To better understand salt antagonism ofdihydrostreptomycin (DSM) action on Mycobacterium smegmatis, the effects of monovalent and divalent cation salts on drug uptake were studied in relation to the lethal activity of DSM. In Sauton liquid medium NaCl, MgCl2, and SrCl2 inhibited the initial instantaneous binding of [3H]DSM to the organism and suppressed secondary uptake. These data correlated well with the capacity of each salt to prevent the lethal activity of DSM. It was concluded that monovalent and divalent cation salt antagonism of DSM action on M. smegmatis involves nonspecific interference with drug uptake.Previous studies in our laboratory showed that both monovalent and divalent cation salts can antagonize the inhibitory and bactericidal effects of dihydrostreptomycin (DSM) on Mycobacterium smegmatis (3, 4). The mechanisms involved, however, appeared to be different for the two classes of salts (3). Results suggested that antagonism by monovalent cation salts is a nonspecific ionic strength effect. In contrast, neutralization of DSM action by MgSO4 and MgCl2 appeared to involve a divalent cation concentration-dependent mechanism. Since chloride salts of the nutritionally nonessential cations Sr2+ and Ba2+ inhibited DSM action as effectively as the chlorides of Mg2+ and Ca2+ (4), it appeared that divalent cation antagonism is dependent more upon a double positive charge than on a particular metal ion species. We postulated, therefore, that the divalent cation effect, like the ionic strength effect, probably involves nonspecific interactions that suppress cellular uptake of the aminoglycoside. Streptomycin uptake by susceptible organisms appears to be a diphasic process: an initial instantaneous binding followed by a secondary period of time-dependent uptake (1,7,11,14). In the present study, evidence is presented that monovalent and divalent cation salts can interfere with both of these events. Uptake data correlated well with viability studies, showing that each salt prevented or retarded the bactericidal action of DSM.MATERIALS AND METHODS General. The source of M. smegmatis, the composition of Sauton medium, growth conditions, preparation of DSM solutions, additions of test salts, and methods used in viability studies were previously described in detail (3, 5). It should be stated again, however, that Sauton medium was supplemented with test salts on the basis of ionic strength (,I). From the equation ,u = JMZ2/2, where m is the ion molarity and Z is the ion charge, molarities were calculated that gave desired u values.[3H]DSM binding and uptake experiments. Labeled drug ([3H]DSM sesquisulfate) was purchased from Amersham/Searle, Arlington Heights, Ill. The material had a specific activity of 3.0 Ci/mmol (2.1 mCi/mg). Aqueous solutions of labeled and unlabeled DSM sesquisulfate were mixed to give a working stock solution that contained 2.0 ,ug of [3H]DSMfree base plus 18 ,ug of DSM-free base per ml (total of 20 ,ug of DSM, and 5.0 ACi/ml). Overnight 16-to 18-h Sauton cultures ofM. smegmatis grown at 3...