The pathogen-associated 16S rRNA methyltransferase NpmA catalyzes m 1 A1408 modification to block the action of structurally diverse aminoglycoside antibiotics. Here, we describe the development of a fluorescence polarization binding assay and its use, together with complementary functional assays, to dissect the mechanism of NpmA substrate recognition. These studies reveal that electrostatic interactions made by the NpmA 2/3 linker collectively are critical for docking of NpmA on a conserved 16S rRNA tertiary surface. In contrast, other NpmA regions (5/6 and 6/7 linkers) contain several residues critical for optimal positioning of A1408 but are largely dispensable for 30S binding. Our data support a model for NpmA action in which 30S binding and adoption of a catalytically competent state are distinct: docking on 16S rRNA via the 2/3 linker necessarily precedes functionally critical 30S substrate-driven conformational changes elsewhere in NpmA. This model is also consistent with catalysis being completely positional in nature, as the most significant effects on activity arise from changes that impact binding or stabilization of the flipped A1408 conformation. Our results provide a molecular framework for aminoglycoside resistance methyltransferase action that may serve as a functional paradigm for related enzymes and a starting point for development of inhibitors of these resistance determinants.KEYWORDS RNA binding proteins, aminoglycosides, antibiotic resistance, methyltransferase, rRNA modification, ribosomes A minoglycosides are potent antimicrobial agents used for clinical treatment of life-threatening infections of both Gram-positive and Gram-negative bacteria and are also used routinely for both veterinary and growth promotion applications in agricultural settings (1, 2). Most aminoglycosides bind 16S rRNA helix 44 (h44) to induce conformational changes in the universally conserved nucleotides A1492 and A1493 in the ribosome decoding center. As a result, the bacterial ribosome is rendered unable to accurately discern cognate mRNA-tRNA pairing, thus impairing translational fidelity (3-9). More recent evidence has also suggested an additional 23S rRNA binding site for some aminoglycosides which disrupts intersubunit bridge B2, impacting a ribosomal conformational change required during elongation (10).Both aminoglycoside-producing and human-pathogenic bacteria can achieve high levels of resistance to aminoglycosides by reducing drug permeability or increasing efflux from the cell, enzymatic chemical modification of the drug, or mutation or chemical modification of the aminoglycoside binding site (4,11,12). In particular, S-adenosyl-L-methionine (SAM)-dependent 16S rRNA methyltransferases are the predominant resistance mechanism found in aminoglycoside-producing bacteria and are an increasing clinical concern with their continued emergence in major human patho-