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Topic:Hormones

Hormones in horses are chemical messengers produced by various glands and tissues, regulating numerous physiological processes essential for maintaining homeostasis. These hormones influence a wide range of functions, including growth, metabolism, reproduction, and stress responses. Key hormones in equine physiology include cortisol, estrogen, testosterone, and insulin, among others. The levels and effects of these hormones can vary based on factors such as age, sex, and environmental conditions, impacting overall health and performance. This page compiles peer-reviewed research studies and scholarly articles that explore the production, regulation, and physiological roles of hormones in equine biology.
Salivary and plasma concentration of cortisol in normal horses and horses with Cushing’s disease.
Equine veterinary journal    March 27, 2001   Volume 33, Issue 2 211-213 doi: 10.1111/j.2042-3306.2001.tb00604.x
van der Kolk JH, Nachreiner RF, Schott HC, Refsal KR, Zanella AJ.No abstract available
Pituitary hormone and insulin responses to infusion of amino acids and N-methyl-D,L-aspartate in horses.
Journal of animal science    March 27, 2001   Volume 79, Issue 3 735-744 doi: 10.2527/2001.793735x
Sticker LS, Thompson DL, Gentry LR.Thirty-nine adult light horse mares, geldings, and stallions were used in two experiments to assess the pituitary hormone and insulin responses to infusions of arginine, aspartic acid, lysine, glutamic acid, and N-methyl-D,L-aspartate (NMA). In Exp. 1, 27 horses were assigned to one of three infusion treatments: 1) physiological saline (1 L); 2) 2.855 mmol of arginine/kg BW in 1 L of water; or 3) 2.855 mmol of aspartic acid/kg BW in 1 L of water. In Exp. 2, 12 horses were assigned, in a multiple-square 4 x 4 Latin square design, to one of four infusion treatments: 1) 2 mL of saline/kg BW; 2) 2...
beta-Subunit 102-104 residues are crucial to confer FSH activity to equine LH/CG but are not sufficient to confer FSH activity to human CG.
The Journal of endocrinology    March 16, 2001   Volume 169, Issue 1 55-63 doi: 10.1677/joe.0.1690055
Chopineau M, Martinat N, Galet C, Guillou F, Combarnous Y.Horse LH/CG (eLH/CG) and donkey LH/CG (dkLH/CG) are strictly LH-specific in their respective homologous species. However, both bind to the FSH receptors from non-equid species, whereas the zebra hormone (zbLH/CG) does not. The FSH/LH ratio of eLH/CG and of the alphadkbetae hybrid is about tenfold higher than that of dkLH/CG and of the alphaebetadk hybrid, showing that the betae subunit contains the structural features responsible for the high FSH activity of eLH/CG. Only six amino acid positions (51, 94, 95, 102, 103 and 106) are unique to the betae subunit when compared with the betadk and be...
Expression of 3beta-hydroxysteroid dehydrogenase, cytochrome p450 17alpha-hydroxylase/17,20-lyase and cytochrome p450 aromatase enzymes in corpora lutea of diestrous and early pregnant mares.
Theriogenology    March 10, 2001   Volume 55, Issue 2 551-561 doi: 10.1016/s0093-691x(01)00425-3
Albrecht BA, MacLeod JN, Daels PF.In the pregnant mare, luteal estrogen production increases at the onset of equine chorionic gonadotropin (eCG) secretion by endometrial cups. In previous studies, we have demonstrated that eCG stimulates luteal androgen and estrogen production in pregnant mares. To further elucidate the regulation of steroidogenesis within the equine corpus luteum (CL) of pregnancy, we examined the expression of 3beta-hydroxysteroid dehydrogenase (3beta-HSD), cytochrome P450 17alpha-hydroxylase/17,20 lyase (P450(17alpha)) and cytochrome P450 aromatase (P450(arom)) in luteal tissue samples collected during dies...
Pituitary-independent Cushing’s syndrome in a horse.
Equine veterinary journal    February 24, 2001   Volume 33, Issue 1 110-112 doi: 10.2746/042516401776767368
van der Kolk JH, Ijzer J, Overgaauw PA, van der Linde-Sipman JS.No abstract available
Treatments resulting in pregnancy in nonovulating, hormone-treated oocyte recipient mares.
