pneumonia, Pseudomonas aeruginosa, Streptococcus zooepidemicus, which, if inseminated, may cause infertility in suscepti...
Capacitation and the acrosome reaction in equine sperm.
Animal reproduction science    December 18, 2001   Volume 68, Issue 3-4 249-265 doi: 10.1016/s0378-4320(01)00161-0
Gadella BM, Rathi R, Brouwers JF, Stout TA, Colenbrander B.During sexual reproduction, the sperm and oocyte must fuse before the production of a diploid zygote can proceed. In mammals such as equids, fusion depends critically on complex changes in the plasma membrane of the sperm and, not surprisingly, this membrane differs markedly from that of somatic cells. After leaving the testes, sperm cease to synthesize plasma membrane lipids or proteins, and vesicle-mediated transport stops. When the sperm reaches the female reproductive tract, it is activated by so-called capacitation factors that initiate a delicate reorientation and modification of molecul...