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The eukaryotic ribosome is the fundamental macromolecular machine responsible for translating genetic information into proteins. In human cells, this machinery exists in two distinct forms: the cytosolic 80S ribosome and the mitochondrial 55S ribosome (mitoribosome) [PMID: 25635023]. The cytosolic ribosome synthesizes the vast majority of cellular proteins, while the mitoribosome is specialized for the synthesis of 13 essential subunits of the mitochondrial electron transport chain [PMID: 29415870]. These structures are critical therapeutic targets; for instance, omacetaxine mepesuccinate is an FDA-approved drug that inhibits the cytosolic ribosome to treat chronic myeloid leukemia [PMID: 23532266]. However, the structural similarity between the mitoribosome and bacterial ribosomes often leads to off-target inhibition by antibiotics like aminoglycosides and linezolid, resulting in clinical toxicities such as ototoxicity and myelosuppression [PMID: 25635023]. Furthermore, mutations in ribosomal proteins or assembly factors lead to a group of disorders known as ribosomopathies, and the upregulation of ribosome biogenesis is a hallmark of many aggressive cancers [PMID: 30639241]. Consequently, the ribosome is increasingly viewed as a viable target for selective small-molecule inhibitors in oncology and other therapeutic areas.
Inhibition of protein synthesis by blocking the peptidyl transferase center, interfering with tRNA binding at the A-site, or inducing translational misreading of mRNA.
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