Oxazolidinones are potent inhibitors of bacterial protein biosynthesis. Pre
vious studies have demonstrated that this new class of antimicrobial agent
blocks translation by inhibiting initiation complex formation, while post-i
nitiation translation by polysomes and poly(U)-dependent translation is not
a target for these compounds. We found that oxazolidinones inhibit transla
tion of natural mRNA templates but have no significant effect on poly(A)-de
pendent translation. Here we show that various oxazolidinones inhibit ribos
omal peptidyltransferase activity in the simple reaction of 70 S ribosomes
using initiator-tRNA or N-protected CCA-Phe as a P-site substrate and purom
ycin as an A-site substrate. Steady-state kinetic analysis shows that oxazo
lidinones display a competitive inhibition pattern with respect to both the
P-site and A-site substrates. This is consistent with a rapid equilibrium,
ordered mechanism of the peptidyltransferase reaction, wherein binding of
the A-site substrate can occur only after complex formation between peptidy
ltransferase and the P-site substrate. We propose that oxazolidinones inhib
it bacterial protein biosynthesis by interfering with the binding of initia
tor fMet-tRNA(i)(Met) to the ribosomal peptidyltransferase P-site, which is
vacant only prior to the formation of the first peptide bond.