Jaisy Mathai

Sree Chitra Tirunal Institute for Medical Sciences and Technology, Tiruvananantapuram, Kerala, India

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Publications (18)19.79 Total impact

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    ABSTRACT: The study was performed on prospective donors who reported to the Department of Transfusion Medicine. Individuals deferred due to hypertension contributed the study population. They were compared with age and sex matched donor controls. Demographic details were recorded in a proforma. On identification of a hypertensive individual, consequent two comparable donors were taken as controls with a total of 50 hypertensive subjects. Hypertensive status of the subjects were assessed based on the criteria formulated by the WHO-ISH and US Seventh Joint National Committee report on prevention, detection, evaluation and treatment of high blood pressure. About 0.95% of healthy blood donors had undetected hypertension. Mean age at detection of hypertension in the study group was 35.44 ± 7.69 years. Higher BMI was observed in the hypertensive group compared to normotensive control group with P value significant at 0.0001. About 1% of healthy individuals were found to have undetected hypertension. Though the study was not designed to determine the prevalence of hypertension in the region, it is a rough estimate of the proportion of undetected hypertension in the local population as donors are considered as representative of healthy population.
    Asian Journal of Transfusion Science 07/2012; 6(2):182-6. DOI:10.4103/0973-6247.98945
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    ABSTRACT: Dextran-binding immunoglobulin (DIg) and anti-β-glucan antibody (ABG) are naturally occurring human serum antibodies specific to α- and β-glucoside epitopes respectively of polysaccharide antigens and heavily enriched in IgA. ABG and DIg are shown here to have much more of their IgA in polymeric form than does serum IgA in general. Cell wall β-glucans and glycoproteins of the widely consumed yeast (Saccharomyces cerevisiae) offered several hundred fold better ligands for ABG than did small β-glucosides. Candida albicans cell wall antigen (CCA), a commonly encountered polysaccharide-rich fungal antigen was recognized by normal human serum anti-carbohydrate antibodies to precipitate maximally at a definite stoichiometry typical of immune complexes (IC). IC formed in serum in vitro on addition of CCA contained a significantly higher percentage of IgA than did either naturally occurring IC or serum. Polymeric IgA was far better ligand than monomeric IgA for both anti-IgA antibody and the most widely expressed human tissue lectin galectin-1 which recognizes O-linked oligosaccharides characteristic of IgA, in contrast to N-linked oligosaccharides present in all immunoglobulins. Moreover, desialylation by neuraminidase, an enzyme released into circulation during many microbial infections and diabetes, increased lectin-binding activity of polymeric IgA much more than that of monomeric IgA. Human galectin-1 immobilized in active form in vitro sugar-specifically captured IgA and IgA-containing IC formed by CCA in serum but not IgG. Results suggest that while high IgA content especially in polymeric form may render polysaccharide IC more susceptible to tissue uptake, desialylation of IgA in IC could enhance the process.
    Immunology letters 12/2010; 136(1):55-60. DOI:10.1016/j.imlet.2010.12.004 · 2.51 Impact Factor
  • Jaisy Mathai ·
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    ABSTRACT: Bacterial contamination of blood is being recognized more frequently now and is one of the serious complications of transfusion. Use of integrally attached collection systems and strict standards for skin preparation, collection and storage of blood and components have reduced but not eliminated the risk of bacterial contamination. As bacteraemia may be part of acute or sub acute infections, strict donor selection is warranted. The longer the storage time, the greater is the number of organisms and amount of endotoxin present in the unit and associated with transfusion reactions. Importance of haemovigilance system and awareness among clinicians on the potential complications will go a long way in reducing patient morbidity. New approaches for detection of bacterial contamination, pathogen reduction and developments in the field of platelet biology will increase blood safety.
    Transfusion and Apheresis Science 10/2009; 41(2):139-44. DOI:10.1016/j.transci.2009.07.012 · 0.77 Impact Factor
  • P V Sulochana · A Rajesh · J Mathai · S Sathyabhama ·
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    ABSTRACT: Accurate Rh testing can be difficult if the red cells are heavily coated with IgG anti D antibodies - a phenomenon called blocked D. Repeatedly, Rh D negative blood group report was obtained in a newborn male baby with severe haemolytic disease and features of kernicterus born to a 2nd gravida B Rh D negative mother. On investigation, the baby was grouped as B Rh D negative by direct grouping, but after elution, D antigen was detected and phenotyped as CcDe. Antibody was identified as anti D. All D antigens of the baby were fully saturated with anti D leaving any antigen to bind with antisera. Direct Coombs test was strongly positive even after three exchange transfusions. The baby also had free antibody apart from the red cell bound and the red cell eluate, gave a titre of 512. The mother was grouped as B Rh D negative and phenotyped as ce. She had IgM and IgG class of anti D with titres 32 and 1024 respectively. She also had IgM anti C (only in neat) and IgG anti-A with a titre of 512.
