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Rolitetracycline is a semisynthetic broad-spectrum tetracycline antibiotic developed in the late 1950s as the first of the semi-synthetic tetracyclines. It is formed by a Mannich condensation of formaldehyde and pyrrolidine with tetracycline and acts as a prodrug of tetracycline. The addition of the pyrrolidine moiety improves its bioavailability compared to tetracycline but also makes it unstable at certain pH levels; therefore it is primarily administered parenterally (intramuscularly or intravenously) when high concentrations are needed or oral administration is impractical[1][2][3][4]. Mechanistically, rolitetracycline passively diffuses through bacterial porin channels and binds reversibly to the 30S ribosomal subunit. This binding prevents aminoacyl tRNA from attaching to the mRNA-ribosome complex and thereby inhibits protein synthesis in susceptible bacteria[2][3][5]. Rolitetracycline has broad-spectrum activity against Gram-positive and Gram-negative bacteria as well as some protozoa[5].
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