Target intelligence / Profile preview

Cutibacterium acnes 23S ribosomal RNA (23S rRNA)

Target
23S rRNA
Molecular classification
Ribosomal RNA, Nucleic acid
01

Overview

The Cutibacterium acnes 23S ribosomal RNA (23S rRNA) is a fundamental structural and catalytic component of the 50S large ribosomal subunit in the Gram-positive bacterium C. acnes. It is essential for bacterial viability as it forms the peptidyl transferase center (PTC), which catalyzes peptide bond formation, and the nascent peptide exit tunnel (NPET) through which growing proteins pass (Lomakin et al., 2024). C. acnes is a key commensal of the human skin but acts as an opportunistic pathogen in the development of acne vulgaris and medical device-related infections (NIH, 2022). Consequently, its 23S rRNA is a major therapeutic target for several antibiotic classes, including macrolides (e.g., erythromycin) and lincosamides (e.g., clindamycin), which bind to the PTC or NPET to halt protein synthesis (Dermatology Times, 2025). Recent structural studies using cryo-electron microscopy have also revealed that the narrow-spectrum tetracycline sarecycline possesses a unique second binding site on the C. acnes 23S rRNA, contributing to its efficacy (Nucleic Acids Research, 2024). However, the clinical utility of these drugs is increasingly threatened by resistance, primarily mediated by point mutations in the 23S rRNA gene (such as A2241G) or enzymatic methylation by erm genes (Journal of Antimicrobial Chemotherapy, 2026). Understanding the molecular interactions at this site is critical for the design of next-generation antimicrobials that can overcome existing resistance mechanisms.

Other names
Propionibacterium acnes 23S ribosomal RNA50S ribosomal 23S rRNAPeptidyl transferase centerPTC
02

Mechanism of action

Inhibition of bacterial protein synthesis by binding to the 50S ribosomal subunit, specifically the 23S rRNA, which blocks the peptidyl transferase center or the nascent peptide exit tunnel, thereby preventing peptide bond formation or polypeptide elongation.

03

Biological functions

Protein synthesisTranslationPeptidyl transferase activity
04

Disease associations

Acne vulgarisInfectionSarcoidosisProstate cancer
05

Safety considerations

Antibiotic resistanceSkin microbiome dysbiosisCross-resistance (MLSB phenotype)
06

Interacting drugs

Erythromycin

6 more in the full profile.

07

Biomarkers

23S rRNA A2058G mutation23S rRNA A2059G mutation23S rRNA A2241G mutationerm(X) geneerm(50) gene

Beyond the preview

Go deeper on Cutibacterium acnes 23S ribosomal RNA (23S rRNA).

Explore the evidence, development activity, and competitive landscape with Gosset’s full data platform.

Drug pipeline

Full profile access

Explore the programs pursuing this target and their development progress.

  • Drug candidates
  • Developers
  • Development stage

Clinical trials

Full profile access

Follow the clinical studies evaluating therapies directed at this target.

  • Trial design
  • Status
  • Readouts

Competitive landscape

Full profile access

Compare approaches across drug candidates, modalities, and indications.

  • Programs
  • Modalities
  • Indications

Literature & evidence

Full profile access

Investigate the research and source evidence behind target biology and development.

  • Publications
  • Sources
  • Analysis

Patents

Full profile access

Explore patent activity around therapies and technologies addressing this target.

  • Patents
  • Assignees
  • Technologies

Research & analysis

Full profile access

Connect target biology, drug development, and emerging evidence in your research.

  • Biology
  • Development news
  • Analysis

Bring the full picture into focus.

See how Gosset can support your research on Cutibacterium acnes 23S ribosomal RNA (23S rRNA).

Explore the full profile

Gosset Free

Get started with Gosset.

Enter your work email and we’ll be in touch with next steps.

Work email preferred.

Book a call