Mitochondria are organelles of eukaryotic cells, including urothelial cells of the human urinary bladder, which are the main site of synthesis of the energy-rich molecule ATP (adenosine triphosphate). The main morphological feature of mitochondria is the presence of a double membrane, which contains important protein translocators TIM (translocator of the inner membrane) and TOM (translocator of the outer membrane). Various non-physiological inclusions occasionally appear in mitochondria, whose role is not fully understood. In normal and cancerous urothelial tissue, we investigated the number of all mitochondria and mitochondria with inclusions in the apical cytoplasm of superficial urothelial cells, as well as the shape and location of mitochondria. Using transmission electron microscopy and image analysis, we found that the number of all mitochondria in cells of invasive high-grade urothelial carcinoma (T1, HG) and papillary neoplasm of low malignant potential (PUNLMP) is lower than in non-invasive low-grade papillary carcinoma (Ta, LG) and normal tissue. We observed the presence of mitochondrial inclusions in normal tissue and in all examined samples with different diagnoses of bladder cancer, but the number of mitochondria with inclusions was higher in invasive cancer. After immunofluorescent labelling of the TOM20 protein, which is in the outer mitochondrial membrane, we observed the shape and distribution of mitochondria in urothelial cells. We discovered oval mitochondria and mitochondrial reticulum. Oval mitochondria were found in normal tissue and in all examined cancer tissue samples, while mitochondrial reticulum was observed only in invasive cancer cells (T1, HG). In normal and non-invasive cancer tissue (PUNLMP; Ta, LG), most oval mitochondria were located apically above the nucleus, while in invasive cancer (T1, HG) they were distributed throughout the cytoplasm. In invasive cancer, the mitochondrial reticulum was located in all urothelial cells in the basal part of the cells or distributed throughout the cytoplasm.
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