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  • Abstract Number: 1903 • 2019 ACR/ARP Annual Meeting

    BTK Overexpression Is Associated with the Risk of Lymphoma in Primary Sjögren’s Syndrome: Data from Whole Blood Transcriptome of 346 Patients Followed-up Prospectively for 10 Years

    Pierre-Marie Duret1, Tao Ye 2, Wan-Fai Ng 3, Alain Saraux 4, Valérie Devauchelle Pensec 5, Raphaele Seror 6, Veronique Le-Guern 7, Claire Larroche 8, Aleth Perdriger 9, Jean Sibilia 10, Jessica Tarn 11, Gaetane Nocturne 12, Xavier Mariette 13 and Jacques-Eric Gottenberg 14, 1Hôpitaux civils de Colmar, COLMAR CEDEX, France, 2GenomEAST platform / Institut National de la Santé et de la Recherche Médicale (INSERM), U1258, Institut de Génétique et de Biologie Moléculaire, IGBMC, Strasbourg, France, 3Musculoskeletal Research Group Institute of Cellular Medicine Faculty of Medical Sciences Newcastle University, Newcastle, United Kingdom, 4CHU de la Cavale-Blanche Brest, Brest, France, 5University Hospital of Brest, Brest, France, 6Hopitaux universitaires Paris Sud, Kremlin-Bicetre, France, 7Department of Internal Medicine, Referral Center for Rare Autoimmune and Systemic Diseases, Hôpital Cochin, AP-HP, Université Paris Descartes, Paris, France,, Paris, France, 8Internal Medicine, Paris, France, Paris, France, 9Rheumatology department, Rennes University Hospital, France, Rennes, France, 10CHU Strasbourg, Strasbourg, France, 11Institute of Cellular Medicine Newcastle University, Newcastle, United Kingdom, 12Center for Immunology of Viral Infections and Autoimmune Diseases, Assistance Publique – Hôpitaux de Paris, Hôpitaux Universitaires Paris-Sud, Le Kremlin-Bicêtre, Université Paris Sud, INSERM, Paris, France., Paris, France, 13Center for Immunology of Viral Infections and Autoimmune Diseases, Assistance Publique – Hôpitaux de Paris, Hôpitaux Universitaires Paris-Sud, Le Kremlin-Bicêtre, Université Paris Sud, INSERM, Paris, France, 14Department of Rheumatology, Strasbourg University Hospital, Strasbourg, France

    Background/Purpose: To identify a molecular signature associated with lymphomagenesis in primary Sjögren’s Syndrome (pSS).Methods: Whole peripheral blood samples were collected from 346 well-phenotyped pSS patients…
  • Abstract Number: 1904 • 2019 ACR/ARP Annual Meeting

    IL-6 Receptor Inhibition in Primary Sjögren Syndrome : Results from a Randomized Multicenter Academic Double Blind Placebo-controlled Trial of Tocilizumab in 110 Patients

    Renaud Felten 1, Nicolas Meyer 1, P Duffaut 2, D Saadoun 3, Eric Hachulla 4, Pierre Yves Hatron 4, Carine Salliot 5, Aleth Perdriger 6, Jacques Morel 7, Arsène Mekinian 8, Olivier Vittecoq 9, Jean Marie Berthelot 10, Emmanuelle Dernis 11, Véronique Le Guern 12, Philippe Dieudé 13, Claire Larroche 14, Christophe Richez 15, Thierry Martin 1, Charles Zarnitsky 16, Gilles Blaison 17, P Kieffer 18, François Maurier 19, Stéphanie Rist 5, Patrice Cacoub 20, Emmanuel Andres 21, Emmanuel Chatelus 1, Christelle Sordet 1, Jean Sibilia 1, Cécile Arnold 1, Mira Tawk 1, Ouafaa Aberkane 1, Raphaele Seror 22, Lise Holterbach 1, Xavier Mariette 22 and Jacques-Eric Gottenberg23, 1Strasbourg University Hospital, Strasbourg, France, 2Bordeaux University Hospital, Bordeaux, Aquitaine, France, 3Pitie Salpetrière Hospital, APHP, Paris, France, 4Lille University Hospital, Lille, France, 5Orleans Hospital, Orleans, France, 6Rennes University Hospital, Rennes, France, 7Montpellier University Hospital, Montpellier, France, 8Saint-Antoine Hospital, APHP, Paris, France, 9Rouen University Hospital, ROUEN, France, 10Nantes University Hospital, Nantes, France, 11Le Mans Hospital, Le Mans, France, 12Cochin Hospital, APHP, PARIS, France, 13Bichat Hospital, APHP, PARIS, 14Avicenne Hospital, PARIS, France, 15Bordeaux University Hospital, Bordeaux, France, 16Le Havre Hospital, Le Havre, 17Colmar Hospital, Colmar, France, 18Mulhouse Hospital, Mulhouse, France, 19Metz Hospital, Metz, France, 20Pitie Salpéterière, APHP, Paris, France, 21CHU Strasbourg, strasbourg, 22Bicetre Hospital, APHP, Paris, France, 23Department of Rheumatology, Strasbourg University Hospital, Strasbourg, France

