Ribosome-targeting antibiotics and mechanisms of bacterial resistance

Nature Reviews Microbiology, 2014, doi:10.1038/nrmicro3155, 12, 35–48 published on 10.01.2014
Nature Reviews Microbiology, online article
The ribosome is one of the main antibiotic targets in the bacterial cell. Crystal structures of naturally produced antibiotics and their semi-synthetic derivatives bound to ribosomal particles have provided unparalleled insight into their mechanisms of action, and they are also facilitating the design of more effective antibiotics for targeting multidrug-resistant bacteria. In this Review, I discuss the recent structural insights into the mechanism of action of ribosome-targeting antibiotics and the molecular mechanisms of bacterial resistance, in addition to the approaches that are being pursued for the production of improved drugs that inhibit bacterial protein synthesis.

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