March 19, 2026 · Fertility and sterility · DOI: 10.1016/j.fertnstert.2026.03.018

Testicular Immune Privilege Revisited: When Protection Fails

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The authors investigate the mechanisms behind the disruption of testicular immune privilege, which can lead to infertility in men, particularly through the breakdown of the blood-testis barrier and subsequent germ cell loss. They explore how factors such as infections, cancers, and traumas can compromise this immune protection and discuss the implications for clinical practice, including counseling and fertility preservation strategies. The goal is to enhance understanding of immune regulation in the testes to better address male infertility issues.

Rachel L Babcock, Allan Haynes, Jannette M Dufour

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