The gut-testis axis describes the bidirectional communication between the Gut Microbiome and the male reproductive system. Gut-derived microbial metabolites, immune signals, and systemic inflammatory mediators influence testicular function, testosterone biosynthesis, and spermatogenesis, while androgen levels reciprocally shape gut microbial composition.

Iron-dependent cell death (ferroptosis) in spermatogenic cells represents one mechanistic node of this axis. The microbial metabolite 3-hydroxyphenylacetic acid (3-HPAA) has been shown to trigger ferroptosis in testicular tissue, directly linking gut microbial metabolism to spermatogenic failure ([1]Jin 2023 — Gut Metabolite 3-HPAA Rejuvenates Spermatogenic Dysfunction in Aged Mice through GPX4-Mediated FerroptosisZirun Jin, Yuzhuo Yang, Yalei Cao et al. · 2023Open reference 1).

This iron-ecology dimension connects the gut-testis axis to broader metallomics—iron availability in the gut selects for siderophore-producing bacteria whose metabolic outputs may propagate reproductive toxicity.

Oxidative Stress mediated by dysbiotic gut communities further impairs male fertility through systemic pathways ([2]Kurhaluk 2025 — Oxidative Stress, Antioxidants, Gut Microbiota and Male FertilityNatalia Kurhaluk, Piotr Kaminski, Halina Tkaczenko · 2025Open reference 2), while comprehensive reviews establish the gut microbiota as a regulator of testosterone levels, sperm quality, and blood-testis barrier integrity ([3]Lv 2024 — Gut Microbiota Is Involved in Male Reproductive Function: A ReviewShuya Lv, Jingrong Huang, Yadan Luo et al. · 2024Open reference 3).

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01
Introduction

Iron-dependent cell death (ferroptosis) in spermatogenic cells represents one mechanistic node of this axis. The microbial metabolite 3-hydroxyphenylacetic acid (3-HPAA) has been shown to trigger ferroptosis in testicular tissue, directly linking gut microbial metabolism to spermatogenic failure (). This iron-ecology dimension connects the gut-testis axis to

02
Introduction

oxidative stress mediated by dysbiotic gut communities further impairs male fertility through systemic pathways (), while comprehensive reviews establish the gut microbiota as a regulator of testosterone levels, sperm quality, and blood-testis barrier integrity ().

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  1. 1

    Zirun Jin, Yuzhuo Yang, Yalei Cao et al. (2023). Jin 2023 — Gut Metabolite 3-HPAA Rejuvenates Spermatogenic Dysfunction in Aged Mice through GPX4-Mediated Ferroptosis. Microbiome.

  2. 2

    Natalia Kurhaluk, Piotr Kaminski, Halina Tkaczenko (2025). Kurhaluk 2025 — Oxidative Stress, Antioxidants, Gut Microbiota and Male Fertility. Cellular Physiology and Biochemistry.

  3. 3

    Shuya Lv, Jingrong Huang, Yadan Luo et al. (2024). Lv 2024 — Gut Microbiota Is Involved in Male Reproductive Function: A Review. Frontiers in Microbiology.

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