Theriogenology    February 24, 2001   Volume 54, Issue 8 1285-1293 doi: 10.1016/s0093-691x(00)00435-0
Hinrichs K, Provost PJ, Torello EM.Synchronization of follicle growth between oocyte donor and recipient mares is difficult. To avoid this, recipient mares in a clinical program were used during a period of low follicular activity, and were treated with estrogen before transfer and progesterone after transfer. Five pregnancies were established after oocyte transfer to nonovulating, hormone-treated recipient mares. One pregnancy was lost before 30 d gestation, and the other 4 foals were carried to term. One foal died at birth. Establishment and maintenance of pregnancy in these mares indicates that nonovulating, hormone-treated ...
Effect of GnRH immunisation on hormonal levels, sexual behaviour, semen quality and testicular morphology in mature stallions.
Equine veterinary journal    February 24, 2001   Volume 33, Issue 1 75-83 doi: 10.2746/042516401776767340
Malmgren L, Andresen O, Dalin AM.The aim of this study was to investigate the effect of gonadotrophin-releasing hormone (GnRH) immunisation on mature stallions that had been used for breeding. Four Standardbred stallions were used in the study: 3 experimental animals and 1 control animal. Semen was collected regularly, i.e. twice/week, during the 4 months prior to the experimental period. The stallions were immunised against GnRH with a GnRH-BSA conjugate. Equimune was used as the adjuvant. The stallions were immunised on 5 occasions, 4 at 2 week intervals, and the fifth 4 weeks after the fourth. Blood samples were taken once...
Use of oocyte transfer in a commercial breeding program for mares with reproductive abnormalities.
Journal of the American Veterinary Medical Association    January 10, 2001   Volume 218, Issue 1 87-37 doi: 10.2460/javma.2001.218.87
Carnevale EM, Squires EL, Maclellan LJ, Alvarenga MA, Scott TJ.In some mares with lesions of the reproductive tract, embryo collection and survival rates are low, or collection of embryos is not feasible. For these mares, oocyte transfer has been proposed as a method to induce pregnancies. In this report, a method for oocyte transfer in mares and results of oocyte transfer performed over 2 breeding seasons, using mares with long histories of subfertility and various reproductive lesions, are described. Human chorionic gonadotropin or an implant containing a gonadotropin-releasing hormone analog was used to initiate follicular and oocyte maturation. Oocyte...
Identification of twelve O-glycosylation sites in equine chorionic gonadotropin beta and equine luteinizing hormone ss by solid-phase Edman degradation.
Biology of reproduction    January 3, 2001   Volume 64, Issue 1 136-147 doi: 10.1095/biolreprod64.1.136
Bousfield GR, Butnev VY, Butnev VY.The O-glycosylation sites for equine LHss (eLHss) and eCGss were identified by solid-phase Edman degradation of four glycopeptides derived from the C-terminal region. Both subunits were O-glycosylated at the same 12 positions, rather than the 4-6 sites anticipated. These sites were partially glycosylated, with carbohydrate attachment ranging from 20% to 100% for eCGss and from 10% to 100% for eLHss. When the C-terminal peptide containing all but one of the O-linked oligosaccharides was removed by mild acid hydrolysis of either eLHss or eCGss, hybrid hormones could be obtained by reassociating ...
Equine P450 cholesterol side-chain cleavage and 3 beta-hydroxysteroid dehydrogenase/delta(5)-delta(4) isomerase: molecular cloning and regulation of their messenger ribonucleic acids in equine follicles during the ovulatory process.
Biology of reproduction    January 3, 2001   Volume 64, Issue 1 206-215 doi: 10.1095/biolreprod64.1.206
Boerboom D, Sirois J.The preovulatory LH rise is the physiological trigger of follicular luteinization, a process during which the synthesis of progesterone is markedly increased. To study the control of follicular progesterone biosynthesis in mares, the objectives of this study were to clone and characterize the equine cholesterol side-chain cleavage cytochrome P450 (P450(scc)) and 3 beta-hydroxysteroid dehydrogenase/Delta(5)-Delta(4)-isomerase (3 beta-HSD), and describe the regulation and cellular localization of their transcripts in equine follicles during hCG-induced ovulation. Complementary DNA cloning and pr...
Effect of short-term feed restriction and calorie source on hormonal and metabolic responses in geldings receiving a small meal.
