Macrolide-lincosamide-streptogramin B resistance is widespread, with the determinants encoding resistance to antibiotics such as erythromycin being detected in many bacterial pathogens. Resistance is most commonly mediated by the production of an Erm protein, a 23S rRNA methyltransferase. We have undertaken a mutational analysis of the Erm(B) protein from Clostridium perfringens with the objective of developing a greater understanding of the mechanism of action of this protein. A recombinant plasmid that carried the erm(B) gene was mutated by either in vitro hydroxylamine mutagenesis or passage through the mutator strain XL1-Red. Twenty-eight independently derived mutants were identified, nine of which had single point mutations in the erm(B) gene. These mutants produced stable but nonfunctional Erm(B) proteins, and all had amino acid changes within conserved methyltransferase motifs that were important for either substrate binding or catalysis. Modeling of the C. perfringens Erm(B) protein confirmed that the point mutations all involved residues important for the structure and/or function of this rRNA methyltransferase. These regions of the protein therefore represent potential targets for the rational development of methyltransferase inhibitors.Macrolide, lincosamide, and streptogramin B (MLS) antibiotics are a diverse group of antibacterial agents that are chemically distinct but that have similar modes of action. They act at the early stages of protein synthesis by blocking the growth of the nascent peptide chain (1), which then presumably causes the premature dissociation of the peptidyl-tRNA molecule from the ribosome (22). These antibiotics include erythromycin, clindamycin, and lincomycin and are active against various bacteria, including gram-positive cocci and rods and gramnegative cocci.Four mechanisms of bacterial resistance to MLS antibiotics have been detected; they involve enzymatic modification of the antibiotic, active efflux from the bacterial cell, mutation of the ribosomal target site, or, most commonly, enzyme-mediated chemical alteration of the rRNA target (18,19,33). The last mechanism is mediated by the synthesis of a 23S rRNA methyltransferase, which is responsible for the N 6 -dimethylation of a specific adenine residue in the 23S rRNA molecule (17).Methyltransferases are enzymes that methylate a wide variety of substrates; they use S-adenosyl-L-methionine (SAM) as the universal methyl donor and release S-adenosyl-L-homocysteine as the reaction product (4). Comparative analysis of over 40 DNA amino-methyltransferases (21) revealed the presence of nine conserved sequence motifs that are important in target sequence specificity, catalysis, and SAM binding (Fig. 1). Motif I is highly conserved and forms a secondary structure known as the G loop which binds to the methionine moiety of SAM.Motifs II and III are less conserved, with motif II containing a negatively charged amino acid that interacts with the ribose hydroxyls of SAM and a bulky hydrophobic side chain that makes contact with the...