Dear Editor:It has been suggested that gingival fibroblasts (GF) function as an accessory immune tissue in the oral cavity (1) because these cells respond to inflammatory stimuli such as lipopolysaccharide, interleukin-ll3 (IL-113), and tumor necrosis factor alpha (TNFa) by production of other proinflammatory mediators. During our studies to optimize the cell culture system used for research on IL-6 modulation by hormones in GF, other factors have been discovered to affect production of this cytokine. We report here that amphotericin B (AmB) at or above 2,5 pg/ml stimulates both cell growth and IL-6 release from GF in low-serum medium.Primary cultures of human GF were established from explants of normal tissue removed during periodontal surgery (12). These cells were maintained in Dulbecco's modified Eagle's medium (DMEM; GIBCOBRL, Grand Island, NY) containing 2% fetal bovine serum (FBS; Atlanta Biologicals, Atlanta, GA) and 8% NuSerum V (Collaborative Research Inc., Waltham, MA) with nonessential amino acids, penicillin (tO0 U/ml), and streptomycin (100 ~g/ml). For experiments, cells were detached with trypsin/EDTA. The plating medium (called 4% FBS +) was phenol red-free DMEM containing nonessential amino acids, 15 mM HEPES, 4% FBS, 1.5 X ReduSer II (Upstate Biological Inc., Lake Placid, NY) and a final concentration of 1.25 mg bovine serum albumin/ml, with antibiotics as just noted.For growth studies, a modification of the crystal violet assay of Keung et al. (9) was used to study proliferation. Ceils were plated into 4% FBS + at 3 to 9 × lO3/well in a 96-well plate and allowed to attach overnight. Plates were then washed with phenol red-free Hanks' balanced salt solution (HBSS), and various concentrations of AraB (Sigma Chenfical Co., St. Louis, MO) in fresh medium were added. After incubation for 48-72 h, the cells were fixed by the addition of 11% glutaraldehyde (10 ~tl/lO0 g1 medium). Plates were shaken for 20 min in a rotary shake~, then rinsed thoroughly and allowed to dry overnight. Cells were stained by the addition of 100 pl of 0.1% crystal violet (in 0.2 mM 2-[N-morpholino]-ethanesulfonic acid, pH 8.0) per well; after 20 min of shaking, plates were again rinsed and allowed to dry overnight. Dye was solubilized by the addition of 100 gl of 10% acetic acid/well. Plates were shaken for 10 min; then the optical densities were read in a microplate reader (Molecular Devices, Menlo Park, CA) at 562 nm. AmB, up to at least 2.5 ug/ml, stimulated cell growth in GF (Fig. 1). Cells from a single pool were allowed to attach in the absence of AmB, so the increased cell numbers were not due to effects on cellular attachment. Cells plated sparsely at 3 × 103 per well were more dramatically stimulated to grow by AmB doses, relative to the control. In this low-serum medium, doses of 1 and 2.5 ug/ml significantly increased cell numbers (P < 0.05), as measured by this crystal violet proliferation assay. These short-term stimulatory effects were not apparent in medium containing 10% FBS. Similar results were seen when ce...