Macrolide Antibiotics

Macrolides contain a characteristic macrolactone ring which can range in size from 12 to 16 atoms and forms the core of these ribosome-targeting antibiotics. Most of the clinically relevant macrolides contain a 14 atoms core (e.g., Erythromycin and Clarithromycin). The side chains appended to the macrolactone define many important biological and clinical properties of macrolides. Specific sugar residues are usually linked at the C3 and C5 positions of the ring. Macrolide antibiotics play an antibacterial role by targeting the bacterial ribosome and inhibiting protein synthesis.