Histochemistry and Cell Biology

, Volume 137, Issue 2, pp 177–186 | Cite as

Hyperplasia as a mechanism for rapid resealing urothelial injuries and maintaining high transepithelial resistance

  • Tanja Višnjar
  • Petra Kocbek
  • Mateja Erdani Kreft
Original Paper


When the urothelial barrier, i.e., the blood−urine barrier, is injured, rapid resealing of the injury is crucial for the normal functioning of the organism. In order to investigate the mechanisms required for rapid resealing of the barrier, we established in vitro models of hyperplastic and normoplastic urothelia. We found that hyperplastic urothelia achieve significantly higher transepithelial resistance (TER) than normoplastic urothelia. However, the expression of cell junctional (claudin-8, occludin, E-cadherin) and differentiation-related proteins (cytokeratin 20 and uroplakins) is weaker in hyperplastic urothelia. Further investigation of cell differentiation status at the ultrastructural level confirmed that superficial urothelial cells (UCs) in hyperplastic urothelial models achieve a lower differentiation stage than superficial UCs in normoplastic urothelial models. With the establishment of such in vitro models and the aid of TER measurements, flow cytometry, molecular and ultrastructural analysis, we here provide unequivocal evidence that the specific cell-cycle distribution and, consequently, the number of cell layers have a significant influence on the barrier function of urothelia. We demonstrate the importance of hyperplasia for the rapid restoration of the urothelial barrier and the maintenance of high TER until the UCs reach a highly differentiated stage and restoration of the urothelial barrier after injury is complete. The information that this approach provides is unique and we expect that further exploitation of hyperplastic and normoplastic urothelial models in future studies may advance our understanding of blood−urine barrier development and functionality.


Urothelium Transepithelial resistance Wound healing Hyperplasia Differentiation 



We thank Prof. Dr. Kristijan Jezernik and Prof. Dr. Rok Romih (University of Ljubljana, Faculty of Medicine, Institute of Cell Biology) for their continuous support. The authors thank Prof. Dr. Tung-Tien Sun (New York University Medical School) for the generous gift of uroplakin antibodies. The study was supported by the Slovenian Ministry of Higher Education, Science and Technology (Grant No P3-0108).


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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Tanja Višnjar
    • 1
  • Petra Kocbek
    • 2
  • Mateja Erdani Kreft
    • 1
  1. 1.Faculty of Medicine, Institute of Cell BiologyUniversity of LjubljanaLjubljanaSlovenia
  2. 2.Faculty of PharmacyUniversity of LjubljanaLjubljanaSlovenia

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