Journal of animal science    January 2, 2001   Volume 78, Issue 12 3107-3113 doi: 10.2527/2000.78123107x
Powell DM, Lawrence LM, Fitzgerald BP, Danielsen K, Parker A, Siciliano P, Crum A.The metabolic effects of short-term feed restriction and dietary calorie source were studied in horses receiving high-roughage or high-concentrate diets. Four Thoroughbred geldings were assigned to four treatment groups in a 4 x 4 Latin square experiment. The four treatments were 1) a nutritionally adequate high-roughage ration (70% roughage, 30% concentrate; AHR), 2) a nutritionally adequate high-concentrate ration (40% roughage, 60% concentrate; AHC), 3) 70% of the intake of the AHR diet (RHR), and 4) 70% of the intake of the AHC diet (RHC). Diets AHR and AHC were designed to meet the calori...
Expression and regulation of transcripts encoding two members of the NR5A nuclear receptor subfamily of orphan nuclear receptors, steroidogenic factor-1 and NR5A2, in equine ovarian cells during the ovulatory process.
Endocrinology    December 7, 2000   Volume 141, Issue 12 4647-4656 doi: 10.1210/endo.141.12.7808
Boerboom D, Pilon N, Behdjani R, Silversides DW, Sirois J.Steroidogenic factor-1 (SF-1, NR5A1a) is a member of the NR5A nuclear receptor subfamily and has been implicated as a key transcriptional regulator of all ovarian steroidogenic genes in vitro. To establish links between the expression of SF-1 and that of the steroidogenic genes in vivo, the objectives of this study were to clone equine SF-1 and examine the regulation of its messenger RNA (mRNA) in follicular cells during human CG (hCG)-induced ovulation. The equine SF-1 primary transcript was cloned by a combination of RT-PCR techniques. Results showed that the transcript was composed of a 5'-...
Effects of maternally administered depot ACTH(1-24) on fetal maturation and the timing of parturition in the mare.
Equine veterinary journal    November 28, 2000   Volume 32, Issue 6 489-496 doi: 10.2746/042516400777584622
Ousey JC, Rossdalet PD, Palmer L, Grainger L, Houghton E.The aims of this study were to ascertain 1) whether fetal maturation could be induced precociously by maternal administration with adrenocorticotrophic hormone (ACTH) and 2) whether maturation could be achieved without significant risk to mare or fetus. Twenty-two mares received either 1 mg (low dose, LD, n = 6) or 4 or 5 mg (higher dose, HD, n = 16) synthetic Depot ACTH(1-24) at 300, 301 and 302 days gestation. Because, during the course of the study, ACTH appeared to have a greater influence on mares mated during the later part of the breeding season, the HD group were divided retrospectivel...
Dynamics of follicle populations and gonadotropin concentrations in fillies age two to ten months.
Equine veterinary journal    November 28, 2000   Volume 32, Issue 6 482-488 doi: 10.2746/042516400777584686
Nogueira GP, Ginther J.Follicle populations and concentrations of circulating gonadotropins were studied during age 2-10 months in 10 spring-born pony fillies. Blood sampling and ultrasound scanning were done every 4 days and daily for four 30 day periods. During 5-12 weeks, FSH concentrations were lower in 6 fillies with follicles > or = 6 mm (mean +/- s.e. 1.4 +/- 0.1 ng/ml) than in 4 fillies with follicles 10 mm and gonadotropin concentrations increased. Waves of follicular growth were identified during the 30 day periods by significant increases in the diameter of the 10 largest follicles. The waves did not ...
[Basic principles of hormone replacement therapy in the postmenopause].
Therapeutische Umschau. Revue therapeutique    November 18, 2000   Volume 57, Issue 10 628-634 doi: 10.1024/0040-5930.57.10.628
Dören M.17 beta-estradiol, conjugated equine estrogens, esterified estrogens, and estriol constitute postmenopausal replacement therapy, all of which are in clinical use as oral preparations. Non-oral routes--matrix and reservoir patches, gel--were developed for estradiol, as was the intravaginal administration of estriol and estradiol. Daily doses of 1 mg estradiol(valerate) or 25 micrograms estradiol delivered via a patch or 0.5 mg gel or 0.3 mg conjugated equine estrogens are often sufficient to alleviate climacteric symptoms. Bone resorption may be effectively reduced and bone mineral density main...