    Background/Purpose: IL-6 is suspected to play an important pathogenic role in primary Sjögren’s syndrome (pSS) through its crucial roles in B-cell activation, and T-cell polarization,…
  • Abstract Number: 1905 • 2019 ACR/ARP Annual Meeting

    Sicca/Sjögren Syndrome Triggered by PD-1/PD-L1 Checkpoint Inhibitors: Data from the International ImmunoCancer Registry (ICIR)

    Manuel Ramos-Casals 1, Alexandre Maria 2, Maria E. Suárez-Almazor 3, Olivier Lambotte 4, Benjamin A. Fisher 5, Gabriela Hernandez-Molina 6, Philippe Guilpain 2, Xerxes Pundole 3, Soledad Retamozo7, Alejandra Flores-Chávez 8, Chiara Baldini 9, Clifton Bingham 10, Pilar Brito-Zerón 11, Jacques-Eric Gottenberg 12, Marie Kostine 13, Timothy R.D. Radstake 14, Thierry Schaeverbeke 15, Hendrik Schulze-Koops 16, Leonard Calabrese 17, Munther A Khamashta 18 and Xavier Mariette 19, 1Department of Autoimmune Diseases, ICMiD. Sjögren Syndrome Research Group (AGAUR), Laboratory of Autoimmune Diseases Josep Font, IDIBAPS-CELLEX. Department of Medicine, University of Barcelona, Hospital Clínic, Barcelona, Spain., Barcelona, Spain, 2Department of Internal Medicine, Multi-Organic Diseases, Local Referral Center for Autoimmune Diseases, Saint Eloi Hospital- Montpellier-1 University, Montpellier Cedex 5, France, Montpellier, France, 3Department of Rheumatology/Clinical Immunology, The University of Texas MD Anderson Cancer Center, Houston, TX , USA., Houston, TX, 4APHP Médecine Interne/Immunologie Clinique, Hôpital Bicêtre, Paris, France. Université Paris Sud 11 – INSERM U1184 - CEA, Immunology of Viral Infections and Autoimmune Diseases, IDMIT Department, IBFJ, Fontenay-aux-Roses & Le Kremlin-Bicêtre, France., Paris, France, 5Institute of Inflammation and Ageing, University of Birmingham; and National Institute of Health Research Birmingham Biomedical Research Centre and Department of Rheumatology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK, Birmingham, United Kingdom, 6Department of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico, 7Instituto De Investigaciones En Ciencias De La Salud, Univ. Nacional de Córdoba, Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto Universitario de Ciencias Biomédicas de Córdoba, Córdoba, Argentina., Cordoba, Argentina, 8Department of Autoimmune Diseases, ICMiD, Barcelona, Spain., Barcelona, Spain, 9Rheumatology Unit, University of Pisa, Italy., Pisa, Italy, 10Johns Hopkins University, Baltimore, MD, 11Sjögren Syndrome Research Group (AGAUR), Laboratory of Autoimmune Diseases Josep Font, IDIBAPS-CELLEX, Department of Autoimmune Diseases, ICMiD, University of Barcelona, Hospital Clínic. Autoimmune Diseases Unit, Department of Medicine, Hospital CIMA- Sanitas, Barcelona, Spain., Barcelona, Spain, 12Department of Rheumatology, Strasbourg University Hospital, Strasbourg, France, 13Department of Rheumatology, Centre Hospitalier Universitaire, Bordeaux, France, Bordeaux, France, 14Department of Rheumatology/Clinical Immunology, University Medical Center Utrecht, Utrecht, The Netherlands., Utrecht, Netherlands, 15FHU ACRONIM, Department of Rheumatology, Centre Hospitalier Universitaire, Bordeaux, France, Bordeaux, France, 16Department of Rheumatology/Clinical Immunology, Ludwig-Maximilians-University Munich, Munich, Germany., Munich, Germany, 17Rheumatologic and Immunologic Disease/Cleveland Clinic, Cleveland, OH, 18King's College London School of Medicine, London, United Kingdom, 19Center for Immunology of Viral Infections and Autoimmune Diseases, Assistance Publique – Hôpitaux de Paris, Hôpitaux Universitaires Paris-Sud, Le Kremlin-Bicêtre, Université Paris Sud, INSERM, Paris, France

