CPN2 alleviates cryptorchidism by inhibiting the NF-κB pathway and regulating immune responses

Lei Wang1,2, Lu Lu3, Xia Guo4

  • 1Department of Urology, Affiliated Children's Hospital of Soochow University, Suzhou, China.

Autoimmunity
|July 28, 2025
PubMed

Insights

Carboxypeptidase N subunit 2 (CPN2) suppresses immune activation in cryptorchidism. CPN2 protects against testicular damage by inhibiting the NF-κB pathway, offering a potential non-surgical treatment target.

Area of Science:

  • Reproductive Biology
  • Immunology
  • Molecular Biology

Background:

  • Cryptorchidism (undescended testes) is linked to infertility and cancer.
  • Immune-inflammatory responses are implicated in cryptorchidism pathogenesis.
  • The specific molecular mechanisms, particularly involving immune modulation, require further elucidation.

Purpose of the Study:

  • To investigate the role of carboxypeptidase N subunit 2 (CPN2) in cryptorchidism.
  • To determine CPN2's influence on immune activation and testicular pathology via the NF-κB signaling pathway.
  • To identify CPN2 as a potential therapeutic target for cryptorchidism.

Main Methods:

  • Transcriptomic analysis, WGCNA, and machine learning identified key genes.
  • Utilized a di-n-butyl phthalate (DBP)-induced rat model and CRISPR/Cas9 CPN2 knockout rats.
  • Employed histological, immunohistochemical, Western blotting, and co-culture assays to assess immune responses and cell fate.

Main Results:

  • CPN2 was identified as a key factor suppressing NF-κB activation and plasma cell infiltration.
  • CPN2 overexpression reduced inflammatory cytokines, preserved spermatogonial stem cell proliferation, and decreased apoptosis.
  • The CPN2/NF-κB axis was confirmed as regulatory, with effects reversed upon NF-κB activation.

Conclusions:

  • CPN2 mitigates cryptorchidism progression by modulating immune-inflammatory responses.
  • CPN2 acts by suppressing NF-κB signaling and subsequent inflammation.
  • CPN2 represents a promising molecular target for non-surgical interventions in cryptorchidism.