Papers by Ranjan Ramasamy
Medullary carcinoma (MC) of the breast is a high grade carcinoma that has a relatively favourable... more Medullary carcinoma (MC) of the breast is a high grade carcinoma that has a relatively favourable prognosis compared to atypical medullary carcinoma (AMC) and other more common breast carcinomas. In a retrospective study in Brunei Darussalam of all available biopsy samples, we compared the nature of the tumourinfiltrating lymphocytes (TILs) in MC and AMC in relation to recorded tumour characteristics. CD4, CD8, CD20, CD25, CD45RO, and CD56 and common tumour biomarkers were detected immunohistochemically. The 11 cases of MC had no nodal metastases and survived without relapse, suggesting good tumour control. In contrast, 7 cases of nodal metastases and 1 relapse were observed in 12 AMCs. Although not statistically significant, there was a tendency for a greater proportion of AMCs to express the Her2/ neu oncogene. Higher proportions of CD45RO+ and CD8+ cells, and lower levels of CD20+ cells, were characteristic of TILs in MC compared to AMC. The ratio of CTL to B-lineage cells in TIL...
Diagnostics
Apicomplexan parasites of the genus Babesia cause babesiosis in humans and animals worldwide. Hum... more Apicomplexan parasites of the genus Babesia cause babesiosis in humans and animals worldwide. Human babesiosis is a predominantly zoonotic disease transmitted by hard ticks that is of increasing health concern in the USA and many other countries. Microscopic examination of stained blood smears, detection of serum antibodies by immunoassays and identification of parasite nucleic acid in blood by qPCR and fluorescence in situ hybridization (FISH) are some methods available for diagnosing babesiosis. This study investigated the use of a Babesia genus-specific FISH test for detecting Babesia parasites in blood smears and immunofluorescence assay (IFA) for detecting serum antibodies to Babesia duncani and Babesia microti, two common species that cause human babesiosis in the USA. The findings with clinical samples originating from USA, Australia, Europe and elsewhere demonstrate that the parallel use of Babesia genus-specific FISH and IFA tests for B. duncani and B. microti provides more...
Healthcare
Tick-borne relapsing fever (TBRF) is caused by spirochete bacteria of the genus Borrelia termed r... more Tick-borne relapsing fever (TBRF) is caused by spirochete bacteria of the genus Borrelia termed relapsing fever Borreliae (RFB). TBRF shares symptoms with Lyme disease (LD) caused by related Lyme disease Borreliae (LDB). TBRF and LD are transmitted by ticks and occur in overlapping localities worldwide. Serological detection of antibodies used for laboratory confirmation of LD is not established for TBRF. A line immunoblot assay using recombinant proteins from different RFB species, termed TBRF IB, was developed and its diagnostic utility investigated. The TBRF IBs were able to differentiate between antibodies to RFB and LDB and had estimated sensitivity, specificity, and positive and negative predictive values of 70.5%, 99.5%, 97.3%, and 93.4%, respectively, based on results with reference sera from patients known to be positive and negative for TBRF. The use of TBRF IBs and analogous immunoblots for LD to test sera of patients from Australia, Ukraine, and the USA with LD symptoms ...
