Biological target · Other

Bacterial ribosome (50S subunit)

Also known as: 50S ribosomal subunit, bacterial 70S ribosome, 23S rRNA

The protein-making machinery of bacteria, built differently enough from the human ribosome to be a selective drug target. Macrolides such as azithromycin bind the 50S subunit and stop the bacterium making proteins, halting its growth.

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Kind
other
Also called
50S ribosomal subunit, bacterial 70S ribosome, 23S rRNA
Where it is found
The cytoplasm of bacteria; not present in human cytoplasm (mitochondrial ribosomes are related but distinct).

What it does

Every cell makes protein on ribosomes, but bacterial ribosomes (70S, made of 30S and 50S subunits) differ from human cytoplasmic ribosomes (80S) in their RNA and proteins, so antibiotics can bind them selectively. Macrolides (azithromycin, clarithromycin, erythromycin) bind the 23S ribosomal RNA in the exit tunnel of the 50S subunit and block the growing peptide chain from leaving, which stops protein synthesis; the effect is mainly bacteriostatic, leaving the immune system to clear the organism. Because macrolides reach very high concentrations inside cells, they are effective against intracellular organisms such as Chlamydia, Mycoplasma and Legionella that penicillins cannot reach. Other classes target the ribosome at different sites: tetracyclines and aminoglycosides on the 30S subunit, clindamycin and linezolid on the 50S. Human mitochondria have ribosomes of bacterial ancestry, which may contribute to some antibiotic toxicities. Resistance follows methylation of the binding site or efflux pumps.

Role in the body

Bacterial protein synthesis (translation); inhibition halts bacterial growth.

Medicines that act on it

Drug classes

Conditions it is involved in

Educational content. Describes what a receptor, enzyme, channel or pathway does and which medicines act on it. Educational, not prescribing advice.