ACR Meeting Abstracts

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  • Abstract Number: LB13 • ACR Convergence 2025

    Obinutuzumab Leads to Deep B-Cell Depletion in the Kidney Parenchyma of Patients With Lupus Nephritis: An Exploratory Analysis of the REGENCY Trial

    Brad Rovin1, Elsa Martins2, Cary Austin3, Harini Raghu3, Caleb Chan3, Patrick Chang3, Jay Garg3, Valeria Alberton4, Mittermayer Santiago5, Gustavo Aroca-Martínez6, Fedra Palazuelos7, Teresa Baczkowska8, José Alfaro9, Jorge Ravelo-Hernández10, Richard Furie11, Luís Pinto12, Eduardo Albiero13, Christopher Larsen14, Bongin Yoo3, Jennifer Pulley15, Andrew Thorley3, Thomas Schindler2, Theodore Omachi3, William Pendergraft III3 and Ana Malvar16, 1Department of Internal Medicine, The Ohio State University College of Medicine, Columbus, Ohio, 2F. Hoffmann-La Roche Ltd, Basel, Switzerland, 3Genentech, Inc., South San Francisco, California, 4Pathology Unit, Fernández Hospital, Buenos Aires, Argentina, 5Bahiana School of Medicine and Public Health and UFBA, Federal University of Bahia, and Clínica SER da Bahia, Salvador, Brazil, 6Universidad Simón Bolívar y Clínica de la Costa, Barranquilla, Colombia, 7Centro de Investigación y Tratamiento Reumatológico S.C., Mexico City, Mexico, 8Department of Transplantation Medicine, Nephrology and Internal Medicine, Medical University of Warsaw, Warsaw, Poland, 9Instituto Peruano del Hueso y la Articulación, Lima, Peru, 10Clinica San Juan Bautista, Unidad de Investigacion en Reumatologia e Inmunologia, Lima, Peru, 11Division of Rheumatology, Northwell Health, Great Neck, New York, 12Internal Medicine and Rheumatology, Hospital Pablo Tobón Uribe, Medellín, Colombia, 13Sanatorio Allende, Córdoba, Argentina, 14Arkana Laboratories, Little Rock, Arkansas, 15Roche Products Ltd, Welwyn Garden City, United Kingdom, 16Organización Médica de Investigación, Buenos Aires, Argentina

    Background/Purpose: B cells infiltrate the kidneys in lupus nephritis (LN) and likely contribute to the pathogenesis of kidney injury. The REGENCY trial (NCT04221477) showed that…
  • Abstract Number: 0139 • ACR Convergence 2025

    When One Isn’t Enough: Does Adding IgM Worsen the Antiphospholipid Syndrome Phenotype?

    Santiago Dans Caballero1, Massimo Radin2, Chary López pedrera3, MARIA ANGELES AGUIRRE ZAMORANO4, Christian Merlo-Ruiz5, Ismael Sanchez-Pareja4, Irene Cecchi6 and Savino Sciascia7, 1Reina Sofia University Hospital, Lebrija, Andalucia, Spain, 2University of Turin, Turin, Turin, Italy, 3Rheumatology service/Maimonides Institute for Research in Biomedicine of Cordoba (IMIBIC)/ Reina Sofia University Hospital/ University of Cordoba, Spain, Cordoba, Spain, 4Rheumatology service/Maimonides Institute for Research in Biomedicine of Cordoba (IMIBIC)/ Reina Sofia University Hospital/ University of Cordoba, Spain, Córdoba, Spain, 5Rheumatology service/Maimonides Institute for Research in Biomedicine of Cordoba (IMIBIC)/ Reina Sofia University Hospital/ University of Cordoba, Spain, Córdoba, Spain, 6University of Turin, Turin, Piemonte, Italy, 7University of Turin, Torino, Italy

    Background/Purpose: Antiphospholipid syndrome (APS) is a systemic autoimmune disorder characterized by the persistent presence of antiphospholipid antibodies (aPL) along with clinical manifestations such as venous…
  • Abstract Number: 0131 • ACR Convergence 2025

    Libman-Sacks Endocarditis in APS: A Case-Control Study of Clinical and Serologic Features

