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Topic:Heat Stress

Heat stress in horses refers to the physiological and metabolic challenges that occur when horses are exposed to elevated environmental temperatures and humidity levels. Horses regulate their body temperature through sweating and respiration, but excessive heat can overwhelm these mechanisms, leading to heat stress. This condition can affect various bodily functions, including cardiovascular, respiratory, and muscular systems. Signs of heat stress in horses include increased respiratory rate, elevated heart rate, dehydration, and lethargy. Prolonged exposure can lead to more severe issues such as heat exhaustion or heat stroke. This page compiles peer-reviewed research studies and scholarly articles that explore the mechanisms of heat stress, its effects on equine physiology, and strategies for prevention and management in different environmental conditions.
Effect of heat acclimation training frequency on the physiological adaptations of Thoroughbred horses.
American journal of physiology. Regulatory, integrative and comparative physiology    March 17, 2026   doi: 10.1152/ajpregu.00284.2025
Ebisuda Y, Kitaoka Y, Takahashi Y, Sugiyama F, Yoshida T, Mukai K.Heat acclimation enhances thermoregulation and cardiovascular function. While daily training protocols are typically recommended for humans, optimal training protocols for Thoroughbred horses remain unclear. Here, we compared the effects of two heat acclimation protocols, consecutive and intermittent, in Thoroughbred horses. In a randomized crossover study, eight trained Thoroughbred horses completed either a consecutive (CONS: 9 consecutive days) or an intermittent (INT: 3 days/week for 3 weeks) heat acclimation protocol, comprising 30 min of exercise in hot conditions (WBGT 30°C). Increment...
The fertility of a sub-population of stallions is negatively affected by ambient climatic conditions, mediated through DNA damage.
International journal of biometeorology    March 9, 2026   Volume 70, Issue 3 89 doi: 10.1007/s00484-025-03123-y
Griffin RA, Miller K, Colyvas K, Sheridan A, De Iuliis G, Aitken RJ, Baker MA, Gibb Z, Swegen A.Exposure to systemic heat stress in male mammals adversely affects sperm production, fertility, and DNA integrity. To date, few studies have investigated this phenomenon in horses, particularly in industry-relevant environments. Therefore, this study examined the relationship between ambient climatic conditions and fertility within a population of commercially fertile stallions. Post-coital semen samples ( = 804) were collected weekly from 46 Thoroughbred stallions during two successive breeding seasons (NSW, Australia; 22 weeks total). Semen samples were processed via single-layer colloid...
Omic technology to monitoring resilience and adaptation to exercise and heat stress in endurance horses.
Frontiers in veterinary science    January 9, 2026   Volume 12 1734969 doi: 10.3389/fvets.2025.1734969
In horses, heat exposure modulates the hypothalamic-pituitary-adrenal axis, autonomic nervous system, and hypothalamic-pituitary-thyroid axis to maintain body temperature and prevent excessive heat accumulation. However, during strenuous exercise under hot and humid conditions, heat production may exceed dissipation, leading to heat stress, anhidrosis, heat stroke, or brain damage. Unassigned: Incremental field standardized exercise tests (fSETs) provide a reliable approach to assess training and fitness levels. Six Arabian horses from Italia Endurance Stable and Academy were monitored during ...
Genetic and phenotypic insights into thermal load and racing performance of Quarter Horses.
Journal of thermal biology    December 29, 2025   Volume 136 104362 doi: 10.1016/j.jtherbio.2025.104362
Santana ML, Bignardi AB, Faria RAS, Silva JAIV.Thermal load is a major welfare and performance concern for athletic horses, as physical exertion increases internal heat production. Although several phenotypic strategies have been developed to mitigate its effects, the genetic basis of thermal tolerance in horses remains largely unexplored. This study aimed to (1) evaluate the influence of thermal indices on the racing performance of Brazilian Quarter Horses, and (2) investigate the genetic basis of thermal tolerance through the estimation of genetic parameters across temperature gradients. We analyzed 21,857 racing-time (RT) records from 5...
Comparison of body temperatures and pulse rate between athletic and non-athletic horses during the hot-humid condition.
