AntibioticMech

ethambutol

CHEBI:4877 ·resolve ·ANTIMYCOBACTERIAL ·EXACT REVIEWED

An ethylenediamine derivative that is ethane-1,2-diamine in which one hydrogen attached to each of the nitrogens is sutstituted by a 1-hydroxybutan-2-yl group (S,S-configuration). It is a bacteriostatic antimycobacterial drug, effective against Mycobacterium tuberculosis and some other mycobacteria. It is used (as the dihydrochloride salt) in combination with other antituberculous drugs in the treatment of pulmonary and extrapulmonary tuberculosis; resistant strains of M. tuberculosis are readily produced if ethambutol is used alone. — ChEBI

Classification

polyamine antibioticARO:3000527

Strictly broader compounds or drug classes this molecule belongs to.

Chemical structure

Computed structure properties
Molecular formulaC10H24N2O2
Charge0
Average mass204.314 Da
Monoisotopic mass204.18378 Da
SourceChEBI
InChIKeyAEUTYOVWOVBAKS-UWVGGRQHSA-N

SMILES

CC[C@@H](CO)NCCN[C@@H](CC)CO

InChI

InChI=1S/C10H24N2O2/c1-3-9(7-13)11-5-6-12-10(4-2)8-14/h9-14H,3-8H2,1-2H3/t9-,10-/m0/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:3000497 ethambutol antibioticmech:aro-a472e0292c 2026-08-30
CHEBI CHEBI:4877 ethambutol antibioticmech:chebi-8ef15eb8e0 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 aftA PROTEIN DIRECT_BINDING_TARGET

ARO:3000725

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

antibiotic sensitive embC PROTEIN DIRECT_BINDING_TARGET

ARO:3000763

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

antibiotic sensitive embA PROTEIN DIRECT_BINDING_TARGET

ARO:3000764

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

antibiotic sensitive embB PROTEIN DIRECT_BINDING_TARGET

ARO:3000765

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

Antibiotic sensitive embR PROTEIN SUSCEPTIBILITY_DETERMINANT

ARO:3003473

CARD/ARO database assertion; target organism, strain, and assay are not specified. ARO states only that wild-type embR is antibiotic-sensitive; direct binding is not asserted. Evidence status: DATABASE_ASSERTION_ONLY. Source: CARD_ARO 2026-08-30 (retrieved 2026-08-30).

EmbA-EmbB and EmbC-EmbC arabinosyltransferase complexes PROTEIN_COMPLEX DIRECT_BINDING_TARGET

Cryo-EM and X-ray structures contained ethambutol with substrate-bound mycobacterial Emb complexes and localized competitive binding to the shared donor/acceptor site in EmbB and EmbC. Evidence status: PRIMARY_EVIDENCE. Source: PRIMARY_LITERATURE 2020-04 (retrieved 2026-09-02).

Organism-specific examples
ProteinGeneOrganismEntry
Arabinosyltransferase A UniProtKB:P9WNL9
EmbA subunit of the M. tuberculosis EmbA-EmbB-AcpM2 complex resolved with ethambutol by cryo-EM (PMID:32327601, PDB 7BVF; H37Rv reference strain context).
embA Mycobacterium tuberculosis (strain ATCC 25618 / H37Rv) NCBITaxon:83332 REVIEWED
Arabinosyltransferase B UniProtKB:P9WNL7
Catalytic EmbB subunit containing the direct ethambutol-binding pocket in the M. tuberculosis EmbA-EmbB-AcpM2 complex (PMID:32327601, PDB 7BVF; H37Rv reference strain context).
embB Mycobacterium tuberculosis (strain ATCC 25618 / H37Rv) NCBITaxon:83332 REVIEWED
Arabinosyltransferase C UniProtKB:P9WNL5
Catalytic EmbC subunit of the homodimeric EmbC-EmbC arabinosyltransferase complex directly bound by ethambutol (PMID:32327601; H37Rv reference strain context; M. smegmatis EmbC2 complex also resolved in the same study).
embC Mycobacterium tuberculosis (strain ATCC 25618 / H37Rv) NCBITaxon:83332 REVIEWED

Mechanism summary

Mode of action
CELL_WALL_SYNTHESIS_INHIBITION microbial target — CURATOR: PMID:32327601 resolved ethambutol with mycobacterial EmbA-EmbB and EmbC-EmbC arabinosyltransferase complexes. The drug occupies the donor- and acceptor-substrate site in EmbB and EmbC, explaining inhibition of mycobacterial cell-wall arabinan synthesis and the clustering of resistance mutations near the binding site.

