Prenatal dexamethasone exposure programs male offspring subfertility via GR/HDAC6/CTSL-mediated spermatogonial autophagic flux blockade.

Bibliographic Details
Title: Prenatal dexamethasone exposure programs male offspring subfertility via GR/HDAC6/CTSL-mediated spermatogonial autophagic flux blockade.
Authors: Jin S; Department of Pharmacology, School of Basic Medical Sciences, Wuhan University, Wuhan, 430071, China., Yao Y; Department of Pharmacology, School of Basic Medical Sciences, Wuhan University, Wuhan, 430071, China., Zhu L; Department of Pharmacology, School of Basic Medical Sciences, Wuhan University, Wuhan, 430071, China., Zhao X; Department of Pharmacology, School of Basic Medical Sciences, Wuhan University, Wuhan, 430071, China., Li M; Department of Pharmacology, School of Basic Medical Sciences, Wuhan University, Wuhan, 430071, China., Jiang P; Department of Pharmacology, School of Basic Medical Sciences, Wuhan University, Wuhan, 430071, China., Kong Z; Department of Pharmacology, School of Basic Medical Sciences, Wuhan University, Wuhan, 430071, China., Liu Y; Department of Pharmacology, School of Basic Medical Sciences, Wuhan University, Wuhan, 430071, China., Ao Y; Department of Pharmacology, School of Basic Medical Sciences, Wuhan University, Wuhan, 430071, China; Hubei Provincial Key Laboratory of Developmentally Originated Disease, Wuhan, 430071, China. Electronic address: ay0085@126.com., Wang H; Department of Pharmacology, School of Basic Medical Sciences, Wuhan University, Wuhan, 430071, China; Hubei Provincial Key Laboratory of Developmentally Originated Disease, Wuhan, 430071, China. Electronic address: wanghui19@whu.edu.cn.
Source: Chemico-biological interactions [Chem Biol Interact] 2026 Oct 01; Vol. 438, pp. 112300. Date of Electronic Publication: 2026 Aug 06.
Publication Type: Journal Article
Language: English
Journal Info: Publisher: Elsevier Country of Publication: Ireland NLM ID: 0227276 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1872-7786 (Electronic) Linking ISSN: 00092797 NLM ISO Abbreviation: Chem Biol Interact Subsets: MEDLINE
Imprint Name(s): Publication: Limerick : Elsevier
Original Publication: Amsterdam, Elsevier.
MeSH Terms: Cathepsin L*/metabolism , Cathepsin L*/genetics , Autophagy*/drug effects , Dexamethasone*/pharmacology , Dexamethasone*/toxicity , Receptors, Glucocorticoid*/metabolism , Histone Deacetylase 6*/metabolism , Spermatogonia*/drug effects , Spermatogonia*/metabolism , Infertility, Male*/chemically induced , Infertility, Male*/metabolism , Infertility, Male*/pathology , Prenatal Exposure Delayed Effects*, Signal Transduction/drug effects ; Epigenesis, Genetic/drug effects ; Animals ; Male ; Pregnancy ; Female ; Rats ; Rats, Sprague-Dawley ; Acetylation
Abstract: Background: Male infertility is significant, and part of it is associated with prenatal drug exposure. While prenatal glucocorticoid treatment is widely used, its long-term effects on male offspring fertility and the underlying programming mechanisms remain unclear.
Methods: Based on a clinical-based PDE rat model (0.4 mg/kg dexamethasone, b.i.d.) during late pregnancy (gestational day 18-19), the fertility of male offspring was evaluated. Transcriptome sequencing was employed to identify potential targets. The epigenetic regulation of lysosomal protease Cathepsin L (CTSL) was analyzed using chromatin immunoprecipitation (Ch-IP) and co-immunoprecipitation (co-IP). Rescue experiments were performed using the TRPML1 agonist ML-SA1 and genetic CTSL overexpression to validate the signaling pathway. Multiple prenatal exposure models were used to verify the generalizability of this mechanism.
Results: The subfertility of PDE male offspring originated in the fetal period. Then, a specific autophagic flux blockade in spermatogonia was identified, and was driven by the persistent downregulation of CTSL. Mechanistically, the activated Glucocorticoid Receptor (GR) recruited Histone Deacetylase 6 (HDAC6) to the Ctsl promoter, leading to reduced H3K27 acetylation and subsequent transcriptional silencing. Importantly, reactivating lysosomal signaling via ML-SA1 or genetically restoring CTSL expression reversed the autophagic flux blockade and rescued fertility outcomes. Furthermore, this GR/HDAC6/CTSL axis might be a shared pathway underlying a subset of other glucocorticoid-related prenatal exposures.
Conclusions: These findings provide potential intervention targets for the early prevention and treatment of fetal-origin male subfertility and offer a theoretical basis for guiding rational drug use and healthy lifestyles during pregnancy.
(Copyright © 2026 Elsevier B.V. All rights reserved.)
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
Contributed Indexing: Keywords: Autophagy-lysosome; Cathepsin L; Epigenetics; Glucocorticoids; Male fertility
Substance Nomenclature: EC 3.4.22.15 (Cathepsin L)
7S5I7G3JQL (Dexamethasone)
0 (Receptors, Glucocorticoid)
EC 3.5.1.98 (Histone Deacetylase 6)
Entry Date(s): Date Created: 20260806 Date Completed: 20260903 Latest Revision: 20260903
Update Code: 20260904
DOI: 10.1016/j.cbi.2026.112300
PMID: 42562296
Database: MEDLINE
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