2000
DOI: 10.1128/aac.44.12.3249-3256.2000
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Aminoglycosides: Perspectives on Mechanisms of Action and Resistance and Strategies to Counter Resistance

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Cited by 457 publications
(337 citation statements)
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“…Aminoglycoside antibiotics are known to primarily bind to the 30S ribosomal subunit, inhibiting protein synthesis (46). As a consequence, aminoglycosides have also been shown to disrupt the cell envelope leading to cell death.…”
Section: Discussionmentioning
confidence: 99%
“…Aminoglycoside antibiotics are known to primarily bind to the 30S ribosomal subunit, inhibiting protein synthesis (46). As a consequence, aminoglycosides have also been shown to disrupt the cell envelope leading to cell death.…”
Section: Discussionmentioning
confidence: 99%
“…This is highlighted by the finding of the rmtA, rmtB and armA genes [26,27] causing a posttranscriptional 16S rRNA methylation. Aminoglycoside resistance can also occur by point mutations in the rrs gene, encoding the 16S rRNA of the 30S subunit, or by mutations in the rpsL gene, encoding the 30S ribosomal protein S12.…”
Section: Target Site Alterationmentioning
confidence: 99%
“…However, multidrug resistance is rapidly emerging in P. aeruginosa, whose spectrum of resistance often includes aminoglycosides as well as broad-spectrum ␤-lactams and fluoroquinolones (15). The most frequently encountered molecular mechanism for aminoglycoside resistance in P. aeruginosa is the production of aminoglycoside-modifying enzymes such as plasmid-dependent acetyltransferase (AAC), adenylyltransferase (AAD), and phosphotransferase (APH) (6,17,23). Among these, production of AAC(6Ј)-II and AAD(2Љ)-I is the most common mechanism for resistance to aminoglycosides in P. aeruginosa (1), although ribosomal mutations also play some part in aminoglycoside resistance (20).…”
mentioning
confidence: 99%