FOXA2 regulates endoplasmic reticulum stress, oxidative stress, and apoptosis in spermatogonial cells by the Nrf2 pathway under hypoxic conditions
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Updated: Jun 4, 2025

Analysis of Oxidative Stress in Zebrafish Embryos
Published on: July 7, 2014
Weiwei Li1, Xiurong Yin1, Lei Zhang2
1Department of Reproductive Medicine, Qinhuangdao Maternal and Child Health Hospital, Qinhuangdao, China.
Abstract:
Hypoxia-caused spermatogenesis impairment may contribute to male infertility. FOXA2 has been found to be abundant in spermatogonial stem cells and critical for spermatogenesis. Here we aimed to explore the roles of FOXA2 in regulating spermatogonial cells against hypoxia stimulation. Our results showed that FOXA2 expression was downregulated in hypoxia-stimulated spermatogonial cells. Overexpression of FOXA2 prevented hypoxia-induced endoplasmic reticulum (ER) stress with decreased expression levels of associated markers including GRP78, CHOP, and ATF-4. FOXA2 overexpression caused a decrease in MDA content and an increase in activities of SOD, CAT, and GSH-Px in spermatogonial cells under hypoxic conditions, implying its inhibitory effect on oxidative stress. Besides, cell apoptosis under hypoxic conditions was also prevented by FOXA2 overexpression, as shown by reduced apoptotic rate and caspase-3 activity. Moreover, we found that hypoxia stimulation inactivated the Nrf2 pathway, which could be prevented by FOXA2 overexpression. Nrf2 knockdown attenuated the effects of FOXA2 overexpression on hypoxia-induced ER stress, oxidative stress, and apoptosis in spermatogonial cells. In conclusion, FOXA2 exerted protective effects on spermatogonial cells against hypoxia-induced ER stress, oxidative stress, and apoptosis via regulating Nrf2/HO-1 signaling. These findings suggested that FOXA2 might be a therapeutic target for treating hypoxia-induced spermatogenesis impairment.
Insights
Forkhead box A2 (FOXA2) protects male reproductive cells from hypoxia-induced damage. This study reveals FOXA2
Area of Science:
- Reproductive Biology
- Cellular Stress Response
- Molecular Mechanisms of Infertility
Background:
- Hypoxia significantly impairs spermatogenesis, a key factor in male infertility.
- Forkhead box A2 (FOXA2) is crucial for spermatogenesis and abundant in spermatogonial stem cells.
Purpose of the Study:
- To investigate the protective role of FOXA2 in spermatogonial cells against hypoxia.
- To elucidate the molecular pathways involved in FOXA2-mediated protection.
Main Methods:
- Investigated FOXA2 expression in hypoxia-stimulated spermatogonial cells.
- Utilized FOXA2 overexpression and Nrf2 knockdown in cell models.
- Assessed endoplasmic reticulum (ER) stress, oxidative stress, and apoptosis markers.
- Analyzed the Nrf2/HO-1 signaling pathway.
Main Results:
- FOXA2 expression decreased under hypoxia; its overexpression mitigated ER stress, oxidative stress, and apoptosis.
- FOXA2 overexpression reduced MDA levels and increased antioxidant enzyme activities (SOD, CAT, GSH-Px).
- FOXA2 prevented hypoxia-induced inactivation of the Nrf2 pathway, which was critical for its protective effects.
Conclusions:
- FOXA2 protects spermatogonial cells from hypoxia-induced damage by regulating ER stress, oxidative stress, and apoptosis via the Nrf2/HO-1 pathway.
- FOXA2 represents a potential therapeutic target for male infertility associated with impaired spermatogenesis due to hypoxia.
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