ACR Meeting Abstracts

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  • Abstract Number: 154 • 2018 ACR/ARHP Annual Meeting

    Epigenetic Editing of FOXP3 in Human T Cells Is Sufficient to Induce Overexpression and Create a Regulatory T Cell Phenotype in Vitro

    Christopher Dunn1, Cassandra Velasco1, Madison Andrews2, Alexander Rivas3 and Matlock A. Jeffries4, 1Rheumatology, Immunology, and Allergy, University of Oklahoma Health Sciences Center, Oklahoma City, OK, 2Oklahoma Medical Research Foundation, Oklahoma City, OK, 3University of Arkansas for Medical Sciences, Little Rock, AR, 4Arthritis and Clinical Immunology, Oklahoma Medical Research Foundation, Oklahoma City, OK

    Background/Purpose: Defects in the number and function of naturally-occurring regulatory T cells (Tregs) have been identified in a variety of autoimmune diseases. The development of…
  • Abstract Number: 155 • 2018 ACR/ARHP Annual Meeting

    Polyfunctional Synovial T-Cell Responses and Synovial Invasiveness Repressed By Blockade of Phosphodiesterase 4

    Sarah M. Wade1, Mary Canavan1, Trudy McGarry1, Siobhan C. Wade1, Ronan Mullan2, Douglas J. Veale3 and Ursula Fearon1, 1Molecular Rheumatology, School of Medicine, Trinity Biomedical Sciences Institute, Trinity College Dublin, Dublin, Ireland, 2Department of Rheumatology,, Tallaght Hospital, Dublin, Ireland, 3Centre for Arthritis and Rheumatic Diseases, Dublin Academic Medical Centre, University College Dublin, Dublin, Ireland

    Background/Purpose: Genetic and functional studies strongly support the role of T-cells in PsA pathophysiology. Effective targeting of T-cells requires a detailed understanding of their phenotypic…
  • Abstract Number: 156 • 2018 ACR/ARHP Annual Meeting

    Assessing the Role of Ascvd Score in Primary Thrombosis Prophylaxis Strategy Among Asymptomatic Antiphospholipid Antibody Carriers

    Yu Zuo1, Akrithi Udupa2, Jennifer Fan1, Una E. Makris1, David Karp1,3 and Yu-min Shen1, 1University of Texas Southwestern Medical Center, Dallas, TX, 2Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, 3Internal Medicine/Division of Rheumatic Diseases, University of Texas Southwestern Medical Center, Dallas, TX

    Background/Purpose: Primary thrombosis prophylaxis among asymptomatic antiphospholipid antibody (aPL) carriers is challenging. The presence of aPL does not always lead to thromboembolic events. Additional factors…
  • Abstract Number: 157 • 2018 ACR/ARHP Annual Meeting

    Identifying Additional Risk Factors Associated with Thrombosis and Pregnancy Morbidity in a Unique Cohort of Antiphospholipid Antibody Positive Chinese Patients

    Yu Zuo1, Chun Li2, Song Zhang3, Una Makris1, David Karp4 and Zhan-Guo Li5, 1University of Texas Southwestern Medical Center, Dallas, TX, 2Peking University People's Hospital, Beijing, China, 3University of Texas Southwestern Medical Center, dallas, TX, 4Rheumatology, UT Southwestern Med Ctr, Dallas, TX, 5Rheum/Immunology, Peking University People's Hospital, Beijing, China

    Background/Purpose: Risk stratification of asymptomatic aPL carriers is difficult. Our objective was to identify additional clinical and epidemiological predictors of arterial thrombosis, venous thrombosis, and…
  • Abstract Number: 158 • 2018 ACR/ARHP Annual Meeting

    Incidence and Prevalence of Antiphospholipid Syndrome in a Health Management Organization (HMO): A 15-Year Study

    Aurelia Luissi1, Marina Scolnik2 and Enrique R Soriano3, 1Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, Capital Federal, Argentina, 2Rheumatology Unit, Internal Medicine Service. Hospital Italiano Buenos Aires. Argentina, Buenos Aires, Argentina, 3Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, CABA, Argentina

    Background/Purpose: Antiphospholipid Syndrome (APS) is an unusual disease and there are scarce epidemiological data. Our objective was to assess incidence and prevalence rates of APS…
  • Abstract Number: 159 • 2018 ACR/ARHP Annual Meeting

    The Frequency of Screening and Prevalence of Antiphospholipid Antibodies in the General Population