International journal of biometeorology    December 24, 2025   Volume 70, Issue 1 1 doi: 10.1007/s00484-025-03106-z
Ake AS, Akinniyi OO.Clinical assessment of parameters that give indications of the health status and fitness of horses are very important in equine practice. The study aimed to compare the resting body temperatures at different anatomical sites and resting pulse rates of athletic and non-athletic horses. Eighteen horses were used for the study, comprising ten athletic and eight non-athletic horses. Measurements of environmental parameters, rectal temperature (RT), body surface temperature (BST) and pulse rate were recorded between 9 and 11 am twice with one week interval at the Ibadan Polo Club, Eleyele, Ibadan, ...
The Influence of Horse Age, High-Pressure Technique and Various Heat Treatment Methods on the Quality of Horse Meat.
Molecules (Basel, Switzerland)    September 15, 2025   Volume 30, Issue 18 3749 doi: 10.3390/molecules30183749
Stanisławczyk R, Żurek J, Rudy M, Gil M, Krajewska A, Dziki D.The aim of this study was to demonstrate the effect of horse age, high-pressure cooking, and various heat-treatment methods on the quality of horse meat. The research material consisted of samples of the longissimus thoracis muscle obtained from 14 horse carcasses from two age groups. Samples of the muscle were subjected to traditional cooking (TC), sous-vide cooking (S-V), high-pressure cooking (HHP), HHP + TC, and HHP + S-V. The chemical composition, physicochemical properties, color parameters, pigment levels, texture parameters, and sensory properties of the meat were determined. Exposing...
Temperatures of the Mouthpiece of the Bit of Carriage Horses over a Period of 11 Months.
Animals : an open access journal from MDPI    September 7, 2025   Volume 15, Issue 17 2623 doi: 10.3390/ani15172623
Krcal C, Licka T.Besides oral temperature, meteorological parameters are expected to be relevant for mouthpiece temperature, potentially influenced by the material, surface area and weight of the bit. This study measured the temperature of the mouthpieces at the corner of the mouth while they were in use on 58 carriage horses during the four 2024 seasons. Stainless steel, copper, and copper-steel bits were tested in three shapes: Butterfly Liverpool, Liverpool, and Loose Ring Snaffle with four rings. Additionally, surface temperatures of inner thighs, the ground, and buildings were measured using infrared ther...
Comparative analysis of blood whole transcriptome profiles in Yili horses pre- and post-5000-meter racing.
Frontiers in genetics    August 29, 2025   Volume 16 1651628 doi: 10.3389/fgene.2025.1651628
Su Y, Ren W, Ma S, Meng J, Yao X, Zeng Y, Li Z, Li L, Wang R, Wang J.This study employed Yili horses participating in a 5000-meter race as a model to investigate exercise-induced gene expression alterations in peripheral blood using whole transcriptome sequencing. Jugular vein blood samples from the three leading horses were collected pre- and immediately post-race, yielding 2,171 differentially expressed mRNAs (2,080 upregulated, 91 downregulated), 4,375 differentially expressed LncRNAs (4,354 upregulated), and 68 differentially expressed circRNAs (64 upregulated). GO/KEGG analyses demonstrated significant enrichment of differential mRNAs in transmembrane tran...
Thermal comfort and seminal traits in stallion reproduction: New methods to understand these relationships.
Journal of equine veterinary science    May 27, 2025   Volume 151 105615 doi: 10.1016/j.jevs.2025.105615
Maria Feitosa Ribeiro L, Bersot Gomes JV, Hernando Ortiz Vega W, da Silva Alves A, Netto Machado M, Junio Wutke L, Raquel Quirino C....Stallion breeding is mostly based on desirable phenotypic traits, with little consideration for semen quality. Objective: To identify relationships among semen parameters in stallions using a non-invasive, integrative approach across summer and winter seasons. Methods: Twenty-four stallions were evaluated, in which semen collections, testicular thermography, and Doppler velocimetry of the testicular artery by Doppler ultrasonography were performed, in addition to the measurement of physiological, environmental, and heat stress parameters, both in winter (coat weather) and summer (T-shirt weath...
Transcriptomic responses of equine skeletal muscle to acute exercise in a hot environment.
