Publications by authors named "Ranjana Minz"

Purpose: Epstein-Barr virus (EBV) reactivation in allogeneic hematopoietic stem cell transplantation (allo-HCT) recipients can lead to significant complications including post-transplant lymphoproliferative disease. Despite progress in managing EBV reactivation in allo-HCT recipients, data on clinical characteristics and prognostic implications of EBV viral load remain limited. Here, we aim to evaluate the prevalence, identify risk factors, and assess the clinical implications of EBV-DNA positivity in allo-HCT recipients.

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Objective: To assess chemokine receptor CXCR4 expression in lung parenchyma and on peripheral immune cells in systemic sclerosis-related interstitial lung disease (SSc-ILD) patients.

Methods: SSc-ILD patients underwent 68Ga- CPCR4 Trifluoroacetate positron emission tomography (PET) scan, SUVmean in different lung regions and architecturally abnormal areas, and receiver operating characteristic (ROC) curves were analyzed. CXCR4 expression on peripheral immune cells using flow cytometer was studied and correlated with the different lung regions.

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Article Synopsis
  • - The study investigates Hyper IgE Syndrome (HIES), specifically how loss of function in the STAT3 gene leads to symptoms like recurrent infections and elevated IgE levels due to impaired immune responses.
  • - Researchers focused on the unphosphorylated STAT3 and NF-κB (uSTAT3-uNF-κB) activation pathway, analyzing gene expression in patients and mutant plasmids after stimulation.
  • - Results showed reduced expression of key signaling molecules and less interaction between STAT3 and NF-κB in HIES patients, indicating that the impaired uSTAT3-uNF-κB pathway significantly contributes to the disease.
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Background Mucous membrane pemphigoid (MMP) is a rare subepidermal autoimmune blistering disorder. The clinical and demographic parameters of this disease in Indian patients have not yet been elucidated in detail. Objective We aimed to study the clinical and demographic characteristics, disease course, and treatment aspects of MMP patients.

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Cognitive impairment is a prevalent co-morbidity associated with epilepsy. Emerging studies indicate that neuroinflammation could be a possible link between epilepsy and its comorbidities, including cognitive impairment. In this context, the roles of glial activation, proinflammatory mediators, and neuronal death have been well studied and correlated with epilepsy-associated cognitive impairment in animal studies.

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Purpose: To study the ophthalmologic manifestations of systemic sclerosis (SSc) and its correlation with autoantibody profile.

Methods: A cross-sectional study on 200 eyes of 100 consecutive adult patients diagnosed with SSc was performed at a tertiary care center in Northern India. The examination of ocular adnexa, anterior segment, and posterior segment with slit-lamp biomicroscopy, tear film break-up time (TBUT), Schirmer's II test, and choroidal thickness measurement by swept-source ocular coherence tomography was done.

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Aim: This study was undertaken to explicate the shared and distinctive genetic susceptibility and immune dysfunction in patients with T1D alone and T1D with CD (T1D + CD).

Methods: A total of 100 T1D, 50 T1D + CD and 150 healthy controls were recruited. HLA-DRB1/DQB1 alleles were determined by PCR-sequence-specific primer method, SNP genotyping for CTLA-4 and PTPN22 was done by simple probe-based SNP-array and genotyping for INS-23 Hph1 A/T was done by RFLP.

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Skin is now emerging as a complex realm of three chief systems viz. immune system, nervous system, and endocrine system. The cells involved in their intricate crosstalk, namely native skin cells, intra-cutaneous immune cells and cutaneous sensory neurons have diverse origin and distinct functions.

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Purpose: Lymphoproliferative disorders and autoimmune diseases both are interrelated. The high incidence of lymphoma in autoimmune diseases and frequent antinuclear antibody (ANA) positivity in lymphoma patients have been observed. But the impact of ANA positivity on various clinical parameters and responses to therapy has not been elucidated properly.

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Background: Human leukocyte antigen (HLA) allele frequencies have a known association with the pathogenesis of various autoimmune diseases.

Methods: We recruited 31 Indian patients of acquired dermal macular hyperpigmentation (ADMH) and 60 unrelated, age-and-gender-matched healthy controls. After history and clinical examination, 5 ml of blood in EDTA vials was collected.