Parasites & Vectors
Background: Anopheles stephensi, the major vector of urban malaria in India, was recently detecte... more Background: Anopheles stephensi, the major vector of urban malaria in India, was recently detected for the first time in Sri Lanka in Mannar Island on the northwestern coast. Since there are different biotypes of An. stephensi with different vector capacities in India, a study was undertaken to further characterise the genotype and biotype of An. stephensi in Mannar Island. Methods: Mosquito larvae were collected in Pesalai village in Mannar and maintained in the insectary until adulthood. Adult An. stephensi were identified morphologically using published keys. Identified adult An. stephensi were molecularly characterized using two mitochondrial (cox1 and cytb) and one nuclear (ITS2) markers. Their PCR-amplified target fragments were sequenced and checked against available sequences in GenBank for phylogenetic analysis. The average spiracular and thoracic lengths and the spiracular index were determined to identify biotypes based on corresponding indices for Indian An. stephensi. Results: All DNA sequences for the Mannar samples matched reported sequences for An. stephensi from the Middle East and India. However, a single nucleotide variation in the cox1 sequence suggested an amino acid change from valine to methionine in the cox1 protein in Sri Lankan An. stephensi. Morphological data was consistent with the presence of the Indian urban vector An. stephensi type-form in Sri Lanka. Conclusions: The present study provides a more detailed molecular characterization of An. stephensi and suggests the presence of the type-form of the vector for the first time in Sri Lanka. The single mutation in the cox1 gene may be indicative of a founder effect causing the initial diversification of An. stephensi in Sri Lanka from the Indian form. The distribution of the potent urban vector An. stephensi type-form needs to be established by studies throughout the island as its spread adds to the challenge of maintaining the country's malaria-free status.
Biochemical Society Transactions
Parasites & Vectors
Background: Plasmodium knowlesi is primarily responsible for zoonotic malaria in several Southeas... more Background: Plasmodium knowlesi is primarily responsible for zoonotic malaria in several Southeast Asian countries. Precise identification of the parasite in the blood of patients presently relies on an expensive and elaborate PCR procedure because microscopic examination of blood and other available field identification techniques lack adequate specificity. Therefore, the use of a simple and inexpensive dual-colour fluorescence in situ hybridization (FISH) assay, analogous to FISH assays recently described for Plasmodium falciparum and Plasmodium vivax, was investigated as a potential tool for identifying P. knowlesi. Results: A P. knowlesi 18S rDNA sequence-based DNA probe was used to test thin blood smears of P. knowlesi by FISH, and fluorescence viewed in a light microscope fitted with a light emitting diode light source and appropriate emission and barrier filters. The limit of detection in the P. knowlesi FISH assay was 84 parasites per ÎĽl in infected monkey blood and 61 parasites per ÎĽl for P. knowlesi cultured in human blood. The P. knowlesi-specific FISH probe detected only P. knowlesi and not P. falciparum, Plasmodium malariae, Plasmodium ovale, P. vivax or a panel of other human blood-borne pathogens. A previously described Plasmodium genus-specific probe used simultaneously in the P. knowlesi FISH assay reacted with all tested Plasmodium species. Conclusions: To our knowledge, this is the first description of a FISH assay for P. knowlesi that is potentially useful for diagnosing infections in remote laboratories in endemic countries.
Journal of the National Science Foundation of Sri Lanka
An effective vaccine will greatly reduce mortality and morbidity against malaria and in combinati... more An effective vaccine will greatly reduce mortality and morbidity against malaria and in combination with other control measures, can eradicate malaria from Sri Lanka. The possible types of synthetic malaria vaccines that may be directed against different target stages of the parasite are reviewed. The evidence for cellular. and humoral mechanisms of immunity operating against sporozoites, liver stages, asexual blood stages and sexual stages are briefly discussed with reference to the major target antigens in each stage. A novel approach to blocking malaria transmission through immunization with mosquito antigens is briefly mentioned. Preliminary results of a clinical trial in Sri Lanka to determine theimmunogenicity and safety of malaria peptides conjugated to diphtheria toxoid a s candidate vaccines, are discussed.
