Drug General Information
Drug ID D0N0EQ
Drug Name Streptomycin
Synonyms Agrept; Agrimycin; Gerox; Neodiestreptopab; SRY; Strepcen; Streptomicina; Streptomycine; Streptomycinum; Streptomyzin; Liposomal Streptomycin; Streptomicina [Italian]; Streptomycin A; Streptomycin A sulfate; Streptomycin Sesquisulfate Hydrate; Streptomycin sulfate; Streptomycin sulphate; Streptomyzin [German]; Agrept (TN); Estreptomicina [INN-Spanish]; Hokko-mycin; Plantomycin (TN); Rimosidin (TN); Streptomycin & EEP; Streptomycin & Propolis; Streptomycin (INN); Streptomycin (TN); Streptomycin [INN:BAN]; Streptomycin, Sulfate Salt; AS-50 (TN); STREPTOMYCIN SULFATE (2:3) SALT; Agri-mycin-17 (TN); O-2-Deoxy-2-(methylamino)-.alpha.-L-glucopyranosyl-(1->2)-O-5-deoxy-3-C-formyl-.alpha.-L-lyxofuranosyl-(1->4)-N,N'-bis(aminoiminomethyl)-D-streptamine and Liposome; N,N'''-[(1R,2R,3S,4R,5R,6S)-4-{5-deoxy-2-O-[2-deoxy-2-(methylamino)-alpha-L-glucopyranosyl]-3-C-formyl-alpha-L-lyxofuranosyloxy}-2,5,6-trihydroxycyclohexane-1,3-diyl]diguanidine; N,N'''-[(1R,2R,3S,4R,5R,6S)-4-({5-deoxy-2-O-[2-deoxy-2-(methylamino)-alpha-L-glucopyranosyl]-3-C-formyl-alpha-L-lyxofuranosyl}oxy)-2,5,6-trihydroxycyclohexane-1,3-diyl]diguanidine; 2,4-Diguanidino-3,5,6-trihydroxycyclohexyl 5-deoxy-2-O-(2-deoxy-2-methylamino-alpha-L-glucopyranosyl)-3-C-formyl-beta-L-lyxopentanofuranoside; 2-[(1R,2R,3S,4R,5R,6S)-3-(diaminomethylideneamino)-4-[(2R,3R,4R,5S)-3-[(2S,3S,4S,5R,6S)-4,5-dihydroxy-6-(hydroxymethyl)-3-(methylamino)oxan-2-yl]oxy-4-formyl-4-hydroxy-5-methyloxolan-2-yl]oxy-2,5,6-trihydroxycyclohexyl]guanidine; 2-[(1R,2R,3S,4R,5R,6S)-3-(diaminomethylideneamino)-4-[(2S,3S,4S,5R)-3-[(2R,3R,4R,5S,6R)-4,5-dihydroxy-6-(hydroxymethyl)-3-(methylamino)oxan-2-yl]oxy-4-formyl-4-hydroxy-5-methyloxolan-2-yl]oxy-2,5,6-trihydroxycyclohexyl]guanidine; 2-[(1S,2S,3R,4S,5S,6R)-3-(diaminomethylideneamino)-4-[(2R,3R,4R,5S)-3-[(2S,3S,4S,5R,6S)-4,5-dihydroxy-6-(hydroxymethyl)-3-(methylamino)oxan-2-yl]oxy-4-formyl-4-hydroxy-5-methyloxolan-2-yl]oxy-2,5,6-trihydroxycyclohexyl]guanidine; 2-[(1S,4S)-5-(diaminomethylideneamino)-2-[(2R,5S)-3-[(2S,5R)-4,5-dihydroxy-6-(hydroxymethyl)-3-(methylamino)oxan-2-yl]oxy-4-formyl-4-hydroxy-5-methyloxolan-2-yl]oxy-3,4,6-trihydroxycyclohexyl]guanidine; [2-deoxy-2-(dimethylamino)-alpha-L-glucopyranosyl]-(1->2)-[5-deoxy-3-C-formyl-alpha-L-lyxofuranosyl]-(1->4)-{N',N'''-[(1,3,5/2,4,6)-2,4,5,6-tetrahydroxycyclohexane-1,3-diyl]diguanidine}
Drug Type Small molecular drug
Therapeutic Class Antibiotics
Company Merck & Co
Structure D0N0EQ
Drug Resistance Mutations
Target Name Bacterial 30S ribosomal protein S12 (rpsL) Target Info
Gene Name rpsL
Uniprot ID RS12_MYCTU
Species Mycobacterium tuberculosis
Reference Sequence MPTIQQLVRKGRRDKISKVKTAALKGSPQRRGVCTRVYTTTPKKPNSALRKVARVKLTSQ
VEVTAYIPGEGHNLQEHSMVLVRGGRVKDLPGVRYKIIRGSLDTQGVKNRKQARSRYGAK
KEKG [Mycobacterium tuberculosis]
Targeted Disease Tuberculosis
Drug Resistance Mutations
Mutation info Missense: T40I [1], [2]
Mutation info Missense: K43R [2], [3]
Mutation info Missense: K88Q [2], [4]
Mutation Frequency 9 out of 139 isolates
Mutation info Missense: K88R [2], [5]
