Intracellular proteinases play an important role in normal and pathological degradative processes. The contribution of cysteine proteinases in connective tissue breakdown is known, but their activity in the inflammatory process of periodontal disease received only limited attention. Gingival fluid was collected from eight female patients with different degrees of periodontal disease as indicated by pocket depth. Proteolytic activity of cathepsins, D and L was measured using hemoglobin as substrate.
Evidence that cathepsin L‐like proteinase contributed significantly to acid proteolytic activity in gingival fluid was found. In addition, proteolytic activity at pH 3.5 and cathepsin L‐like activity in gingival fluid were positively correlated with the degree of periodontal disease as measured by the pocket depth at the site of fluid collection. Cathepsin D in crevicular fluid was also determined immunologically. These results may contribute to a better understanding of the etiopathology of periodontal disease.