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The **23S ribosomal RNA** is a ~2,900 nucleotide structural RNA comprising the catalytic core of the prokaryotic 50S ribosomal subunit; its domains orchestrate peptide bond formation in the peptidyl transferase center and facilitate tRNA binding, positioning, and protein synthesis. It interacts with many antibacterial agents that inhibit translation by blocking the function or assembly of this RNA. Mutations or methylations in 23S rRNA lead to high levels of drug resistance in pathogenic bacteria, making it a central target and biomarker in clinical microbiology and antibiotic drug development.
Inhibition of peptide bond formation (blocking peptidyl transferase activity) Preventing translocation of tRNA or release of nascent peptide Blocking binding or proper positioning of tRNA in the P site
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