Determination of safety levels of horseradish peroxidase-iodide system to human gingival keratinocytes and fibroblasts in vitro.

Abstract

The peroxidase-iodide (I-) system is a potential antimicrobial agent, and its bacteriocidal activity against various periodontal bacteria has been shown in many studies. The aim of this study was to investigate the possible cytotoxic effects of a non-physiological horseradish peroxidase (HRP)-I- system on human gingival keratinocytes and fibroblasts. Immortalized human skin keratinocyte cell line was used as a reference. Three indicators were studied: membrane permeability (trypan blue staining), cell growth (crystal violet staining) and metabolic activity (alamarBlue stain). The cells were cultured in microtitration plates, and the most commonly used exposure time to the HRP system was 1 h. The effects of HRP system on cell growth and metabolic activity were observed at lower I- and H2O2 concentrations than its effects on membrane permeability. Gingival fibroblasts were more prone to detachment than keratinocyte cell lines, but no differences in changes of growth or metabolic activities were observed between gingival fibroblasts and gingival keratinocytes. The highest concentrations of the HRP-I- system components which did not have any significant detrimental effects on the metabolic activity and cell growth of gingival keratinocytes and fibroblasts were: 50 microg/ml HRP, 500 micromol/L I- and 500 micromol/L H2O2. Although this system has been shown to be antibacterial against oral bacteria, no recommendations about the usage of the HRP-I- system in oral cavity can be made yet due to the in vitro nature of this study. Our results form the basis for future safety studies investigating the chronic toxicity of this system to oral epithelium.