tobramycin + carbamoyl adenylate => nebramycin 5' + AMP + H(+)
tobramycin + carbamoyl adenylate => nebramycin 5' + amp + h(+)
tobramycin + carbamoyl adenylate => nebramycin 5' + AMP + H(+)
tobramycin + carbamoyl adenylate => nebramycin 5' + amp + h(+)