Porphyromonas gingivalis, a gram-negative oral anaerobe, is strongly associated with adult periodontitis. The adherence of the organism to host epithelium signals changes in both cell types as bacteria initiate infection and colonization and epithelial cells rally their defenses. We hypothesized that the expression of a defined set of P. gingivalis genes would be consistently up-regulated during infection of HEp-2 human epithelial cells. P. gingivalis genome microarrays were used to compare the gene expression profiles of bacteria that adhered to HEp-2 cells and bacteria that were incubated alone. Genes whose expression was temporally up-regulated included those involved in the oxidative stress response and those encoding heat shock proteins that are essential to maintaining cell viability under adverse conditions. The results suggest that contact with epithelial cells induces in P. gingivalis stress-responsive pathways that promote the survival of the bacterium.Periodontal diseases have long been recognized as bacterial infections, and the presence of Porphyromonas gingivalis is associated with disease activity in adults. The bacterium is a component of subgingival plaque that interfaces with epithelial cells lining the gingival sulcus. It was determined experimentally that cells or fractions of P. gingivalis trigger various events in epithelial cells, including the induction of calcium fluxes (24), the activation of matrix metalloproteinases (9), the upregulation of collagenase and stromelysin expression (10), and the stimulation of interleukin-8 expression in peripheral blood mononuclear cells (25). Of the few reports concerning hostinduced gene expression in P. gingivalis, one study suggested that short contact with gingival epithelial cell monolayers inhibited the secretion of gingipain cysteine proteinases (34), while another reported the induction of Lys-gingipain upon prolonged contact with glutaraldehyde-fixed epithelial cells (1). Most recently, differential display reverse transcription-PCR was used to screen for P. gingivalis genes expressed during internalization in gingival epithelial cells (35). Of the genes identified, those encoding endopeptidase O (pepO), a cationtransporting ATPase, and an ABC transporter were mutated, and subsequent analyses suggested that they played a role in cell invasion.To increase knowledge of host-induced gene expression in P. gingivalis, we determined the profile of transcription of the organism induced by contact with HEp-2 epithelial cells by using a microarray comprising PCR amplicons of all of the open reading frames (ORFs) identified in the genome (33). During the early stages of infection, we observed the expression of genes involved in an oxidative stress response which, by analogy with similar responses in Bacteroides fragilis, might be controlled by OxyR, the peroxide-sensing regulator. Experimental evidence suggested that HEp-2 cells produced reactive oxygen species (ROS) that initiated the response in P. gingivalis. In addition, heat shock genes were expres...