To investigate the mechanism for the toxicity of silicate cement as observed in a cell culture system, the effects of pH and fluoride were tested on human epithelial cells (NCTG 2544). At pH 7.3, fluoride concentrations from 15 to 25 [xg/ml (0.79 to 1.3 mM) had a growth inhibitory effect. When pH of the incubation medium was lowered in the range 7.0 to 6.4, an enhanced cytotoxic effect of fluoride was found, and even at 5 to 10 |xg'ml growth inhibition occurred. Concomitant with the enhanced cytotoxicity of fluoride at low pH, there was an increased utilization of glucose and formation of lactate. Upon lowering the pH of the incubation medium from 7.4 to 6.7 a twofold increase in the intracellular concentration of fluoride was found. Previously, we have described the growth inhibitory effect of silicate cement in a cell culture system (HELGELAND & LEIRSKAR 1972), During incubation, zinc, silicon, fluoride and phosphate were released from the silicate cement disks (HELGELAND & LEIRSKAR 1973), pH decreased and magnesium and calcium were adsorbed from the medium.In the present experiments the importance of acidification and the release of fluoride for the observed cytotoxicity of silicate cement was studied. The effects of fluoride and pH on glucose metabolism, growth and morphology of human epithelial cells in culture were tested separately and in combination. Also, the influence of pH on the cellular uptake of fluoride was measured.
Material and methods
CELL CULTURE PROCEDURES