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Aminoglycosides are short chains of sugar molecules with some -OH groups substituted with amine groups. As far as I understand they function by causing bacterial ribosomes to misread RNA and create non-functioning proteins. These proteins both stop providing essential functions of the cell and increase permeability of the cell to aminoglycosides, eventually leading to the death of the cell. What I don't understand is why this mechanism is specific to aerobic, gram-negative bacteria. Surely membrane permeability would be roughly the same for both classes? And also ribosome structure? Any help would be much appreciated.

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Anaerobiosis is incompatible with effective intracellular accumulation of aminoglycoside antibiotics such as streptomycin and gentamycin.

After an initial binding step involving outer membrane lipopolysaccharide the kinetics of the uptake of aminoglycosides exhibit two energy-dependent processes (EDP I AND II). EDP I is the slow, rate-limiting stage and is dependent upon the membrane potential ΔΨ, but the details of the process are unclear. EDP II is more rapid and may be triggered by membrane changes arising as a result of translation errors caused by the antibiotic accumulated in EDP I since protein synthesis inhibitors block the transition from EDP I to EDP II.

EDP I requires a threshold value of ΔΨ, and there is evidence that this threshold often cannot be achieved under anaerobic conditions.

This summary is based on information in this review from 1987. I haven't been able to find any more recent information.

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Aminoglycosides are positively charged and hence more drawn towards the the Gram negative bacteria as the LP in their outer membrane is negative.

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    $\begingroup$ Welcome to Bio. Could you add some more background and some sources behind your interesting answer? As of now your post is more of a short comment. Thanks. $\endgroup$ – AliceD May 3 '17 at 6:34

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