    Background/Purpose: To analyse the worldwide occurrence of sicca/Sjögren (SjS) syndrome associated with the use of immune checkpoint inhibitors (ICI) in patients with cancer.Methods: The ImmunoCancer…
  • Abstract Number: 1906 • 2019 ACR/ARP Annual Meeting

    Using Multi-modal Ultrasound to Assess Disease Activity Within the Salivary Glands of Patients with Primary Sjögren’s Syndrome Treated with Ianalumab (VAY736)

    Torsten Diekhoff 1, Maximilian Posch 2, Frank Wagner 2, Thomas Fischer 1, Quirino Schefer 2, Thomas Dörner 3, Didier Laurent 4, Yue Li 4 and Stephen Oliver4, 1Charité University Hospital, Berlin, Germany, 2Charité Research Organisation, Berlin, Germany, 3Charite Universitätsmedizin Berlin and DRFZ, Berlin, Germany, 4Novartis Pharma AG, Basel, Switzerland

    Background/Purpose: To use ultrasound (US) to demonstrate that ianalumab, a monoclonal antibody with dual mechanisms-of-action of BAFF:BAFF-R blockade and enhanced, ADCC-mediated B cell depletion, can…
  • Abstract Number: 1907 • 2019 ACR/ARP Annual Meeting

    Abatacept Reduces Serum CXCL13 and Disease-Relevant Immune Cell Phenotypes in a Double-Blind, Placebo-Controlled Primary Sjögren’s Syndrome Clinical Trial

    Jacques-Eric Gottenberg1, Sumanta Mukherjee 2, Marleen Nys 3, Robert Wong 4, Hendrika Bootsma 5 and Neelanjana Ray 4, 1Department of Rheumatology, Strasbourg University Hospital, Strasbourg, France, 2Bristol-Myers Squibb, Princeton, NJ, 3Bristol-Myers Squibb, Braine L’Alleud, Belgium, 4Bristol-Myers Squibb, Princeton, 5University of Groningen, Groningen, Netherlands

    Background/Purpose: Chemokine (C-X-C motif) ligand 13 (CXCL13), produced by follicular helper T (Tfh) cells, plays a pivotal role in B-cell homing and activation in germinal…
  • Abstract Number: 1908 • 2019 ACR/ARP Annual Meeting

    Preliminary Identification of Arthritis-Associated Microbiota in Experimental Spondyloarthritis

    Tejpal Gill1, Tri Tran 2, Stephen Brooks 3 and Robert Colbert 4, 1NIAMS/NIH, Bethesda, MD, 2NIAMS, NIH, Bethesda, MD, 3Biomining and Discovery Section/NIAMS/NIH, Bethesda, MD, 4Pediatric Clinical Trials Unit, Pediatric Translational Research Branch, NIAMS, NIH, Bethesda, MD

    Background/Purpose: Gut microbiota are strongly implicated in the pathogenesis of spondyloarthritis (SpA). Previous studies from our lab have documented extensive gut microbial dysbiosis in rats…
  • Abstract Number: 1909 • 2019 ACR/ARP Annual Meeting

    miR-21-5p Expression as a Marker of Treatment Response in Psoriatic Arthritis Patients

