Topoisomerases are ubiquitous enzymes necessary for controlling the in
terlinking and twisting of DNA molecules. Among the four topoisomerase
s identified in eubacteria, two, DNA gyrase and topoisomerase IV, have
been exploited by nature and the pharmaceutical industry as antibacte
rial targets. Natural products that are inhibitors of one or both of t
hese topoisomerases include the coumarin and cyclothialidine classes,
which interfere with adenosine triphosphate hydrolysis, cinodine, flav
ones, and terpenoid derivatives. The plasmid-encoded bacterial peptide
s microcin B17 and CcdB also inhibit DNA gyrase. The quinolones, a syn
thetic class of antibacterials that act on both DNA gyrase and topoiso
merase IV, have had the broadest clinical applications, however, Quino
lone congeners differ in their relative potencies for DNA gyrase and t
opoisomerase IV. Studies of an expanding set of resistant mutant enzym
es and the crystal structure of the homologous enzyme in yeast have co
ntributed to our understanding of interactions of these drugs with top
oisomerase-DNA complexes and the ways in which mutations effect resist
ance.