AntibioticMech

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paromomycin

CHEBI:7934 ·resolve ·ANTIBACTERIAL ·EXACT REVIEWED

An amino cyclitol glycoside that is the 1-O-(2-amino-2-deoxy-α-D-glucopyranoside) and the 3-O-(2,6-diamino-2,6-dideoxy-β-L-idopyranosyl)-β-D-ribofuranoside of 4,6-diamino-2,3-dihydroxycyclohexane (the 1R,2R,3S,4R,6S diastereoisomer). It is obtained from various Streptomyces species. A broad-spectrum antibiotic, it is used (generally as the sulfate salt) for the treatment of acute and chronic intestinal protozoal infections, but is not effective for extraintestinal protozoal infections. It is also used as a therapeutic against visceral leishmaniasis. — ChEBI

Classification

aminoglycoside antibioticARO:0000016

Strictly broader compounds or drug classes this molecule belongs to.

Chemical structure

Computed structure properties
Molecular formulaC23H45N5O14
Charge0
Average mass615.634 Da
Monoisotopic mass615.2963 Da
SourceChEBI
InChIKeyUOZODPSAJZTQNH-LSWIJEOBSA-N

SMILES

NC[C@@H]1O[C@H](O[C@H]2[C@@H](O)[C@H](O[C@@H]3[C@@H](O)[C@H](N)C[C@H](N)[C@H]3O[C@H]3O[C@H](CO)[C@@H](O)[C@H](O)[C@H]3N)O[C@@H]2CO)[C@H](N)[C@@H](O)[C@@H]1O

InChI

InChI=1S/C23H45N5O14/c24-2-7-13(32)15(34)10(27)21(37-7)41-19-9(4-30)39-23(17(19)36)42-20-12(31)5(25)1-6(26)18(20)40-22-11(28)16(35)14(33)8(3-29)38-22/h5-23,29-36H,1-4,24-28H2/t5-,6+,7+,8-,9-,10-,11-,12+,13-,14-,15-,16-,17-,18-,19-,20-,21-,22-,23+/m1/s1

Also called

Cross-references

Identifiers for this same structure in other resources. An accession that lands on two different structures in this corpus is withheld from both rather than shown here, since it names at most one of them.

Drug registries

Identifiers that name a drug rather than a structure. One of these can cover a parent compound, its salts and its stereoisomers, which this corpus keeps as separate records, so it is not an equivalence of structure.

Patents and articles

Documents about this compound. A patent covers a class and an article covers a topic; neither identifies a structure.

Activity roles

Every antimicrobial role a source asserts for this compound — the unreduced evidence behind its antimicrobial_class.

Source concepts

Every upstream concept that resolved to this record. The merge is the product: this is what shows ChEBI and CARD are describing the same structure.

Upstream concepts merged into this record
SourceNative IDLabelMinted CURIEVersion
ARO ARO:3000657 paromomycin antibioticmech:aro-7aea35b214 2026-08-30
CHEBI CHEBI:7934 paromomycin antibioticmech:chebi-c0019b6d96 2026-08-30

Molecular targets

The molecular entity or process this compound acts on. Each target carries evidence — this is a mechanistic claim, not a classification.

antibiotic sensitive 16S rRNA NUCLEIC_ACID DIRECT_BINDING_TARGET

ARO:3000755

CARD/ARO database assertion; target organism, strain, and assay are not specified. 16S rRNA is asserted as the target. Evidence status: PRIMARY_EVIDENCE_NEEDED. Source: CARD_ARO 2026-08-30 (retrieved 2026-08-30).

16S-rRNA decoding A-site oligonucleotide NUCLEIC_ACID DIRECT_BINDING_TARGET

A 2.5-angstrom complex directly observed paromomycin bound to an RNA construct containing two E. coli decoding A sites, with extensive direct and water-mediated contacts; this was not a whole-ribosome structure. Evidence status: PRIMARY_EVIDENCE. Source: PRIMARY_LITERATURE 2001-08 (retrieved 2026-09-02).

Escherichia coli NCBITaxon:562

Mechanism summary

Mode of action
PROTEIN_SYNTHESIS_INHIBITION host shared target — CURATOR: PMID:11587639 resolved paromomycin at 2.5 angstrom with oligoribonucleotides containing the Escherichia coli 16S-rRNA decoding A site. Direct and water-mediated contacts stabilize bulged A1492/A1493; the construct models the decoding site and its crystal packing, not an intact ribosomal subunit.