    Rohan Machhar1, Justine (Yang) Ye 2, Remy Pollock 1 and Dafna Gladman 3, 1Krembil Research Institute, University Health Network, Toronto, Canada, 2University Health Network, University of Toronto, Toronto, ON, Canada, 3Toronto Western Hospital, Toronto, Canada, Toronto, ON, Canada

    Background/Purpose: Psoriatic arthritis (PsA) is an inflammatory arthritis occurring in patients with psoriasis. Links between altered miRNA expression with the pathogenesis of several autoimmune disorders…
  • Abstract Number: 1910 • 2019 ACR/ARP Annual Meeting

    Inflammatory Processes in Experimental Spondyloarthritis Are Accompanied by Formation of Ectopic Lymphoid Structures and B Cell Lineage Alterations in the Bone Marrow

    Merlijn Kaaij1, Jan Piet van Hamburg 1, Jasper Rip 2, George Kollias 3, Leonie van Duivenvoorde 1, Martijn Nolte 4, Dominique Baeten 1 and Sander Tas 1, 1Amsterdam Rheumatology & immunology Center, Amsterdam UMC/University of Amsterdam, Amsterdam, Netherlands, 2Department of Pulmonary Medicine, Erasmus MC, Rotterdam, Rotterdam, Netherlands, 3Division of Immunology, Biomedical Sciences Center ”Alexander Fleming”, Vari, Greece, Vari, Greece, 4Sanquin Research and Landsteiner Laboratory, Molecular & Cellular Hemostasis, Amsterdam UMC/University of Amsterdam, Amsterdam, Netherlands

    Background/Purpose: Tumour necrosis factor a (TNF) is important in immune-mediated inflammatory diseases such as spondyloarthritis (SpA). Transmembrane (tm)TNF-transgenic (tg) mice that overexpress tmTNF develop typical…
  • Abstract Number: 1911 • 2019 ACR/ARP Annual Meeting

    Targeting the Oxidative Stress Pathway in Experimental Spondyloarthritis Reduces Pro-inflammatory Response in Rat Macrophages and Modulates Their Metabolic Requirements

    Fatemeh Navid1, Francesca LiCausi 1, Breanna Nguyen 1, Antony Cougnoux 2, Pierre-Christian Violet 3, Mark Levine 3 and Robert Colbert 1, 1NIAMS/NIH, bethesda, 2NICHDR/NIH, Bethesda, 3NIDDK/NIH, Bethesda

    Background/Purpose: HLA-B27 is associated with the development of spondyloarthritis (SpA) and has a tendency to generate ER stress due to misfolding which can activate the…
  • Abstract Number: 1912 • 2019 ACR/ARP Annual Meeting

    High Dimensional Flowcytometric Profiling Distinguishes Psoriasis and Psoriatic Arthritis

    Michelle Mulder1, Juul van den Reek 2, Elke de Jong 2, Bram van Cranenbroek 2, Ruben Smeets 2, Irma Joosten 2, Xuehui He 3, Frank van den Hoogen 1, Hans Koenen 3 and Mark Wenink 1, 1Sint Maartenskliniek, Nijmegen, Netherlands, 2Radboudumc, Nijmegen, Netherlands, 3Radboudumc, Njimegen, Netherlands

    Background/Purpose: Psoriasis (Pso) is a common chronic inflammatory skin disease. About 30% of Pso patients develop psoriatic arthritis (PsA), a chronic inflammation of joints and…
  • Abstract Number: 1913 • 2019 ACR/ARP Annual Meeting

    Associations of HLA-B Alleles, Enthesitis and Peripheral Arthritis in Ankylosing Spondylitis

    Benjamin Naovarat1, Michael Weisman 2, Lianne Gensler 3, Michael Ward 4, Mark Hwang 1, Amirali Tahanan 1, MinJae Lee 1, Mohammad Rahbar 1, Mariko Ishimori 5, Matthew Brown 6 and John Reveille 7, 1University of Texas-McGovern Medical School, Houston, TX, 2David Geffen School of Medicine at UCLA, Los Angeles, CA, 3University San Francisco California, San Francisco, CA, 4NIAMS, Bethesda, MD, 5Cedars-Sinai Medical Center, Los Angeles, CA, 6Queensland University of Technology, Queensland, Australia, 7University of Texas McGovern Medical School, Houston

