%0 Journal Article %T BAG5 regulates HSPA8-mediated protein folding required for sperm head-tail coupling apparatus assembly. %A Gan S %A Zhou S %A Ma J %A Xiong M %A Xiong W %A Fan X %A Liu K %A Gui Y %A Chen B %A Zhang B %A Wang X %A Wang F %A Li Z %A Yan W %A Ma M %A Yuan S %J EMBO Rep %V 25 %N 4 %D 2024 Apr 7 %M 38454159 %F 9.071 %R 10.1038/s44319-024-00112-x %X Teratozoospermia is a significant cause of male infertility, but the pathogenic mechanism of acephalic spermatozoa syndrome (ASS), one of the most severe teratozoospermia, remains elusive. We previously reported Spermatogenesis Associated 6 (SPATA6) as the component of the sperm head-tail coupling apparatus (HTCA) required for normal assembly of the sperm head-tail conjunction, but the underlying molecular mechanism has not been explored. Here, we find that the co-chaperone protein BAG5, expressed in step 9-16 spermatids, is essential for sperm HTCA assembly. BAG5-deficient male mice show abnormal assembly of HTCA, leading to ASS and male infertility, phenocopying SPATA6-deficient mice. In vivo and in vitro experiments demonstrate that SPATA6, cargo transport-related myosin proteins (MYO5A and MYL6) and dynein proteins (DYNLT1, DCTN1, and DNAL1) are misfolded upon BAG5 depletion. Mechanistically, we find that BAG5 forms a complex with HSPA8 and promotes the folding of SPATA6 by enhancing HSPA8's affinity for substrate proteins. Collectively, our findings reveal a novel protein-regulated network in sperm formation in which BAG5 governs the assembly of the HTCA by activating the protein-folding function of HSPA8.