The molecule is a kanamycin that is kanamycin X in which the 3''-amino group has been replaced by a hydroxy group. It derives from a kanamycin X. It is a conjugate acid of a 3''-deamino-3''-hydroxykanamycin X(2+).
(2S,3R,4S,5S,6R)-2-[(1R,3S,4R,6S)-4,6-diamino-2-hydroxy-3-[(2S,3R,4S,5S,6R)-3,4,5-trihydroxy-6-(hydroxymethyl)oxan-2-yl]oxycyclohexyl]oxy-6-(hydroxymethyl)oxane-3,4,5-triol