Mutation Frequency 2 out of 15 isolates
Mutation info Missense: G84V [1]
Mutation info Missense: K51N [1]
Mutation info Missense: R86W [1]
Mutation info Missense: T41S [1]
Mutation info Missense: V52G [1]
Mutation info Missense: V87L [1]
Mutation info Missense: R86P [6]
Mutation info Missense: K43T [5]
Mutation Frequency 5 out of 15 isolates
Mutation info Missense: R9H [4]
Mutation Frequency 1 out of 139 isolates
Mutation info Missense: V93M [4]
Mutation Frequency 1 out of 139 isolates
Mutation info Missense: K88M [10]
Mutation Frequency 10 out of 17 isolates
Mutation info Missense: K88T [10]
Mutation Frequency 10 out of 17 isolates
Target Name Bacterial Glucose-inhibited division protein B (gid) Target Info
Gene Name gid
Uniprot ID RSMG_MYCTU
Species Mycobacterium tuberculosis
Reference Sequence MSPIEPAASAIFGPRLGLARRYAEALAGPGVERGLVGPREVGRLWDRHLLNCAVIGELLE
RGDRVVDIGSGAGLPGVPLAIARPDLQVVLLEPLLRRTEFLREMVTDLGVAVEIVRGRAE
ESWVQDQLGGSDAAVSRAVAALDKLTKWSMPLIRPNGRMLAIKGERAHDEVREHRRVMIA
SGAVDVRVVTCGANYLRPPATVVFARRGKQIARGSARMASGGTA [Mycobacterium
tuberculosis]
Targeted Disease Tuberculosis
Drug Resistance Mutations
Mutation info Missense: A134E [6]
Mutation Frequency 19 out of 57 isolates in all gidB mutations
Mutation info Missense: A138E [6]
Mutation Frequency 19 out of 57 isolates in all gidB mutations
Mutation info Missense: A183E [6]
Mutation Frequency 19 out of 57 isolates in all gidB mutations
Mutation info Missense: A200E [6]
Mutation Frequency 19 out of 57 isolates in all gidB mutations
Mutation info Missense: D67H [6]
Mutation Frequency 19 out of 57 isolates in all gidB mutations
Mutation info Nonsense: E103 STOP [6]
Mutation Frequency 19 out of 57 isolates in all gidB mutations
Mutation info Nonsense: E40 STOP [6]
Mutation Frequency 19 out of 57 isolates in all gidB mutations
Mutation info Missense: E92D [6]
Mutation Frequency 19 out of 57 isolates in all gidB mutations
Mutation info Missense: G71V [6]
Mutation Frequency 19 out of 57 isolates in all gidB mutations
Mutation info Missense: I55S [6]
Mutation Frequency 19 out of 57 isolates in all gidB mutations
Mutation info Missense: L16R [6]
Mutation Frequency 19 out of 57 isolates in all gidB mutations
Mutation info Missense: P75A [6]
Mutation Frequency 19 out of 57 isolates in all gidB mutations
Mutation info Frameshift: Plus 117 [6]
Mutation info Frameshift: Plus 34 [6]
Mutation info Frameshift: Plus 39 [6]
Mutation info Nonsense: Q125 STOP [6]
Mutation Frequency 19 out of 57 isolates in all gidB mutations
Mutation info Missense: Q127P [6]
Mutation Frequency 19 out of 57 isolates in all gidB mutations
Mutation info Missense: R47Q [6]
Mutation Frequency 19 out of 57 isolates in all gidB mutations
Mutation info Missense: S70R [6]
Mutation Frequency 19 out of 57 isolates in all gidB mutations
Mutation info Missense: V188G [6]
Mutation Frequency 19 out of 57 isolates in all gidB mutations
Mutation info Missense: W148R [8]
Mutation Frequency 4 out of 79 isolates
Mutation info Missense: W45C [8]
Mutation Frequency 4 out of 79 isolates
Target Name Bacterial 16S ribosomal RNA (rrs) Target Info