Activity spectrum

Measured or curated activity against specific taxa. A number without a method is not an observation — every row here carries an assay.

338 observations · Browse all observations · Complete record (JSON.gz)

Observations 1–20 of 338

Activity observations
OrganismActivityMICDisk diffusionAssayStrainSample/genomeEvidence
Mycobacterium tuberculosis complex SUSCEPTIBLE 0.12 mg/L — CRyPTIC DST; CRyPTIC; liquid media; microdilution plate; UKMYC5; critical concentration 4.0 mg/L — 10 source isolates
10 measurements
Evidence Page data (JSON.gz)
Mycobacterium tuberculosis complex SUSCEPTIBLE 0.12 mg/L — CRyPTIC DST; CRyPTIC; liquid media; microdilution plate; UKMYC5; critical concentration 4.0 mg/L — 5 source isolates
5 measurements
Evidence Page data (JSON.gz)
Mycobacterium tuberculosis complex SUSCEPTIBLE 0.12 mg/L — CRyPTIC DST; CRyPTIC; liquid media; microdilution plate; UKMYC5; critical concentration 4.0 mg/L — 2 source isolates
2 measurements
Evidence Page data (JSON.gz)
Mycobacterium tuberculosis complex SUSCEPTIBLE 0.25 mg/L — CRyPTIC DST; CRyPTIC; liquid media; microdilution plate; UKMYC5; critical concentration 4.0 mg/L — 80 source isolates
80 measurements
Evidence Page data (JSON.gz)
Mycobacterium tuberculosis complex SUSCEPTIBLE 0.25 mg/L — CRyPTIC DST; CRyPTIC; liquid media; microdilution plate; UKMYC5; critical concentration 4.0 mg/L — 26 source isolates
26 measurements
Evidence Page data (JSON.gz)
Mycobacterium tuberculosis complex SUSCEPTIBLE 0.25 mg/L — CRyPTIC DST; CRyPTIC; liquid media; microdilution plate; UKMYC5; critical concentration 4.0 mg/L — 3 source isolates
3 measurements
Evidence Page data (JSON.gz)
Mycobacterium tuberculosis complex SUSCEPTIBLE 0.5 mg/L — CRyPTIC DST; CRyPTIC; liquid media; microdilution plate; UKMYC5; critical concentration 4.0 mg/L — 286 source isolates
286 measurements
Evidence Page data (JSON.gz)
Mycobacterium tuberculosis complex SUSCEPTIBLE 0.5 mg/L — CRyPTIC DST; CRyPTIC; liquid media; microdilution plate; UKMYC5; critical concentration 4.0 mg/L — 91 source isolates
91 measurements
Evidence Page data (JSON.gz)
Mycobacterium tuberculosis complex SUSCEPTIBLE 0.5 mg/L — CRyPTIC DST; CRyPTIC; liquid media; microdilution plate; UKMYC5; critical concentration 4.0 mg/L — 148 source isolates
148 measurements
Evidence Page data (JSON.gz)
