Cited by 12Pleural and Pulmonary DiseasesEndometriosis Research and TreatmentExtracellular vesicles in disease

Circulating Endometrial Cells in Women with Spontaneous Pneumothorax

Kiss, Imrich, Pospisilova, Eliska, Kolostova, Katarina, Maly, Vilem, Stanek, Ivan, Lischke, Robert, Schutzner, Jan, Pawlak, Ireneusz +1 more·2020·Chest

Abstract

Background The occurrence of catamenial pneumothorax (CP) is rare, and the awareness of this diagnosis among physicians is insufficient. CP is highly correlated with pelvic endometriosis and remains the most common form of thoracic endometriosis syndrome. Circulating endometrial cells (CECs) have been previously detected in patients with pelvic endometriosis. Could CECs bring new insights into pneumothorax management?Methods This study aims to describe the occurrence and molecular characteristics of CECs in women with spontaneous pneumothorax (SP) (N = 20) with high suspicion of its catamenial character. CECs were enriched from peripheral blood by size-based separation (MetaCell). In addition to cytomorphology, gene expression profiling of captured cells was performed for 24 endometriosis-associated genes.Results CECs were present in all 20 patients with SP. Enriched CECs exhibited four character features: epithelial, stem cell-like, stroma-like, and glandular. However, not all of them were present in every sampling. Gene expression profiling revealed two distinct phenotypes of CECs in SP and/or CP: one of them refers to the diaphragm openings syndrome and the other to endometrial tissue pleural implantations. Comparisons of the gene expression profiles of CECs in pneumothorax (CECs-SP group) with CECs in pelvic endometriosis (CECs-non-SP group) have revealed significantly higher expression of HER2 in the CECs-SP group compared with the CECs-non-SP group.Conclusions This proof-of-concept study demonstrates successful isolation and characterization of CECs in patients with SP. Identification of CECs in SP could alert endometriosis involvement and help early referral to gynecologic consultation for further examination and treatment.

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Crossref · 10.1016/j.chest.2019.09.008

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  • Circulating endometrial cells have been identified in the peripheral blood of patients with spontaneous pneumothorax that is suspicious for catamenial pneumothorax.

    “Kiss et al. have recently identified circulating endometrial cells in the peripheral blood of patients with spontaneous pneumothorax that is suspicious for catamenial pneumothorax.”

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Authors
Kiss, I., Pospisilova, E., Kolostova, K., Maly, V., Stanek, I., Lischke, R., Schutzner, J., Pawlak, I., & Bobek, V.
Affiliations
  • Charles University (CZ)
  • Krajská Zdravotní (CZ)
Venue
Chest
Publisher
Elsevier BV
Published
2020-02
Volume
157
Issue
2
Pages
342-355
ISSN
0012-3692 (ISSN-L)
OpenAlex
W2974238747
Cited by
12
References
41
Citations by year
2025: 3 · 2024: 3 · 2022: 1 · 2021: 4 · 2020: 1
FWCI
1.10
Type
journal article
Language
en
Open access
closed
Locations
  • CHEST Journal (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Pleural and Pulmonary Diseases
  • Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Extracellular vesicles in disease
Keywords
spontaneous pneumothorax, catamenial pneumothorax, pelvic endometriosis, thoracic endometriosis, HER2 expression, pleural endometriosis
MeSH terms
Liquid Biopsy, Adult, Endometriosis, Endometrium, Female, Humans, Membrane Proteins, Middle Aged, Pleural Diseases, Pneumothorax, Vimentin, Case-Control Studies, CA-125 Antigen, Mucin-1, Erb-b2 Receptor Tyrosine Kinases, Receptor, ErbB-2, Keratin-18, Young Adult, Transcriptome

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