    Giordano Egiziano1, Jessica Widdifield2, Anisur Rahman3, Evelyne Vinet4, Cristiano S. Moura5, Jeffrey R. Curtis6 and Sasha Bernatsky7, 1Department Medicine, McGill University, Montreal, QC, Canada, 2University Health Network, Toronto, ON, Canada, 3Rayne Institute, University College London, London, United Kingdom, 4Divisions of Rheumatology and Clinical Epidemiology, McGill University Health Centre, Montreal, QC, Canada, 5The Centre for Outcomes Research and Evaluation (CORE), McGill University Health Centre, Montreal, QC, Canada, 6University of Alabama at Birmingham, Birmingham, AL, 7Divisions of Rheumatology and Clinical Epidemiology, The Research Institute of the McGill University Health Centre, Montreal, QC, Canada

    Background/Purpose: The antiphospholipid syndrome (APS) is defined by vascular thrombosis or pregnancy morbidity in the presence of persistently circulating antiphospholipid antibodies (aPL). Those positive for…
  • Abstract Number: 160 • 2018 ACR/ARHP Annual Meeting

    Pregnancy Outcomes of Antiphospholipid Antibody Positive Patients: Prospective Results from Antiphospholipid Syndrome Alliance for Clinical Trials and International Networking (APS ACTION) Clinical Database and Repository (“Registry”)

    Ecem Sevim1, Danieli Andrade2, Alessandra Banzato3, Maria Tektonidou4, Amaia Ugarte5, Cecilia B. Chighizola6, Lanlan Ji7, David Branch8, Guilherme Ramires de Jesus9, Laura Andreoli10, Michelle Petri11, Ricard Cervera12, Jason S. Knight13, Tatsuya Atsumi14 and Doruk Erkan15, 1Rheumatology, Hospital for Special Surgery, New York, NY, 2Rheumatology, Hospital das Clinicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil, 3Department of Cardiac Thoracic and Vascular Sciences, Clinical Cardiology, Thrombosis Centre, University of Padova, Padova, Italy, 4Rheumatology Unit, 1st Dept. of Propaedeutic Internal Medicine, Joint Academic Rheumatology Program, Athens University Medical School, Athens, Greece, 5Autoimmune Diseases Research Unit, Department of Internal Medicine, BioCruces Health Research Institute, Hospital Universitario Cruces, University of the Basque Country, Biscay, Spain, 6Rheumatology, Istituto Auxologico Italiano, University of Milan, Milan, Italy, 7Rheumatology and Immunology, Peking University First Hospital, Beijing, China., Beijing, China, 8Obstetrics and Gynecology, University of Utah Health Sciences Center, Salt Lake City, UT, 9Obstetrics, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil, 10Department of Clinical and Experimental Sciences, Spedali Civili and University of Brescia, Brescia, Italy, Rheumatology and Clinical Immunology, Spedali Civili and University of Brescia, Brescia, Italy, 11Johns Hopkins University School of Medicine, Baltimore, MD, 12Department of Autoimmune Diseases, Institut Clínic de Medicina i Dermatologia, Hospital Clínic de Barcelona, Barcelona, Spain, 13., University of Michigan, Ann Arbor, MI, 14Department of Rheumatology, Endocrinology and Nephrology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan, 15Rheumatology, Hospital for Special Surgery- Weill Cornell Medicine, New York, NY

    Background/Purpose: APS ACTION Registry was created to study the natural course of disease over 10 years in persistently antiphospholipid antibody (aPL) positive patients with or…
  • Abstract Number: 161 • 2018 ACR/ARHP Annual Meeting

    Clinical and Laboratory Characteristics of Persistently Antiphospholipid Antibody Positive Patients: Retrospective Results from Antiphospholipid Syndrome Alliance for Clinical Trials and International Networking (APS ACTION) Clinical Database and Repository (“Registry”)

