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Antimicrobial Agents and Chemotherapy, September 2007, p. 3385-3387, Vol. 51, No. 9
0066-4804/07/$08.00+0 doi:10.1128/AAC.00475-07
Copyright © 2007, American Society for Microbiology. All Rights Reserved.
Retapamulin Inhibition of Translation and 50S Ribosomal Subunit Formation in Staphylococcus aureus Cells
W. Scott Champney* and
Ward K. Rodgers
Department of Biochemistry and Molecular Biology, J. H. Quillen College of Medicine, East Tennessee State University, Johnson City, Tennessee 37614
Received 6 April 2007/
Returned for modification 7 May 2007/
Accepted 30 May 2007

ABSTRACT
Retapamulin inhibited protein biosynthesis and cell viability
in methicillin-sensitive and methicillin-resistant
Staphylococcus aureus organisms. A specific inhibitory effect on 50S ribosomal
subunit formation was also found. Pulse-chase labeling experiments
confirmed the specific inhibition of 50S subunit biogenesis.
Turnover of 23S rRNA was found, with no effect on 16S rRNA amounts.

TEXT
The emergence of antibiotic-resistant microorganisms has stimulated
a search for new antibacterial agents to combat this serious
crisis (
1,
10,
12). New antibacterial agents with promise are
derivatives of the pleuromutilin compounds. Semisynthetic derivatives
of the mutilins which show enhanced antibacterial activity against
a variety of pathogens have been made. Retapamulin (SB 275833)
is especially effective against gram-positive cocci (
13,
15,
19). Inhibition of peptide bond formation is the basis of its
inhibitory activity (
22). A crystal structure of the antibiotic
bound to the 50S subunit was recently derived (
11). This antibiotic
is currently in use as an FDA-approved topical antimicrobial
agent (
20).
Biogenesis of the 50S particle is prevented by many agents which bind to the large ribosomal subunit (reviewed by Champney [3]). The inhibition of 50S subunit functions in translation by the compound retapamulin stimulated a test of this compound's ability to stop synthesis of this subunit (16, 22).
Retapamulin inhibitory effects on translation and cell growth were examined over a range of concentrations in both wild-type (wt) Staphylococcus aureus strain RN1786 (14) and methicillin-resistant S. aureus (MRSA) strain A1024 (6). MICs for the two strains were 35 and 55 ng/ml, respectively.
Figure 1A shows the inhibition of protein synthesis in the two organisms. Similar inhibitory effects on cell viability were seen (Fig. 1B), with comparable 50% inhibitory concentrations (IC50 values) (Table 1). Retapamulin inhibition of 50S subunit synthesis was also examined in both strains. As Fig. 1C and D show, a specific inhibitory effect on large subunit formation was seen, with IC50 values of 27 ng/ml and 20 ng/ml for the two strains (Table 1). No inhibition of 30S particle formation was found.
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TABLE 1. IC50 values of retapamulin for inhibition of TVC, protein synthesis, and 50S subunit synthesis in S. aureus strainsa
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The effect of the antibiotic on ribosome synthesis was also
examined by a pulse-chase labeling protocol. Figure
2 indicates
the rates of subunit formation in control and retapamulin-treated
MRSA cells. Synthesis of the 30S subunit was unaffected by the
antibiotic (Fig.
2B), but the 50S formation rate was reduced
(Fig.
2B). Specific inhibition of the rate of 50S subunit biogenesis
was also observed in the wt cells (data not shown).
Inhibition of 50S synthesis leads to the accumulation of stalled
intermediates in the assembly pathway, which are degraded by
cellular ribonucleases in
Escherichia coli cells (
21). Retapamulin
was examined for effects on 23S rRNA turnover in both strains.
A reduction in 23S rRNA amounts was found by Agilent Bioanalyzer
analysis (Fig.
3). About 25% of the 23S rRNA was lost in both
organisms during growth at 10 ng/ml of the antibiotic (Table
2). A substantial increase in small RNA oligonucleotides was
found for cells growing with retapamulin (Fig.
3 and Table
2).
Like several other 50S subunit-specific antibiotics, retapamulin
has dual inhibitory effects in
S. aureus cells. Both translation
and 50S subunit formation were significantly affected by antibiotic
treatment. Other 50S subunit antibiotics, including erythromycin
(
4), clarithromycin and azithromycin (
5), telithromycin (
9),
linezolid (
7), TAN1057A (
8), and quinupristin-dalfopristin (
17),
have the same dual-target specificity.
In the wt organism, retapamulin showed a preferential inhibitory effect on protein synthesis, with about five times as much drug needed to give an equivalent inhibition of 50S formation (Table 1). In the MRSA organism, 50S synthesis and translation were inhibited to the same extent by the antibiotic (Table 1). This difference in sensitivity to the drug may reflect the different clinical origins of these strains (6, 14).
The close similarity of the inhibitory effects of retapamulin on methicillin-sensitive S. aureus and MRSA suggests its potential as an effective antimicrobial agent against these problematic organisms. Others have also shown equivalent inhibitory effects of retapamulin against both sensitive and resistant S. aureus strains (19, 20). It is thus a promising antimicrobial agent which should be useful against a variety of drug-resistant microorganisms.

ACKNOWLEDGMENTS
This research was supported by a grant from GlaxoSmithKline,
who also provided retapamulin.
We are pleased to acknowledge helpful discussions with Karen O'Dwyer at GlaxoSmithKline.

FOOTNOTES
* Corresponding author. Mailing address: Department of Biochemistry and Molecular Biology, J. H. Quillen College of Medicine, East Tennessee State University, Johnson City, TN 37614. Phone: (423) 439-2022. Fax: (423) 439-2030. E-mail:
champney{at}etsu.edu 
Published ahead of print on 11 June 2007. 

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Antimicrobial Agents and Chemotherapy, September 2007, p. 3385-3387, Vol. 51, No. 9
0066-4804/07/$08.00+0 doi:10.1128/AAC.00475-07
Copyright © 2007, American Society for Microbiology. All Rights Reserved.
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