2001
DOI: 10.1128/aac.45.1.1-12.2001
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Macrolide Resistance Conferred by Base Substitutions in 23S rRNA

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Cited by 500 publications
(487 citation statements)
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“…The presence of a hydrophilic molecule, like spermine or spermidine, in the heart of this hydrophobic region could destabilize macrolide binding. Indeed, organisms like H. marismortui, which orient a hydrophilic group (the exocyclic N2 of G2099) into the center of this region, are more resistant to macrolides than those having adenosine at this position (40). More probably, polyamines may affect the stability of the covalent bond formed between the ethylaldehyde substituent at the C6 position of the lactone ring and the N6 of A2062 (Fig.…”
Section: Discussionmentioning
confidence: 99%
“…The presence of a hydrophilic molecule, like spermine or spermidine, in the heart of this hydrophobic region could destabilize macrolide binding. Indeed, organisms like H. marismortui, which orient a hydrophilic group (the exocyclic N2 of G2099) into the center of this region, are more resistant to macrolides than those having adenosine at this position (40). More probably, polyamines may affect the stability of the covalent bond formed between the ethylaldehyde substituent at the C6 position of the lactone ring and the N6 of A2062 (Fig.…”
Section: Discussionmentioning
confidence: 99%
“…This takes place, unsurprisingly, on A2058Ec, the key component of the binding pocket. Mono and dimethylation of A2058Ec are carried out by erythromycin ribosome methylation (Erm) methyltransferases 60. While monomethylation confers only moderate resistance to macrolides and none to ketolides, dimethylation leads to complete blocking of the binding site and high resistance to both macrolides and ketolides 18, 61.…”
Section: Protein Synthesis Inhibitorsmentioning
confidence: 99%
“…This mechanism of resistance is therefore of special relevance in microorganisms with only one or two rrn loci (Leclercq, 2002;Vester & Douthwaite, 2001) also being described in microorganisms with three or four rrn loci (Chisholm et al, 2010;Saito et al, 2012). Enterobacteriaceae such as E. coli, Salmonella spp.…”
Section: S Rrna Base Substitutionsmentioning
confidence: 99%