Differentiation potential of urothelium from patients with benign bladder dysfunction

Jennifer Southgate, Claire L. Varley, Mary A. E. Garthwaite, Jennifer Hinley, Fiona Marsh, Jens Stahlschmidt, Ludwik K. Trejdosiewicz, Ian Eardley

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To develop a novel in vitro approach to test the hypothesis that failure of urothelial differentiation underlies the aetiopathology of interstitial cystitis (IC), where there is evidence of compromised urinary barrier function, as benign dysfunctional bladder disease encompass several poorly understood clinically defined conditions, including IC, idiopathic detrusor overactivity (IDO) and stress urinary incontinence (SUI).

Biopsy-derived urothelial cells from dysfunctional bladder biopsies were propagated as finite cell lines and examined for their capacity to differentiate in vitro, as assessed by the acquisition of a transitional cell morphology, a switch from a cytokeratin (CK)13(lo)/CK14(hi) to a CK13(hi)/CK14(lo) phenotype, expression of claudin 3, 4 and 5 proteins, and induction of uroplakin gene transcription.

Two of 12 SUI cell lines showed early senescent changes in culture and were not characterized further; one of seven IC, one of five IDO and a further three SUI cell lines had some evidence of senescence at passage 3. Of the seven IC-derived cell lines, four showed a near normal range of differentiation-associated responses, but the remainder showed little or no response. Most IDO cell lines (four of five) showed a normal differentiation response, but at least three of the 10 SUI cell lines showed some compromise of differentiation potential.

This study supports the existence of a subset of patients with IC in whom a failure of urothelial cytodifferentiation might contribute to the disease, and provides a novel platform for investigating the cell biology of urothelium from SUI and other benign dysfunctional conditions.

Original languageEnglish
Pages (from-to)1506-1516
Number of pages11
JournalBJU International
Issue number6
Publication statusPublished - Jun 2007

Bibliographical note

Open access copy available from the journal web site.


  • bladder
  • claudin
  • differentiation
  • idiopathic detrusor overactivity
  • interstitial cystitis
  • stress urinary incontinence
  • uroplakin

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