    Kyla Rodgers1, Cyrus Sarosh2, Srilakshmi Yalavarthi3, Emily Becker4, Yiran Shen5, Kaitlyn Sabb4, Peter Hagan4, Ajay Tambralli5, Jacqueline Madison5, Yu (Ray) Zuo5 and Jason S. Knight5, 1University of Michigan, Whitmore Lake, MI, 2University of Michigan, Temperance, MI, 3Division of Rheumatology, Department of Internal Medicine, University of Michigan, Ann Arbor, 4University of Michigan, Ann Arbor, 5University of Michigan, Ann Arbor, MI

    Background/Purpose: Libman-Sacks endocarditis (LSE) is an inflammatory phenomenon, typically involving the mitral or aortic valve, that affects some patients with systemic lupus erythematosus (SLE) and/or…
  • Abstract Number: 0132 • ACR Convergence 2025

    Increased Expression of Gas6 and Its Tyrosine Kinase Receptor Tyro3 Are Associated with Antiphospholipid Syndrome

    Fanshu Li, Ranran Yao, Fanlei Hu, Liling Xu and Chun Li, Department of Rheumatology and Immunology, Peking University People's Hospital, Beijing, China (People's Republic)

    Background/Purpose: Growth arrest specific protein 6 (Gas6) is a member of the vitamin K-dependent protein family. It participates in apoptosis, inflammatory response and immunomodulation by…
  • Abstract Number: 0140 • ACR Convergence 2025

    Outcome Of Patients With Non-Criteria Manifestations Of Primary Antiphospholipid Syndrome Treated With Immunosuppressants -A Single Centre Study

    Sindhuja Rajendran1, ashish mathew2, sukesh chandran nair3, john mathew2 and ruchika goel2, 1Christian Medical College ,Vellore, Madurai, Tamil Nadu, India, 2Christian Medical college , Vellore , India, Vellore, Tamil Nadu, India, 3Christian,Medical College ,Vellore ,India, Vellore, Tamil Nadu, India

    Background/Purpose: Non-criteria manifestations occur in 24% in Primary antiphospholipid syndrome (PAPS) . The efficacy of immunosuppressants in patients with above condition is not certain due…
  • Abstract Number: 0136 • ACR Convergence 2025

    Beyond Thrombosis: Histological Spectrum, Predictors and Outcomes of Renal Involvement in Primary Antiphospholipid Syndrome: A Single-Centre Cohort Study

    RITESH KUMAR MISHRA1, SUBIN PHILIP2, RIZWANA NAUSHAD2, AISHWARYA GOPAL3, Chengappa Kavadichanda2, CHRISTINA MARIASELVAM2, RAJESH N G2, Molly mary Thabah3 and VIR SINGH NEGI2, 1JAWAHARLAL INSTITUTE OF POSTGRADUATE MEDICAL EDUCATION AND RESEARCH, Bhubaneswar, India, 2JAWAHARLAL INSTITUTE OF POSTGRADUATE MEDICAL EDUCATION AND RESEARCH, PUDUCHERRY, Puducherry, India, 3JAWAHARLAL INSTITUTE OF POSTGRADUATE MEDICAL EDUCATION AND RESEARCH, PUDUCHERRY, India

    Background/Purpose: Renal involvement in primary APS is underrecognized and histologically diverse, encompassing both vascular and glomerular pathology. We aimed to describe the histopathology, outcomes of…
  • Abstract Number: 0130 • ACR Convergence 2025

    Plasminogen activator inhibitor 1 increases thrombotic risk in Antiphospholipid syndrome

    Koshy Nithin Thomas1, Pratibha Singh2, Anu Balakrishnan3, Amita Aggarwal4 and Able Lawrence5, 1Christian Medical College, Vellore, Tamil Nadu, India, 2Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India, 3Sanjay Gandhi Post Graduate Institute, India, Lucknow, Uttar Pradesh, India, 4Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India, Lucknow, Uttar Pradesh, India, 5SGPGIMS, Lucknow, Lucknow, Uttar Pradesh, India

    Background/Purpose: Antiphospholipid antibody syndrome (APS) is a common cause for acquired thrombophilia. The group termed ‘seronegative’ APS has not made any headway in the revised…
  • Abstract Number: 0138 • ACR Convergence 2025

    Evaluating Artificial Intelligence for Diagnosing Antiphospholipid Syndrome in Pulmonary Embolism Case Reports: A Prompt-Based Analysis

    Sami Rabah and Xiangyi Kang, Lincoln Medical Center, New York, NY

    Background/Purpose: Antiphospholipid syndrome (APS) is a complex autoimmune prothrombotic disorder that can present with venous or arterial thromboses, often masquerading as unprovoked pulmonary embolism (PE).…
  • Abstract Number: 0135 • ACR Convergence 2025