Mycobacterium tuberculosis complex SUSCEPTIBLE 1.0 mg/L — CRyPTIC DST; CRyPTIC; liquid media; microdilution plate; UKMYC5; critical concentration 4.0 mg/L — 1514 source isolates
1514 measurements
Evidence Page data (JSON.gz)
Mycobacterium tuberculosis complex SUSCEPTIBLE 1.0 mg/L — CRyPTIC DST; CRyPTIC; liquid media; microdilution plate; UKMYC5; critical concentration 4.0 mg/L — 202 source isolates
202 measurements
Evidence Page data (JSON.gz)
Mycobacterium tuberculosis complex SUSCEPTIBLE 1.0 mg/L — CRyPTIC DST; CRyPTIC; liquid media; microdilution plate; UKMYC5; critical concentration 4.0 mg/L — 325 source isolates
325 measurements
Evidence Page data (JSON.gz)
Mycobacterium tuberculosis complex SUSCEPTIBLE 2.0 mg/L — CRyPTIC DST; CRyPTIC; liquid media; microdilution plate; UKMYC5; critical concentration 4.0 mg/L — 1462 source isolates
1462 measurements
Evidence Page data (JSON.gz)
Mycobacterium tuberculosis complex SUSCEPTIBLE 2.0 mg/L — CRyPTIC DST; CRyPTIC; liquid media; microdilution plate; UKMYC5; critical concentration 4.0 mg/L — 123 source isolates
123 measurements
Evidence Page data (JSON.gz)
Mycobacterium tuberculosis complex SUSCEPTIBLE 2.0 mg/L — CRyPTIC DST; CRyPTIC; liquid media; microdilution plate; UKMYC5; critical concentration 4.0 mg/L — 266 source isolates
266 measurements
Evidence Page data (JSON.gz)
Mycobacterium tuberculosis complex SUSCEPTIBLE 4.0 mg/L — CRyPTIC DST; CRyPTIC; liquid media; microdilution plate; UKMYC5; critical concentration 4.0 mg/L — 590 source isolates
590 measurements
Evidence Page data (JSON.gz)
Mycobacterium tuberculosis complex SUSCEPTIBLE 4.0 mg/L — CRyPTIC DST; CRyPTIC; liquid media; microdilution plate; UKMYC5; critical concentration 4.0 mg/L — 104 source isolates
104 measurements
Evidence Page data (JSON.gz)
Mycobacterium tuberculosis complex SUSCEPTIBLE 4.0 mg/L — CRyPTIC DST; CRyPTIC; liquid media; microdilution plate; UKMYC5; critical concentration 4.0 mg/L — 171 source isolates
171 measurements
Evidence Page data (JSON.gz)
Mycobacterium tuberculosis complex RESISTANT 8.0 mg/L — CRyPTIC DST; CRyPTIC; liquid media; microdilution plate; UKMYC5; critical concentration 4.0 mg/L — 737 source isolates
737 measurements
Evidence Page data (JSON.gz)
Mycobacterium tuberculosis complex RESISTANT 8.0 mg/L — CRyPTIC DST; CRyPTIC; liquid media; microdilution plate; UKMYC5; critical concentration 4.0 mg/L — 23 source isolates
23 measurements
Evidence Page data (JSON.gz)

