PRSS54 is a testis-expressed serine protease that functions in acrosome biogenesis and sperm head morphogenesis (PMID:35863763). During spermiogenesis it localizes to the acrosomal granule and subsequently extends along the inner acrosomal membrane, persisting in the acrosome region of mature sperm (PMID:35863763). Loss of PRSS54 in mice causes male subfertility with characteristic acrosome ultrastructural defects—unfused vacuoles, detached and eccentrically positioned acrosomal granules, and asymmetrical nuclear elongation—together with impaired sperm-zona penetration, phenotypes reversed by a Prss54 transgene (PMID:35863763). Mechanistically, PRSS54 physically associates with the acrosomal proteins ZPBP1, ZPBP2, ACRBP, and ZP3R and is required for their proper spatial distribution without altering their abundance, linking it to organization of the acrosomal compartment rather than to partner protein stability (PMID:35863763). PRSS54 also modulates the threshold for the acrosome reaction, as its loss renders sperm hypersensitive to acrosome reaction inducers (PMID:35863763). The protein is proteolytically processed from ~50 kDa in testis to ~42 kDa in mature sperm during sperm maturation (PMID:35863763), a maturation step that depends on the epididymal binding partner SPEM2 (PMID:38421455).