    Rituximab in Antiphospholipid Syndrome: aPL Titer Decline and Clinical Outcomes

    Omer Uludag1, Soner Altın2, Gamze Kemec2, yasemin yalcinkaya3, Ahmet Gul3, Murat Inanc3 and Bahar Artim Esen4, 1Istanbul University, Istanbul Faculty of Medicine, Division of Rheumatology, Istanbul, Turkey, 2Istanbul University, Istanbul Faculty of Medicine, Department of Internal Medicine, Istanbul, Turkey, 3Istanbul University, Istanbul Faculty of Medicine, Division of Rheumatology, Istanbul, Istanbul, Turkey, 4Istanbul University, Istanbul, Istanbul, Turkey

    Background/Purpose: Rituximab treatment has been shown to be effective in non-thrombotic manifestations of APS and refractory catastrophic APS (CAPS). However, there are conflicting results regarding…
  • Abstract Number: 0134 • ACR Convergence 2025

    Neutrophil Gasdermin D Pores as Potential Therapeutic Targets in APS-Associated Thromboinflammation

    NaveenKumar Somanathapura1, Thalia Newman1, Chao Liu2, Srilakshmi Yalavarthi3, Cyrus Sarosh4, Jacqueline Madison1, Ajay Tambralli1, Yu (Ray) Zuo1 and Jason S. Knight1, 1University of Michigan, Ann arbor, MI, 2University of Michigan, Superior Charter Twp, MI, 3Division of Rheumatology, Department of Internal Medicine, University of Michigan, Ann Arbor, 4University of Michigan, Temperance, MI

    Background/Purpose: Emerging evidence implicates neutrophil activation and neutrophil extracellular trap (NET) formation (i.e., NETosis) in amplifying APS-associated thromboinflammation. Gasdermin D (GSDMD), a substrate of inflammatory…
  • Abstract Number: 0133 • ACR Convergence 2025

    Differences in cardiovascular risk factor control between primary and systemic lupus erythematosus-related antiphospholipid syndrome in a multiethnic cohort of 1003 patients with antiphospholipid syndrome: the SUrvey of cardiovascular disease Risk Factors (SURF) in SLE and APS project

    Eleana Bolla1, Anne Grete Semb2, Michelle Petri3, Petros Sfikakis4, Bahar Artim Esen5, Gabriela Hernandez-Molina6, Eric Hachulla7, Haner Direskeneli8, George Karpouzas9, Marta Mosca10, Mohit Goyal11, Nathalie Costedoat-Chalumeau12, Angela Tincani13, Ayten Yazici14, Karoline Lerang15, Anne Troldborg16, Sofia Ajeganova17, Tatiana Popkova18, Elisabet Svenungsson19, Nikos Pantazis20 and Maria Tektonidou21, 1Rheumatology Unit, First Department of Propaedeutic Internal Medicine, Joint Academic Rheumatology Program, Medical School, National and Kapodistrian University of Athens, Laiko General Hospital, Athens, Greece, 2Preventive Cardio-Rheuma clinic, Dept Rheum, Diakonhjemmet Hospital, Oslo, Norway, Oslo, Norway, 3Johns Hopkins University School of Medicine, Timonium, MD, 4NKUA - SCHOOL OF MEDICINE, Athens, Greece, 5Istanbul University, Istanbul, Istanbul, Turkey, 6Instituto Nacional de Ciencias Medicas y Nutricion, Mexico City, Federal District, Mexico, 7University of Lille, LILLE, France, 8Marmara University, ISTANBUL, Turkey, 9Harbor-UCLA Medical Center, Torrance, CA, 10University of Pisa, Pisa, Pisa, Italy, 11CARE Pain & Arthritis Centre, Udaipur, Rajasthan, India, 12Inserm DR Paris 5, Paris, France, 13ASST Spedali Civili-University of Brescia, Gussago, Brescia, Italy, 14Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey, 15Department of Rheumatology, Oslo University Hospital, Oslo, Norway, 16Aarhus University Hospital, Aarhus, Denmark, 17Department of Medicine Huddinge, Karolinska Institutet, Stockholm, Sweden, 18V.A. Nasonova Research Institute of Rheumatology, Moscow, Russia, 19Karolinska Institutet, Stockholm, Stockholms Lan, Sweden, 20Department of Hygiene, Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Athens, Greece, 21National and Kapodistrian University of Athens, Athens, Greece

