“…Antibiotics are important tools for the treatment of many serious human and animal infections+ However, the increasing use and misuse of these drugs in both the health care and agricultural sectors have led to increasing problems with drug-resistant bacteria, with severe consequences for human health+ One group of such therapeutically important antibiotics are the streptogramins, which contain A and B components and target the peptidyl transferase center of the large ribosomal subunit, where they inhibit peptide elongation+ Resistance to both streptogramin components is widespread in diverse bacterial communities+ Streptogramins inhibit peptide elongation by a mechanism that is only partially understood+ Moreover, the two components act synergistically such that although the individual A and B components are bacteriostactic, together they can be bacteriocidal (Gale et al+, 1981;Di Giambattista et al+, 1989)+ The observation that neither streptogramin component affects protein synthesis on polysomes suggests that they act during the initial rounds of protein synthesis in vivo (Contreras & VĂĄzquez, 1977)+ In contrast to the A component, streptogramin B has no direct effect on peptide bond formation with puromycin, in vitro, a property which it shares with the smaller macrolides+ Streptogramin B and these macrolides also share a similar resistance mechanism associated with either N-6 methylation (MLS B phenotype), or mutation, at A2058 within the peptidyl transferase loop of 23S rRNA that is important for peptide bond formation (Cundliffe, 1990;Garrett & RodriguezFonseca, 1995)+ The binding sites of both streptogramin components have been assigned indirectly to nucleotides within the peptidyl transferase loop of 23S rRNA on the basis of chemical footprinting and mutational analyses (Vanuffel et al+, 1992;Rodriguez-Fonseca et al+, 1995;Porse & Garrett, 1999) and, for the B component, to the vicinity of ribosomal proteins L18 and L22 by affinity labeling (Di Giambattista et al+, 1990)+ However, although several lines of evidence suggest that these and other peptidyl transferase drugs interact with rRNA, no direct binding to isolated 23S rRNA has been detected for any of them (reviewed by Kirillov et al+, 1997)+ In the present work, we provide evidence for both a direct interaction of the streptogramin B drug, pristinamycin IA (PIA; Fig+ 1), with highly conserved nucleotides of the peptidyl transferase loop of 23S rRNA and for two PIA-dependent modifications in the same functional rRNA region+ Moreover, we demonstrate that the presence of pristinamycin IIA (PIIA, a streptogramin A), chloramphenicol, carbomycin, tylosin, spiramycin and P-site-bound tRNA alter the PIA-induced effects+ Finally, evidence is provided for the binding of PIA to protein-free mature rRNA, and to small rRNA fragments excised from the peptidyl transferase loop region, which is dependent on at least one posttranscriptional modification+…”