    International Journal of Laboratory Hematology 07/2008; 30(3):244-7. DOI:10.1111/j.1751-553X.2007.00943.x · 1.82 Impact Factor
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    ABSTRACT: background: Possible toxic effects of iron stores have been implicated in the pathogenesis of several common diseases including malignancy,neurodegenerative disorders,diabetes mellitus and atherosclerosis.Controlled iron deprivation has shown to have beneficial effects in the outcome of these disease states.Iron deprivation appears to be more efficient and more feasible than any other classical antioxidant therapy.Phlebotomy is known to be safe and an effective means of reducing iron stores. If healthy adults volunteer to donate blood to reduce iron levels,it will be a boon to transfusion services,especially in countries like India where there is a huge gap between demand and supply of blood. Methods and results: Hundred numbers each of healthy adult males who have not donated blood,patients with coronary disease and regular blood donors were included in the study. Total serum iron,serum ferritin, and total iron binding capacity were estimated.percentage of transferrin saturation was calculated.Statistical analysis of the results were done. conclusion:Iron accumulates as age advances in the adult male population of the state.Substantial reduction of iron levels can be achieved by regular blood donation.Hence regular blood donation can be used as a motivational tool for health promotion and disease prevention.This will help us to augment our donor base.
    135st APHA Annual Meeting and Exposition 2007; 11/2007
  • M Geetha · K I Annamma · J Mathai · P S Appukuttan ·
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    ABSTRACT: Normal human plasma antibody that recognizes beta-linked glucoside moiety was purified by affinity chromatography on cellulose. The anti-beta-glucoside antibody had three times higher IgA to IgG ratio and substantially higher polymeric IgA content than total serum immunoglobulins. Cellobiose and other beta-glucosides were best inhibitors of its binding to polystyrene microwell-coated polysaccharides. In synthetic glycoproteins made by conjugating disaccharides to hemoglobin or bovine serum albumin, cellobiose, unlike lactose or maltose, was sugar-specifically recognized by the antibody. It also recognized polystyrene well-coated beta1-->3 linked glycans of Saccharomyces cerevisiae, Candida albicans and of barley in decreasing order of affinity. Its sugar-binding site could thus accommodate beta-glucoside with or without substitution at C4 and C3. High IgA content along with the capacity to bind common microbial and dietary antigens pointed to the immune inflammatory potential of the antibody.
    Immunological investigations 01/2007; 36(1):73-83. DOI:10.1080/08820130600745737 · 1.99 Impact Factor
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    ABSTRACT: Platelet discoid shape is known to correlate with in vivo viability after transfusion. Measurement of shape change requires invasive sampling and laborious assays, which is difficult to perform in a blood transfusion center as a routine test for quality control of stored platelets. The objective of this study was to establish suitability of swirling assessment in stored platelet suspension as a routine test for quality check, by comparing platelet shape change measurement carried out in parallel. The study was done in two types of bags obtained from different manufactures (Groups 1 and 2). Platelet concentrates (PC) were stored for 120 h and samples drawn at 24-h intervals, optical analysis at 540 nm was carried out to quantify shape change in response to an agonist adenosine diphosphate (ADP). The same bags were subjected to swirling assessment, by two blood bank personnel independently and graded as positive (+, ++, +++) or as negative, based on the silky appearance of the suspension. Swirling negative platelets were prepared by storing platelets at 4 degrees C for 24 h and were compared with swirling positive platelets. Other parameters studied in the samples drawn at 24-h intervals were platelet count, mean platelet volume, and blood gases. Swirling assessment results correlated well with shape change measurement at each study period with a P value significant at 0.02 and 0.04 for group 1 and 2 bags, respectively. In the negative swirling controls, extent of shape change was lower than the extent in test bags, showing reduced capacity to respond to ADP at 4 degrees C. The results of the study indicate that by simple swirling measurements, stored PC can be monitored for loss of discoid shape before they are transfused. Gas tension and pH were with in permissible limits. Therefore, inspection of swirling can be a reliable method of quality control as it correlates with platelet function. The platelets that retain the discoid shape in vitro at the time of transfusion are expected to be functional in vivo.
