Basis for selective drug evasion of an aminoglycoside-resistance ribosomal RNA modification

Debayan Dey1, Jacob M Mattingly2,3, Natalia Zelinskaya1

  • 1Department of Biochemistry, Emory University School of Medicine, Atlanta, GA, USA.

Nature Communications
|August 27, 2025
PubMed

Insights

Some aminoglycosides overcome bacterial resistance by adapting their structure to bind modified ribosomal RNA (rRNA). This study reveals how specific chemical modifications allow these drugs to evade resistance, guiding future antibiotic development.

Area of Science:

  • Microbiology
  • Structural Biology
  • Drug Discovery

Background:

  • Aminoglycosides are crucial antibiotics targeting bacterial protein synthesis.
  • Bacterial resistance, often via ribosomal RNA (rRNA) methylation, reduces aminoglycoside efficacy.
  • Methylation at A1408 (m1A1408) variably impacts aminoglycoside potency.

Purpose of the Study:

  • To investigate bacterial susceptibility to aminoglycosides in the presence of m1A1408.
  • To elucidate the structural basis of aminoglycoside "resistance evasion" at high resolution.
  • To identify design principles for developing novel aminoglycosides resistant to rRNA modification.

Main Methods:

  • Bacterial susceptibility testing against diverse aminoglycosides.
  • High-resolution cryo-electron microscopy (cryo-EM) of modified ribosome-aminoglycoside complexes.
  • Molecular dynamics (MD) simulations to analyze molecular interactions.

Main Results:

  • Observed variable potency of aminoglycosides against the m1A1408 modification.
  • Determined cryo-EM structures revealing how some aminoglycosides adapt conformation.
  • MD simulations identified key structural adaptations, including substituent roles and compensatory interactions.

Conclusions:

  • Specific aminoglycosides can evade resistance conferred by m1A1408 through conformational adaptation.
  • Ligand strain, substituent effects, and compensatory interactions are critical for maintaining potency.
  • Findings provide a foundation for designing next-generation aminoglycosides effective against resistant bacteria.

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