Resistance mechanisms

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

ANTIBIOTIC_TARGET_ALTERATION 19
ANTIBIOTIC_TARGET_ALTERATION
DeterminantARO IDOrganismGene familiesEvidence
Ethambutol resistant iniB ARO:3004136 not organism-specific —
  • ARO:3004136 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000497 (ethambutol); database assertion, not a primary citation.)
Ethambutol resistant iniC ARO:3003450 not organism-specific —
  • ARO:3003450 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000497 (ethambutol); database assertion, not a primary citation.)
Mycobacterium tuberculosis Rv1258c mutations confer resistance to ethambutol and capreomycin ARO:3007185 not organism-specific —
  • ARO:3007185 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000497 (ethambutol); database assertion, not a primary citation.)
Mycobacterium tuberculosis aftA mutations confer resistance to ethambutol ARO:3004951 not organism-specific —
  • ARO:3004951 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000497 (ethambutol); database assertion, not a primary citation.)
Mycobacterium tuberculosis embA mutant conferring resistance to ethambutol ARO:3003453 not organism-specific —
  • ARO:3003453 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000497 (ethambutol); database assertion, not a primary citation.)
Mycobacterium tuberculosis embB with mutation conferring resistance to ethambutol ARO:3003326 not organism-specific —
  • ARO:3003326 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000497 (ethambutol); database assertion, not a primary citation.)
Mycobacterium tuberculosis embC mutant conferring resistance to ethambutol ARO:3003327 not organism-specific —
  • ARO:3003327 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000497 (ethambutol); database assertion, not a primary citation.)
Mycobacterium tuberculosis embR mutant conferring resistance to ethambutol ARO:3003455 not organism-specific —
  • ARO:3003455 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000497 (ethambutol); database assertion, not a primary citation.)
Mycobacterium tuberculosis iniA mutant conferring resistance to ethambutol ARO:3003448 not organism-specific —
  • ARO:3003448 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000497 (ethambutol); database assertion, not a primary citation.)
Mycobacterium tuberculosis iniB with mutation conferring resistance to ethambutol ARO:3004135 not organism-specific —
  • ARO:3004135 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000497 (ethambutol); database assertion, not a primary citation.)
Mycobacterium tuberculosis iniC mutant conferring resistance to ethambutol ARO:3003451 not organism-specific —
  • ARO:3003451 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000497 (ethambutol); database assertion, not a primary citation.)
Mycobacterium tuberculosis ubiA mutations confer resistance to ethambutol ARO:3004950 not organism-specific —
  • ARO:3004950 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000497 (ethambutol); database assertion, not a primary citation.)
Mycobacterium tuberculosis variant bovis embB with mutation conferring resistance to ethambutol ARO:3003325 not organism-specific —
  • ARO:3003325 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000497 (ethambutol); database assertion, not a primary citation.)
ethambutol resistant aftA ARO:3002876 not organism-specific —
  • ARO:3002876 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000497 (ethambutol); database assertion, not a primary citation.)
ethambutol resistant embA ARO:3003452 not organism-specific —
  • ARO:3003452 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000497 (ethambutol); database assertion, not a primary citation.)
ethambutol resistant embB ARO:3000235 not organism-specific —
  • ARO:3000235 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000497 (ethambutol); database assertion, not a primary citation.)
ethambutol resistant embC ARO:3002706 not organism-specific —
  • ARO:3002706 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000497 (ethambutol); database assertion, not a primary citation.)
ethambutol resistant embR ARO:3003454 not organism-specific —
  • ARO:3003454 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000497 (ethambutol); database assertion, not a primary citation.)
ethambutol resistant iniA ARO:3003447 not organism-specific —
  • ARO:3003447 (CARD/ARO asserts confers_resistance_to_antibiotic ARO:3000497 (ethambutol); database assertion, not a primary citation.)

Causal graphs

Evidence-backed mechanism graphs: how the compound reaches its target, what the target does, and how the effect propagates to growth inhibition or death.

Ethambutol inhibits mycobacterial arabinan synthesis MECHANISTIC

Ethambutol inhibits Emb arabinosyltransferase complexes, reducing arabinan addition to arabinogalactan and lipoarabinomannan in the mycobacterial cell envelope.