    Platelets 10/2006; 17(6):393-6. DOI:10.1080/09537100600757695 · 2.98 Impact Factor
  • Jaisy Mathai ·

    The Indian Journal of Medical Research 12/2005; 122(5):371-3. · 1.40 Impact Factor
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    Jaisy Mathai · P N Sindhu · P V Sulochana · S Sathyabhama ·
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    ABSTRACT: Antibodies with haemolytic properties are common within the ABO system. These lytic antibodies are immunoglobulin G (IgG) and in high titres cause haemolysis during blood transfusion. Information on Immunoglobulin types and concentration of ABO haemolysins in Indian population is lacking. The present study was undertaken to know the usefulness of haemolysin test for characterization of immunoglobulin class of ABO antibodies. Serum samples from 187 O group blood donors were screened for A and B haemolysins. Thirty five samples were treated with dithiothretiol (DTT) for characterization of Ig class. Antibody titre was compared with grade of haemolysis. Of the 51 strongly haemolytic serum samples, 32 (62.8%) had IgG titres of > or = 64 after treatment with DTT. There was significant association (P<0.05) between grade of haemolysin and anti B IgG titre. Haemolysin test was found to be a useful screening test to identify group O donors with high levels of IgG anti A and/or anti B for blood transfusion purposes.
    The Indian Journal of Medical Research 09/2003; 118:125-8. · 1.40 Impact Factor
  • P V Sulochana · S Sathyabhama · Jaisy Mathai · K S Sheela Devi ·
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    ABSTRACT: Auto antiA1 and anti H was found in the serum of a patient admitted in this hospital for intracardiac repair of Ventricular Septal defect (VSD). Blood was grouped as A1 positive with discrepant cell and serum grouping due to auto anti A1 and anti H. No blood units were compatible for the patient. 17 A1, 3 A2 and 8 O group blood units were crossmatched and found incompatible at 37 degrees C and A2 and O at 25 degrees C--as the patient required surgery at hypothermia. Surgery was postponed. Antibody status was reviewed after 4 months. The thermal amplitude of auto anti H had changed by then but there was no change in auto anti A1. Surgery was done using A2 group blood.
    Indian Journal of Pathology and Microbiology 05/2003; 46(2):246-7. · 0.47 Impact Factor
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    ABSTRACT: Blood transfusion is an important mode of transmission of infections to the recipient. The aim of the study was to assess the prevalence of transfusion transmissible infections and the possible risk factors among blood donors. During the study period (1994-99) donor samples were screened for HBsAg, HIV, HCV and Syphilis. The relevant donor history was examined to identify the risk factors leading to transfusion transmissible infections. The prevalence of infection was 3.1% among donors, with HBsAg constituting 1.3%, HCV 1.4%, HIV 0.2% and RPR 0.2%. In a classification based on occupation, class III donors (drivers, Businessmen & men in uniform) showed a significantly higher incidence of transfusion transmissible infections for HIV (0.38%) and Syphilis (0.36%). Health care workers constituted only a small fraction of the study; prevalence of infections was low among them. History of jaundice or hospitalization was not associated with higher incidence of seropositivity. Seropositivity for HIV is relatively low compared to similar studies conducted in other regions of the country. This finding is attributed to the pre donation counseling in donor selection. An important outcome of the study is that Class III donors form a high-risk group for transfusion transmissible infections.
    Indian Journal of Pathology and Microbiology 07/2002; 45(3):319-22. · 0.47 Impact Factor
  • P S Appukuttan · B K Chacko · M Geetha · K I Annamma · J Mathai ·
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    ABSTRACT: The role of bound specific sugars in protecting the sugar binding activity of several galactose binding proteins during their covalent conjugation to horse radish peroxidase by glutaraldehyde-mediated cross-linking was examined by: a) affinity matrix binding of the conjugate, b) enzyme linked lectin assay and c) hemagglutination assay. During conjugation using 1% glutaraldehyde, protection of jack fruit (Artocarpus integrifolia) lectin (jacalin) activity depended on concentration of specific sugar present during conjugation; optimum protection was offered by 50 mM galactose. This indicated the presence of one or more primary groups at the binding site of jacalin, which is (are) essential for sugar binding. On the other hand, such essential amino group(s) was not indicated at the sugar binding site of the peanut lectin, bovine heart galectin or of the human serum anti alpha-galactoside antibody, since exclusion of sugar during their conjugation to HRP did not diminish sugar binding activity. The differential behavior is discussed in the light of reported differences in sugar specificities. Results indicated that sugar mediated blocking of active site may be used in characterization of the latter in lectins.
    Indian journal of biochemistry & biophysics 05/2000; 37(2):77-80. · 0.87 Impact Factor
  • P V Sulochana · J Mathai · S Sathyabhama · P Augustine ·
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    ABSTRACT: Serious incompatibility was noted in a patient diagnosed as acute Guillain Barre syndrome treated with intravenous immunoglobulin. Patient had positive direct and indirect antiglobulin test and the auto control was negative. There was no clinical signs of hemolysis. Patient's blood group was O D positive and cross matched several units of ABO compatible D positive and D negative blood. Only one unit was compatible. These findings suggest that the particular intravenous immunoglobulin contained a mixture of saline and immune antibodies having different specificity. As the number of patients getting treated with intravenous immunoglobulin is on the rise more and more compatibility problems should be anticipated and should be borne in mind during serological testing and evaluation.
