The genetic basis of multiple drug resistance of Neisseria gonorrhoeae was investigated by the technique of transformation. Six different genetic loci were characterized by the type and amount of antibiotic resistance they controlled, and also by the degree of linkage to other resistance markers. A streptomycin resistance locus is linked to separate loci determining resistance to tetracycline, chloramphenicol, and erythromycin. A multiple resistance locus was identified. This genetic locus determines resistance to a variety of antibacterial agents. Lastly, a locus determining resistance to the penicillins was found which is unlinked to any other resistance locus.The emergence of gonococci with increased drug resistance has rendered many antibiotics ineffective or barely effective in the treatment of gonorrheae (17,20). With growing frequency, multiply drug-resistant strains are encountered which exhibit increased resistance to penicillin, tetracycline, and streptomycin, as well as to other antimicrobial agents (10,11,15).We have undertaken studies to investigate the genetic basis of multiple drug resistance in naturally occurring strains of Neisseria gonorrhoeae. It was possible to analyze antibiotic resistance using transformation, since the gonococcus has been shown previously to be a competent species (16 Media and cultivation of gonococci. GC agar consisting of GC medium base (Difco), and 1.0% chemically defined supplements 1 and 2 (17) were used for routine culturing of gonococci and as the base medium when antibiotics were incorporated. The GC broth used in these experiments was prepared following the formula of GC medium base with the omission of starch and agar. Gonococci were incubated at 36 C under 5% CO2 in a CO2 incubator.MIC technique. The minimal inhibitory concentration (MIC) of a gonococcal isolate was determined by an agar dilution technique. Gonococci to be tested were streaked twice for isolation on GC agar. Colonies (18 to 24 h) were suspended in GC broth, vortexed vigorously, and diluted to contain approximately 5 x 107 colony-forming units (CFU) per ml, as judged against a borium sulfate turbidity standard. The desired concentrations of antibiotic were incorporated into 20 ml of GC agar in a 100-mm Petri dish.