Terazosin activates Pgk1 and Hsp90 to promote stress resistance
Open accessAbstract
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.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
TZ decreases seizure severity most likely by activating PGK1 and subsequently enhancing cellular levels of ATP.
“most likely by activating PGK1 and subsequently enhancing cellular levels of ATP (Fig. 4J) (Chen et al., 2015).”
From APOE4 reduces hippocampal expression of phosphoglycerate kinase 1 and sodium potassium pump to enhance seizure susceptibility in mice (2026) · cites this paper as Chen et al., 2015
The Results section ('TZ was an activator of phosphoglycerate kinase 1') reports that low-dose TZ activated Pgk1 and transiently raised ATP in cell lysate. The paper does not report a reduction in seizure severity or establish that ATP levels rose in cells during seizures; its outcomes concern apoptosis, sepsis, and stroke. No page numbers are available in our copy. (LLM, conf=0.88)
Experimental — accuracy not yet measuredTZ-mediated activation of PGK1 attenuates neuronal death in multiple animal models of Parkinson's disease.
“and attenuates neuronal death in multiple animal models of Parkinson’s disease (Cai et al., 2019; Chen et al., 2015; Simmering et al., 2021).”
From APOE4 reduces hippocampal expression of phosphoglycerate kinase 1 and sodium potassium pump to enhance seizure susceptibility in mice (2026) · cites this paper as Chen et al., 2015
The Results sections report that terazosin activates Pgk1 and that it reduced infarct volume in a rat stroke model, suggesting protection of neural cells. They do not report Parkinson’s disease models, let alone reduced neuronal death in multiple such models. (LLM, conf=0.87)
Experimental — accuracy not yet measuredTerazosin activates PGK1 at much lower concentration, resulting in enhanced production of ATP and pyruvate.
“it also activates PGK1 at much lower concentration, resulting in enhanced productions of ATP and pyruvate (Fig. 4A) (Cai et al., 2019; Chen et al., 2015; Kokotos et al., 2024)”
From APOE4 reduces hippocampal expression of phosphoglycerate kinase 1 and sodium potassium pump to enhance seizure susceptibility in mice (2026) · cites this paper as Chen et al., 2015
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
In Vivo Gene Delivery and Stable Transduction of Nondividing Cells by a Lentiviral Vector
Naldini, L., Blömer, U., Gallay, P., Ory, D., Mulligan, R., Gage, F. H., Verma, I. M., & Trono, D. (1996) · Science · doi:10.1126/science.272.5259.263 · Cited by 4,903 · see citing works
Programmed Cell Death in Animal Development and Disease
Fuchs, Y., & Steller, H. (2011) · Cell · doi:10.1016/j.cell.2011.10.033 · Cited by 1,915 · see citing works
HSP90 at the hub of protein homeostasis: emerging mechanistic insights
Taipale, M., Jarosz, D. F., & Lindquist, S. (2010) · Nature Reviews Molecular Cell Biology · doi:10.1038/nrm2918 · Cited by 1,818 · see citing works
Flagged first, then by citations
Research works printed but not linked: 46
- [1]Annane D Corticosteroids in the treatment of severe sepsis and septic shock in adults: a systematic review JAMA 301 2362 2375 2009 19509383
- [2]Kumar A Optimizing antimicrobial therapy in sepsis and septic shock Crit Care Clin 25 733 751 viii 2009 19892250
- [3]Ulloa L Brunner M Ramos L Deitch EA Scientific and clinical challenges in sepsis Curr Pharm Des 15 1918 1935 2009 19519432 PMC3098530
- [4]Yuan J Neuroprotective strategies targeting apoptotic and necrotic cell death for stroke Apoptosis 14 469 477 2009 19137430 PMC2745337
- [5]Yuan JY Horvitz HR The Caenorhabditis elegans genes ced-3 and ced-4 act cell autonomously to cause programmed cell death Dev Biol 138 33 41 1990 2307287
- [6]Lang JD Matute-Bello G Lymphocytes, apoptosis and sepsis: making the jump from mice to humans Crit Care 13 109 2009 19216722 PMC2688100
- [7]Jana S Paliwal J Apoptosis: potential therapeutic targets for new drug discovery Curr Med Chem 14 2369 2379 2007 17896985
- [8]Lanneau D de Thonel A Maurel S Didelot C Garrido C Apoptosis versus cell differentiation: role of heat shock proteins HSP90, HSP70 and HSP27 Prion 1 53 60 2007 19164900 PMC2633709
- [9]Ndubaku C Cohen F Varfolomeev E Vucic D Targeting inhibitor of apoptosis proteins for therapeutic intervention Future Med Chem 1 1509 1525 2009 21426063
