Interleukin 12 (IL-12) is an efficient inducer and enhancer of gamma interferon (IFN-␥) production by both resting and activated T cells. There is evidence that human monocytes exposed to IFN-␥ have enhanced ability to produce IL-12 when stimulated with lipopolysaccharide (LPS). In this study, it was demonstrated that LPS from the oral periodontal pathogen Porphyromonas gingivalis stimulated monocytes primed with IFN-␥ to release IL-12, thereby enhancing IFN-␥ accumulation in T-cell populations. P. gingivalis LPS was shown to enhance IL-12 induction of IFN-␥ in T cells in a manner independent from TNF-␣ contribution. The levels of T-cell IL-12 receptors were not affected by P. gingivalis LPS and played only a minor role in the magnitude of the IFN-␥ response. These data suggest that LPS from P. gingivalis establishes an activation loop with IL-12 and IFN-␥ with potential to augment the production of inflammatory cytokines in relation to the immunopathology of periodontitis. We previously reported that the major cysteine proteinases (gingipains) copurifying with LPS in this organism were responsible for reduced IFN-␥ accumulation in the presence of IL-12. However, the addition of the gingipains in the presence of LPS resulted in partial restoration of the IFN-␥ levels. In the destructive periodontitis lesion, release of gingipains from the outer membrane (OM) of P. gingivalis could lead to the downregulation of Th1 responses, while gingipain associated with LPS in the OM or in OM vesicles released from the organism could have net stimulatory effects.Periodontal diseases are considered immunopathological inflammatory responses associated with the presence of pathogenic microorganisms, particularly the gram-negative anaerobic bacterium Porphyromonas gingivalis. Proteinases from the organism have been reported to exhibit enzymatic activity against a broad range of host proteins (7,9,17,50,51), with the majority of this attributed to cysteine proteinases referred to as gingipains that cleave substrates after arginine (RgpA and RgpB) (30) or lysine (Kgp) residues (29). The proteinases RgpA and Kgp can be purified from the cell surface of P. gingivalis ATCC 33277 as catalytic domains noncovalently linked with C-terminal adhesin or hemagglutinin domains. Henderson et al. identified the gingipain-associated hemagglutinin 2 domain as a lipid A binding peptide (11). The contribution of lipopolysaccharide (LPS) from P. gingivalis as a virulence factor in periodontitis remains to be fully evaluated.LPS from P. gingivalis differs biochemically from classical LPS derived from enterobacteria by lacking heptose and 2-keto-3-deoxyoctonate (22). Bramanti et al. reported that rhamnose represented the dominant sugar of LPS from P. gingivalis strain ATCC 33277 (3). P. gingivalis LPS and its lipid A, the endotoxic and bioactive center of LPS, induce relatively weak production of proinflammatory cytokines, such as tumor necrosis factor alpha (TNF-␣) and interleukin-1 beta (IL-1), in human peripheral blood monocytes compared to those s...