OBJECTIVE: Actinobacillus actinomycetemcomitans (A. actinomycetemcomitans) has been implicated as an important pathogen in periodontal disease. The aim of this report is to examine the effect of in vitro application of A. actinomycetemcomitans protease on the cell growth, DNA synthesis, and fibronectin level of human gingival epithelial cells. MATERIALS AND METHODS: A. actinomycetemcomitans protease was isolated from the culture supernatant of A. actinomycetemcomitans. Human gingival epithelial cells were incubated in the presence or absence of A. actinomycetemcomitans protease (0.01, 0.1, or I U) for 48 h. The proliferation of cells were tested with the MTT assay and the BrdU assay. The fibronectin level was examined by flow cytometric analysis. RESULTS: The cell growth rate, DNA synthesis rate, and fibronectin level of the gingival epithelial cells that had been incubated with protease, were lower than the respective values in the untreated gingival epithelial cells; as the dose of A. actinomycetemcomitans protease increased, the cell growth rate, DNA synthesis rate, and fibronectin level of the gingival epithelial cells decreased. A. actinomycetemcomitans protease may inhibit the proliferation of human gingival epithelial cells. CONCLUSIONS: This protease may play a key role as a major virulence factor in the development of periodontal disease.