    Ecem Sevim1, Diane F. Zisa2, Danieli Andrade3, Vittorio Pengo4, Maria Tektonidou5, Amaia Ugarte6, Maria Gerosa7, Lanlan Ji8, Maria Efthymiou9, Guilherme Ramires de Jesus10, David Branch11, Cecilia Nalli12, Savino Sciascia13, H. Michael Belmont14, Paul R. Fortin15, Michelle Petri16, Esther Rodriguez-Almaraz17, Rosana Quintana18, Jason S Knight19, Rohan Willis20, Tatsuya Atsumi21, Maria Laura Bertolaccini22, Doruk Erkan23 and Medha Barbhaiya24, 1Rheumatology, Hospital for Special Surgery, New York, NY, 2Department of Medicine, Weill Cornell Medicine, New York, NY, USA., New York, NY, 3Rheumatology, Hospital das Clinicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil, 4Azienda Ospedaliera of Padova, University of Padova, Padova, Italy, 5Rheumatology Unit, 1st Dept. of Propaedeutic Internal Medicine, Joint Academic Rheumatology Program, Athens University Medical School, Athens, Greece, 6Autoimmune Diseases Research Unit, Department of Internal Medicine, BioCruces Health Research Institute, Hospital Universitario Cruces, University of the Basque Country, Biscay, Spain, 7Istituto Ortopedico Gaetano Pini, University of Milan, Milano, Italy, 8Rheumatology and Immunology, Peking University First Hospital, Beijing, China., Beijing, China, 9Haemostasis Research Unit, Department of Haematology, University College London, London, United Kingdom, 10Obstetrics, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil, 11Obstetrics and Gynecology, University of Utah Health Sciences Center, Salt Lake City, UT, 12Rheumatology and Clinical Immunology, Spedali Civili and University of Brescia, Brescia, Italy, 13Center of Research of Immunopathology and Rare Diseases- Coordinating Center of Piemonte and Valle d’Aosta Network for Rare Diseases, Department of Clinical and Biological Sciences, University of Turin, Italy, Center of Research of Immunopathology and Rare Diseases- Coordinating Center of Piemonte and Valle d’Aosta Network for Rare Diseases, Department of Clinical and Biological Sciences, University of Turin, Italy, Torino, Italy, 14Medicine, NYU Langone Health, New York, NY, 15Medicine, CHU de Québec - University of Laval, Quebec, QC, Canada, 16Johns Hopkins University School of Medicine, Baltimore, MD, 17Hospital Universitario 12 de Octubre, Madrid, Spain, 18Argentina, GLADEL, Rosario, Argentina, 19University of Michigan, Ann Arbor, MI, 20301 University Blvd, Antiphospholipid Standardization Laboratory, University of Texas Medical Branch, Galveston, TX, USA, Galveston, TX, 21Department of Rheumatology, Endocrinology and Nephrology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan, 22King's College London, London, United Kingdom, 23Rheumatology, Hospital for Special Surgery- Weill Cornell Medicine, New York, NY, 24Rheumatology, Hospital for Special Surgery, Weill Cornell Medicine, New York, NY

    Background/Purpose: APS ACTION Registry was created to study long-term outcomes in persistently antiphospholipid antibody (aPL)-positive patients with/without other systemic autoimmune diseases (SAIDx). The primary objective…
  • Abstract Number: 162 • 2018 ACR/ARHP Annual Meeting

    Mammalian Target of Rapamycin (mTOR) Pathway Assessment in Antiphospholipid Antibody Positive Patients with Livedo Reticularis/racemosa

    Ecem Sevim1, Salma Siddique2, Susan Chyou3, William D. Shipman3, Ines Eugenio-Fernandez4, Ariel Badger4, Orla O`Shea5, Stephane Zuily6, Joanna Harp7, Cynthia Magro8, Oral Alpan9, Theresa T. Lu10 and Doruk Erkan11, 1Rheumatology, Hospital for Special Surgery, New York, NY, 2Pediatric Rheumatology, Nemours Children's Health System, Wilmington, DE, 3Autoimmunity and Inflammation Program, Hospital for Special Surgery, New York, NY, 4O&O Alpan Medical Center, Fairfax, VA, 5Analytical Microscopy Core Laboratory, Hospital for Special Surgery, New York, NY, 6Université de Lorraine, CHRU Nancy, Nancy, France, 7Dermatology, Weill Cornell Medicine, New York, NY, 8Pathology, Weill Cornell Medicine, New York, NY, 9Allergy & Immunology, O&O Alpan Medical Center, Fairfax, VA, 10Hospital for Special Surgery, New York, NY, 11Rheumatology, Hospital for Special Surgery- Weill Cornell Medicine, New York, NY

    Background/Purpose: Endothelial proliferation is a key finding in antiphospholipid antibody (aPL)-positive patients with microthrombosis. The mTOR pathway plays a role in the endothelial proliferation leading…
  • Abstract Number: 163 • 2018 ACR/ARHP Annual Meeting

