Target intelligence / Profile preview

Elongation factor (EF)

Target
EF
Molecular classification
Enzyme, GTPase, Translation factor, GTP-binding protein
01

Overview

Elongation factors are a specialized group of proteins essential for the elongation phase of protein biosynthesis, facilitating the sequential addition of amino acids to a growing polypeptide chain. In prokaryotes, the primary factors include EF-Tu, which escorts aminoacyl-tRNA to the ribosome, and EF-G, which drives the translocation of the ribosome along the mRNA (UniProt, 2024). Eukaryotic cells utilize analogous factors such as eEF1A and eEF2, which are frequently overexpressed in various malignancies and serve as potential targets for anti-cancer therapies like plitidepsin (PubMed, 2021). These factors are also the primary targets for several potent antibiotics and toxins; for example, fusidic acid inhibits bacterial EF-G to treat Staphylococcal infections, while diphtheria toxin lethally inactivates eEF2 through ADP-ribosylation (NIH, 2023). Beyond their role in translation, elongation factors are increasingly recognized for non-canonical functions in cell signaling, apoptosis, and viral replication, making them versatile targets in infectious disease and oncology.

Other names
Translation elongation factorEF-TuEF-GeEF1AeEF2EF-TsEF-PeEF1B
02

Mechanism of action

Drugs targeting elongation factors typically inhibit protein synthesis by either preventing the delivery of aminoacyl-tRNA to the ribosomal A-site (e.g., EF-Tu inhibitors), blocking the translocation of the mRNA-tRNA complex (e.g., EF-G or eEF2 inhibitors), or inducing the permanent inactivation of the factor through covalent modification such as ADP-ribosylation (StatPearls, 2023; UniProt, 2024).

03

Biological functions

Protein synthesisTranslation elongationGTP hydrolysisRibosomal translocationAminoacyl-tRNA deliveryCytoskeletal organization
04

Disease associations

InfectionCancerViral infectionNeurodegenerative disease
05

Safety considerations

Systemic toxicity due to inhibition of host protein synthesisRapid development of antimicrobial resistance (e.g., fusA mutations)Potential cross-reactivity with mitochondrial elongation factorsNarrow therapeutic index for eukaryotic translation inhibitors
06

Interacting drugs

Fusidic acid

6 more in the full profile.

07

Biomarkers

eEF1A2 expression levelseEF2 phosphorylation (Thr56)fusA gene mutationsEEF2 total protein levels

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