PRDX2 belongs to the peroxiredoxin family, characterized by a thioredoxin fold and two redox-active cysteine residues. It exists as a non-covalent dimer under physiological conditions, with each monomer containing seven β-sheets and five α-helices . Biochemically, PRDX2:
Scavenges reactive oxygen species (ROS), including hydrogen peroxide () and peroxynitrite, with a rate constant of .
Undergoes hyperoxidation (to sulfinic/sulfonic forms) under oxidative stress, which is reversible via sulfiredoxin .
Interacts with thioredoxin and glutathione for redox recycling .
PRDX2 mitigates atherosclerosis by regulating vascular smooth muscle cell (VSMC) behavior:
Parameter | PRDX2 Upregulation | PRDX2 Downregulation |
---|---|---|
VSMC Proliferation | ↓ 35% (vs. control) | ↑ 52% (vs. control) |
VSMC Migration | ↓ 40% | ↑ 60% |
ROS Levels | ↓ 50% | ↑ 85% |
Mechanistically, PRDX2 inhibits the MAPK pathway (p38, JNK, ERK), reducing collagen synthesis and adhesion molecule expression (VCAM-1, ICAM-1) . Paradoxically, in acute myocardial infarction, PRDX2 enhances cardiomyocyte survival but exacerbates inflammatory hypertrophy via TLR4 signaling .
PRDX2 exhibits dual roles in cancer:
Cancer Type | Role | Clinical Correlation |
---|---|---|
Hepatocellular Carcinoma (HCC) | Tumor suppressor | High PRDX2 → ↑ OS (HR=0.785, P=0.001) |
Colorectal Cancer | Oncogenic driver | PRDX2 depletion → G1 arrest, ↓ autophagy |
PRDX2 deficiency in trophoblasts is linked to recurrent miscarriage:
↓ Proliferation (BrdU incorporation ↓ 40%)
↑ Apoptosis (↑ 2.5-fold vs. controls)
Atherosclerosis: Elevated PRDX2 in carotid plaques (2.8-fold vs. normal arteries) .
HCC: Serum PRDX2 levels predict 5-year survival (AUC=0.82) .
Antioxidant vs. Pro-Inflammatory Dualism: In myocardial infarction, PRDX2’s anti-apoptotic effects are offset by TLR4-driven inflammation .
Context-Dependent Signaling: PRDX2 knockdown ameliorates colorectal cancer but worsens endothelial dysfunction .
Tissue-Specific Isoforms: Transcript variants encode distinct isoforms with unresolved functional disparities .
In Vivo Models: PRDX2 knockout mice show accelerated atheroma formation, but CNS-specific roles remain unexplored .
Post-Translational Modifications: Phosphorylation at Thr89 enhances enzymatic activity, yet clinical relevance is unproven .
PRDX2 serves as a critical antioxidant enzyme in the peroxiredoxin family that protects cells by efficiently scavenging hydrogen peroxide (H₂O₂) and other reactive oxygen species. It works together with PRDX1 to regulate the diffusion of mitochondrial H₂O₂ in the cytosol . These peroxiredoxins are present in quantities sufficient to handle substantially more H₂O₂ than is typically found in cells. Interestingly, when both PRDX1 and PRDX2 are experimentally deleted together, cells exhibit highly oxidized states, demonstrating their essential role in maintaining redox balance . PRDX2 is also known by several synonyms including Thioredoxin-dependent peroxide reductase 1, Thioredoxin peroxidase 1, Thiol-specific antioxidant protein, and Natural killer cell-enhancing factor B .
Recent research has identified FOXO1 as a significant upstream regulator of PRDX2 expression . Through integrative single-cell RNA and ATAC sequencing analysis of tendinopathy samples, researchers found that the FOXO1 motif was significantly enriched in sequences with chromatin accessibility near the PRDX2 transcription site. When cells were treated with AS1842856, which specifically inhibits FOXO1 activity, PRDX2 expression was significantly reduced . This confirms that FOXO1, a member of the forkhead family of transcription factors, plays a critical role in regulating PRDX2 transcriptional activity. Additionally, environmental factors such as arecoline (an alkaloid from betel nut) and viral oncoproteins (HPV16 E6/E7) have been shown to induce PRDX2 overexpression in certain cell types .
PRDX2 is upregulated in various cancers including oral squamous cell carcinoma (OSCC) . Functional studies have revealed that in OSCC cells, PRDX2 promotes cell proliferation, facilitates cell-cycle progression (particularly at the G2/M phase), enhances cell migration, and inhibits apoptosis . These functions collectively support tumor growth and spread. Notably, research has identified specific carcinogenic factors that can trigger PRDX2 upregulation: both arecoline treatment at low concentrations and overexpression of HPV16 E6 or E6/E7 oncoproteins induced PRDX2 overexpression in oral cells . This suggests that PRDX2 upregulation may be a mechanism by which these carcinogenic factors promote cancer development.
PRDX2 has been identified as a crucial factor in tendinopathy progression . Single-cell analysis revealed that a specific cell subpopulation with low PRDX2 expression exhibited higher levels of inflammation, reduced proliferation, and other characteristics associated with disease advancement. When PRDX2 was experimentally silenced in tendon-derived stem cells (TDSCs), researchers observed:
Increased expression of proinflammatory factors
Elevated intracellular reactive oxygen species (ROS) levels
Proliferation arrest
Accelerated cellular senescence
Impaired migration capacity
These effects collectively contribute to disease progression . Additionally, gene set enrichment analysis (GSEA) demonstrated that the TNF signaling pathway was dramatically activated in the low-PRDX2 expression group, and PRDX2 depletion led to a marked increase in TNF expression in TDSCs . This suggests that PRDX2 negatively regulates TNF-mediated inflammation, and its deficiency can enhance inflammatory responses.
