ZXDB encodes a C2-H2 tandem zinc finger protein, X-linked at Xp11.21 and subject to X-inactivation, that operates as a nuclear chromatin factor and, in a distinct context, as an RNA-binding regulator of translation (PMID:8268913, PMID:39266770, PMID:41873808). Its principal characterized role is at centromeric chromatin, where ZXDB associates with the centromere protein CENP-B and its abundance is set by SCF-FBXO38-mediated ubiquitin-dependent degradation; loss of FBXO38 stabilizes ZXDB, upregulates centromeric chromatin, and compromises centromere integrity, manifesting as defective Sertoli cell maturation and spermatogenesis (PMID:35769260, PMID:39266770). Independently, in macrophages ZXDB binds the exon junction complex helicase EIF4A3 through its amino acid 151–300 region to enhance ACACA 5'UTR-dependent translation, driving glycolytic reprogramming and pro-inflammatory activation in sepsis-induced acute kidney injury (PMID:41873808). In the female reproductive tract, ZXDB loss reduces decidualization and impairs embryo implantation through dysregulated cell adhesion molecule expression (PMID:41751410).