“…Besides these components, urothelia also participate in maintaining the intrinsic barrier function through lipopolysaccharide (LPS)-mediated TLR4 signaling (Schilling et al, 2003). As a result, a variety of secreted proteins involved in inflammatory responses, including IL-8, IL-6 (Billips et al, 2007), GM-CSF (Li et al, 2017) and antibacterial mucosal proteins, such as the Surfactant Protein A (Hashimoto et al, 2017), are expressed. Therefore, like in the case of epithelium lining other parts of the body, invading pathogens can cross the urothelial barrier through intracellular tight and adherent junctions (paracellular route) or pass the apical surface of epithelial cells (transcellular route) (Balkovetz & Katz, 2003).…”