Reimagining stallion sperm conservation: Combating carbotoxicity through pyruvate-induced Warburg effect to enhance sperm longevity and function

Although stallion spermatozoa are now recognized as highly dependent on oxidative phosphorylation for ATP production in the mitochondria, most extenders in use contain supraphysiological concentrations of glucose as the main energy source. While the toxicity of cryoprotectants has been well documented in the literature, the potential toxicity of excessive glucose in extenders is largely ignored. However, the toxicity of excess glucose, known as "carbotoxicity", is well-established in many areas of medicine. In this paper, we review the basic aspects of stallion spermatozoa metabolism, focusing on factors that significantly impact the lifespan and functionality of spermatozoa during conservation.