“…For example, the replacement of the chloramphenicol primary alcohol with an L-lysine amide yields a compound that bound strongly to the ribosome and inhibited puromycin effects on the ribosome, an inhibition characteristic of binding to the ribosome A-site. 141 Macrolides: Macrolides are macrocycles, most commonly derived from polyketide metabolism, substituted with sugars. They have broad-spectrum antibacterial activity against both Grampositive and Gram-negative bacteria, including Moraxella catarrhalis, Streptococcus pneumoniae, Legionella pneumoniae, Streptococcus pneumoniae, Mycoplasma pneumoniae, Streptococcus pyogenes, Helicobacter pylori, Haemophilus influenzae, Haemophilus parainfluenzae, Moraxella catarrhalis, Mycobacterium avium/intracellulare, Mycoplasma pneumoniae, and Chlamydia pneumoniae.…”