Streptococcus oralis is the predominant aciduric nonmutans streptococcus isolated from the human dentition, but the role of this organism in the initiation and progression of dental caries has yet to be established. To identify proteins that are differentially expressed by S. oralis growing under conditions of low pH, soluble cellular proteins extracted from bacteria grown in batch culture at pH 5.2 or 7.0 were analyzed by twodimensional (2-D) gel electrophoresis. Thirty-nine proteins had altered expression at low pH; these were excised, digested with trypsin using an in-gel protocol, and further analyzed by peptide mass fingerprinting using matrix-assisted laser desorption ionization mass spectrometry. The resulting fingerprints were compared with the genomic database for Streptococcus pneumoniae, an organism that is phylogenetically closely related to S. oralis, and putative functions for the majority of these proteins were determined on the basis of functional homology. Twenty-eight proteins were up-regulated following growth at pH 5.2; these included enzymes of the glycolytic pathway (glyceraldehyde-3-phosphate dehydrogenase and lactate dehydrogenase), the polypeptide chains comprising ATP synthase, and proteins that are considered to play a role in the general stress response of bacteria, including the 60-kDa chaperone, Hsp33, and superoxide dismutase, and three distinct ABC transporters. These data identify, for the first time, gene products that may be important in the survival and proliferation of nonmutans aciduric S. oralis under conditions of low pH that are likely to be encountered by this organism in vivo.Dental caries is one of the most common causes of tooth loss in the developed world, constituting a substantial economic burden. Following the intake of dietary carbohydrate, acidogenic and aciduric bacteria that form part of the oral biofilm ferment freely metabolizable sugars, producing acid which, when the pH reaches a critical level of below approximately 5.2, results in the demineralization of the tooth. Thus, acidogenicity and aciduricity, the abilities to produce acid and to grow under conditions of low pH, respectively, are considered important virulence determinants for bacteria associated with the initiation and progression of caries. Adaptation to growth at low pH is an essential characteristic for any organism occupying a niche within a caries-prone site or a carious lesion. The acidogenic bacteria which are most closely associated with the initiation and progression of dental caries are mutans streptococci (Streptococcus mutans and Streptococcus sobrinus), lactobacilli, and possibly Actinomyces species, but the role of other bacteria in the progression of the disease has recently been investigated, and a number of studies have highlighted the pathogenic potential of nonmutans streptococci (NMS). Streptococcus oralis, a member of the mitis group of viridans streptococci, which includes Streptococcus pneumoniae, forms a significant proportion of the aciduric microflora of plaque (5), whi...