Resistance mechanisms

16 source-backed resistance determinants or associations, with ARO grounding where reported. Grouped by reported mechanism type.

ANTIBIOTIC_INACTIVATION 15
ANTIBIOTIC_INACTIVATION
DeterminantARO IDOrganismGene familiesEvidence
AAC(3)-IIIa ARO:3002536 not organism-specific —
  • ARO:3002536 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000657 (paromomycin); database assertion, not a primary citation.)
AAC(3)-IIIb ARO:3002537 not organism-specific —
  • ARO:3002537 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000657 (paromomycin); database assertion, not a primary citation.)
AAC(3)-VIIa ARO:3002541 not organism-specific —
  • ARO:3002541 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000657 (paromomycin); database assertion, not a primary citation.)
APH(3')-IIIa ARO:3002647 not organism-specific —
  • ARO:3002647 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000657 (paromomycin); database assertion, not a primary citation.)
APH(3')-IIa ARO:3002644 not organism-specific —
  • ARO:3002644 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000657 (paromomycin); database assertion, not a primary citation.)
APH(3')-IIb ARO:3002645 not organism-specific —
  • ARO:3002645 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000657 (paromomycin); database assertion, not a primary citation.)
APH(3')-IIc ARO:3002646 not organism-specific —
  • ARO:3002646 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000657 (paromomycin); database assertion, not a primary citation.)
APH(3')-IVa ARO:3002648 not organism-specific —
  • ARO:3002648 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000657 (paromomycin); database assertion, not a primary citation.)
APH(3')-Ia ARO:3002641 not organism-specific —
  • ARO:3002641 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000657 (paromomycin); database assertion, not a primary citation.)
APH(3')-Ib ARO:3002642 not organism-specific —
  • ARO:3002642 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000657 (paromomycin); database assertion, not a primary citation.)
APH(3')-VIa ARO:3002652 not organism-specific —
  • ARO:3002652 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000657 (paromomycin); database assertion, not a primary citation.)
APH(3')-VIb ARO:3002653 not organism-specific —
  • ARO:3002653 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000657 (paromomycin); database assertion, not a primary citation.)
APH(3')-Va ARO:3002649 not organism-specific —
  • ARO:3002649 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000657 (paromomycin); database assertion, not a primary citation.)
APH(3')-Vb ARO:3002650 not organism-specific —
  • ARO:3002650 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000657 (paromomycin); database assertion, not a primary citation.)
APH(3')-Vc ARO:3002651 not organism-specific —
  • ARO:3002651 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000657 (paromomycin); database assertion, not a primary citation.)
ANTIBIOTIC_TARGET_ALTERATION 1
ANTIBIOTIC_TARGET_ALTERATION
DeterminantARO IDOrganismGene familiesEvidence
Escherichia coli 16S rRNA (rrsB) mutation conferring resistance to paromomycin ARO:3003403 not organism-specific —
  • ARO:3003403 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000657 (paromomycin); database assertion, not a primary citation.)

Record-level evidence

Curation history

  1. SEEDED_FROM_SOURCES 2026-08-30 · seed_from_sources

    Seeded from data/raw/ inventories (ARO, CHEBI)

  2. RESEEDED_FROM_SOURCES 2026-08-30 · seed_from_sources

    Re-seeded from updated data/raw/ inventories

  3. RESEEDED_FROM_SOURCES 2026-08-30 · seed_from_sources

    Re-seeded from updated data/raw/ inventories

  4. RESEEDED_FROM_SOURCES 2026-08-31 · seed_from_sources

    Re-seeded from updated data/raw/ inventories

  5. REVIEWED 2026-09-03 · codex · LLM-assisted

    Verified exact ChEBI/CARD identity, structure, antibiotic roles, class, FDA provenance, and retained CARD target/resistance assertions; added protein-synthesis inhibition and the directly bound decoding-site RNA model with its reduced-construct boundary.

  6. RESEEDED_FROM_SOURCES 2026-09-10 · seed_from_sources

    Re-seeded from updated data/raw/ inventories

Provenance

Seeded by scripts/seed_from_sources.py from the committed inventories in data/raw/. View the record (YAML).

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