Control of follicular development and luteal function in the mare: effects of a GnRH antagonist.
Theriogenology    November 9, 2000   Volume 54, Issue 4 599-609 doi: 10.1016/S0093-691X(00)00375-7
Watson ED, Pedersen HG, Thomson SR, Fraser HM.Control of the equine estrous cycle was studied by suppressing gonadotropin secretion by administration of a GnRH antagonist to cyclic pony mares. Four mares received vehicle (control cycle) or a GnRH antagonist, Antarelix (100 microg/kg) on Day 8 of diestrus, and blood samples were collected at 15-min intervals from 0 to 16 h, 24 to 36 h, and daily until the next ovulation. Ovarian activity was monitored by transrectal ultrasonography, and measurement of plasma concentrations of progesterone and estradiol. Antagonist treatment eliminated large diestrous pulses of LH. Progesterone concentratio...
Prolonged food restriction and mild exercise in Shetland ponies: effects on weight gain, thyroid hormone concentrations and muscle Na(+),K(+)-ATPase.
The Journal of endocrinology    October 31, 2000   Volume 167, Issue 2 321-329 doi: 10.1677/joe.0.1670321
Suwannachot P, Verkleij CB, Kocsis S, Enzerink E, Everts ME.We determined the effects of food supply and low-intensity training on growth, serum thyroid hormone levels and the Na(+),K(+)-pump concentration in equine skeletal muscle. Twenty-two Shetland ponies were subjected to two different feeding regimes for 2(1/2) years (11 ponies per group): food restriction (body condition score kept at 2) or ad libitum fed (body condition score kept at 8). Five ponies in each group underwent low-intensity training. Gluteus medius muscle and serum samples were obtained in April 1998. Subsequently, all ponies were fed ad libitum and the training programme was stopp...
Effect of dose and day of treatment on uterine response to oxytocin in mares.
Theriogenology    October 29, 2000   Volume 54, Issue 3 447-456 doi: 10.1016/S0093-691X(00)00361-7
Gutjahr S, Paccamonti DL, Pycock JF, Taverne MA, Dieleman SJ, van der Weijden GC.To determine the effect of dose and day of oxytocin treatment on intrauterine pressure, 6 normal mares were treated with 10 or 25 IU oxytocin 2 days before ovulation, on the day of ovulation and 2 days after ovulation. Intrauterine pressure (IUP) was measured using micro-tip-catheters (one placed intrauterine, a second and third serving as reference sensors in the vagina and external to the mare) and transmitted by telemetry for 30 min to establish a baseline before saline was administered, iv, and for an additional 30 min after saline administration. Oxytocin was then given, iv, and IUP was r...
Interactions of CRH, AVP and cortisol in the secretion of ACTH from perifused equine anterior pituitary cells: “permissive” roles for cortisol and CRH.
Endocrine research    October 6, 2000   Volume 26, Issue 3 445-463 doi: 10.3109/07435800009066179
Livesey JH, Evans MJ, Mulligan R, Donald RA.To further elucidate the interaction of CRH, AVP and cortisol in the control of ACTH secretion, we used an in vitro perifusion model with dispersed equine anterior pituitary cells. To approximate the in vivo milieu in the horse, CRH was perifused continuously (at 0, 2 and 20 pmol/L) and 5-min pulses of AVP (0, 1, 3 and 10 nmol/L) were given every 30 min in the presence of 0 or 100 nmol/L cortisol. Total (baseline + incremental) ACTH secretion increased as both the CRH (p<0.001) and the AVP (p<0.001) concentration increased and interaction between CRH and AVP was significant (p=0.042). Co...
Interleukin-1 potentiates basal and AVP-stimulated ACTH secretion in vitro–the role of CRH pre-incubation.
Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme    October 3, 2000   Volume 32, Issue 9 350-354 doi: 10.1055/s-2007-978651
Prickett TCR , Inder WJ, Evans MJ, Donald RA.The acute-phase cytokine interleukin-1 (IL-1) is known to activate the hypothalamic pituitary adrenal axis, primarily via corticotropin releasing hormone (CRH). The aim of this study was to determine whether IL-1beta could directly stimulate ACTH secretion from perifused equine anterior pituitary cells, and whether CRH pre-incubation affected corticotroph responsiveness. Isolated equine anterior pituitary cells were pre-incubated with media containing 10 nM CRH or vehicle for 20 hours before being loaded onto columns and perifused with 0.02 nM CRH and 100 nM cortisol. Columns were given a 5-mi...
