Target intelligence / Profile preview

Bacterial 50S ribosomal subunit – 23S rRNA domain V (23S rRNA domain V)

Target
23S rRNA domain V
Molecular classification
Ribosomal RNA, Enzyme, 50S ribosomal subunit component
01

Overview

The bacterial 50S ribosomal subunit – 23S rRNA domain V is a critical structural and functional region of the large ribosomal subunit, primarily housing the peptidyl transferase center (PTC) [1.2.1, 1.5.4]. This domain is responsible for catalyzing the formation of peptide bonds between amino acids during protein synthesis, making it essential for bacterial viability [1.1.1, 1.2.2]. Because of its central role in translation, it serves as the primary target for several major classes of antibiotics, including macrolides, lincosamides, and oxazolidinones [1.1.3, 1.4.2]. These drugs typically bind within the PTC or the adjacent nascent peptide exit tunnel to obstruct the growth of the polypeptide chain [1.1.1, 1.2.3]. Resistance often arises through specific point mutations (e.g., A2058G) or enzymatic methylation of nucleotides within this domain, which reduces drug affinity [1.1.4, 1.5.1]. While highly selective for bacterial ribosomes, some drugs targeting this site can exhibit toxicity by cross-reacting with human mitochondrial ribosomes, which share structural similarities [1.3.1, 1.4.3].

Other names
Peptidyl transferase centerPTC23S ribosomal RNA domain V23S rRNA V regionPeptidyl transferase loop
02

Mechanism of action

Antibiotics targeting this domain inhibit protein synthesis by binding to the peptidyl transferase center (PTC) or the nascent peptide exit tunnel (NPET) [1.1.1]. Macrolides and ketolides block the exit tunnel, causing premature dissociation of peptidyl-tRNA [1.2.3, 1.4.1]. Lincosamides, chloramphenicol, and pleuromutilins directly inhibit peptide bond formation by interfering with the positioning of aminoacyl-tRNA in the A-site or P-site [1.1.2, 1.4.2]. Oxazolidinones prevent the formation of the functional 70S initiation complex or inhibit the first peptide bond formation [1.3.1, 1.5.1].

03

Biological functions

Protein synthesisPeptidyl transferase activityRibosome assemblyCell proliferationCell death
04

Disease associations

Infection
05

Safety considerations

Mitochondrial toxicityMyelosuppression (e.g., anemia, thrombocytopenia)Peripheral and optic neuropathyDisruption of gut microbiotaAntibiotic resistance (e.g., MLSB phenotype)
06

Interacting drugs

Erythromycin

15 more in the full profile.

07

Biomarkers

23S rRNA A2058 mutation23S rRNA A2059 mutation23S rRNA G2576 mutationerm gene expressioncfr gene expressionoptrA gene presencepoxtA gene presence

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