“…However, spiramycins, in contrast to leucomycins, additionally possess forosamine at C(9) position. The spectrum of spiramycins’ biological properties comprises mainly bacteriostatic activity against most of Gram-(+) cocci and rods, mycoplasmas, and Toxoplasma gondii. , Comparison of spiramycins’ activity against different Gram-(+) bacteria strains in vitro with that determined for 14-membered lactone macrolides such as erythromycins indicates that it is at least twice lower . However, the advantage of spiramycins over erythromycins is their good gastrointestinal tolerance, higher affinity to tissues, and a fewer adverse effects. , To the best of our knowledge, the activity of spiramycins in cancer cells has never been studied up to now, although literature provides some examples of other-group macrolides showing properties of this type, e.g., maytansine (ansamacrolide) or marine 22-membered lactone macrolide (−)-dictyostatin. − The target site of spiramycins’ action is well recognized from X-ray studies as the exit of the ribosomal tunnel near the peptidyl transferase loop and the loop of domain II of 23S rRNA, belonging to the large subunit 50S. − Spiramycin and related 16-membered lactone macrolides have a common mechanism of activity which involves binding to the 50S subunit and steric blocking of the peptide exit tunnel, which contributes to inhibiting peptide synthesis at different stages.…”