Peroxiredoxin 4 Involved in Spermatogenesis by Affecting Oxidative Stress and Ferroptosis

Shuning Yuan1, Nini Wei1, Weiwei Ma2

  • 1State Key Laboratory of Reproductive Medicine and Offspring Health, Clinical Center of Reproductive Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

Andrology
|March 27, 2026
PubMed
Abstract

Insights

Peroxiredoxin 4 (Prdx4) protects testes from oxidative stress (OS) and ferroptosis, crucial for maintaining sperm production and male fertility. This finding highlights Prdx4 as a potential therapeutic target for age-related decline and OS-induced testicular injury.

Area of Science:

  • Reproductive Biology
  • Cellular Biology
  • Oxidative Stress Research

Background:

  • Testes require a specific microenvironment for sperm production and androgen secretion.
  • Oxidative stress (OS) and ferroptosis damage testicular mitochondria and endoplasmic reticulum (ER), impairing spermatogenesis and androgen levels.
  • Peroxiredoxin 4 (Prdx4) is known to protect ovarian cells from ER stress (ERS).

Purpose of the Study:

  • To investigate the protective role of Prdx4 in testicular function.
  • To explore the potential of Prdx4 in male reproductive health.
  • To understand Prdx4's impact on OS, ferroptosis, and spermatogenesis.

Main Methods:

  • Established Prdx4 knockout mice and Leydig cells using CRISPR/Cas9.
  • Utilized aging mice and wild-type cells as controls.
  • Induced OS in adult mice via heat stress (43°C water-bath).

Main Results:

  • Prdx4 knockout mice exhibited age-related testicular pathology, increased OS and ERS, and reduced fertility.
  • Heat-stressed Prdx4 knockout mice showed significantly higher OS markers (4-HNE, 8-OHdG), ferroptosis, and impaired fertility.
  • Prdx4 knockout Leydig cells displayed increased ferroptosis, with altered expression of key ferroptosis markers (ACSL4, COX2, GPX4, SLC7A11).

Conclusions:

  • Prdx4 is essential for preserving spermatogenesis by mitigating testicular OS and ferroptosis.
  • Prdx4 acts as a protective factor against age-related testicular decline and OS injury.
  • Prdx4 represents a promising therapeutic target for male reproductive health issues.

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