amikacin + dTTP = 4'-thymidylylamikacin + diphosphate
amikacin + dttp = 4'-thymidylylamikacin + diphosphate
amikacin + dTTP = 4'-thymidylylamikacin + diphosphate
amikacin + dttp = 4'-thymidylylamikacin + diphosphate