    Background/Purpose: Recent studies have suggested that peripheral arthritis in patients with spondyloarthritis is associated with HLA-B*15. Studies of white patients with psoriatic arthritis (PsA) have…
  • Abstract Number: 1914 • 2019 ACR/ARP Annual Meeting

    Increased Risk of Progression to Lupus Nephritis for Lupus Patients with Elevated Interferon Signature

    Cristina Arriens1, Quratul Raja 2, Syed Ali Husain 2, Bessy George 2, Majid Abedi 3, Aviva Jacobs 4, Timothy Guyon 4, Hemani Wijesuriya 3, Teresa Aberle 5, Aikaterini Thanou 5, Stan Kamp 5, Susan R. Macwana 5, Eliza F. Chakravarty 1, Joan T. Merrill 6, Judith James 1, Robert Terbrueggen 4 and Joel Guthridge 1, 1Oklahoma Medical Research Foundation, University of Oklahoma Health Sciences Center, Oklahoma City, OK, 2University of Oklahoma Health Sciences Center, Oklahoma City, OK, 3DxTerity Diagnostics Inc, Anaheim, CA, 4DxTerity Diagnostics Inc, Rancho Dominguez, CA, 5Oklahoma Medical Research Foundation, Oklahoma City, OK, 6Okalahoma Medical Research Foundation, Oklahoma City, OK

    Background/Purpose: The interferon (IFN) signature in SLE is well established, distinguishing lupus patients from healthy controls. Additionally, within lupus patients, higher levels of IFN-responsive gene…
  • Abstract Number: 1915 • 2019 ACR/ARP Annual Meeting

    Validation of a Serologic Antibody Biomarker Against a Candidate Gut Pathobiont for the Diagnosis of Lupus Nephritis

    Gregg Silverman1, Doua Azzouz 1, Caroline Grönwall 2, Iva Gunnarsson 3 and Elisabet Svenungsson 4, 1NYU School of Medicine, New York, NY, 2Rheumatology Unit, Department of Medicine, Karolinska University Hospital and Institutet, Stockholm, Sweden., Stockholm, Sweden, 3Karolinska Institute, Stockholm, Stockholms Lan, Sweden, 4Division of Rheumatology, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden

    Background/Purpose: Systemic lupus erythematosus (SLE) is the archetypic systemic autoimmune disease, for which there is mounting evidence for roles for intestinal bacteria in the development…
  • Abstract Number: 1916 • 2019 ACR/ARP Annual Meeting

    Reduced DNASE1L3 Activity in Sporadic SLE Is Linked to Increased DNA Load of Microparticles, Reactivity to DNASE1L3-sensitive Antigens, and Lupus Nephritis

    Johannes Hartl1, Robert Clancy 1, Peter Izmirly 1, H Michael Belmont 2, Catherine Trad 1, Nicole Bornkamp 1, Vanja Sisirak 1, Benjamin Sally 1, Jill Buyon 1 and Boris Reizis 1, 1NYU School of Medicine, New York, 2NYU Langone Health, New York, NY

    Background/Purpose: Null mutations in DNASE1L3 cause severe familial SLE with prominent anti-DNA antibodies (Abs), suggesting that DNASE1L3 is a key driver of tolerance to DNA.…
  • Abstract Number: 1917 • 2019 ACR/ARP Annual Meeting

    Tubulointerstitial Inflammation Predicts Outcomes in Lupus Nephritis

    Charles Oshinsky1, Mariam Siddiqui 2, Vladimir Liarski 3, Anthony Chang 3, Marcus Clark 4 and Kichul Ko 3, 1University of Chicago, Department of Internal Medicine, Chicago, 2Northwestern Memorial Hospital, Chicago, 3University of Chicago, Chicago, 4University of Chicago, Chicago, IL

    Background/Purpose: Lupus nephritis (LuN) causes significant morbidity and mortality, but predicting which patients will progress still remains imprecise. Current classification schema for LuN and its…
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