    Development of New International Classification Criteria for Antiphospholipid Syndrome: Phase II Item Reduction Survey

    Medha Barbhaiya1, Stephane Zuily2, Yasaman Ahmadzadeh3, Raymond P. Naden4, Karen Costenbader5 and Doruk Erkan6, 1Rheumatology, Hospital for Special Surgery, Weill Cornell Medicine, New York, NY, 2Université de Lorraine, CHRU Nancy, Nancy, France, 3Hospital for Special Surgery, New York, NY, 4New Zealand Ministry of Health, New Zealand Ministry of Health, Auckland, New Zealand, 5Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA, 6Rheumatology, Hospital for Special Surgery- Weill Cornell Medicine, New York, NY

    Background/Purpose: An international multidisciplinary effort has been initiated to develop new rigorous, consensus-based criteria to identify patients with high likelihood of having APS. The methodological…
  • Abstract Number: 164 • 2018 ACR/ARHP Annual Meeting

    Reliability of Lupus Anticoagulant and Anti-Phosphatidylserine/Prothrombin Autoantibodies in Antiphosphospholipid Syndrome: A Multicenter Study

    Massimo Radin1, Irene Cecchi2, Elena Rubini3, Anna Scotta4, Roberta Rolla5, Barbara Montaruli6, Patrizia Pergolini5, Giulio Mengozzi4, Elena Muccini4, Antonella Vaccarino7, Dario Roccatello8 and Savino Sciascia9, 1Department of Clinical and Biological Sciences, Center of Research of Immunopathology and Rare Diseases- Coordinating Center of Piemonte and Valle d’Aosta Network for Rare Diseases, Department of Clinical and Biological Sciences, University of Turin, Italy, Turin, Italy, 2Center of Research of Immunopathology and Rare Diseases- Coordinating Center of Piemonte and Valle d’Aosta Network for Rare Diseases, Department of Clinical and Biological Sciences, University of Turin, Italy, Turin, Italy, 3Center of Research of Immunopathology and Rare Diseases- Coordinating Center of Piemonte and Valle d’Aosta Network for Rare Diseases, Department of Clinical and Biological Sciences, University of Turin and S. Giovanni Bosco Hospital, Turin, Italy., Turin, Italy, 4University of Turin, Turin, Italy, 5University of Turin, Novara, Italy, 6Ospedale Mauriziano, Turin, Italy, 7Ospedale S. Giovanni Bosco, Turin, Italy, 8Center of Research of Immunopathology and Rare Diseases- Coordinating Center of Piemonte and Valle d’Aosta Network for Rare Diseases, Department of Clinical and Biological Sciences, University of Turin and S. Giovanni Bo, Turin, Italy, 9Center of Research of Immunopathology and Rare Diseases- Coordinating Center of Piemonte and Valle d’Aosta Network for Rare Diseases, Department of Clinical and Biological Sciences, University of Turin, Italy, Center of Research of Immunopathology and Rare Diseases- Coordinating Center of Piemonte and Valle d’Aosta Network for Rare Diseases, Department of Clinical and Biological Sciences, University of Turin, Italy, Torino, Italy

    Background/Purpose: Correct interpretation of lupus anticoagulant (LA) tests is crucial for diagnosis of antiphospholipid syndrome (APS). However, testing patients during vitamin K antagonist (VKA) or…
  • Abstract Number: 165 • 2018 ACR/ARHP Annual Meeting

    Clinical and Immunological Features of Antiphospholipid Syndrome in the Elderly: A Retrospective National Multicenter Study

    Felix Grimaud1, Cecile Yelnik2, Marc Pineton de Chambrun3, Zahir Amoura3, Laurent Arnaud4, Nathalie Costedoat-Chalumeau5, Eric Hachulla2, Marc Lambert2, Melanie Roriz1, Jean Sibilia4, Thomas Papo1 and Karim Sacre6, 1Université Paris-Diderot, Paris, France, 2Université de Lille, Lille, France, 3Université Pierre et Marie Curie, Paris, France, 4Université de Strasbourg, Strasbourg, France, 5Université Paris-Descartes, Paris, France, 6Bichat Hospital, Paris Diderot University, Paris, France

    Background/Purpose: Antiphospholipid syndrome (APS) mainly affects women who are of child-bearing age. We aimed to describe the clinical and immunological features of APS patients diagnosed…
  • Abstract Number: 166 • 2018 ACR/ARHP Annual Meeting

