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Updated: Apr 21, 2026

Measurements of Physiological Stress Responses in C. Elegans
Published on: May 21, 2020
Terazosin activates Pgk1 and Hsp90 to promote stress resistance
Xinping Chen1, Chunyue Zhao1, Xiaolong Li2
11] State Key Laboratory of Biomembrane and Membrane Biotechnology, School of Life Sciences, Peking University, Beijing, China. [2] Beijing Institute for Brain Disorder and Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Abstract:
Drugs that can protect against organ damage are urgently needed, especially for diseases such as sepsis and brain stroke. We discovered that terazosin (TZ), a widely marketed α1-adrenergic receptor antagonist, alleviated organ damage and improved survival in rodent models of stroke and sepsis. Through combined studies of enzymology and X-ray crystallography, we discovered that TZ binds a new target, phosphoglycerate kinase 1 (Pgk1), and activates its enzymatic activity, probably through 2,4-diamino-6,7-dimethoxyisoquinoline's ability to promote ATP release from Pgk1. Mechanistically, the ATP generated from Pgk1 may enhance the chaperone activity of Hsp90, an ATPase known to associate with Pgk1. Upon activation, Hsp90 promotes multistress resistance. Our studies demonstrate that TZ has a new protein target, Pgk1, and reveal its corresponding biological effect. As a clinical drug, TZ may be quickly translated into treatments for diseases including stroke and sepsis.
Insights
Terazosin (TZ), an existing drug, protects against organ damage and improves survival in stroke and sepsis models. It targets phosphoglycerate kinase 1 (Pgk1), enhancing Hsp90 activity for multistress resistance.
Area of Science:
- Biochemistry
- Pharmacology
- Molecular Biology
Background:
- Organ damage from conditions like sepsis and stroke requires new protective drugs.
- Terazosin (TZ), an alpha-1 adrenergic receptor antagonist, is widely marketed.
Purpose of the Study:
- To investigate the protective effects of terazosin (TZ) against organ damage.
- To identify the molecular target and mechanism of action for TZ's protective effects.
Main Methods:
- Enzymology and X-ray crystallography were used to determine TZ's target.
- Rodent models of stroke and sepsis were employed to assess TZ's efficacy.
- Studies examined the interaction between TZ, phosphoglycerate kinase 1 (Pgk1), and Hsp90.
Main Results:
- Terazosin (TZ) demonstrated organ protection and improved survival in rodent models of stroke and sepsis.
- TZ was found to bind and activate phosphoglycerate kinase 1 (Pgk1).
- Activated Pgk1 likely enhances Hsp90 chaperone activity, promoting multistress resistance.
Conclusions:
- Terazosin (TZ) exhibits a novel mechanism of action by targeting Pgk1.
- This pathway suggests TZ's potential for treating stroke, sepsis, and other conditions involving organ damage.
- TZ represents a promising candidate for rapid clinical translation due to its established safety profile.
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