Inflammation-Driven Remodeling of the Blood–Testis Barrier: Roles of Junctional Complexes, Actin Dynamics, and Kinase Signaling

The blood-testis barrier (BTB) is a highly specialized and dynamic junctional structure formed by adjacent Sertoli cells that is essential for maintaining testicular immune privilege and supporting spermatogenesis. While the BTB undergoes tightly regulated, stage-dependent remodeling under physiological conditions, inflammatory stimuli can profoundly disturb this process. Accumulating evidence indicates that inflammatory conditions disrupt BTB integrity by altering junctional protein organization, cytoskeletal dynamics, and barrier permeability. We aimed to integrate current evidence to elucidate the key pathways by which inflammation impairs BTB integrity, drawing on studies using intratesticular administration of pro-inflammatory cytokines and experimental rodent models of reproductive dysfunction characterized by pathological inflammation, including chemotherapy-induced inflammation and orchitis. Collectively, findings from these models demonstrate that inflammatory signaling compromises BTB integrity, destabilizes the spermatogenic niche, and may contribute to impaired spermatogenesis. Our narrative review frames the BTB as a dynamic and inflammation-sensitive structure whose regulation emerges from the coordinated action of inflammatory pathways, cytoskeletal remodeling, and junction-associated signaling modules, rather than from isolated molecular events.