The use of nickel-containing alloys in dentistry has been questioned b
ecause of the biological liabilities of nickel and the release of nick
el ions from dental appliances into the oral cavity. The uptake of nic
kel by cells in the oral tissues is a critical factor in assessing the
biological liabilities of nickel. Nickel uptake by macrophages may be
particularly important because of the central role of macrophages in
the inflammatory process and the known role of the macrophage in orche
strating the response to biomaterials. The aims of the current study w
ere to assess the reversibility of the uptake of nickel from human mac
rophages and determine the portion of the nickel which reaches the nuc
lei as a function of time. Cellular nickel content was measured by mea
ns of atomic absorption spectrometry. Nuclear nickel content was asses
sed after fractionating cells. The results showed that nickel was rapi
dly taken up by macrophages and that the nickel accumulated in the nuc
leus in as little as 8 h. After 48 h, over 60% of the cellular nickel
was in the nucleus. Once taken up, the nickel was lost at a lower rate
. The rate of loss decreased as the initial exposure time to the nicke
l increased. Thus, the results indicated that macrophages may accumula
te nickel if the time between exposures is insufficient to reverse the
uptake. Further studies are necessary to correlate the retention of n
ickel with impaired function of macrophages and to further define the
biological risks of using nickel in dental alloys.