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1

Antimicrobial Susceptibility Profiling of P. aeruginosa

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The antimicrobial susceptibility pattern of the clinical P. aeruginosa isolates was determined by the Kirby-Bauer disk agar diffusion method on Mueller–Hinton agar (Merck, Germany), according to the Clinical and Laboratory Standards Institute (CLSI) recommendations against 4 different antibiotics [15 ]. The following antibiotics were exploited in this study: ciprofloxacin (5 μg), cefepime (30 μg), piperacillin (100 μg), piperacillin/tazobactam (100/10 μg), and imipenem (10 μg) (Rosco, Denmark). However, the minimum inhibitory concentrations (MICs) of amikacin, gentamicin, tobramycin, and netilmicin (Sigma, Germany) were detected using the microbroth dilution method conferring to the CLSI guidelines [15 ], and the lowest concentration of the antibiotics that inhibited the bacterial growth was reported as the MIC. P. aeruginosa ATCC 27853 was used as the control strain in antimicrobial susceptibility testing.
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2

Binding Affinity of Aminoglycoside Antibiotics

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All RNA oligonucleotides used in this study were purchased from Integrated DNA Technologies Inc. (IDT, Coralville, IA, USA) and stored at −20 °C in ddH2O (deionized-distilled water) until tested in the ITC or in 2AP fluorescence experiments. Sequences of the oligonucleotides used in this study are shown in Table S1. Neomycin-B, ribostamycin, paromomycin, tobramycin, kanamycin-A, kanamycin-B, sisomicin, geneticin, netilmicin, and amikacin were obtained as their sulfate salts from Sigma-Aldrich (St. Louis, MO, USA). Cacodylic acid was purchased from Amresco (Solon, OH) and sodium cacodylate was from Sigma-Aldrich (St. Louis, MO, USA). All other chemicals were reagent grade and obtained from Fisher Scientific (Pittsburgh, PA, USA). The constituents of the low ionic strength buffer (A) and high ionic strength buffer (F) are listed in Table S1.
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Aminoglycoside-RNA Aptamer Binding Assay

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Neomycin-B, paromomycin, ribostamycin, tobramycin, kanamycin-A, kanamycin-B, sisomicin, geneticin, netilmicin, and amikacin (Figs. 1A, 3B) were obtained as their sulfate salts from Sigma-Aldrich. All RNA oligonucleotides were from Integrated DNA Technologies Inc., and were maintained at −20°C in deionized distilled water (ddH2O) until use. Sodium cacodylate was from Sigma-Aldrich and cacodylic acid was from Amresco. All other chemicals were from Fisher Scientific. Buffers were as follows: A (13.5 mM NaCl, 150 mM KCl, 20 mM HEPES, 0.22 mM Na2HPO4, 0.44 mM KH2PO4, 120 μM MgCl2, 120 nM CaCl2, 100 μM MgSO4 at pH 7.3), N (10 mM Na2HPO4 at pH 7.3), and F (5 mM MgCl2, 200 mM NH4CI, 80 mM KCl, 80 mM Na-cacodylate at pH 7.4). All buffers were prepared with deionized distilled water and their pH's were measured at 25°C. Sequences of the RNA aptamers used in this study are shown in Supplemental Table S1. The buffer components used to determine the effect of [I] on aminoglycoside binding are listed in Supplemental Table S2.
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