Several validated methods exist for quantifying PRDX2 in research settings:
When selecting a method, researchers should consider the required sensitivity, sample availability, and whether protein or transcript levels are of interest. For clinical biomarker applications, standardized ELISA methods are often preferred due to their quantitative nature and established reference ranges.
Multiple approaches have been employed to experimentally manipulate PRDX2 levels for investigating its functional roles:
When designing experiments, researchers should consider potential compensatory mechanisms, particularly from other peroxiredoxin family members, and may need to employ combination approaches to fully elucidate PRDX2 functions.
Specifically, researchers noted: "Only upon rapid excess H₂O₂ generation or exposure did HyPer7 in the PRDX knockout cells become more oxidized than in the wild-type situation" . This indicates these peroxiredoxins maintain "considerable reserve capacity for H₂O₂ scavenging" and work cooperatively to buffer against oxidative challenges. Interestingly, while PRDX levels appear to be maintained in excess of what's typically required for basal redox management, the thioredoxin reductase system that regenerates active peroxiredoxins may be the actual rate-limiting factor in hydrogen peroxide handling, particularly when comparing different cell types .
Peroxiredoxins not only scavenge hydrogen peroxide but also participate in selective signal transduction through redox relay mechanisms. Hydrogen peroxide can accomplish selective oxidation of cysteine residues on target proteins "even in the presence of highly efficient and abundant H₂O₂ scavengers, peroxiredoxins (Prdxs), as it is the Prdxs themselves that transfer oxidative equivalents to specific protein thiols on target proteins via their redox-relay functionality" .
While the PRDX1:ASK1 redox-relay was the first such mammalian cytosolic mechanism identified, there is also evidence for a PRDX2:STAT3 redox-relay . These redox-relay systems allow for specific targeting of redox-sensitive proteins rather than random oxidation events, enabling precise hydrogen peroxide-mediated signaling. The molecular basis for specificity in these interactions remains an active area of investigation, with evidence suggesting that both protein-protein binding interfaces and the microenvironment around reactive cysteines contribute to selective oxidation transfer .
Advanced single-cell technologies have revealed important insights about cellular heterogeneity in PRDX2 expression and its functional consequences. Integrative single-cell RNA and ATAC sequencing identified a specific subpopulation of cells with low PRDX2 expression in tendinopathy samples . This population exhibited distinct characteristics including higher levels of inflammation, lower proliferation capacity, and altered signaling pathway activation.
The researchers noted this was "the first time ATAC and gene expression sequencing has been applied to dissect the mechanism of tendinopathy" , highlighting the innovative nature of this approach. This cell-specific analysis allowed researchers to confirm "the presence of diseased cells in tendinopathy, showing that these cells promote disease progression, influence the tendon microenvironment and curb disease recovery" .
This example demonstrates how heterogeneous PRDX2 expression within a tissue can create functionally distinct cell populations with different contributions to disease processes, emphasizing the importance of single-cell approaches in understanding PRDX2 biology beyond bulk tissue analyses.
Based on accumulating evidence of PRDX2's role in various pathologies, several therapeutic opportunities are emerging. In tendinopathy, researchers concluded that "PRDX2 is a crucial gene and may be a potential target in precision therapy" . The identification of FOXO1 as an upstream regulator offers an additional intervention point, particularly since FOXO1 has been identified as a potential inhibitor of fibrosis capable of resisting oxidative stress and enhancing cell viability .
In cancer contexts, the finding that PRDX2 promotes cell proliferation, cell-cycle progression, and migration while inhibiting apoptosis suggests its potential as an anti-cancer target . This is particularly relevant in cancers with known PRDX2 upregulation, such as oral squamous cell carcinoma.
The thioredoxin system plays a crucial role in maintaining PRDX2 in its active, reduced state following its oxidation by hydrogen peroxide. Research comparing different cell types (HEK293 versus HeLa) and metabolic states (glucose versus galactose growth conditions) revealed that thioredoxin reductase levels correlate with hydrogen peroxide scavenging capacity .
Notably, cells adapted to galactose exhibited increased protein amounts of cytosolic thioredoxin reductase (but not peroxiredoxins themselves). These cells demonstrated improved capacity to handle hydrogen peroxide, efficiently limiting the amounts of cytosolic hydrogen peroxide upon mitochondrial generation . The researchers concluded that "the rate‐limiting step for cytosolic H₂O₂ handling and thus cytosolic detection of mitochondria‐generated H₂O₂ appears to be in the capacity to reduce PRDXs" .
This finding highlights how the broader redox network, particularly the thioredoxin system, influences PRDX2 activity and may explain tissue-specific differences in mitochondrial hydrogen peroxide signaling and oxidative stress responses. Future research might focus on how this system is regulated during development, aging, and in various disease states.
Prdx2 is the third most abundant protein in erythrocytes (red blood cells) . It was previously known as calpromotin due to its ability to bind to the membrane and stimulate the calcium-dependent potassium channel . Prdx2 is primarily found in the cytosol as non-covalent dimers but can also form doughnut-like decamers and other oligomers .