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Journal of Bacteriology, December 2001, p. 6898-6907, Vol. 183, No. 23
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

Georgina Garza-Ramos,1,dagger Liqun Xiong,1 Ping Zhong,2,Dagger and Alexander Mankin1,*

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.


* 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.

dagger Present address: Departamento de Bioquimica, Facultad de Medicina, Universidad Nacional, Autonoma de Mexico, Mexico City, D.F. 04510, Mexico

Dagger Present address: Givaudan Flavors Corporation, Cincinnati, OH 45216.


Journal of Bacteriology, December 2001, p. 6898-6907, Vol. 183, No. 23
0021-9193/01/$04.00+0   DOI: 10.1128/JB.183.23.6898-6907.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.



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