Linezolid is known to inhibit protein synthesis by acting on which ribosomal subunit?

Explore the USMLE Step 3 Drug MOA Test. Use flashcards and multiple-choice questions, each with hints and explanations. Ace your exam with confidence!

Linezolid inhibits protein synthesis by binding to the 50S ribosomal subunit. This mechanism of action interferes with the formation of the initiation complex for protein translation, thereby preventing the synthesis of bacterial proteins. Specifically, Linezolid binds to the peptidyl transferase center of the 50S ribosomal subunit, which is essential for peptide bond formation during protein synthesis.

Inhibiting this stage of translation is particularly effective against Gram-positive bacteria, including strains resistant to other antibiotics, as it effectively disrupts their ability to produce proteins necessary for growth and replication. This targeted action on the 50S subunit characterizes Linezolid's unique role among antibiotics, making it an important agent in the treatment of multi-drug-resistant bacterial infections.

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