# Multiple omics analyses and experiments validation identify PRDX3 as a biomarker of prognosis and antioncogene in kidney clear cell carcinoma

**Authors:** Yanyan Li, Xiangyuan Tan, Zhanzhan Li, Peng Chen, Xiaoen Wei, Xiaoen Wei, Xiaoen Wei

PMC · DOI: 10.1371/journal.pone.0345095 · PLOS One · 2026-03-16

## TL;DR

This study identifies PRDX3 as a potential biomarker and tumor suppressor in kidney clear cell carcinoma through comprehensive omics analyses and experiments.

## Contribution

The novel contribution is the identification of PRDX3 as a tumor-suppressive gene in kidney clear cell carcinoma with potential prognostic value.

## Key findings

- PRDX3 expression is influenced by copy number variation and methylation in various cancers.
- PRDX3 overexpression in KIRC models suppresses malignant phenotypes and affects PPAR signaling.
- PRDX3 levels are significantly associated with patient prognosis across multiple tumor types.

## Abstract

Peroxiredoxin 3 (PRDX3), a key mitochondrial redox enzyme, has been implicated in malignant tumor initiation and development. However, the its biological function and clinical relevance remain unclear. Here, we performed a systematic pan-cancer analysis of PRDX3 across 33 cancers using The Cancer Genome Atlas database, examining its expression patterns, gene alterations and mutations, methylation, subcellular localization, signaling pathways, tumor microenvironment, immune infiltration, and associations with clinical outcomes. We further validated the biological function role of PRDX3 in kidney clear cell carcinoma (KIRC) through reverse transcription quantitative polymerase chain reaction, Western blotting, Transwell assays, and scratch assays. PRDX3 was differentially expressed in cancers, and its expression appeared to be influenced by copy number variation and methylation status. PRDX3 levels were significantly associated with patient prognosis in multiple tumor types, suggesting context-dependent roles in tumor biology. Functional analyses indicated that PRDX3 may affect tumor progression through programs related to cell-cycle regulation, metabolism, and redox processes. In KIRC models, PRDX3 overexpression suppressed malignant phenotypes and was accompanied by changes in PPAR signaling pathway. Collectively, our results support PRDX3 as potential prognostic biomarker and suggest a tumor-suppressive role in KIRC, although further mechanistic and in vivo validation is warranted.

## Linked entities

- **Genes:** PRDX3 (peroxiredoxin 3) [NCBI Gene 10935], PPARA (peroxisome proliferator activated receptor alpha) [NCBI Gene 5465]
- **Diseases:** kidney clear cell carcinoma (MONDO:0005005), cancer (MONDO:0004992)

