“…There are three additional aminoglycoside phosphotransferase structures, APH(9) (spectinomycin phosphotransferase) 11 and two from the APH(3 0 ) family of enzymes, 19,20 and despite a very low sequence identity between these APH(9), APH(3 00 ), and APH(2 00 ) families, there is a marked degree of structural similarity. 11,18 Here, we report the X-ray structure, substrate profile, and kinetic mechanism of a second member of the APH(2 00 ) subfamily, the APH(2 00 )-IVa aminoglycoside phosphotransferase, and for the first time we report the determinants of NTP recognition by these clinically important enzymes.…”