THE PRIMARY PATHOGEN INVOLVED in certain forms of early-onset periodon
titis is A. actinomycetemcomitans. Among its numerous potential virule
nce factors is a leukotoxin that kills certain host defense cells. In
order to analyze the regulation and in vivo function of leukotoxin and
other virulence factors in A. actinomycetemcomitans, molecular geneti
c approaches are being established. Although there has been significan
t progress in developing plasmids and bacteriophage as E. coil/A. acti
nomycetemcomitans shuttle vectors, more work needs to be done. Tn5-bas
ed transposon mutagenesis has been shown to work in this organism. Tar
geted mutagenesis is now possible in A. actinomycetemcomitans; exogeno
usly introduced DNA recombines efficiently with the homologous chromos
omal locus. These techniques have been applied to studies of leukotoxi
n. Targeted mutagenesis has been used to construct leukotoxin negative
mutants that are otherwise isogenic with their leukotoxin-producing p
arent strain. These mutants can be tested in animal models to ascertai
n the in vivo role of leukotoxin in A. actinomycetemcomitans pathogene
sis. Gene targeting has also been used to make strains in which the le
ukotoxin promoter is regulating the synthesis of a beta-galactosidase
reporter gene. Such strains have been used to show that leukotoxin syn
thesis increases in cells grown anaerobically, but that several other
environmental changes had little effect on leukotoxin synthesis; Final
ly, plasmid shuttle vectors with leukotoxin promoters from various str
ains of A. actinomycetemcomitans fused to reporter genes have been use
d in cis/trans tests to show that leukotoxin promoter sequences and st
rain-specific trans-acting factors are important in determining why di
fferent strains of A. actinomycetemcomitans produce different levels o
f leukotoxin.