The present study examined the adhesive and invasive potential of Porp
hyromonas gingivalis interacting with human pocket epithelium in vitro
. Pocket epithelial tissue, obtained during periodontal surgery of pat
ients with advanced periodontal disease, generated a stratified epithe
lium in culture. P. gingivalis strains W50 and FDC 381 (laboratory str
ains), OMGS 712, 1439, 1738, 1739 and 1743 (clinical isolates) as well
as Escherichia coli strain HB1O1 (non-adhering control) were tested w
ith respect to epithelial adhesion and invasion. Adhesion was quantita
ted by scintillation spectrometry after incubation of radiolabeled bac
teria with epithelial cells. The invasive ability of I gingivalis was
measured by means of an antibiotic protection assay. The epithelial mu
ltilayers were infected with the test and control strains and subseque
ntly incubated with an antibiotic mixture (metronidazole 0.1 mg/ml and
gentamicin 0.5 mg/ml). The number of internalized bacteria surviving
the antibiotic treatment was assessed after plating lyzed epithelial c
ells on culture media. All tested Il gingivalis strains adhered to and
entered pocket epithelial cells. However, considerable variation in t
heir adhesive and invasive potential was observed. E. coli strain HB10
1 did not adhere or invade. Transmission electron microscopy revealed
that internalization of R gingivalis was preceded by formation of micr
ovilli and coated pits on the epithelial cell surfaces. Intracellular
bacteria were most frequently surrounded by endosomal membranes; howev
er, bacteria devoid of such membranes were also seen. Release of outer
membrane vesicles (blebs) by internalized II gingivalis was observed.
These results support and extend previous work from this laboratory w
hich demonstrated invasion of a human oral epithelial cell-line (KB) b
y II gingivalis.