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Updated: Apr 22, 2026

Measurement of Specific Mycobacterial Mistranslation Rates with Gain-of-function Reporter Systems
Published on: April 26, 2019
Sequence selectivity of macrolide-induced translational attenuation
Amber R Davis1, David W Gohara1, Mee-Ngan F Yap2
1Edward A. Doisy Department of Biochemistry and Molecular Biology, Saint Louis University School of Medicine, St. Louis, MO 63104.
Abstract:
The prevailing "plug-in-the-bottle" model suggests that macrolide antibiotics inhibit translation by binding inside the ribosome tunnel and indiscriminately arresting the elongation of every nascent polypeptide after the synthesis of six to eight amino acids. To test this model, we performed a genome-wide analysis of translation in azithromycin-treated Staphylococcus aureus. In contrast to earlier predictions, we found that the macrolide does not preferentially induce ribosome stalling near the 5' end of mRNAs, but rather acts at specific stalling sites that are scattered throughout the entire coding region. These sites are highly enriched in prolines and charged residues and are strikingly similar to other ligand-independent ribosome stalling motifs. Interestingly, the addition of structurally related macrolides had dramatically different effects on stalling efficiency. Our data suggest that ribosome stalling can occur at a surprisingly large number of low-complexity motifs in a fashion that depends only on a few arrest-inducing residues and the presence of a small molecule inducer.
Insights
Macrolide antibiotics like azithromycin do not stall bacterial protein synthesis at a fixed point. Instead, they cause specific ribosome stalling at diverse sites rich in proline and charged residues.
Area of Science:
- Microbiology
- Molecular Biology
- Antibiotic Resistance
Background:
- The "plug-in-the-bottle" model posits macrolide antibiotics halt bacterial translation universally after 6-8 amino acids.
- This model suggests indiscriminate inhibition within the ribosome tunnel.
Purpose of the Study:
- To investigate the precise mechanism of macrolide-induced translation inhibition in Staphylococcus aureus.
- To challenge the prevailing "plug-in-the-bottle" model of macrolide action.
Main Methods:
- Genome-wide analysis of translation.
- Treatment of Staphylococcus aureus with azithromycin.
- Identification and characterization of ribosome stalling sites.
Main Results:
- Macrolides do not induce preferential ribosome stalling near the 5' end of mRNAs.
- Specific stalling sites are scattered throughout coding regions, enriched in prolines and charged residues.
- Structurally similar macrolides exhibit varying stalling efficiencies.
Conclusions:
- Ribosome stalling by macrolides is not indiscriminate but occurs at specific motifs.
- Stalling efficiency depends on arrest-inducing residues and the presence of the macrolide inducer.
- The "plug-in-the-bottle" model is an oversimplification of macrolide antibiotic action.
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