Physiological genomics    May 19, 2025   Volume 57, Issue 8 450-455 doi: 10.1152/physiolgenomics.00200.2024
Takahashi K, Shirai T, Mukai K, Ebisuda Y, Sugiyama F, Yoshida T, Kitaoka Y.While exercise performance deteriorates in hot environments, heat stress may contribute to exercise-induced adaptations in skeletal muscle. In this study, we assessed transcriptional profiles of equine skeletal muscle following 3 min of high-intensity exercise (at the speed eliciting their maximal oxygen uptake) in cool [wet bulb globe temperature (WBGT) 15°C] or hot (WBGT 30°C) conditions. Differential gene expression was identified using DESeq2 (false discovery rate cutoff: 0.05, minimal fold change: 1.5). At 4 h after exercise, RNA-seq identified 176 and 156 genes that were differentially...
Investigating the interplay of stressors and health in horses through fecal cortisol metabolite analysis.
Frontiers in veterinary science    April 8, 2025   Volume 12 1545577 doi: 10.3389/fvets.2025.1545577
Nowak AC, Macho-Maschler S, Biermann NM, Palme R, Dengler F.Horses are highly sensitive to stress, which can affect their wellbeing and lead to various health issues. Effective and objective stress assessment is therefore crucial for improving their care and management. The production of the glucocorticoid cortisol is increased in response to stressful stimuli and its metabolites can be measured non-invasively in feces. Therefore, this study aimed to explore the impact of different environmental and physiological stressors on fecal cortisol metabolite (FCM) concentrations in horses, with a particular focus on the relationship between stress, health, an...
Effects of pre-exercise cooling in hot environments on performance and physiological responses in Thoroughbred horses.
Journal of equine science    March 10, 2025   Volume 36, Issue 1 19-23 doi: 10.1294/jes.36.19
Ohmura H, Ebisuda Y, Takahashi Y, Mukai K.Pre-exercise cooling may prevent exertional heat illness in horses. We hypothesized that pre-exercise cooling before warm-up in a hot environment would not affect performance but would mitigate reductions in body weight and increases in body temperature following exercise. Six trained Thoroughbred horses were studied using a randomized, crossover design with three pre-treatments: 30-min walk on a treadmill at 1.7 m/sec (WALK), 30 min of standing (REST), and a 10-min pre-cooling shower at 26.2 ± 0.8°C (SHOWER). All horses underwent each pre-treatment, followed by a warm-up and main exercise i...
DSP-1, the major fibronectin type-II protein of donkey seminal plasma is a small heat-shock protein and exhibits chaperone-like activity against thermal and oxidative stress.
Biochimica et biophysica acta. Proteins and proteomics    February 14, 2025   141064 doi: 10.1016/j.bbapap.2025.141064
Alim S, Cheppali SK, Pawar SS, Swamy MJ.Fibronectin type-II (FnII) proteins are major constituents in the seminal plasma of many mammals and play a crucial role in sperm capacitation. Additionally, the seminal FnII proteins from bull and horse exhibit chaperone-like activity (CLA), by acting as small heat shock proteins (shsps). The present work demonstrates that the major FnII protein of donkey seminal plasma, DSP-1 exhibits CLA with broad specificity and protects various client proteins such as alcohol dehydrogenase, lactate dehydrogenase and enolase against thermal and oxidative stress. Binding of phosphorylcholine (PrC) - the he...
Beneficial effects of pentoxifylline on spermatogenesis and germ cell apoptosis in stallions subjected to scrotal heat stress.
Theriogenology    November 16, 2024   Volume 233 32-41 doi: 10.1016/j.theriogenology.2024.11.004
Sancler-Silva YFR, Papa FO, Esteller-Vico A, Silva-Junior E, Oliveira TES, El-Sheikh Ali H, Boakari YL, Freitas MSE, Ball BA.This study evaluated the effects of oral pentoxifylline on testicular biometry, histology, and gene expression in stallions subjected to scrotal heat stress. Fourteen stallions were divided into three groups: Control (CRL, n = 4), Testicular Degeneration (DEG, n = 5), and Testicular Degeneration Treated with Pentoxifylline (DEG + PTX, n = 5). Testicular degeneration was induced by scrotal insulation, twice daily, over two consecutive days (D-1 and D0). Starting the next day (D1), oral pentoxifylline (17 mg/kg) was administered every 12 h for 30 days. Testicular biometry was measured ...
Peptidomic Analysis of Potential Bioactive Peptides in Mare Milk Under Different Heat Treatment Conditions.
