Fortimicins are bicyclic aminoglycoside antibiotics that contain a fortamine moiety instead of the deoxystreptamine found in other aminoglysides. Fortimicin A had a bactericidal effect on Escherichia coli and Staphylococcus epidermnidis and was found to inhibit protein synthesis in vivo. In vitro, fortimicin A inhibited polyuridylic acid-directed phenylalanine polymerization and induced misreading, as shown by leucine incorporation. In contrast, fortimicin B had no effect on either polymerization or misreading. In assays programmed with natural mRNA, only a weak polymerization inhibition effect was observed with fortimicin A, whereas a strong stimulation was seen in the presence of fortimicin B. inactivation, has prompted us to explore the mode of action of fortimicins. Fortimicins are structurally different from major aminoglycosides, since they incorporate fortamine, a novel aminocyclitol moiety, instead of 2-deoxystreptamine. To our knowledge, no study dealing with the mode of action of molecules from this series has been published. It was therefore interesting to carry out such a study, and it would not be surprising to find that the mode of action of these molecules, although related, differs from that of the other aminoglycosides. As a matter of fact, it is well known (24) that streptomycin and apramycin, which are structurally different from major aminoglycosides, exert different effects on protein synthesis. Moreover, it is now well documented (9, 18) that even the aminoglycosides of the deoxystreptamine group do not share either a common binding site or a common mode of action on the bacterial ribosome.This work is divided into three parts: (i) effects on whole bacteria, (ii) study of biosyntheses in vitro; and (iii) binding to the bacterial ribosome.MATERIALS AND METHODS Materials. Materials were obtained from the following sources: fortimicins A and B, Abbott Laboratories; gentamicin C, Unilabo; kanamycin A, Allard-Bristol; tobramycin, Eli Lilly & Co.; neomycin B, Roussel-Uclaf; streptomycin, Rhone Poulenc.