Abstract

Identification of transcription factors expressed by differentiated cells is informative not only of tissue-specific pathways, but to help identify master regulators for cellular reprogramming. If applied, such an approach could generate healthy autologous tissue-specific cells for clinical use where cells from the homologous tissue are unavailable due to disease. Normal human epithelial cells of buccal and urothelial derivation maintained in identical culture conditions that lacked significant instructive or permissive signaling cues were found to display inherent similarities and differences of phenotype. Investigation of transcription factors implicated in driving urothelial-type differentiation revealed buccal epithelial cells to have minimal or absent expression of PPARG, GATA3 and FOXA1 genes. Retroviral overexpression of protein coding sequences for GATA3 or PPARy1 in buccal epithelial cells resulted in nuclear immunolocalisation of the respective proteins, with both transductions also inducing expression of the urothelial differentiation-associated claudin 3 tight junction protein. PPARG1 overexpression alone entrained expression of nuclear FOXA1 and GATA3 proteins, providing objective evidence of its upstream positioning in a transcription factor network and identifying it as a candidate factor for urothelial-type transdifferentiation or reprogramming.

Highlights

  • The urinary tract from the renal pelvis, through ureters, bladder and proximal urethra is lined luminally by urothelium: a transitional epithelium

  • Urothelium derives from two embryological sources: bladder urothelium is endodermally-derived from the urinogenital sinus, whereas ureteric urothelium is of mesodermal (Wolffian duct) origin [37]

  • Superficial cells are characterised by apical expression of tissue-restricted transmembrane uroplakins that contribute to transcellular barrier function [10,36], whilst paracellular barrier function is provided by well-developed intercellular tight junctions [16,44]

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Summary

Introduction

The urinary tract from the renal pelvis, through ureters, bladder and proximal urethra is lined luminally by urothelium: a transitional epithelium. Urothelium derives from two embryological sources: bladder urothelium is endodermally-derived from the urinogenital sinus, whereas ureteric urothelium is of mesodermal (Wolffian duct) origin [37]. Both urothelia share common features of form and function, with stratification into basal, intermediate and the highly-specialised lumenfacing superficial cells that constitute the main urinary barrier. Superficial cells are characterised by apical expression of tissue-restricted transmembrane uroplakins that contribute to transcellular barrier function [10,36], whilst paracellular barrier function is provided by well-developed intercellular tight junctions [16,44]. Expression of claudin 3 is implicated functionally in the terminal tight junction [32]. The mechanism(s) involved in regulating the balance between urothelial differentiation and regeneration represent a paradox with major implications for urological practice

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