Foods (Basel, Switzerland)    November 10, 2024   Volume 13, Issue 22 3592 doi: 10.3390/foods13223592
Lou X, Shao W, Wu Y, Ma H, Chen H, Zheng N, Zhao Y.Active peptides in mare milk have unique biological activities, but how the bioactive protein in mare's milk changes under the influence of temperature has not been fully studied. Therefore, in this study, the differential expression of bioactive peptides potentially present in horse milk under different heat treatment conditions was investigated for the first time using peptidomic and bioinformatic techniques. We collected a total of 15 samples. In this study, we divided the samples into five groups, specifically, 65 °C, 30 min; 72 °C, 15 min; 83 °C; 10 min; 95 °C, 5 min; and an untreated...
Welfare and stress assessment of tourism carriage horses under real working conditions in Sicily.
Journal of equine veterinary science    June 21, 2024   105136 doi: 10.1016/j.jevs.2024.105136
Animal welfare has become an increasingly important concern regarding equids working as carriage animals. In the present study, the changes in the markers of stress and inflammatory responses as a result of the work performed by tourism carriage horses under real working conditions in Sicily (Italy) were investigated. Twenty-two Standardbreds performed a normal working day in the carriage tourism business during the months of May, June and July 2022, consisting of one day of work for each month. Blood samples were collected in the stables at rest before the tour route (Pre; 07.00 AM) and withi...
Heat acclimation improves exercise performance in hot conditions and increases heat shock protein 70 and 90 of skeletal muscles in Thoroughbred horses.
Physiological reports    May 25, 2024   Volume 12, Issue 10 e16083 doi: 10.14814/phy2.16083
Ebisuda Y, Mukai K, Takahashi Y, Yoshida T, Matsuhashi T, Kawano A, Miyata H, Kuwahara M, Ohmura H.This study aimed to determine whether heat acclimation could induce adaptations in exercise performance, thermoregulation, and the expression of proteins associated with heat stress in the skeletal muscles of Thoroughbreds. Thirteen trained Thoroughbreds performed 3 weeks of training protocols, consisting of cantering at 90% maximal oxygen consumption (VO2max) for 2 min 2 days/week and cantering at 7 m/s for 3 min 1 day/week, followed by a 20-min walk in either a control group (CON; Wet Bulb Globe Temperature [WBGT] 12-13°C; n = 6) or a heat acclimation group (HA; WBGT 29-30°...
A laser-Engraved Wearable Electrochemical Sensing Patch for Heat Stress Precise Individual Management of Horse.
Advanced science (Weinheim, Baden-Wurttemberg, Germany)    May 10, 2024   e2310069 doi: 10.1002/advs.202310069
Pan Y, Su X, Liu Y, Fan P, Li X, Ying Y, Ping J.In point-of-care diagnostics, the continuous monitoring of sweat constituents provides a window into individual's physiological state. For species like horses, with abundant sweat glands, sweat composition can serve as an early health indicator. Considering the salience of such metrics in the domain of high-value animal breeding, a sophisticated wearable sensor patch tailored is introduced for the dynamic assessment of equine sweat, offering insights into pH, potassium ion (K), and temperature profiles during episodes of heat stress and under normal physiological conditions. The device integra...
Changes in characteristics of spermatogonial stem cells in response to heat stress in stallions.
Theriogenology    May 7, 2024   Volume 224 74-81 doi: 10.1016/j.theriogenology.2024.05.007
Shakeel M, Yoon M.Spermatogonial stem cells (SSCs) are essential for the maintenance of male fertility and survival of species. Environmental conditions, notably heat stress, have been identified as important causes of male infertility and have a negative impact on SSCs. Animals with cryptorchid testes (CT) are optimal models for the study of long-term heat stress-related changes in germ cells. The effect of heat stress on germ cells differs depending on the spermatogenesis stage. Thus, verifying whether the specific phase of spermatogenesis is dependent or independent of heat stress in stallions is important. ...
Expression pattern of germ cell markers in cryptorchid stallion testes.
Reproduction in domestic animals = Zuchthygiene    April 13, 2024   Volume 59, Issue 4 e14561 doi: 10.1111/rda.14561
Shakeel M, Choi Y, Yoon M.Cryptorchidism affects spermatogenesis and testis development, often resulting in stallion subfertility/infertility. This study aims to identify the specific germ cells impacted by cryptorchism in stallions. In a previous study, we found that PGP9.5 and VASA are molecular markers expressed in different germ cells within stallions. Herein, we assessed the heat stress-induced response of spermatogonial stem cells (SSCs) in the seminiferous tubules (ST) of cryptorchid stallion testes (CST) and normal stallion testes (NST). This goal was accomplished by comparing PGP9.5 and VASA expression pattern...
