Of 158 oral Streptococcus milleri strains, 46 exhibited cellular coaggregation with the reagent strains of the actinomyces coaggregation groups A, B, and/or E. All but 1 of the 33 serotype b, e, f/F, and k/G strains belonged to streptococcus coaggregation group 2, and only 14 strains of limited seroclasses (g, i, Lancefield group F, or untypeable) appeared to be members of group 5, 3, or 4 (10, 3, and 1 strain, respectively). Thus, S. milleri infrequently exhibits lactose-inhibitable coaggregation with actinomyces.Intergeneric bacterial coaggregation is thought to be one of the critical factors in the colonization and accretion of human plaque bacteria on tooth surfaces (for a review, see Cisar et al. [1,2] and Kolenbrander [9,10]). Coaggregation of oral streptococci, mostly Streptococcus sanguis with actinomyces, has been studied extensively (3,4,(6)(7)(8)(11)(12)(13)(14).Our previous studies demonstrated that large numbers of Streptococcus milleri isolates from human mouths (15, 17) coaggregate with cells of actinomyces coaggregation groups A and B and that all belong to serotype b, e, or f/F (5). The coaggregation reactions of these S. milleri strains are not inhibited by lactose and are mediated by streptococcal adhesins and actinomyces carbohydrate receptors, suggesting that these strains belong to streptococcus coaggregation group 2. It was also shown that a few strains of the other serotypes produce different patterns of coaggregation with the actinomyces cells (5), but their coaggregation reactions have not been characterized in detail to date. Recently, we have isolated many strains of serotypes other than b, e, and f/F from the mouths of children (16). By employing these strains, the present studies confirm and extend the previous findings regarding the coaggregation of S. milleri with actinomyces (5, 14) which is not inhibited by lactose. Certain oral S. milleri strains exhibit coaggregation which is inhibited by lactose.A total of 158 S. milleri strains were used. Of these, 70 and 85 strains were isolates from the mouths of young adults (15, 17) and children (16), respectively, and 3 were laboratory strains (S. milleri ATCC 10708 [b] and FW73 [u!] and Streptococcus intermedius ATCC 9895 [f/F]). Actinomyces viscosus T14V, Actinomyces naeslundii WVU45, and A. viscosus T14AV were used as the reagent strains of actinomyces coaggregation groups A, B, and E, respectively.The conditions of bacterial growth have been described previously (5). Briefly, cells were cultured anaerobically in Todd-Hewitt broth (BBL Microbiology Systems, Cockeysville, Md.) at 37°C for 18 h, harvested by centrifugation (10,000 x g, 10 min, 4°C), and washed three times. They were then suspended in coaggregation buffer (5 mM potassium phosphate buffer [pH 7.0] containing 0.1 mM CaCl2, 50 mM NaCl, and 0.5 mM sodium deoxycholate) to a density of 2.0 at an A650. In some experiments, streptococcal and * Corresponding author. actinomyces cells were heated separately at 80°C for 20 min or at 100°C for 3 min or were digested with trypsin (1....