Accumulating evidence indicates that epithelia are not merely mechanical ba
rriers but also important elements of the innate immune system. The present
study was performed to examine cytokine responses of oral epithelial cells
after infection with the periodontal pathogen Porphyromonas gingivalis. Th
e KB-cell line and primary cultures of periodontal pocket epithelium were i
nfected with P. gingivalis for assessment of bacterial invasion by an antib
iotic protection assay, and examinination of expression of interleukin-l be
ta, interleukin-6, interleukin-8, and tumor necrosis factor-alpha by in sit
u hybridization and immunohistochemistry. We observed that P. gingivalis in
duces a strong cytokine response, positively correlated with the adhesive/i
nvasive potential of the infecting strain, in both KB cells and primary cul
tures. These findings indicate that the epithelial cells of the periodontal
pocket are an integral part of the immune system, eliciting cytokine respo
nses to a bacterial challenge. In this context, the adhesive/invasive pheno
type of P. gingivalis appears to contribute to pathogenicity.