Effect of breeding season and age on follicular dynamics and hemodynamics in embryo donor mares subjected to luteolysis after embryo flushing.
Open veterinary journal    March 31, 2024   Volume 14, Issue 3 852-865 doi: 10.5455/OVJ.2024.v14.i3.13
Alkhadrawy JMH, Aboelmaaty AM, Abou-Ahmed MM, Ghallab AM.Mares are the only companion animals simulating women in the large diameter of their follicles. Horses start reproduction at the age of three years, and some of them live for >30 years, so aging influences their reproductive capacity. Mares are sensitive to summer heat stress as they can sweat like humans. Unassigned: The current work aimed to study the effects of age (young versus senile), season (cold versus hot), and the hormonal treatments during embryo collection on the dominant and subordinate follicular dynamics and hemodynamics and circulating ovarian hormones in embryo donor mares ...
Obesity during Pregnancy in the Horse: Effect on Term Placental Structure and Gene Expression, as Well as Colostrum and Milk Fatty Acid Concentration.
Veterinary sciences    December 4, 2023   Volume 10, Issue 12 doi: 10.3390/vetsci10120691
Robles M, Rousseau-Ralliard D, Dubois C, Josse T, Nouveau É, Dahirel M, Wimel L, Couturier-Tarrade A, Chavatte-Palmer P.In horses, the prevalence of obesity is high and associated with serious metabolic pathologies. Being a broodmare has been identified as a risk factor for obesity. In other species, maternal obesity is known to affect the development of the offspring. This article is a follow-up study of previous work showing that Obese mares (O, n = 10, body condition score > 4.25 at insemination) were more insulin resistant and presented increased systemic inflammation during pregnancy compared to Normal mares (N, n = 14, body condition score < 4 at insemination). Foals born to O mares were more insulin-resi...
Intratesticular transplantation of allogenic mesenchymal stem cells mitigates testicular destruction after induced heat stress in Miniature-horse stallions.
Journal of equine veterinary science    November 3, 2023   Volume 132 104961 doi: 10.1016/j.jevs.2023.104961
Testicular degeneration (TD) is the most frequent cause of sub or infertility in stallions. Currently, mesenchymal stem cells (MSC) have been studied as a therapeutic option for several diseases including induced-TD in laboratory animals. Therefore, this study aimed to evaluate the effect of intratesticular MSC therapy on the testicular histology of stallions submitted to scrotal heat stress. Ten healthy Miniature-horse stallions were submitted to testicular heat stress induced by a heating wrap device (42-45°C). Afterward, the stallions were divided into two groups and treated seven days lat...
Acute exercise in a hot environment increases heat shock protein 70 and peroxisome proliferator-activated receptor γ coactivator 1α mRNA in Thoroughbred horse skeletal muscle.
Frontiers in veterinary science    August 21, 2023   Volume 10 1230212 doi: 10.3389/fvets.2023.1230212
Ebisuda Y, Mukai K, Takahashi Y, Yoshida T, Kawano A, Matsuhashi T, Miyata H, Kuwahara M, Ohmura H.Heat acclimatization or acclimation training in horses is practiced to reduce physiological strain and improve exercise performance in the heat, which can involve metabolic improvement in skeletal muscle. However, there is limited information concerning the acute signaling responses of equine skeletal muscle after exercise in a hot environment. The purpose of this study was to investigate the hypothesis that exercise in hot conditions induces greater changes in heat shock proteins and mitochondrial-related signaling in equine skeletal muscle compared with exercise in cool conditions. Fifteen t...
Effects of insulin-like growth factor-1 on the proliferation and apoptosis of stallion testicular cells under normal and heat stress culture conditions.
Animal reproduction science    August 15, 2023   Volume 256 107319 doi: 10.1016/j.anireprosci.2023.107319
Shakeel M, Yoon M.This study investigated the effect of heat stress on stallion testicular cells (TCs) and the effect of insulin-like growth factor (IGF)-1 on TC viability, proliferation, and apoptosis, including different stages of germ cells. TCs were divided into control or treatment groups with 0.01, 0.1, 1, 10, and 100 ng/mL of recombinant human IGF-1 (rhIGF-1) for 24 h at 34 °C and 37 °C. The population and viability were measured before and after treatment. The effects of rhIGF-1 on TC viability, proliferation, and apoptosis were determined using RT-qPCR. Proliferating cell nuclear antigen (PCNA) a...
