Fluorescence-activated cell sorter analysis and transmission electron micro
scopy were used to determine the presence of apoptotic cells in Porphyromon
as gingivalis-specific T-cell lines established from the peripheral blood o
f 10 P. gingivalis-infected individuals. P. gingivalis outer membrane antig
ens were presented to the T cells by autologous Epstein-Barr virus-transfor
med B cells for 6, 24, 48 and 72 h. Transmission electron microscopy demons
trated the presence of typical apoptotic cells in all cultures. Annexin V-p
ositive cells were present at low concentrations at all 4 four periods. A m
ean of approximately 2-3% of the CD4 cells and 1-3.5% of the CD8 cells were
annexin V-positive, with an increase to around 5.5% positive CD4 cells at
6 h in wells containing P. gingivalis compared with cultures not containing
antigen. This difference was not, however, significant at the 0.05 level (
P=0.073). The mean (+/-standard error) CD4:CD8 ratios of the T-cell lines w
hen first established using peripheral blood mononuclear cells as antigen-p
resenting cells was significantly higher (5.2+/-1.1) than when transformed
B cells were used as antigen-presenting cell (1.2+/-0.5). While this study
has shown apoptosis occurring in the T-cell lines, it has not shown definit
ively that the reversion in the CD4:CD8 ratio in the P. gingivalis-specific
T cells following antigen presentation by autologous Epstein-Barr virus-tr
ansformed B cells is due to apoptosis of a CD4 population. Alternatively, t
he reversion in the CD4:CD8 ratio could be due to a selective proliferation
of the CD8 population which, in turn, could be relevant to the immunopatho
logy of periodontal disease induced by P. gingivalis.