Gene Name rrs
Species Mycobacterium tuberculosis
Targeted Disease Tuberculosis
Drug Resistance Mutations
Mutation info Frameshift: Plus 1061 [7]
Mutation info Frameshift: Plus 512 [9]
Mutation info Frameshift: Plus 907 [10]
Mutation Frequency 7 out of 17 patients
Target Name Bacterial DNA gyrase subunit B (gyrB) Target Info
Gene Name gyrB
Uniprot ID GYRB_MYCTU
Species Mycobacterium tuberculosis
Reference Sequence MAAQKKKAQDEYGAASITILEGLEAVRKRPGMYIGSTGERGLHHLIWEVVDNAVDEAMAG
YATTVNVVLLEDGGVEVADDGRGIPVATHASGIPTVDVVMTQLHAGGKFDSDAYAISGGL
HGVGVSVVNALSTRLEVEIKRDGYEWSQVYEKSEPLGLKQGAPTKKTGSTVRFWADPAVF
ETTEYDFETVARRLQEMAFLNKGLTINLTDERVTQDEVVDEVVSDVAEAPKSASERAAES
TAPHKVKSRTFHYPGGLVDFVKHINRTKNAIHSSIVDFSGKGTGHEVEIAMQWNAGYSES
VHTFANTINTHEGGTHEEGFRSALTSVVNKYAKDRKLLKDKDPNLTGDDIREGLAAVISV
KVSEPQFEGQTKTKLGNTEVKSFVQKVCNEQLTHWFEANPTDAKVVVNKAVSSAQARIAA
RKARELVRRKSATDIGGLPGKLADCRSTDPRKSELYVVEGDSAGGSAKSGRDSMFQAILP
LRGKIINVEKARIDRVLKNTEVQAIITALGTGIHDEFDIGKLRYHKIVLMADADVDGQHI
STLLLTLLFRFMRPLIENGHVFLAQPPLYKLKWQRSDPEFAYSDRERDGLLEAGLKAGKK
INKEDGIQRYKGLGEMDAKELWETTMDPSVRVLRQVTLDDAAAADELFSILMGEDVDARR
SFITRNAKDVRFLDV [Mycobacterium tuberculosis]
Targeted Disease Tuberculosis
Drug Resistance Mutations
Mutation info Missense: N52T [2]
References
REF 1 Molecular characterisation of streptomycin-resistant Mycobacterium tuberculosis strains isolated in Poland. Int J Tuberc Lung Dis. 2004 Aug;8(8):1032-5.
REF 2 CARD 2017: expansion and model-centric curation of the comprehensive antibiotic resistance database. Nucleic Acids Res. 2017 Jan 4;45(D1):D566-D573.
REF 3 The rpsL gene and streptomycin resistance in single and multiple drug-resistant strains of Mycobacterium tuberculosis. Mol Microbiol. 1993 Nov;10(3):521-7.
REF 4 Characterization of rpsL and rrs mutations in streptomycin-resistant Mycobacterium tuberculosis isolates from diverse geographic localities. Antimicrob Agents Chemother. 1996 Apr;40(4):1024-6.
REF 5 Molecular basis of streptomycin resistance in Mycobacterium tuberculosis: alterations of the ribosomal protein S12 gene and point mutations within a functional 16S ribosomal RNA pseudoknot. Mol Microbiol. 1993 Sep;9(6):1239-46.
REF 6 Loss of a conserved 7-methylguanosine modification in 16S rRNA confers low-level streptomycin resistance in bacteria. Mol Microbiol. 2007 Feb;63(4):1096-106.
REF 7 Development and evaluation of a line probe assay for rapid identification of pncA mutations in pyrazinamide-resistant mycobacterium tuberculosis st... J Clin Microbiol. 2007 Sep;45(9):2802-7.
REF 8 Identification of mutations related to streptomycin resistance in clinical isolates of Mycobacterium tuberculosis and possible involvement of efflux mechanism. Antimicrob Agents Chemother. 2008 Aug;52(8):2947-9.
REF 9 Novel mutation in 16S rRNA associated with streptomycin dependence in Mycobacterium tuberculosis. Antimicrob Agents Chemother. 1995 Mar;39(3):769-70.
REF 10 Characterization of the rpsL and rrs genes of streptomycin-resistant clinical isolates of Mycobacterium tuberculosis in Japan. J Appl Microbiol. 1997 Nov;83(5):634-40.

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