Journal of the National Science Foundation of Sri Lanka
Peptides corresponding to known B cell epitopes in a 4SkDa merozoite surface glycoprotein of the ... more Peptides corresponding to known B cell epitopes in a 4SkDa merozoite surface glycoprotein of the human malaria parasite Plasmodium falciparum were conjugated via 6-maleimido caproic acyl N-succinimide ester to bovine serum albumin. The conjugates were used to immunize Balblc mice in saline and with the following adjuvants: Freunds adjuvant, the muramyl dipeptide derivatives murametide and murabutide, and aluminium hydroxide. Three injections of antigen were given intra-muscularly at 21d intervals and sera obtained after each injection. Antibody levels against peptides were measured by ELISA. Freunds adjuvant produced the highest titre of antibodies (up to lo-' after three injections). Antibody levels obtained with alum absorbed antigen reached titres of lo5-lo4 while antigen administered in salirce alone yielded titres of 1 0. '. The soluble MDP derivatives did not produce higher antibody levels than antigen administered in saline. The results suggest that three injections of peptide-camer conjugates in alum o r p l i n e may be an acceptable procedure for raising sufficiently high titre anti-peptide antibodies in animals and man.
Journal of the National Science Foundation of Sri Lanka
Journal of the National Science Foundation of Sri Lanka
Journal of the National Science Foundation of Sri Lanka, 2017
BMC biology, Feb 28, 2017
The mosquito Aedes aegypti is the main vector of dengue, Zika, chikungunya and yellow fever virus... more The mosquito Aedes aegypti is the main vector of dengue, Zika, chikungunya and yellow fever viruses. This major disease vector is thought to have arisen when the African subspecies Ae. aegypti formosus evolved from being zoophilic and living in forest habitats into a form that specialises on humans and resides near human population centres. The resulting domestic subspecies, Ae. aegypti aegypti, is found throughout the tropics and largely blood-feeds on humans. To understand this transition, we have sequenced the exomes of mosquitoes collected from five populations from around the world. We found that Ae. aegypti specimens from an urban population in Senegal in West Africa were more closely related to populations in Mexico and Sri Lanka than they were to a nearby forest population. We estimate that the populations in Senegal and Mexico split just a few hundred years ago, and we found no evidence of Ae. aegypti aegypti mosquitoes migrating back to Africa from elsewhere in the tropics...
Immunology Letters, 2017
Multiple sclerosis is an autoimmune disease caused by the destruction of the myelin sheath in the... more Multiple sclerosis is an autoimmune disease caused by the destruction of the myelin sheath in the central nervous system. The major target molecules for the immune response are the myelin basic protein, myelin oligodendrocyte glycoprotein and proteolipid protein but the aetiology of the disease is as yet poorly understood. The HLA Class II allele DRB1*1501 in particular as well as DRB5*0101 and the expression of human endogenous retroviral envelope proteins have been linked to multiple sclerosis but the molecular mechanisms relating these remain to be elucidated. We hypothesised that cross-reactive peptide epitopes in retroviral envelope proteins and myelin proteins that can be presented by the two Class II DR molecules may play a role in initiating multiple sclerosis. Sequence homologies between retroviral envelope and myelin proteins and in silico predictions of peptides derived from them that are able to bind to the two Class II alleles were examined to test the hypothesis. The results support the hypothesis that molecular mimicry in peptide epitopes from envelope proteins of the HERV-W family of endogenous retroviruses and myelin proteins is possible and could potentially trigger multiple sclerosis. Mimicry between syncytin-1, a HERV-W envelope protein that is expressed during placentation, and myelin proteins may also explain the higher prevalence of multiple sclerosis in women. Experiments to test the ability of the identified peptide epitopes to activate TH cells are required to confirm the present findings.
Journal of vector borne diseases
The major mosquito vectors of human diseases have co-evolved with humans over a long period of ti... more The major mosquito vectors of human diseases have co-evolved with humans over a long period of time. However, the rapid growth in human population and the associated expansion in agricultural activity and greater urbanisation have created ecological changes that have had a marked impact on biology of mosquito vectors. Adaptation of the vectors of malaria and important arbovial diseases over a much shorter time scale to the new types of preimaginal habitats recently created by human population growth and activity is highlighted here in the context of its potential for increasing disease transmission rates. Possible measures that can reduce the effects on the transmission of mosquito-borne diseases are also outlined.
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Papers by Ranjan Ramasamy