- [11]Falsone SF Gesslbauer B Tirk F Piccinini AM Kungl AJ A proteomic snapshot of the human heat shock protein 90 interactome FEBS letters 579 6350 6354 2005 16263121
- [12]Zhao R Navigating the chaperone network: an integrative map of physical and genetic interactions mediated by the hsp90 chaperone Cell 120 715 727 2005 15766533
- [13]Lamb J The Connectivity Map: using gene-expression signatures to connect small molecules, genes, and disease Science 313 1929 1935 2006 17008526
- [15]White K Tahaoglu E Steller H Cell killing by the Drosophila gene reaper Science 271 805 807 1996 8628996
- [16]Albina JE Cui S Mateo RB Reichner JS Nitric oxide-mediated apoptosis in murine peritoneal macrophages J Immunol 150 5080 5085 1993 7684418
- [17]Bordner J Campbell SF Palmer MJ Tute MS 1,3-Diamino-6,7-dimethoxyisoquinoline derivatives as potential alpha 1-adrenoceptor antagonists J Med Chem 31 1036 1039 1988 2896246
- [18]Han J Miyamae Y Shigemori H Isoda H Neuroprotective effect of 3,5di-O-caffeoylquinic acid on SH-SY5Y cells senescence-accelerated-prone mice8 through the up-regulation of phosphoglycerate kinase-1 Neuroscience 169 1039 1045 2010 20570715
- [19]Mazzoni C Torella M Petrera A Palermo V Falcone C PGK1, the gene encoding the glycolitic enzyme phosphoglycerate kinase, acts as a multicopy suppressor of apoptotic phenotypes in S. cerevisiae Yeast 26 31 37 2009 19180641
- [20]Banks RD Sequence, structure and activity of phosphoglycerate kinase: a possible hinge-bending enzyme Nature 279 773 777 1979 450128
- [21]Bernstein BE Michels PA Hol WG Synergistic effects of substrate-induced conformational changes in phosphoglycerate kinase activation Nature 385 275 278 1997 9000079
- [22]Zerrad L A spring-loaded release mechanism regulates domain movement and catalysis in phosphoglycerate kinase J Biol Chem 286 14040 14048 2011 21349853 PMC3077604
- [23]Sawyer GM Monzingo AF Poteet EC O'Brien DA Robertus JD X-ray analysis of phosphoglycerate kinase 2, a sperm-specific isoform from Mus musculus Proteins 71 1134 1144 2008 18004764
- [24]Flachner B Substrate-assisted movement of the catalytic Lys 215 during domain closure: site-directed mutagenesis studies of human 3-phosphoglycerate kinase Biochemistry 44 16853 16865 2005 16363799
- [25]Vander Heiden MG Cantley LC Thompson CB Understanding the Warburg effect: the metabolic requirements of cell proliferation Science 324 1029 1033 2009 19460998 PMC2849637
- [26]Jackson SE Hsp90: structure and function Topics in current chemistry 328 155 240 2013 22955504
- [27]Kamal A A high-affinity conformation of Hsp90 confers tumour selectivity on Hsp90 inhibitors Nature 425 407 410 2003 14508491
- [28]Guo F Abrogation of heat shock protein 70 induction as a strategy to increase antileukemia activity of heat shock protein 90 inhibitor 17-allylamino-demethoxy geldanamycin Cancer research 65 10536 10544 2005 16288046
- [29]Remick DG Newcomb DE Bolgos GL Call DR Comparison of the mortality and inflammatory response of two models of sepsis: lipopolysaccharide vs. cecal ligation and puncture Shock 13 110 116 2000 10670840
- [30]Rittirsch D Huber-Lang MS Flierl MA Ward PA Immunodesign of experimental sepsis by cecal ligation and puncture Nat Protoc 4 31 36 2009 19131954 PMC2754226
- [31]Maciel AT Noritomi DT Park M Metabolic acidosis in sepsis Endocrine, metabolic & immune disorders drug targets 10 252 257 2010 20509840
- [33]Akduman B Crawford ED Terazosin, doxazosin, and prazosin: current clinical experience Urology 58 49 54 2001 11750252
- [34]Miksa M Wu R Zhou M Wang P Sympathetic excitotoxicity in sepsis: pro-inflammatory priming of macrophages by norepinephrine Front Biosci 10 2217 2229 2005 15970488
- [35]Lee DL Webb RC Brands MW Sympathetic and angiotensin-dependent hypertension during cage-switch stress in mice Am J Physiol Regul Integr Comp Physiol 287 R1394 1398 2004 15308486
- [36]Rupadevi M Parasuraman S Raveendran R Protocol for middle cerebral artery occlusion by an intraluminal suture method J Pharmacol Pharmacother 2 36 39 2011 21701645 PMC3117568
- [37]Shirakawa K Takahashi Y Miyajima H Intronic mutation in the PGK1 gene may cause recurrent myoglobinuria by aberrant splicing Neurology 66 925 927 2006 16567715
- [38]Ai J FLNA and PGK1 are two potential markers for progression in hepatocellular carcinoma Cell Physiol Biochem 27 207 216 2011 21471709