Effects of angiotensin II on the acrosome reaction in equine spermatozoa.
Journal of reproduction and fertility    September 28, 2000   Volume 120, Issue 1 135-142 
Sabeur K, Vo AT, Ball BA.Angiotensin II is a hormone with a wide array of physiological effects that exerts its effect via interaction with two major subtypes of receptor. The results of this study show that angiotensin II (from 1 to 100 nmol l(-1)) initiates acrosomal exocytosis in equine spermatozoa that have undergone capacitation in vitro in a TALP-TEST (Tyrode's albumin lactate pyruvate; 188.7 mmol TES l(-1), 84.8 mmol Tris l(-1)) buffer with cAMP. The acrosome reaction and sperm viability were assessed with fluorescein isothiocyanate-Pisum sativum agglutinin (FITC-PSA) and Hoechst 33258, respectively. The initia...
Hormones, growth factors and other plasma variables in relation to osteochondrosis.
Equine veterinary journal. Supplement    September 22, 2000   Issue 31 45-54 doi: 10.1111/j.2042-3306.1999.tb05313.x
Sloet van Oldruitenborgh-Ooste , Mol JA, Barneveld A.Osteochondrosis (OC) is a multifactorial disorder with endocrinological dysfunction and mineral imbalance having a role in pathogenesis. The present study focused on a possible relationship between insulin-like growth factor I (IGF-I), insulin-like growth factor II (IGF-II), parathyroid hormone (PTH), 1,25-dihydroxy-vitamin D (1,25(OH)2D), cortisol, copper, zinc, calcium, ionised calcium, magnesium and phosphorus and 5 different postmortem and radiographical osteochondrosis scores of hock and stifle joints in foals age 0-11 months. Osteochondrosis-positive foals showed a significantly lower IG...
The effect of the alpha-2-adrenergic agonist, clonidine, on secretion patterns and rates of adrenocorticotropic hormone and its secretagogues in the horse.
Journal of neuroendocrinology    September 6, 2000   Volume 12, Issue 9 874-880 doi: 10.1046/j.1365-2826.2000.00542.x
Alexander SL, Irvine CH.Alpha-2-adrenoceptor activation may lower adrenocorticotropic hormone (ACTH) by reducing secretagogue input and/or increasing the release of an inhibitory factor (CIF). To investigate this, we gave clonidine, an alpha-2-agonist, to seven horses, and collected pituitary venous blood every minute for 20 min before treatment and 40 min after treatment. Six horses were given saline vehicle. Mean secretion rates of corticotrophin-releasing hormone (CRH), arginine vasopressin (AVP) and ACTH were calculated before and during four 5-min then two 10-min periods after clonidine or saline. Reduction in A...
Effect of intrauterine treatment with prostaglandin E2 prior to insemination of mares in the uterine horn or body.
Theriogenology    September 1, 2000   Volume 53, Issue 9 1827-1836 doi: 10.1016/s0093-691x(00)00318-6
Woods J, Rigby S, Brinsko S, Stephens R, Varner D, Blanchard T.Two trials were conducted to investigate the effects of intrauterine infusion of PGE2 and uterine horn insemination on pregnancy rates in mares achieved by breeding with a suboptimal number of normal spermatozoa. Estrus was synchronized and mares were teased daily with a stallion to detect estrus. Mares in estrus were examined by transrectal palpation and ultrasonography to monitor follicular status. On the first day a 35-mm diameter follicle was present, hCG (1500 IU, iv) was administered and the mares were bred the next day. Mares (Trial 1, n = 34; Trial 2, n = 28) were inseminated with 25 m...
Release of oxytocin and prostaglandin f(2alpha) around teasing, natural service and associated events in the mare.