    Superior Sensitivity for Detection of Primary Antiphospholipid Syndrome By a 9-Test Panel in Patients with Deep Venous Thrombosis, Pulmonary Embolism, and Stroke or Transient Ischemic Attack

    Konrad Dziamski1, Katalin Banki2 and Andras Perl3, 1Rheumatology, SUNY Upstate Medical University, Syracuse, NY, 2Clinical Pathology, SUNY Upstate Medical University, Syracuse, NY, 3Medicine, SUNY Upstate Medical University, Syracuse, NY

    Background/Purpose: Antiphospholipid Syndrome (APS) is characterized by thrombotic events mediated by antiphospholipid antibodies (aPL). Most patients have primary APS (PAPS), while a significant minority has…
  • Abstract Number: 167 • 2018 ACR/ARHP Annual Meeting

    Recurrent Thrombosis in Patients with Antiphospholipid Antibodies Following an Initial Venous or Arterial Thromboembolic Event

    Tom Ortel1, Sreelatha Meleth2, Diane Catellier2, Mark Crowther3, Doruk Erkan4, Paul R. Fortin5, David Garcia6, Nana Haywood2, Steven R. Levine7, Michael J. Phillips2 and Nedra Whitehead2, 1Duke University, Durham, NC, 2RTI International, Research, Triangle Park, NC, 3McMaster University, Hamilton, ON, Canada, 4Rheumatology, Hospital for Special Surgery- Weill Cornell Medicine, New York, NY, 5Medicine, CHU de Québec - University of Laval, Quebec, QC, Canada, 6Hematology, University of Washington Medical Center, Seattle, WA, 7Neurology, State University of New York Downstate Medical Center, Brooklyn, NY

    Background/Purpose: After an initial thromboembolic event (TE), several studies reported that patients with antiphospholipid syndrome (APS) manifest a high-risk for recurrent TE. A systematic review…
  • Abstract Number: 168 • 2018 ACR/ARHP Annual Meeting

    IgG Anti-High-Density Lipoproteins Antibodies Discriminate between Arterial and Venous Events in Thrombotic Antiphospholipid Syndrome Patients

    Irene Cecchi1, Massimo Radin2, Elena Rubini3, Ana Suárez4, Dario Roccatello5, Savino Sciascia6 and Javier Rodríguez-Carrio7, 1Center of Research of Immunopathology and Rare Diseases- Coordinating Center of Piemonte and Valle d’Aosta Network for Rare Diseases, Department of Clinical and Biological Sciences, University of Turin, Italy, Turin, Italy, 2Department of Clinical and Biological Sciences, Center of Research of Immunopathology and Rare Diseases- Coordinating Center of Piemonte and Valle d’Aosta Network for Rare Diseases, Department of Clinical and Biological Sciences, University of Turin, Italy, Turin, Italy, 3Center of Research of Immunopathology and Rare Diseases- Coordinating Center of Piemonte and Valle d’Aosta Network for Rare Diseases, Department of Clinical and Biological Sciences, University of Turin and S. Giovanni Bosco Hospital, Turin, Italy., Turin, Italy, 4Area of Immunology, Department of Functional Biology, University of Oviedo, Oviedo, Spain, 5Center of Research of Immunopathology and Rare Diseases- Coordinating Center of Piemonte and Valle d’Aosta Network for Rare Diseases, Department of Clinical and Biological Sciences, University of Turin and S. Giovanni Bo, Turin, Italy, 6Center of Research of Immunopathology and Rare Diseases- Coordinating Center of Piemonte and Valle d’Aosta Network for Rare Diseases, Department of Clinical and Biological Sciences, University of Turin, Italy, Center of Research of Immunopathology and Rare Diseases- Coordinating Center of Piemonte and Valle d’Aosta Network for Rare Diseases, Department of Clinical and Biological Sciences, University of Turin, Italy, Torino, Italy, 7Bone and Mineral Research Unit, Instituto Reina Sofía de Investigación Nefrológica, REDinREN del ISCIII, Hospital Universitario Central de Asturias, Oviedo, Spain

    Background/Purpose: Reliable biomarkers for risk stratification in Antiphospholipid Syndrome (APS) are still lacking. Anti-high-density lipoproteins antibodies (anti-HDL) showed promising results in predicting the development of…
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