Transitional Epithelium: Definition, Structure & Function

Transitional Epithelium Definition

Transitional epithelium is a stratified tissue made of multiple cell layers, where the cells constituting the tissue can change shape depending on the distention in the organ. When the organ is filled with fluid, cells on the topmost layer of this epithelium can stretch and appear flattened. Alternately, they can also appear cuboidal with a rounded shape when the fluid pressure is low.

Anatomy and physiology of animals transitional epithelium

This epithelium is found lining the urinary bladder, ureters and urethra, as well as in the ducts of the prostrate gland.

The Bladder

The image shows a cross section of the bladder with an inset displaying the histology of the epithelium, the underlying connective tissue (lamina propria) and submucosa.

Function of Transitional Epithelium

Due to its location in the excretory system, especially in the ureters and urinary bladder, one of the primary functions of this tissue is to be an extremely effective permeability barrier, impenetrable to water and most small molecules. The cells of this tissue are probably among the most resistant to osmotic pressure. Urine is hypertonic with a much higher concentration of many solutes compared to the cytoplasm of the epithelial cells. Yet, these cells are protected from desiccation even when the epithelium is fully stretched. Toxic wastes are also prevented from re-entering the blood stream.

The second important function of these cells is to allow the organ to stretch and increase its volume depending on fluid pressure. For instance, when there is a lot of water that needs to be expelled from the body, a large quantity of liquid passes through the ureters, urinary bladder and urethra. The ability of the cells in the superficial layer of this epithelium to change shape (transition from a rounded cuboidal shape to a flattened squamous structure) allows these organs to stretch without exposing underlying tissue to the toxic substances in the urine.

Harnblase Urothel

This image demonstrates the presence of rounded cells at the apical surface implying that the tissue is not stretched.

Structure of Transitional Epithelium

Transitional epithelia are made of 3-4 layers of cells with the lowermost or basal layer staying in contact with the basement membrane. The cells of this basal layer are attached to the lamina propria through tonofilaments and hemi-desmosomes. These are among the least differentiated cells in this tissue and support the remaining cells. Cells in the intermediate layers are proliferative and can replenish cells lost due to abrasion or infection. They also have a vast Golgi network that contains a number of membrane-bound vesicles. The superficial layer of cells can change from being cuboidal to appearing flattened when the organ is distended and contain a number of actin-based cytoplasmic projections known as microvilli. A two-dimensional network of hexameric plaques covers the apical plasma membrane of these cells. These plaques are made from a protein called uroplakin and are an important feature of this epithelium, contributing to the permeability barrier for water, ammonia, urea and many other solutes of the urine. They are also likely to be involved in the ability of these cells to transition in shape.

All the cells of this epithelium are deeply connected to each other through junctional complexes. Junctional complexes are symmetrical attachments between two cells usually made of three components: a band of tight junctions on the apical surface, followed by an intermediate series of adherens junctions and basally located desmosomes. Together, these multiprotein complexes hold the cells of the epithelium together and present an uninterrupted surface to the lumen of the organ.

Examples of Transitional Epithelium

Transitional epithelia are most commonly found in the urinary and male reproductive tract in humans. These are regions where the volume and osmolarity of the organ can change rapidly. In the urinary system, the volume and concentration of solutes in the urine depends on a number of factors. Similarly, the prostatic urethra in the male reproductive system is lined by transitional epithelium continuous with the epithelium of the bladder. It is the most dilatable part of the urethra, expanding or contracting depending on the flow of urine or semen.


The bladder is an organ that is designed to hold a large proportion of the body’s toxic, liquid waste, before it is expelled from the body. When fully distended, the urinary bladder can hold nearly 500 ml of urine, making it an organ that has drastic changes in volume over short spans of time. While three layers of muscle fibers contribute towards the distention and contraction of the organ, the transitional epithelium is also crucial. The junctional complexes and uroplakin plaques of the superficial cells protect the body from the effects of storing urea, ammonia and other metabolites in the bladder. In addition, the plaques are said to help apical cells adjust the surface area of their plasma membrane. For instance, when the bladder is distended, there is an increase in the membrane area, possibly through the fusion of vesicles from the Golgi network.

bladder wall

Image shows a cross section of a bladder wall, with flattened superficial cells in the transitional epithelium. Also shown are the submucosa and three layers of muscle fibers.

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