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Journal of Bacteriology, December 2001, p. 6898-6907, Vol. 183, No. 23
Center for Pharmaceutical Biotechnology,
University of Illinois, Chicago, Illinois
60607,1 and Infectious Disease Research,
Abbott Laboratories, Abbott Park, Illinois
600642
Received 31 July 2001/Accepted 19 September 2001
Macrolides represent a clinically important class of antibiotics
that block protein synthesis by interacting with the large ribosomal
subunit. The macrolide binding site is composed primarily of rRNA.
However, the mode of interaction of macrolides with rRNA and the exact
location of the drug binding site have yet to be described. A new class
of macrolide antibiotics, known as ketolides, show improved activity
against organisms that have developed resistance to previously used
macrolides. The biochemical reasons for increased potency of
ketolides remain unknown. Here we describe the first mutation that
confers resistance to ketolide antibiotics while leaving cells
sensitive to other types of macrolides. A transition of U to C at
position 2609 of 23S rRNA rendered E. coli cells resistant to two different types of ketolides, telithromycin and ABT-773, but increased slightly the sensitivity to erythromycin, azithromycin, and a cladinose-containing derivative of telithromycin. Ribosomes isolated from the mutant cells had reduced affinity for
ketolides, while their affinity for erythromycin was not diminished. Possible direct interaction of ketolides with position 2609 in 23S rRNA
was further confirmed by RNA footprinting. The newly isolated
ketolide-resistance mutation, as well as 23S rRNA positions shown
previously to be involved in interaction with macrolide antibiotics,
have been modeled in the crystallographic structure of the large
ribosomal subunit. The location of the macrolide binding site in the
nascent peptide exit tunnel at some distance from the peptidyl
transferase center agrees with the proposed model of macrolide
inhibitory action and explains the dominant nature of macrolide
resistance mutations. Spatial separation of the rRNA residues involved
in universal contacts with macrolides from those believed to
participate in structure-specific interactions with ketolides provides
the structural basis for the improved activity of the broader spectrum
group of macrolide antibiotics.
0021-9193/01/$04.00+0 DOI: 10.1128/JB.183.23.6898-6907.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Binding Site of Macrolide Antibiotics on the
Ribosome: New Resistance Mutation Identifies a Specific Interaction of
Ketolides with rRNA

and
*
Corresponding author. Mailing address: Center for
Pharmaceutical Biotechnology
M/C 870, University of Illinois, 900 S. Ashland Ave., Rm. 3056, Chicago, IL 60607. Phone: (312) 413-1406. Fax: (312) 413-9303. E-mail: shura{at}uic.edu.
Present address: Departamento de Bioquimica, Facultad de Medicina,
Universidad Nacional, Autonoma de Mexico, Mexico City, D.F. 04510, Mexico
Present address: Givaudan Flavors Corporation, Cincinnati, OH 45216.
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