2018
DOI: 10.1016/j.tibs.2018.06.011
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How Macrolide Antibiotics Work

Abstract: Macrolide antibiotics inhibit protein synthesis by targeting the bacterial ribosome. They bind at the nascent peptide exit tunnel and partially occlude it. Thus, macrolides have been viewed as 'tunnel plugs' that stop the synthesis of every protein. More recent evidence, however, demonstrates that macrolides selectively inhibit the translation of a subset of cellular proteins, and that their action crucially depends on the nascent protein sequence and on the antibiotic structure. Therefore, macrolides emerge a… Show more

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Cited by 247 publications
(215 citation statements)
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“…Macrolides, a polyketide class of natural products that consist of a large macrocyclic lactone ring, are typically used to treat infections caused by β-haemolytic streptococci, pneumococci, staphylococci, and enterococci, having a slightly wider antimicrobial spectrum than penicillin [53,54]. Macrolides prevent peptidyl transferase from adding the growing peptide attached to tRNA to the next amino acid and can inhibit ribosomal translation by reversibly binding to the P site on the 50S subunit of the bacterial ribosome [55]. Side effects include myopathy, long QT syndrome, enterohepatic recycling, and cholestasis [54].…”
Section: Macrolidesmentioning
confidence: 99%
“…Macrolides, a polyketide class of natural products that consist of a large macrocyclic lactone ring, are typically used to treat infections caused by β-haemolytic streptococci, pneumococci, staphylococci, and enterococci, having a slightly wider antimicrobial spectrum than penicillin [53,54]. Macrolides prevent peptidyl transferase from adding the growing peptide attached to tRNA to the next amino acid and can inhibit ribosomal translation by reversibly binding to the P site on the 50S subunit of the bacterial ribosome [55]. Side effects include myopathy, long QT syndrome, enterohepatic recycling, and cholestasis [54].…”
Section: Macrolidesmentioning
confidence: 99%
“…Interestingly, in the molecular cluster of surfactins, there were some ions (m/z 980, 1024, 1032, 1042, 1052, and 1056) referring to molecular masses not described for the surfactin class, which shows that bacteria from Rocas Atoll might produce unknown surfactin analogs. Erythromycin is a macrolide widely employed as antibiotic agent to treat a number of bacterial infections [39]. It is usually produced by actinobacteria (e.g., Streptomyces and Saccharopolyspora).…”
Section: Molecular Networkingmentioning
confidence: 99%
“…Although this class of antibiotics is more often known as bacteriostatic drugs, they can exhibit the bactericidal effects at high concentrations [7]. In fact, they terminate protein synthesis in bacteria and result in bacterial growth prevention by binding to the 50 s ribosomal subunit [8]. The safety profile of macrolides requires accurate scrutiny due to the popularity and widespread use of them.…”
Section: Introductionmentioning
confidence: 99%