    Background/Purpose: Cardiovascular disease (CVD) in antiphospholipid syndrome (APS) is driven by antiphospholipid antibody-mediated immunothrombotic mechanisms and traditional cardiovascular risk factors (CVRFs). Although the EULAR recommendations…
  • Abstract Number: 0129 • ACR Convergence 2025

    Analysis of Antiphosphatidylserine/prothrombin Antibodies as a Predictor of Lupus Anticoagulant in the Pediatric Population

    Jonathan Marilao1, Sean Yates2 and Elizabeth Sloan3, 1University of Texas Southwestern, Dallas, TX, 2University of Texas Southwestern, Dallas, 3UT Southwestern, Children's Medical Center, and Scottish Rite for Children, Dallas, TX

    Background/Purpose: Antiphospholipid Syndrome (APS) is a systemic thromboinflammatory autoimmune disease characterized by thrombotic or obstetric events occurring in individuals with persistently positive antiphospholipid antibodies (aPL).…
  • Abstract Number: 0128 • ACR Convergence 2025

    Defining a Consensus for Critical Data Fields for International Pediatric Antiphospholipid Syndrome Research

    Jheel Bhatt1, Elizabeth Sloan2, Selcan Demir3, Mojca Avramovic4, Seza Özen5, Doruk Erkan6 and Tadej Avcin7, 1Advent Health Orlando, Orlando, FL, 2UT Southwestern, Children's Medical Center, and Scottish Rite for Children, Dallas, TX, 3Eskisehir Osmangazi University, Eskişehir, Turkey, 4University Children's Hospital, Ljubljana, Slovenia, 5Hacettepe University Medical Faculty, Ankara, Turkey, 6Hospital for Special Surgery, New York, NY, 7University Children's Hospital University Medical Center Ljubljana, Ljubljana, Slovenia

    Background/Purpose: Pediatric antiphospholipid syndrome (APS) is a rare, thrombo-inflammatory autoimmune disease characterized by thrombosis and nonthrombotic manifestations in patients with persistent positive antiphospholipid antibodies, with…
  • Abstract Number: 0137 • ACR Convergence 2025

    Landscape of Primary Antiphospholipid Syndrome: Clinical Spectrum, Serology, and Predictors of Damage in a Single Center Cohort of 233 Patients

    RITESH KUMAR MISHRA1, SUBIN PHILIP2, JAIDEV MENON2, RIZWANA NAUSHAD2, AISHWARYA GOPAL3, CHRISTINA MARIASELVAM2, Chengappa Kavadichanda2, Molly mary Thabah3 and VIR SINGH NEGI2, 1JAWAHARLAL INSTITUTE OF POSTGRADUATE MEDICAL EDUCATION AND RESEARCH, Bhubaneswar, India, 2JAWAHARLAL INSTITUTE OF POSTGRADUATE MEDICAL EDUCATION AND RESEARCH, PUDUCHERRY, Puducherry, India, 3JAWAHARLAL INSTITUTE OF POSTGRADUATE MEDICAL EDUCATION AND RESEARCH, PUDUCHERRY, India

    Background/Purpose: Primary Antiphospholipid Syndrome (APS) a systemic autoimmune prothrombotic disorder with long-term consequences. While secondary APS is well studied, large real-world cohorts of primary APS…
  • Abstract Number: 0127 • ACR Convergence 2025

    Single-cell Profiling of Dermal Endothelial Cells Reveals Potential Cell-Cell Interactions in Patients with APS and a History of Cardiac Valve Disease

    Wenying Liang1, Qinmengge Li2, Jacqueline Madison1, Ran Jing1, Emily Chong1, Yiran Shen1, Rachael Bogle3, Srilakshmi Yalavarthi1, Cyrus Sarosh4, Ajay Tambralli1, Yu (Ray) Zuo1, Johann Gudjonsson1, Hui Shi5, Pei-Suen Tsou1, Alex Tsoi3 and Jason S. Knight1, 1University of Michigan, Ann Arbor, MI, 2University of Michigan, Ypsilanti, MI, 3University of Michigan, Holland, OH, 4University of Michigan, Temperance, MI, 5Shanghai Jiaotong University Affiliated Ruijin Hospital, Shanghai, China (People's Republic)

    Background/Purpose: Some of the rarer manifestations of antiphospholipid syndrome (APS), such as cardiac valve disease, remain poorly understood at the molecular level. A previous study…
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