Lymphocyte cultures were used as an in vitro experimental model to get a de
eper insight into immune response to oral bacteria in periapical granulomas
. Lymphocytes isolated from leucocyte concentrate were in lymphocyte cultur
es stimulated by antigen preparations of oral bacteria. Lymphocyte subsets
that have developed in lymphocyte cultures after a week of stimulation were
analysed by flow cytometry. A significant increase in expression of INF-ga
mma molecules in CD3+ cells stimulated by antigen preparations of oral stre
ptococci was found, compared with negative control. On the other hand we ob
served a significant increase in expression of IL-4 in CD3+ cells stimulate
d by antigens of anaerobic bacteria, compared with negative control. Our re
sults show that antigens of oral streptococci in in vitro lymphocyte cultur
es induce the differentiation of T helper cells into Th2 cells and that ant
igen preparations of anaerobic bacteria induce the differentiation of T hel
per cells into Th1 cells. Furthermore, an increased expression of HLA-DR mo
lecules on CD8+ T cells stimulated by antigens of oral streptococci was Fou
nd, compared with negative control.