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The Clinical Immunology Group, led by Dr Smita Patel is focused on research in primary immune deficiencies.

scientist holding a test tube

The Clinical Immunology Group, led by Dr Smita Patel is focused on research in primary immune deficiencies. The NIHR Oxford Biomedical Research Centre (http://oxfordbrc.nihr.ac.uk/) was established in 2007 for particular translational themes of which "Immunity" is one. The recognition that Clinical Immunology plays an important part in translational research in immunological diseases, as well as providing unrivalled postgraduate medical and scientific opportunities for academic training, makes Clinical Immunology a strong base for funding applications.

The NIHR expansion of training programmes for medical graduates in Immunology includes a Clinical Lectureship and an Academic Clinical Fellowship. The MSc in Integrated Immunology provides additional teaching opportunities as well as candidates for D.Phil. positions. Dr Patel is the Immunology course tutor for medical students. She is also the training programme director and academic lead for clinical immunology speciality training within Oxford. 

Primary immune deficiencies (PIDs) are a long-standing focus of the department. Clinical and laboratory research is undertaken to search for disease-causing genes as well as determining the clinical relevance of immunophenotyping in PID. Research maintains a strong translational theme and brings together leading clinical immunologists and basic scientists to explore the immune basis of disease. The group's particular area of interest is the use of next generation sequencing technologies on an individual case-by-case basis for the investigation of patient with undefined PIDs, and also to understand the immunogenetics and pathogenesis of PIDs in well-defined patient cohorts, in particular Common Variable Immunodeficiency Disorders. This is followed up with detailed functional investigation in the BRC research laboratory. Findings are translated into informed clinical care of patients, as well as high impact publications to appraise the scientific and clinical communities of our discoveries in the field of immune deficiencies. Patient studies have been undertaken in collaboration with other groups nationally and internationally, including France, Italy, Netherlands, and USA.

The Group has been awarded three awards as a centre of excellence:

  • UK Primary Immunodeficiency Association Centre of Excellence award
  • FOCIS International Centre of Excellence
  • Jeffrey Modell Foundation Centre of Excellence

Our team

Selected publications

The role of genomics in common variable immunodeficiency disorders

Journal article

Kienzler A-K. et al, (2017), Clinical and Experimental Immunology, 188, 326 - 332

Variable phenotype and discrete alterations of immune phenotypes in CTP synthase 1 deficiency: Report of 2 siblings

Journal article

Trück J. et al, (2016), Journal of Allergy and Clinical Immunology, 138, 1722 - 1725.e6

Hypomorphic function and somatic reversion of DOCK8 cause combined immunodeficiency without hyper-IgE

Journal article

Kienzler A-K. et al, (2016), Clinical Immunology, 163, 17 - 21

Application of whole genome and RNA sequencing to investigate the genomic landscape of common variable immunodeficiency disorders

Journal article

van Schouwenburg PA. et al, (2015), Clinical Immunology, 160, 301 - 314

Key stages of bone marrow B-cell maturation are defective in patients with common variable immunodeficiency disorders

Journal article

Anzilotti C. et al, (2015), Journal of Allergy and Clinical Immunology, 136, 487 - 490.e2

Factors influencing success of clinical genome sequencing across a broad spectrum of disorders

Journal article

Taylor JC. et al, (2015), Nature Genetics, 47, 717 - 726

Identification of a Novel Mutation in MAGT1 and Progressive Multifocal Leucoencephalopathy in a 58-Year-Old Man with XMEN Disease

Journal article

Dhalla F. et al, (2015), Journal of Clinical Immunology, 35, 112 - 118

Three difficult cases: the challenge of autoimmunity, immunodeficiency and recurrent infections in patients with Good syndrome

Journal article

Arnold SJ. et al, (2015), British Journal of Dermatology, 172, 774 - 777

A mutation in X-linked inhibitor of apoptosis (G466X) leads to memory inflation of Epstein–Barr virus-specific T cells

Journal article

Lopez-Granados E. et al, (2014), Clinical and Experimental Immunology, 178, 470 - 482

Characterization of Crohn disease in X-linked inhibitor of apoptosis–deficient male patients and female symptomatic carriers

Journal article

Aguilar C. et al, (2014), Journal of Allergy and Clinical Immunology, 134, 1131 - 1141.e9

Immunophenotyping of putative human B1 B cells in healthy controls and common variable immunodeficiency (CVID) patients

Journal article

Suchanek O. et al, (2012), Clinical and Experimental Immunology, 170, 333 - 341

Adult-Onset Immunodeficiency in Thailand and Taiwan

Journal article

Browne SK. et al, (2012), New England Journal of Medicine, 367, 725 - 734