Nodes — ethambutol_emb_arabinan_inhibition
NodeLabelTypeGrounding
ethambutol ethambutol COMPOUND CHEBI:4877
embab_complex mycobacterial EmbA-EmbB arabinosyltransferase complex
Examples: Arabinosyltransferase A (embA) UniProtKB:P9WNL9, Mycobacterium tuberculosis (strain ATCC 25618 / H37Rv) NCBITaxon:83332 REVIEWED — EmbA subunit of the heterodimeric EmbA-EmbB-AcpM2 arabinosyltransferase complex bound by ethambutol in cryo-EM structures (PMID:32327601, PDB 7BVF; H37Rv reference strain context).; Arabinosyltransferase B (embB) UniProtKB:P9WNL7, Mycobacterium tuberculosis (strain ATCC 25618 / H37Rv) NCBITaxon:83332 REVIEWED — Catalytic EmbB subunit harboring the conserved ethambutol-binding active-site pocket within the EmbA-EmbB-AcpM2 complex (PMID:32327601, PDB 7BVF; H37Rv reference strain context).
GENE_OR_PROTEIN REVIEWED_LABEL_ONLY
embc_complex mycobacterial EmbC arabinosyltransferase complex
Examples: Arabinosyltransferase C (embC) UniProtKB:P9WNL5, Mycobacterium tuberculosis (strain ATCC 25618 / H37Rv) NCBITaxon:83332 REVIEWED — Catalytic EmbC subunit of the homodimeric EmbC2-AcpM2 lipoarabinomannan arabinosyltransferase complex bound by ethambutol at its active site (PMID:32327601; H37Rv reference strain context).
GENE_OR_PROTEIN REVIEWED_LABEL_ONLY
arabinogalactan_arabinan mycobacterial arabinogalactan arabinan CHEMICAL REVIEWED_LABEL_ONLY
lipoarabinomannan_arabinan mycobacterial lipoarabinomannan arabinan CHEMICAL REVIEWED_LABEL_ONLY
cell_wall_arabinan_synthesis mycobacterial cell-wall arabinan synthesis BIOLOGICAL_PROCESS REVIEWED_LABEL_ONLY
mycobacterial_cell_wall_integrity mycobacterial cell-wall integrity CELL_STRUCTURE REVIEWED_LABEL_ONLY
Edges — ethambutol_emb_arabinan_inhibition
SubjectPredicateObjectEvidence
ethambutol binds embab_complex
  • PMID:32327601 (Zhang and colleagues resolved mycobacterial EmbA-EmbB structures with ethambutol and donor and acceptor substrates.)
ethambutol binds embc_complex
  • PMID:32327601 (Zhang and colleagues also resolved ethambutol with mycobacterial EmbC complexes and assayed drug inhibition of Emb transferase activity.)
embab_complex participates in arabinogalactan_arabinan
  • PMID:8876238 (Belanger and colleagues linked embA and embB to mycobacterial cell-wall arabinan biosynthesis and ethambutol susceptibility.)
  • PMID:32327601 (The ethambutol-bound EmbA-EmbB structures captured the substrate binding sites used for arabinofuranose transfer.)
embc_complex participates in lipoarabinomannan_arabinan
  • PMID:19596878 (Goude and colleagues showed that ethambutol inhibits EmbC-dependent lipoarabinomannan synthesis in Mycobacterium tuberculosis.)
arabinogalactan_arabinan participates in cell_wall_arabinan_synthesis
  • PMID:2817850 (Takayama and Kilburn observed that ethambutol blocked transfer of glucose-derived label into arabinogalactan arabinose in Mycobacterium smegmatis.)
lipoarabinomannan_arabinan participates in cell_wall_arabinan_synthesis
  • PMID:19596878 (The EmbC inhibition study traced ethambutol-sensitive arabinan synthesis into mycobacterial lipoarabinomannan.)
cell_wall_arabinan_synthesis supports mycobacterial_cell_wall_integrity
  • PMID:9142129 (Telenti and colleagues identified the M. tuberculosis embCAB cluster through ethambutol resistance and placed Emb activity in mycobacterial cell-wall biosynthesis.)

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 stereochemical identity, structure, antimycobacterial role, class, FDA provenance, and retained CARD assertions; added cell-wall arabinan inhibition and the directly observed EmbB/EmbC complexes.

  6. CURATED_CAUSAL_GRAPH 2026-09-04 · codex · LLM-assisted

    Added a PMID-supported causal graph for ethambutol inhibition of Emb-dependent mycobacterial cell-wall arabinan synthesis.

  7. RESEEDED_FROM_SOURCES 2026-09-10 · seed_from_sources

    Re-seeded from updated data/raw/ inventories

  8. RESEEDED_FROM_SOURCES 2026-09-26 · seed_from_sources

    Re-seeded; changed: activity_spectrum (CRYPTIC 3.4.0). Upstream retrieval date 2026-08-30, unchanged.

  9. RESEEDED_FROM_SOURCES 2026-10-05 · seed_from_sources

    Re-seeded; changed: activity_membership_collections (CRYPTIC 3.4.0). Upstream retrieval date 2026-08-30, unchanged.

  10. CURATED_UNIPROT_PROTEIN_EXAMPLES 2026-10-18 · antigravity · LLM-assisted

    Added curated M. tuberculosis H37Rv EmbA (P9WNL9), EmbB (P9WNL7), and EmbC (P9WNL5) UniProtKB protein examples on the ethambutol_emb_arabinan_inhibition causal graph nodes and the PRIMARY_LITERATURE EmbA-EmbB / EmbC-EmbC arabinosyltransferase complexes molecular target.

Provenance

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

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