Aminoglycoside 2؆-phosphotransferases mediate high level resistance to aminoglycoside antibiotics in Gram-positive microorganisms, thus posing a serious threat to the treatment of serious enterococcal infections. This work reports on cloning, purification, and detailed mechanistic characterization of aminoglycoside 2؆-phosphotransferase, known as type Ic enzyme. In an unexpected finding, the enzyme exhibits strong preference for guanosine triphosphate over adenosine triphosphate as the phosphate donor, a unique observation among all characterized aminoglycoside phosphotransferases. The enzyme phosphorylates only certain 4,6-disubstituted aminoglycosides exclusively at the 2؆-hydroxyl with k cat values of 0.5-1.0 s ؊1 and K m values in the nanomolar range for all substrates but kanamycin A. Based on this unique substrate profile, the enzyme is renamed aminoglycoside 2؆-phosphotransferase type IIIa. Product and deadend inhibition patterns indicated a random sequential Bi Bi mechanism. Both the solvent viscosity effect and determination of the rate constant for dissociation of guanosine triphosphate indicated that at pH 7.5 the release of guanosine triphosphate is rate-limiting. A computational model for the enzyme is presented that sheds light on the structural aspects of interest in this family of enzymes.The main mechanism of resistance of bacteria to aminoglycoside antibiotics is the enzymatic modification of the amino or hydroxyl groups of these drugs (1). Aminoglycoside phosphotransferases (APHs) 2 catalyze the regiospecific transfer of the ␥-phosphoryl group of ATP to one of the aminoglycoside hydroxyls. This mechanism of resistance is particularly relevant for clinical enterococcal and staphylococcal isolates (2). Despite the widespread occurrence of aminoglycoside phosphotransferases in pathogenic bacteria, only a few of these enzymes have been characterized mechanistically (3-6). The most prevalent aminoglycoside phosphotransferases are the APH(3Ј)s, which transfer a phosphate group to the 3Ј-hydroxyl of kanamycin A (7). From this class, APH(3Ј)-IIIa has been the best studied (4, 8 -10). Product and dead end inhibition, solvent isotope, and viscosity effect experiments have shown that this enzyme follows a Theorell-Chance mechanism for turnover chemistry, with ordered substrate binding (ATP prior to aminoglycoside) and sequential product release (the release of ADP occurs last in the rate-limiting step) (4). It has also been suggested that this enzyme involves a loose, or dissociative, transition state for the phosphate transfer (9), in agreement with the findings for the nonenzymatic phosphate transfer in monoesters (11).The presence of what came to be known as the aph(2Љ) antibiotic resistance genes (aph(2Љ)-Ia, -Ib, -Ic, and -Id) in enterococci was shown to eliminate the synergistic killing achieved by the combination of gentamicin with a cell wall active antimicrobial agent, such as ampicillin (12). The results that are described herein reveal for the first time that the mechanistic information preclu...