Imperial College London

DrStevenPatterson

Faculty of MedicineDepartment of Infectious Disease

Honorary Principal Research Fellow
 
 
 
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Contact

 

+44 (0)20 3315 5934s.patterson

 
 
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Location

 

I.2.6Chelsea and Westminster HospitalChelsea and Westminster Campus

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Summary

 

Publications

Publication Type
Year
to

68 results found

Gompels M, Patterson S, Roberts MS, Macatonia SE, Pinching AJ, Knight SCet al., 1998, Increase in dendritic cell numbers, their function and the proportion uninfected during AZT therapy, CLINICAL AND EXPERIMENTAL IMMUNOLOGY, Vol: 112, Pages: 347-353, ISSN: 0009-9104

Journal article

Patterson S, English NR, Longhurst H, Balfe P, Helbert M, Pinching AJ, Knight SCet al., 1998, Analysis of human immunodeficiency virus type 1 (HIV-1) variants and levels of infection in dendritic and T cells from symptomatic HIV-1-infected patients, JOURNAL OF GENERAL VIROLOGY, Vol: 79, Pages: 247-257, ISSN: 0022-1317

Journal article

Knight SC, Patterson S, 1997, Bone marrow-derived dendritic cells, infection with human immunodeficiency virus, and immunopathology, ANNUAL REVIEW OF IMMUNOLOGY, Vol: 15, Pages: 593-615, ISSN: 0732-0582

Journal article

Knight SC, Patterson S, 1996, AIDS - Beyond helper T cells, LANCET, Vol: 348, Pages: 631-631, ISSN: 0140-6736

Journal article

Gabrilovich DI, Patterson S, Timofeev AV, Harvey JJ, Knight SCet al., 1996, Mechanism of dendritic cell dysfunction in retroviral infection of mice, CLINICAL IMMUNOLOGY AND IMMUNOPATHOLOGY, Vol: 80, Pages: 139-146, ISSN: 0090-1229

Journal article

Patterson S, Roberts MS, English NR, Stackpoole A, Gompels MN, Pinching AJ, Knight SCet al., 1995, HIV infection of blood dendritic cells in vitro and in vivo., Adv Exp Med Biol, Vol: 378, Pages: 443-445, ISSN: 0065-2598

Journal article

Knight SC, Macatonia SE, Cruickshank K, Rudge P, Patterson Set al., 1993, Dendritic cells in HIV-1 and HTLV-1 infection., Adv Exp Med Biol, Vol: 329, Pages: 545-549, ISSN: 0065-2598

Individuals with HIV-1 infection show two major immunological effects--the early persistent stimulation of immune responses (e.g. of CD8 cells and antibody production) and later catastrophic immunodeficiency. Peripheral blood dendritic cells (DC) become infected with HIV-1 and infected cells can stimulate responses to virus. By contrast infected DC show a reduced capacity to stimulate either primary or secondary responses to other antigens. We have proposed that the block, particularly in primary responses, may be instrumental in the development of immunodeficiency. In HTLV-1 infected patients with tropical spastic paraparesis (TSP) a major feature of disease is 'spontaneous' T cell proliferation thought to underlie development of inflammatory neurological disease. We have now shown that some DC in addition to T cells are infected in TSP and that DC stimulate the persistent T cell activity. Here we demonstrate this using cells from an informative family where the daughter was normal, the father an HTLV-1 seronegative carrier and the mother had TSP. DC from all individuals stimulated normal allogeneic T cells in a mixed leukocyte reaction (MLR) and T cells responded well to normal allogeneic DC. T cells from the daughter showed little stimulation with autologous DC, those from the father showed significant but low stimulation, and T cells from the TSP patient gave a response to autologous DC which exceeded that to allogeneic DC. Taken together, the studies of DC and both HIV-1 and HTLV-1 indicate that infection of DC may play a central role in development of T cell abnormalities in human retrovirus-induced diseases.

Journal article

Knight SC, Macatonia SE, Patterson S, 1990, HIV I infection of dendritic cells., Int Rev Immunol, Vol: 6, Pages: 163-175, ISSN: 0883-0185

Dendritic cells (DC) from human peripheral blood are susceptible to productive and probably to latent infection with HIV-I. Infection of DC also occurs in vivo since in HIV-seropositive individuals Langerhans' cells of the skin and DC from peripheral blood, (in preparation) are infected. In peripheral blood 3-25% of DC, identified as large, low-density cells lacking monocyte markers, are infected as judged by in situ hybridization with an HIV probe. This contrasts with the lower proportion (< 0.2%) of other cells infected. DC exposed to HIV in vitro or in vivo fail to present other antigens or mitogens to stimulate T cells. This functional defect in infected DC is not blocked by the presence of soluble CD4 antigen and occurs in the absence of T cell infection suggesting a block at the level of the antigen-presenting cell itself. Infection, depletion and dysfunction of DC in HIV seropositive patients is already present in asymptomatic individuals and this precedes the appearance of T cell defects. We speculate that loss of functional DC may be a fundamental defect leading to a block in recruitment of resting T cells into immune responses. In contrast to the HIV-induced impairment of antigen presentation by DC, these cells were potent stimulators of responses to the HIV antigens themselves. Normal DC infected with HIV in vitro stimulated primary proliferative and cytotoxic T cell responses (in preparation). These were produced in cells from individuals expressing a range of different MHC types but the cytotoxic cells, once produced, killed autologous but not allogeneic, infected T cell blasts. Primary response to viral peptides can also be produced suggesting that this system may be useful for identifying immunogenic epitopes of HIV using cells from sero-negative, non-immunocompromised individuals.

Journal article

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