Heat stress and stallion fertility.
Journal of animal science and technology    July 30, 2023   Volume 65, Issue 4 683-697 doi: 10.5187/jast.2023.e29
Shakeel M, Yoon M.The threat posed by increased surface temperatures worldwide has attracted the attention of researchers to the reaction of animals to heat stress. Spermatogenesis in animals such as stallions is a temperature-dependent process, ideally occurring at temperatures slightly below the core body temperature. Thus, proper thermoregulation is essential, especially because stallion spermatogenesis and the resulting spermatozoa are negatively affected by increased testicular temperature. Consequently, the failure of thermoregulation resulting in heat stress may diminish sperm quality and increase the li...
Effect of testicular degeneration on expression of sperm protein at 22 kDa in stallions.
Andrology    May 23, 2023   doi: 10.1111/andr.13464
Miller LMJ, Woodward EM, Campos JR, Squires EL, Troedsson MHT.Sperm protein at 22 kDa has been associated with fertility. Objective: The objectives of this study were to determine (1) the localization pattern of SP22 on ejaculated and caudal epididymal equine spermatozoa and in epididymal fluid, and to (2) characterize SP22 protein and mRNA expression in testicular and epididymal tissues in response to heat-induced testicular degeneration. Methods: Semen was collected before and after hemi-castration, as well as prior to and following insulation of the remaining testes, and tissue specimens were collected for analysis. Results: Histopathology confirmed ...
Evaluation of thermoregulation of horses (Equus caballus) submitted to two methods of post-exercise cooling, in hot and humid climate conditions, in the Eastern Amazon.
Frontiers in veterinary science    April 17, 2023   Volume 10 1150763 doi: 10.3389/fvets.2023.1150763
Lisboa BRF, da Silva JAR, da Silva WC, Barbosa AVC, Silva LKX, Lourenço-Júnior JB.In Brazil, the study on equine thermoregulation has not shown considerable advances, moreover, in the Amazon, this is a little explored aspect. This study aims to evaluate the thermoregulation of horses submitted to two methods of post-exercise cooling, in the climatic conditions of the Eastern Amazon. The experiment was conducted at Centro Hipico, Ananindeua, Para, for 15 days. Ten male horses, castrated of the Brazilian breed, aged 13 years and with an average weight of 482.3 kg were used. Equestrianism, which was exercised with pre-established protocol in the arena and track, for 30 min. Af...
Heat stress in horses: a literature review.
International journal of biometeorology    April 15, 2023   Volume 67, Issue 6 957-973 doi: 10.1007/s00484-023-02467-7
Kang H, Zsoldos RR, Sole-Guitart A, Narayan E, Cawdell-Smith AJ, Gaughan JB.Healthy adult horses can balance accumulation and dissipation of body heat to maintain their body temperature between 37.5 and 38.5 °C, when they are in their thermoneutral zone (5 to 25 °C). However, under some circumstances, such as following strenuous exercise under hot, or hot and humid conditions, the accumulation of body heat exceeds dissipation and horses can suffer from heat stress. Prolonged or severe heat stress can lead to anhidrosis, heat stroke, or brain damage in the horse. To ameliorate the negative effects of high heat load in the body, early detection of heat stress and im...
Effects of therapeutic ultrasound and moderate heat on stallion testes.
Theriogenology    March 20, 2023   Volume 203 21-32 doi: 10.1016/j.theriogenology.2023.03.014
Pozor MA, Benson SM, Macpherson ML, Kelleman AA.Transplantation of stem cells into dysfunctional testes is currently being investigated as a therapeutic option for men and stallions with advanced testicular degeneration. This series of "proof of concept" studies aimed to identify a safe and efficient method of inducing severe testicular degeneration to create an optimal equine recipient model for intratesticular stem cell transplantation (SCT). Two ex vivo and two in vivo experiments were conducted. At first, forty testes obtained from castrations were used to identify an effective therapeutic ultrasound (TUS) device and the protocol for ...
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