## Full-text entities

- **Genes:** PPARA (peroxisome proliferator activated receptor alpha) [NCBI Gene 5465] {aka NR1C1, PPAR, PPAR-alpha, PPARalpha, hPPAR}, Prdx5 (peroxiredoxin 5) [NCBI Gene 54683] {aka AOEB166, AOPP, PLP, Pmp20, Prdx6, PrxV}, CCL2 (C-C motif chemokine ligand 2) [NCBI Gene 6347] {aka GDCF-2, HC11, HSMCR30, MCAF, MCP-1, MCP1}, BCL2L11 (BCL2 like 11) [NCBI Gene 10018] {aka BAM, BIM, BOD}, Sirt1 (sirtuin 1) [NCBI Gene 93759] {aka SIR2L1, Sir2, Sir2a, Sir2alpha}, CCL24 (C-C motif chemokine ligand 24) [NCBI Gene 6369] {aka Ckb-6, MPIF-2, MPIF2, SCYA24}, LRRK2 (leucine rich repeat kinase 2) [NCBI Gene 120892] {aka AURA17, DARDARIN, PARK8, RIPK7, ROCO2}, Foxm1 (forkhead box M1) [NCBI Gene 14235] {aka Fkh16, Foxm1b, HFH-11B, MPHOSPH2, Mpm2, WIN}, DLD (dihydrolipoamide dehydrogenase) [NCBI Gene 1738] {aka DLDD, DLDH, E3, GCSL, LAD, OGDC-E3}, CXCR1 (C-X-C motif chemokine receptor 1) [NCBI Gene 3577] {aka C-C, C-C-CKR-1, CD128, CD181, CDw128a, CKR-1}, CXCL12 (C-X-C motif chemokine ligand 12) [NCBI Gene 6387] {aka IRH, PBSF, SCYB12, SDF1, TLSF, TPAR1}, HHLA2 (HHLA2 member of B7 family) [NCBI Gene 11148] {aka B7-H5, B7-H7, B7H7, B7y}, IL6R (interleukin 6 receptor) [NCBI Gene 3570] {aka CD126, HIES5, IL-1Ra, IL-6R, IL-6R-1, IL-6RA}, CD160 (CD160 molecule) [NCBI Gene 11126] {aka BY55, NK1, NK28}, PARK7 (Parkinsonism associated deglycase) [NCBI Gene 11315] {aka DJ-1, DJ1, GATD2, HEL-S-67p}, IL2RA (interleukin 2 receptor subunit alpha) [NCBI Gene 3559] {aka CD25, IDDM10, IL2R, IMD41, TCGFR, p55}, CCND1 (cyclin D1) [NCBI Gene 595] {aka BCL1, D11S287E, PRAD1, U21B31}, CCL15 (C-C motif chemokine ligand 15) [NCBI Gene 6359] {aka HCC-2, HMRP-2B, LKN-1, LKN1, MIP-1 delta, MIP-1D}, UCHL5 (ubiquitin C-terminal hydrolase L5) [NCBI Gene 51377] {aka CGI-70, INO80R, UCH-L5, UCH37}, DHRS4 (dehydrogenase/reductase 4) [NCBI Gene 10901] {aka CR, NRDR, PHCR, PSCD, SCAD-SRL, SDR-SRL}, AKAP13 (A-kinase anchoring protein 13) [NCBI Gene 11214] {aka AKAP-13, AKAP-Lbc, ARHGEF13, BRX, HA-3, Ht31}, CXCL16 (C-X-C motif chemokine ligand 16) [NCBI Gene 58191] {aka CXCLG16, SR-PSOX, SRPSOX}, NT5E (5'-nucleotidase ecto) [NCBI Gene 4907] {aka CALJA, CD73, E5NT, NT, NT5, NTE}, KDR (kinase insert domain receptor) [NCBI Gene 3791] {aka CD309, FLK1, VEGFR, VEGFR2}, OPA1 (OPA1 mitochondrial dynamin like GTPase) [NCBI Gene 4976] {aka BERHS, MGM1, MTDPS14, MTDPS14A, MTDPS14B, NPG}, Foxo3 (forkhead box O3) [NCBI Gene 56484] {aka 1110048B16Rik, 2010203A17Rik, FKHRL1, Fkhr2, Foxo3a}, CCR2 (C-C motif chemokine receptor 2) [NCBI Gene 729230] {aka CC-CKR-2, CCR-2, CCR2A, CCR2B, CD192, CKR2}, Prom1 (prominin 1) [NCBI Gene 19126] {aka 4932416E19Rik, AC133, CD133, Prom, Prom-1, Proml1}, CD80 (CD80 molecule) [NCBI Gene 941] {aka B7, B7-1, B7.1, BB1, CD28LG, CD28LG1}, CXCL11 (C-X-C motif chemokine ligand 11) [NCBI Gene 6373] {aka H174, I-TAC, IP-9, IP9, SCYB11, SCYB9B}, RPS6KC1 (ribosomal protein S6 kinase C1) [NCBI Gene 26750] {aka NEDSCW, RPK118, RSKL1, S6K-delta-1, S6PKh1, humS6PKh1}, CD86 (CD86 molecule) [NCBI Gene 942] {aka B7-2, B7.2, B70, BU63, CD28LG2, CD86 v6}, PRDX3 (peroxiredoxin 3) [NCBI Gene 477839] {aka AOP1}, MMP9 (matrix metallopeptidase 9) [NCBI Gene 4318] {aka CLG4B, GELB, MANDP2, MMP-9}, GAPDH (glyceraldehyde-3-phosphate dehydrogenase) [NCBI Gene 2597] {aka G3PD, GAPD, HEL-S-162eP}, CCL20 (C-C motif chemokine ligand 20) [NCBI Gene 6364] {aka CKb4, Exodus, LARC, MIP-3-alpha, MIP-3a, MIP3A}, CD274 (CD274 molecule) [NCBI Gene 29126] {aka ADMIO5, B7-H, B7H1, PD-L1, PDCD1L1, PDCD1LG1}, TP53 (tumor protein p53) [NCBI Gene 7157] {aka BCC7, BMFS5, LFS1, P53, TRP53}, Prdx4 (peroxiredoxin 4) [NCBI Gene 53381] {aka AOE372, Prx-iv, Prx4, TRANK}, STAT3 (signal transducer and activator of transcription 3) [NCBI Gene 6774] {aka ADMIO, ADMIO1, APRF, HIES}, CCL22 (C-C motif chemokine ligand 22) [NCBI Gene 6367] {aka A-152E5.1, ABCD-1, DC/B-CK, MDC, SCYA22, STCP-1}, BMF (Bcl2 modifying factor) [NCBI Gene 90427], PPARG (peroxisome proliferator activated receptor gamma) [NCBI Gene 5468] {aka CIMT1, FPLD3, GLM1, NR1C3, PPARG1, PPARG2}, BRCA1 (BRCA1 DNA repair associated) [NCBI Gene 672] {aka BRCAI, BRCC1, BROVCA1, FANCS, IRIS, PNCA4}, SNCA (synuclein alpha) [NCBI Gene 6622] {aka NACP, PARK1, PARK4, PD1}, IL2 (interleukin 2) [NCBI Gene 3558] {aka IL-2, TCGF, lymphokine}, BAX (BCL2 associated X, apoptosis regulator) [NCBI Gene 581] {aka BCL2L4}, CXCR2 (C-X-C motif chemokine receptor 2) [NCBI Gene 3579] {aka CD182, CDw128b, CMKAR2, IL8R2, IL8RA, IL8RB}, Prdx3 (peroxiredoxin 3) [NCBI Gene 11757] {aka Aop1, D0Tohi1, Ef2l, Mer5, Prx3, SP22}, ADORA2A (adenosine A2a receptor) [NCBI Gene 135] {aka A2aR, ADORA2, RDC8}, CCL13 (C-C motif chemokine ligand 13) [NCBI Gene 6357] {aka CKb10, MCP-4, NCC-1, NCC1, SCYA13, SCYL1}, CD8A (CD8 subunit alpha) [NCBI Gene 925] {aka CD8, CD8alpha, IMD116, Leu2, p32}, KRAS (KRAS proto-oncogene, GTPase) [NCBI Gene 3845] {aka 'C-K-RAS, C-K-RAS, CFC2, K-RAS2A, K-RAS2B, K-RAS4A}, CXCL9 (C-X-C motif chemokine ligand 9) [NCBI Gene 4283] {aka CMK, Humig, MIG, SCYB9, crg-10}, CX3CL1 (C-X3-C motif chemokine ligand 1) [NCBI Gene 6376] {aka ABCD-3, C3Xkine, CXC3, CXC3C, NTN, NTT}, STAT5A (signal transducer and activator of transcription 5A) [NCBI Gene 6776] {aka MGF, STAT5}, RXRA (retinoid X receptor alpha) [NCBI Gene 6256] {aka NR2B1, RXR-alpha, RXRalpha}, PRDX3 (peroxiredoxin 3) [NCBI Gene 10935] {aka AOP-1, AOP1, HBC189, MER5, PPPCD, PRO1748}, CCL28 (C-C motif chemokine ligand 28) [NCBI Gene 56477] {aka CCK1, MEC, SCYA28}, CCL14 (C-C motif chemokine ligand 14) [NCBI Gene 6358] {aka CC-1, CC-3, CKB1, HCC-1, HCC-1(1-74), HCC-1/HCC-3}
- **Diseases:** COAD (MESH:D003110), breast cancer (MESH:D001943), PCPG (MESH:D010673), READ (MESH:D012004), ORCID iD (MESH:C535742), necrosis (MESH:D009336), KIRC (MESH:D002292), LUSC (MESH:D002294), uveal melanoma (MESH:C536494), craniocerebral trauma (MESH:D006259), HNSC (MESH:D000077195), inflammation (MESH:D007249), THCA (MESH:D013964), LUAD (MESH:D000077192), MESO (MESH:D008654), ACC (MESH:D000306), LGG (MESH:D005910), hypoxia (MESH:D000860), GBM (MESH:D005909), Cancer (MESH:D009369), pleural mesothelioma (MESH:D000086002), SKCM (MESH:C562393), UCEC (MESH:D018269), Kidney cancer (MESH:D007680), non-small cell lung cancer (MESH:D002289), LIHC (MESH:D006528), ovarian serous cystadenocarcinoma (MESH:D010049), ESCA (MESH:D004938), cervical &amp; endocervical cancer (MESH:D002583), STAD (MESH:D013274), thymoma (MESH:D013945), colorectal cancer (MESH:D015179), complement (MESH:D007153), neuroepithelial malignancies (MESH:D018302), OS (MESH:D011475), DLBC (MESH:D016403), PAAD (MESH:D010190), PRAD (MESH:D000230), CHOL (MESH:D018281), SARC (MESH:D012509), MSI (MESH:D053842), acute myeloid leukemia (MESH:D015470), metastasis (MESH:D009362), prostate cancer (MESH:D011471), TGCT (MESH:C563236), DFI (MESH:D015673), Lung cancer (MESH:D008175), death (MESH:D003643), KICH (MESH:D007674)
- **Chemicals:** osimertinib (MESH:C000596361), CO2 (MESH:D002245), Tween-20 (MESH:D011136), lipid peroxides (MESH:D008054), phosphate (MESH:D010710), ROS (MESH:D017382), cystine (MESH:D003553), H2O2 (MESH:D006861), cysteine (MESH:D003545), bile acid (MESH:D001647), paraformaldehyde (MESH:C003043), SDS (MESH:D012967), lipid (MESH:D008055), cisplatin (MESH:D002945), polyvinylidene fluoride (MESH:C024865), Dulbecco (-), crystal violet (MESH:D005840), fatty acid (MESH:D005227)
- **Species:** Homo sapiens (human, species) [taxon 9606], Mus musculus (house mouse, species) [taxon 10090]
- **Cell lines:** Caki-1 — Homo sapiens (Human), Clear cell renal cell carcinoma, Cancer cell line (CVCL_0234), CHOL — Homo sapiens (Human), Cholangiocarcinoma, Cancer cell line (CVCL_4Z42), 786-0 — Homo sapiens (Human), Renal cell carcinoma, Cancer cell line (CVCL_1051)

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## Figures

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## References

45 references — full list in the complete paper: https://tomesphere.com/paper/PMC12991247/full.md

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Source: https://tomesphere.com/paper/PMC12991247