Thiostrepton

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Biosynthesis of Thiostrepton
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Alternative Mechanism for the dehydropiperidine thiopeptides biosynthesis
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Thiostrepton building block
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Total synthesis of thiostrepton

Thiostrepton is a thiopeptide antibiotic that is derived from various strains of Streptomyces. It is a complex compound known for its antibacterial and antiparasitic activities, particularly against Gram-positive bacteria. Thiostrepton works by inhibiting the function of ribosomes in bacteria, which are essential for protein synthesis. By binding to the ribosomal RNA (rRNA) of the 50S subunit, it interferes with the formation of the peptidyl transferase center, thus preventing the synthesis of new proteins and leading to the death of the bacterial cell.

Mechanism of Action[edit | edit source]

Thiostrepton's mechanism of action is primarily through the inhibition of protein synthesis. It binds to a specific site on the 23S rRNA of the 50S ribosomal subunit. This binding disrupts the formation of the peptide bond during protein synthesis, which is a critical step in the translation process. As a result, thiostrepton effectively halts the growth of susceptible bacteria by stopping their ability to produce essential proteins.

Clinical Uses[edit | edit source]

Thiostrepton is used in veterinary medicine more than in human medicine. It is effective against a range of Gram-positive organisms and is commonly included in topical ointments and powders for the treatment of skin infections in animals. Its use in humans is limited due to its potential for causing adverse reactions and its poor absorption when taken orally. However, research continues into its potential applications in human medicine, particularly for treating antibiotic-resistant bacterial infections.

Resistance[edit | edit source]

Bacterial resistance to thiostrepton, although not as common as resistance to other antibiotics, has been observed. Resistance mechanisms include mutations in the target rRNA that reduce the binding affinity of thiostrepton and the production of enzymes that can inactivate the antibiotic. The development of resistance highlights the need for careful use of thiostrepton and ongoing research into overcoming resistance mechanisms.

Pharmacology[edit | edit source]

Due to its poor absorption from the gastrointestinal tract, thiostrepton is primarily administered topically or by injection in veterinary applications. Its pharmacokinetics in animals have been studied to optimize its use in treating infections without causing significant side effects. The compound's pharmacological properties, including its distribution, metabolism, and excretion, are important considerations in its therapeutic use.

Safety and Side Effects[edit | edit source]

Thiostrepton is generally considered safe for topical use in animals, with minimal systemic absorption and side effects. However, like all antibiotics, its use must be judicious to minimize the risk of developing antibiotic resistance. In cases where thiostrepton is used in higher doses or in sensitive species, it may cause local irritation or allergic reactions.

Conclusion[edit | edit source]

Thiostrepton remains an important antibiotic in veterinary medicine, with potential applications in human medicine still being explored. Its role in combating antibiotic-resistant bacteria makes it a valuable tool in the ongoing fight against bacterial infections. Continued research into its mechanism of action, potential resistance mechanisms, and pharmacological properties will help to ensure its effective and safe use in the future.


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Contributors: Prab R. Tumpati, MD