Pharmacology · Antimicrobials (Cell Wall Inhibitors, Protein Synthesis Inhibitors, Fluoroquinolones)

Which molecular event explains the bactericidal action of aminoglycosides such as gentamicin?

  • A Binding the 23S rRNA of the 50S subunit and blocking translocation
  • B Blocking peptidyl transferase at the 50S acceptor site
  • C Binding the 30S ribosomal subunit and causing misreading of mRNA codons
  • D Preventing formation of the initiation complex between mRNA and fMet-tRNA
Correct answer: C. Binding the 30S ribosomal subunit and causing misreading of mRNA codons

Explanation

Aminoglycosides bind irreversibly to the 30S ribosomal subunit near the A site and interfere with proofreading of the codon-anticodon match, so wrong amino acids are inserted and nonfunctional proteins accumulate. Option D describes aminoglycoside effect only partially at very low concentrations, while option C is the classic accepted answer. Option A describes macrolides and option B describes chloramphenicol and lincosamides.

Reference: Katzung Basic and Clinical Pharmacology, 15th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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