    Indian Journal of Pathology and Microbiology 11/1998; 41(4):495-8. · 0.47 Impact Factor
  • J Mathai · P V Sulochana · S Sathyabhama ·
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    ABSTRACT: Bombay phenotype is peculiar in that red cells are not agglutinated by antisera A, B or H; while serum contains anti A, B and H. Existence of modifying genes at independent loci with variable expression of ABO genes is postulated. We report here a case of partial suppression where antigens could be detected by elution tests and unlike classical Bombay type, normal amount of appropriate blood group substances were present in saliva. This case of para Bombay phenotype was detected as a result of discrepancy in cell and serum group ng. This highlights the importance of both forward and reverse grouping in ABO testing.
    Indian Journal of Pathology and Microbiology 11/1997; 40(4):553-4. · 0.47 Impact Factor
  • L K Krishnan · J Mathai ·
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    ABSTRACT: Haemostatic efficacy of platelet concentrates prepared and stored in locally available PVC triple bags was compared against a Japanese bag. In vitro functional parameters studied included shape change, aggregation and secretion in response to ADP. We have observed remarkable difference in the aggregatory response of platelets stored at slightly varying temperatures. The stimulatory responses of platelets stored with constant agitation at 70 strokes per min and 23 +/- 2 degrees C, deteriorated drastically by the time platelets were stored for 48 h. Both the rate and the extent of aggregation were affected showing no response to ADP at 72 h. However, when platelets were stored in a BOD incubator, thermostated at 22 +/- 0.5 degrees C, with continuous horizontal agitation at 70 strokes per min, 50 per cent functional response was retained till 72 h. We also demonstrated fragmentation of platelet membrane during storage. The membrane fragments collected by high speed centrifugation, expressed PF3 activity. Shedding of microvesicles indicates alterations at the membrane level that possibly cause functional lesion during storage. Our data suggest the significance of controlling the storage temperature steadily, to get maximum post transfusion efficacy.
    The Indian Journal of Medical Research 04/1997; 105:117-24. · 1.40 Impact Factor
  • L K Krishnan · P V Sulochana · J Mathai · A John · R Sivakumar ·
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    ABSTRACT: To assess the effect of storage bags on platelets, we studied the morphological and ultrastructural changes of samples drawn from platelet concentrates (PC) prepared and stored in triple, poly vinyl chloride (PVC) bags, manufactured in India. Using the scanning electron microscopy, we demonstrate formation of long pseudopods, and interaction through these to form aggregates. When platelets were stored at 23 +/- 2 degrees C, morphological changes were severe compared to the deleterious effects when kept at 22 +/- 0.5 degrees C. Ultrastructural analysis also showed that maintenance of discoid shape and prevention of granule secretion could be improved by storing the platelets at 22 +/- 0.5 degrees C. Significant degree of platelet fragmentation took place when the storage temperature was high. The morphology score done for platelets stored at both 22 +/- 0.5 degrees C and 23 +/- 2 degrees C showed that preservation of discoid shape was better with the former.
    The Indian Journal of Medical Research 03/1997; 105:77-84. · 1.40 Impact Factor
  • L K Krishnan · J Mathai · P V Sulochana · J Jacob · R Sivakumar ·
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    ABSTRACT: Acid-base status of platelet suspension during storage is a measure of the gas permeability of the bag material. To assess the efficacy of the bags available in our market to store platelets, we compared biochemical lesions of platelets stored in an Indian polyvinyl chloride (PVC) triple bag against a Japanese PVC bag standardized for 5 days platelet storage. Platelet concentrates prepared in both control and test PVC bags were stored for 72 h. Two ml samples were drawn 1 h after preparation, and then at 24 h intervals, for analysis. Our data show that the mean pH value in the test bags was maintained above 6.5. However, the CO2 tension was high and O2 tension was low. We also analyzed malondialdehyde (MDA) formation which is a measure of arachidonic acid metabolism, and seemed to be unaffected in stored platelets. Lactate dehydrogenase (LDH) was not released into the plasma excessively and hence significant platelet lysis was absent during storage. Hypotonic shock response (HSR) of platelets stored in both test and control bags was comparable, indicating the possibility of satisfactory post-transfusion recovery.
    The Indian Journal of Medical Research 03/1997; 105:85-92. · 1.40 Impact Factor
  • J K Tharakan · J Mathai · A Mathai · P V Sulochana ·
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    ABSTRACT: Circulating IC levels were assayed serially in 12 G.B.S. patients treated with PE and an attempt was made to predict the outcome of treatment, from the levels of circulating IC. It was found that there was no significant correlation between the levels of circulating IC and the outcome of treatment with PE, in G.B.S. patients.
    Acta neurologica 05/1993; 15(2):138-41.