Animal reproduction science    September 1, 2000   Volume 63, Issue 1-2 89-99 doi: 10.1016/s0378-4320(00)00149-4
Nikolakopoulos E, Kindahl H, Gilbert CL, Goode J, Watson ED.Mating has been shown in many species to provoke the release of oxytocin (OT). In our study, various stimuli were applied to mares to study release of OT and prostaglandin F(2alpha) (PGF(2alpha)) associated with mating. Blood samples were collected from mares around the time of teasing both in oestrus and dioestrus and at mating. For comparison, blood samples were also collected at the time of manual manipulation of the genital tract and after intrauterine infusion of 500 ml phosphate buffered saline (PBS). Additional samples were collected 16 to 18 h after mating. Mating caused a significant ...
Effects of a single day of feed restriction on changes in serum leptin, gonadotropins, prolactin, and metabolites in aged and young mares.
Domestic animal endocrinology    August 30, 2000   Volume 19, Issue 1 1-13 doi: 10.1016/s0739-7240(00)00061-8
McManus CJ, Fitzgerald BP.In a variety of species, short-term feed restriction leads to rapid changes in the reproductive axis and reduces serum levels of leptin. Two experiments were performed to test the hypothesis that a single day of feed restriction in aged and young mares would cause a suppression of the gonadotropins and serum leptin concentrations. The estrous cycles of 12 aged (>eight years; Exp. 1) and eight young (<five years; Exp. 2) mares were synchronized and the mares were conditioned to twice-daily meal feeding. On the seventh day after synchronization, restricted mares (n = 6 for Exp. 1; n = 4 fo...
Characterization and distribution of gonadotrophs in the pars distalis and pars tuberalis of the equine pituitary gland during the estrous cycle and seasonal anestrus.
Biology of reproduction    August 23, 2000   Volume 63, Issue 3 826-832 doi: 10.1095/biolreprod63.3.826
Eagle RC, Tortonese DJ.Little is known about the neuroendocrine control of fertility in the horse. In this species, unusual features characterize the normal estrous cycle such as a prolonged preovulatory LH surge during the follicular phase and a distinctive FSH surge during the midluteal phase. This study investigated the distribution and hormonal identity of gonadotrophs in the pars distalis (PD) and pars tuberalis (PT) of the equine pituitary gland as possible morphological bases for the referred unusual endocrine characteristics. In addition, the proportion of gonadotrophs in relation to other pituitary cell typ...
Clinical studies on daily low dose oxytocin in mares at term.
Equine veterinary journal    August 22, 2000   Volume 32, Issue 4 307-310 doi: 10.2746/042516400777032147
Camillo F, Marmorini P, Romagnoli S, Cela M, Duchamp G, Palmer E.The aim of this study was to test whether low dose oxytocin i.v. injection once a day to mares diagnosed as being ready for birth by mammary secretion calcium strip test measurements could be used as a reliable method to induce parturition and/or predict the mare would not foal during the following night if parturition did not occur within 2 h of treatment. Fifty-one near-term Haflinger mares were used and a single injection of 2.5 iu oxytocin was given between 1700 and 1900 h, including 10 mares used as controls which were administered a placebo. Administration of oxytocin resulted in the del...
[The “problem” mare part 3: veterinary supervision at the stud and during early pregnancy].
Tijdschrift voor diergeneeskunde    August 5, 2000   Volume 125, Issue 13 413-416 
Bergman HJ, de Kruif A.In this last article the veterinary supervision of problem mares at the stud is reviewed. Treatment possibilities are evaluated. The usefulness of treatment with progestagens in order to sustain pregnancy or to prevent embryonic death is discussed.
Insulin-like growth factor (IGF)-binding protein-4 proteolytic degradation in bovine, equine, and porcine preovulatory follicles: regulation by IGFs and heparin-binding domain-containing peptides.
Biology of reproduction    July 25, 2000   Volume 63, Issue 2 390-400 doi: 10.1095/biolreprod63.2.390
Mazerbourg S, Zapf J, Bar RS, Brigstock DR, Monget P.We recently showed that insulin-like growth factor-binding protein-4 (IGFBP-4) proteolytic degradation in ovine preovulatory ovarian follicles is IGF-dependent and regulated by the heparin-binding domain (HBD) from IGFBP-3 and from connective tissue growth factor (CTGF), heparan/heparin-interacting protein (HIP), and vitronectin. The present study investigated regulation of IGFBP-4 proteolytic degradation in porcine, bovine, and equine ovarian preovulatory follicles. Follicular fluid from such preovulatory follicles contains proteolytic activity, degrading exogenous IGFBP-4. An excess of IGF-I...
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