- [39]Duan Z Overexpression of human phosphoglycerate kinase 1 (PGK1) induces a multidrug resistance phenotype Anticancer Res 22 1933 1941 2002 12174867
- [40]Geerlof A Schmidt PP Travers F Barman T Cryoenzymic studies on yeast 3-phosphoglycerate kinase. Attempt to obtain the kinetics of the hinge-bending motion Biochemistry 36 5538 5545 1997 9154937
- [41]Jackson SE Hsp90: structure and function Top Curr Chem 328 155 240 2012 22955504
- [42]Pandey P Negative regulation of cytochrome c-mediated oligomerization of Apaf-1 and activation of procaspase-9 by heat shock protein 90 EMBO J 19 4310 4322 2000 10944114 PMC302037
- [43]Zhao C Wang E Heat shock protein 90 suppresses tumor necrosis factor alpha induced apoptosis by preventing the cleavage of Bid in NIH3T3 fibroblasts Cell Signal 16 313 321 2004 14687661
- [44]Sato S Fujita N Tsuruo T Modulation of Akt kinase activity by binding to Hsp90 Proc Natl Acad Sci U S A 97 10832 10837 2000 10995457 PMC27109
- [45]Lewis J Disruption of hsp90 function results in degradation of the death domain kinase, receptor-interacting protein (RIP), and blockage of tumor necrosis factor-induced nuclear factor-kappaB activation J Biol Chem 275 10519 10526 2000 10744744
- [46]Li X The role of the Hsp90/Akt pathway in myocardial calpain-induced caspase-3 activation and apoptosis during sepsis BMC Cardiovasc Disord 13 8 2013 23425388 PMC3598447
- [47]Chatterjee A Heat shock protein 90 inhibitors prolong survival, attenuate inflammation, and reduce lung injury in murine sepsis Am J Respir Crit Care Med 176 667 675 2007 17615388 PMC1994236
- [48]Chatterjee A Heat shock protein 90 inhibitors attenuate LPS-induced endothelial hyperpermeability Am J Physiol Lung Cell Mol Physiol 294 L755 763 2008 18245267
- [49]Zou J Guo Y Guettouche T Smith DF Voellmy R Repression of heat shock transcription factor HSF1 activation by HSP90 (HSP90 complex) that forms a stress-sensitive complex with HSF1 Cell 94 471 480 1998 9727490
Cited by
Sorted by citations
Breaking the paradigm: Dr Insight empowers signature-free, enhanced drug repurposing
Chan, J., Wang, X., Turner, J. A., Baldwin, N. E., & Gu, J. (2019) · Bioinformatics · doi:10.1093/bioinformatics/btz006 · Cited by 50 · see citing works
Singh, T., Bridgeman, E., Baker, A. J., Noblet, H. A., Yang, K. Y., Kang, S., Lim, K. H., Lee, S. S., Amundsen, N. M., Lee, Y., et al. (2026) · Neurobiology of Disease · doi:10.1016/j.nbd.2025.107246 · Cited by 1 · see citing works
- Authors
- Chen, X., Zhao, C., Li, X., Wang, T., Li, Y., Cao, C., Ding, Y., Dong, M., Finci, L., Wang, J.-H., Li, X., & Liu, L.
- Affiliations
- Capital Medical University (CN)
- University of Science and Technology of China (CN)
- Peking University (CN)
- National Institute of Biological Sciences, Beijing (CN)
- Corresponding author
- Li, Xiaolong
- Wang, Jia-huai
- Venue
- Nature Chemical Biology
- Published
- 2014-11-10
- Volume
- 11
- Issue
- 1
- Pages
- 19-25
- ISSN
- 1552-4450 (ISSN-L)
- 1552-4469
- PMC
- PMC4412158
- OpenAlex
- W2143464189
- Cited by
- 156
- References
- 3
- Citations by year
- 2026: 22 · 2025: 31 · 2024: 26 · 2023: 17 · 2022: 19 · 2021: 10 · 2020: 7 · 2019: 8 · 2018: 3 · 2017: 3 · 2016: 6 · 2015: 3 · 2014: 1
- FWCI
- 1.64
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Chemical Biology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
- Funders
- National Natural Science Foundation of China (2013CB530700)
- Ministry of Education of the People's Republic of China
- Ministry of Science and Technology of the People's Republic of China (2013CB530700)
- National Institutes of Health (HL48675)
- National Heart, Lung, and Blood Institute (HL48675, P01HL103526, P01HL048675)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Heat shock proteins research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Biochemical and Molecular Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
- Keywords
- terazosin, PGK1, HSP90, alpha-blockers, stress tolerance, apoptosis, ATP production, glycolysis, stroke, sepsis, drug target identification, chaperone activity, organ damage
- MeSH terms
- Animals, Cells, Cultured, Models, Molecular, Phosphoglycerate Kinase, Prazosin, Protein Conformation, Stress, Physiological, Cytokines, Apoptosis, Sepsis, HSP90 Heat-Shock Proteins, Infarction, Middle Cerebral Artery, Stroke, Mice, Rats, Adrenergic alpha-1 Receptor Antagonists
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review