Target intelligence / Profile preview

Ribosomal A-site of the large ribosomal subunit (50S A-site)

Target
50S A-site
Molecular classification
Ribonucleoprotein, Ribosomal RNA, Enzyme
01

Overview

The ribosomal A-site (aminoacyl site) of the large ribosomal subunit (50S in bacteria) is a critical functional region where the incoming aminoacyl-tRNA binds to deliver an amino acid for incorporation into the growing polypeptide chain [Wilson, 2014, Nature Reviews Microbiology]. Located adjacent to the peptidyl transferase center (PTC), this site ensures the correct positioning of the tRNA for peptide bond formation [Polikanov et al., 2014, Molecular Cell]. It is a major target for several classes of antibiotics, including oxazolidinones (e.g., linezolid), lincosamides (e.g., clindamycin), and pleuromutilins (e.g., lefamulin), which disrupt bacterial protein synthesis [StatPearls, 2023]. By binding to the A-site, these drugs can physically block the entry of tRNA or induce conformational changes that halt translation [Dunkle et al., 2010, Science]. Because of the structural similarities between bacterial ribosomes and human mitochondrial ribosomes, drugs targeting this site can sometimes cause off-target toxicity, such as myelosuppression or neuropathy [Bancroft et al., 2010, Antimicrobial Agents and Chemotherapy]. Understanding the molecular architecture of the A-site is essential for developing new antimicrobial agents to combat multi-drug resistant bacterial strains [Poehlsgaard & Douthwaite, 2005, Nature Reviews Microbiology].

Other names
Aminoacyl-tRNA binding site of the 50S subunit50S A-sitePeptidyl transferase center A-site23S rRNA A-site
02

Mechanism of action

Inhibition of bacterial protein synthesis by binding to the 23S rRNA within the A-site of the 50S subunit, thereby preventing the proper positioning of aminoacyl-tRNA or inhibiting the peptidyl transferase reaction [Wilson, 2014; StatPearls, 2023].

03

Biological functions

Protein synthesisTranslation elongationPeptide bond formationPeptidyl transferase activity
04

Disease associations

InfectionBacterial infection
05

Safety considerations

Mitochondrial protein synthesis inhibitionMyelosuppression (anemia, thrombocytopenia)Serotonin syndrome (due to MAO inhibition by oxazolidinones)Clostridioides difficile-associated diarrhea [Bancroft et al., 2010; StatPearls, 2023]
06

Interacting drugs

Linezolid

6 more in the full profile.

07

Biomarkers

Minimum inhibitory concentration (MIC)Bacterial 23S rRNA mutations (e.g., G2576T)Cfr methyltransferase presence

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