We developed a loop-mediated isothermal amplification method that detects the JP2 clone of Aggregatibacter actinomycetemcomitans, which induces aggressive periodontitis in adolescents of North and West African descents. Being independent of special equipment, this specific and sensitive method offers significant advantages for screening of patients on a population basis and in clinical settings.Aggregatibacter (Actinobacillus) actinomycetemcomitans (11) has long been suspected as an etiological factor in periodontitis in juveniles (17,19). Members of a particular clonal lineage (JP2) of A. actinomycetemcomitans (18) show a unique 530-bp deletion (⌬530) in the promoter region of the ltx operon resulting in enhanced production of leukotoxin, a key virulence factor (1). The JP2 clone shows marked racial tropism as it has been isolated almost exclusively from adolescent periodontitis patients of West and Northwest African descent, including both Africans and Arabs (2,3,4,5,6). Substantial evidence shows that the JP2 clone induces aggressive periodontitis in these populations and constitutes a particularly pathogenic subpopulation of A. actinomycetemcomitans (see reference 6a); reviewed in reference 8).Because the presence of the JP2 clone has significant implications for prevention and treatment of periodontitis in juveniles, it is essential to be able to accurately determine its presence in subgingival plaque samples. Cultivation by itself does not distinguish between the JP2 clone and other genotypes of the species. PCR detection of the ⌬530 deletion has been used to identify the JP2 clone in plaque samples and among isolates and to distinguish it from other A. actinomycetemcomitans strains (13,15,20). However, there is a need for a simple and low-technology method for detection of the JP2 clone. For that purpose, the loop-mediated isothermal amplification (LAMP) method is an attractive alternative to conventional PCR (12).The LAMP reaction runs at a constant temperature, usually around 65°C, and uses four primers that recognize six distinct regions of the target DNA, combined with the Bst DNA polymerase large fragment, which has strand displacement activity and is heat inactivated at 80°C (12). The reaction can be accelerated by inclusion of additional loop primers (10). The resulting amplification products are a complex mixture of stem-loop DNAs with inverted repeats and cauliflower-like structures (12) and induce a white precipitate of magnesium pyrophosphate proportional to the amount of amplified DNA and visible to the naked eye (9). Usually, LAMP primers are designed to specifically recognize a target sequence that is unique to the microorganism in question. A LAMP method targeting the dam gene, which is common to all members of A. actinomycetemcomitans, was reported recently (14). We wanted to develop a method that specifically detects the JP2 clone and took advantage of the specific ⌬530 deletion. The low percentage of GϩC in the sequence around ⌬530 made it impossible to design appropriate LAMP primers in...