PT - JOURNAL ARTICLE AU - Leroy, Elodie C. AU - Perry, Thomas N. AU - Renault, Thibaud T. AU - Innis, C. Axel TI - Tetracenomycin X sequesters peptidyl-tRNA during translation of QK motifs AID - 10.1101/2022.08.09.503329 DP - 2023 Jan 01 TA - bioRxiv PG - 2022.08.09.503329 4099 - http://biorxiv.org/content/early/2023/01/24/2022.08.09.503329.short 4100 - http://biorxiv.org/content/early/2023/01/24/2022.08.09.503329.full AB - With antibiotic-resistant bacteria threatening our ability to treat common infections, new lead compounds with distinct target binding sites and limited cross-resistance are urgently needed. Natural products that inhibit the bacterial ribosome – a target for more than half of the antibiotics in use today – are a promising source of such leads and have the potential to be developed into potent drugs through structure-guided design. However, because the mechanisms of action of many of these compounds are not well understood, they are often poor candidates for a structure-based approach. Here, we use inverse toeprinting coupled to next-generation sequencing to show that the aromatic polyketide tetracenomycin X (TcmX) primarily inhibits the formation of a peptide bond between an incoming aminoacyl-tRNA and a terminal Gln-Lys (QK) motif in the nascent polypeptide. Using cryogenic electron microscopy, we reveal that translation inhibition at QK motifs occurs via an unusual mechanism involving sequestration of the 3’ adenosine of peptidyl-tRNALys in the drug-occupied nascent polypeptide exit tunnel of the ribosome. Our study provides mechanistic insights into the mode of action of TcmX on the bacterial ribosome and suggests a path forward for the development of novel antibiotics based on a common aromatic polyketide scaffold.Competing Interest StatementThe authors have declared no competing interest.