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  • Drug resistance in leprosy is increasing, leading to treatment failure and the risk of spreading resistant strains of Mycobacterium leprae, prompting this study on drug resistance patterns in India.
  • Out of 136 leprosy patients analyzed, 16.9% had mutations indicating drug resistance, with the highest resistance found for ofloxacin (12.5%), and lower resistance rates for dapsone and rifampicin (2.2% each).
  • The findings emphasize the need for better treatment strategies, increased use of effective drugs, and improved surveillance systems for monitoring drug resistance in areas with high leprosy prevalence.
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  • Systemic sclerosis (SSc) is a complex autoimmune disease influenced by genetics and environmental factors, with the study focusing on its association with human leukocyte antigens (HLA) in familial and non-familial cases from North India.
  • The research involved genotyping HLA-A, B, DRB1, and DQB1 in 150 SSc patients and 150 healthy controls, identifying significant risk and protective alleles, specifically the DRB1*11 and DRB1*12 alleles, in non-familial cases.
  • The findings suggest that the presence of the DRB1*11 allele increases the risk of developing non-familial SSc, while DRB1*12 may provide
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Epstein-Barr virus (EBV) is a nonhepatotropic virus. It causes mild self-limiting illness characterized by fever, oral ulcer, diarrhea, lymphadenopathy, and hepatosplenomegaly. Rarely it causes acute liver failure (ALF).

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Background: Human leukocyte antigen (HLA) restriction plays an important role in the susceptibility to alloimmunization against red blood cell (RBC) antigens. The prevalence of anti-D alloimmunization in RhD negative pregnancy is still quite high in our population. Thus, we planned this study to determine the association of HLA-DRB1 alleles with anti-D alloimmunization in RhD negative pregnant women.

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  • There is a potential link between immune function and cognition in schizophrenia, but this study aimed to explore the same relationship in patients with Acute and Transient Psychotic Disorders (ATPDs), an illness similar to schizophrenia.
  • Researchers analyzed a group of 19 ATPD patients during their acute phase and again after remission, comparing their cognitive performance using the Montreal Cognitive Assessment Scale (MoCA) to individuals with schizophrenia in remission.
  • Results showed that ATPD patients had notable cognitive deficits during both phases of their illness, but no significant connection was found between immune marker levels (IL-6, IL-8, IL-17) and cognitive scores in either group.
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To identify and evaluate differentially expressed plasma proteins in biliary atresia (BA), we performed plasma proteome profiling using liquid chromatography with tandem mass spectrometry (LC-MS/MS) in 20 patients with BA and 10 control children. Serological assays validated the most significant and highly upregulated proteins in a cohort of 45 patients and 15 controls. Bioinformatics tools were used for functional classification and protein-protein interactions of differentially expressed proteins (DEPs).

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Background: Neutrophil extracellular traps (NETs) have a role in infection, autoimmunity, autoinflammation, thrombosis, ischemia-reperfusion injury (IRI), epithelial-mesenchymal transition, vasculitis, and metabolic diseases. However, its role in early graft injury and graft outcome has not been elucidated till now. We evaluated the circulating NETs during early post-transplant periods and their correlation with graft outcome and IRI.

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  • The study investigates the prevalence of specific autoantibodies (ANCA and ANA) in patients with pulmonary tuberculosis (TB), which can mimic autoimmune diseases.
  • A total of 89 patients, mainly male and young, were included, revealing a high positivity for anti-elastase antibodies but low for ANA and anti-PR3 antibodies.
  • The findings suggest that while TB patients may have elevated anti-elastase antibodies, caution is needed in interpreting ANCA results in TB-endemic areas, prompting further research into their differentiation from autoimmune conditions.
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Background And Aims: Autoimmune liver disease (AILD) comprises of autoimmune hepatitis (AIH), primary biliary cholangitis (PBC) and primary sclerosing cholangitis (PSC) with a spectrum of overlap amongst the three. We analyzed the spectrum and treatment outcomes of patients with AILD presenting to a tertiary care center in India.

Methods: A retrospective analysis of AILD patients from June 2008 to April 2021 was performed.

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Autoimmune hepatitis (AIH) is a chronic and progressive disease of the liver. This is a multifactorial autoimmune disease with both environmental factors and genetic factors playing a role in its pathogenesis. Certain environmental agents like viruses, drugs, etc.

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