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  • Abstract Number: 472 • 2017 ACR/ARHP Annual Meeting

    Viral Hepatitis Influences Patient Reported Outcomes Measures in Rheumatoid Arthritis

    Suraj Timilsina1, Harlan Sayles2, Bryant R. England3, James R. O'Dell4, Ted R. Mikuls5 and Kaleb Michaud2, 1Division of Rheumatology & Immunology, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, 2University of Nebraska Medical Center, Omaha, NE, 3Division of Rheumatology & Immunology, Department of Internal Medicine, Nebraska-Western IA VA Health Care System & University of Nebraska Medical Center, Omaha, NE, 4Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, 5Internal Medicine, Division of Rheumatology, University of Nebraska Medical Center, Omaha, NE

    Background/Purpose: Viral hepatitis may complicate the treatment of RA since select DMARD have the potential to cause hepatotoxicity or reactivation of latent viral infections. Whether…
  • Abstract Number: 473 • 2017 ACR/ARHP Annual Meeting

    Medication Utilization Patterns of Rheumatoid Arthritis Patients Receiving Anti-TNF Infusion in Community Rheumatology Practices in the United States: Will Differences in Dosing and Administration Efficiencies between Intravenous Golimumab and Infliximab Have a Cost Impact for Payers?

    Sergio Schwartzman1, Lorie A. Ellis2, Dennis Parenti3, Shawn Black3, Stephen Xu4, Wayne Langholff4 and Shelly Kafka3, 1Weill Cornell Medical College, New York, NY, 2Janssen HECOR Immunology, Horsham, PA, 3Janssen Scientific Affairs, LLC, Horsham, PA, 4Janssen Research & Development, LLC, Spring House, PA

    Background/Purpose: AWARE (Comparative and Pragmatic Study of Golimumab IV Versus Infliximab in Rheumatoid Arthritis) is an ongoing Phase 4 comparator study designed to provide a…
  • Abstract Number: 474 • 2017 ACR/ARHP Annual Meeting

    Comparison of Tofacitinib Efficacy in Patients with Moderate Vs Severe Rheumatoid Arthritis: Pooled Analysis of Phase 3 Studies

    Sergio Schwartzman1, Prashanth Sunkureddi2, Liza Takiya3, Mark Snyder3, Haiyun Fan4, Tatjana Lukic5, Jacqui Roberts6 and William F C Rigby7, 1Hospital for Special Surgery, New York, NY, 2Clear Lake Rheumatology, Nassau Bay, TX, 3Pfizer Inc, Collegeville, PA, 4Pfizer Inc, Groton, CT, 5Pfizer Inc, New York, NY, 6Pfizer Inc, Tadworth, United Kingdom, 7Geisel School of Medicine at Dartmouth, Lebanon, NH

    Background/Purpose: Tofacitinib is an oral Janus kinase inhibitor for the treatment of rheumatoid arthritis (RA). We evaluated tofacitinib 5 and 10 mg twice daily (BID)…
  • Abstract Number: 475 • 2017 ACR/ARHP Annual Meeting

    Rheumatoid Arthritis Patient Characteristics Also Predict Response to Therapy with Biologic Agents: Results from the Corrona Certain Study

    Dimitrios A. Pappas1, James Murray2, Carol J. Etzel1, David R Nelson2, Bernice Gershenson3, Katherine C. Saunders1, Sabrina Rebello1 and Joel Kremer4, 1Corrona, LLC, Southborough, MA, 2Eli Lilly and Company, Indianapolis, IN, 3University of Massachusetts Medical School, Worcester, MA, 4Albany Medical College and The Center for Rheumatology, Albany, NY

    Background/Purpose: Response to biologic agents approved for RA may be associated with patient reported factors that are not related to disease and usually not included…
  • Abstract Number: 476 • 2017 ACR/ARHP Annual Meeting

    Novel Interaction between Anti-Citrulline Monoclonal Antibodies and Apoptotic Cells Is Mediated through Citrullinated Nuclear Antigens

    Katy A. Lloyd1, Peter Sahlström2, Johanna Steen1, Philip J. Titcombe3,4, Diana Zhou1, Christina Lundqvist5, Olov Ekwall6,7, Jimmy Ytterberg1, Johan Rönnelid8, Daniel L. Mueller3, Lars Klareskog1, Vivianne Malmström1 and Caroline Grönwall9, 1Dept. of Medicine, Rheumatology Unit, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden, 2Dept. of Medicine, Rheumatology Unit, Karolinska Institutet, Stockholm, Sweden, 3Dept. of Medicine, University of Minnesota Medical School, Minneapolis, MN, 4Dept. of Medicine, Rheumatology Unit, Karolinska Institutet, Karolinska University Hospital, Sweden, Sweden, 5Dept. of Rheumatology and Inflammation Research, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden, 6Dept. of Rheumatology and Inflammation Research, Institute of Medicine, Sahlgrenska Academy University of Gothenburg, Göteborg, Sweden, 7Dept of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden, 8Department of Immunology Genetics and Pathology, Uppsala University, Uppsala, Sweden, 9Dep. of Medicine, Rheumatology Unit, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden

    Background/Purpose: Anti-citrullinated protein antibodies (ACPA) display broad cross-reactivities and target proteins including a-enolase, filaggrin, vimentin, fibrinogen, and histones. However, every monoclonal ACPA has a distinct…
  • Abstract Number: 477 • 2017 ACR/ARHP Annual Meeting

    Monoclonal ACPA-IgG Feature Extensive Fab Glycosylation

    Katy A. Lloyd1, Johanna Steen1, Philip J. Titcombe2,3, Khaled Amara4, Diana Zhou1, Lena Israelsson5, Susanna L. Lundström6, Daniel L. Mueller3, Lars Klareskog1, Vivianne Malmström1 and Caroline Grönwall7, 1Dept. of Medicine, Rheumatology Unit, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden, 2Dept. of Medicine, Rheumatology Unit, Karolinska Institutet, Karolinska University Hospital, Sweden, Sweden, 3Dept. of Medicine, University of Minnesota Medical School, Minneapolis, MN, 4Department of Medicine, Rheumatology Unit, Karolinska Institutet, Stockholm, Sweden, 5Dept. of Medicine, Rheumatology Unit, Karolinska Institutet, Stockholm, Sweden, 6Dept. of Medical Biochemistry and Biophysics, Division of Physiological Chemistry, Karolinska Institutet, Stockholm, Sweden, 7Dep. of Medicine, Rheumatology Unit, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden

    Background/Purpose: Fab-glycosylation is found in ~15-25% serum IgG and while its exact consequence remains unknown, it may alter IgG functionality. Recent data revealed elevated Fab-glycosylation…
  • Abstract Number: 478 • 2017 ACR/ARHP Annual Meeting

    Ectopic Lymphoid Tissue in the Lung Is Uniquely Associated with the ACPA IgA Isotype Even in Absence of Classifiable RA

    Lindsay B. Kelmenson1, M. Kristen Demoruelle1, Carlyne D. Cool2 and Kevin D. Deane1, 1Rheumatology Division, University of Colorado Denver, Aurora, CO, 2Pathology, University of Colorado Denver, Aurora, CO

    Background/Purpose: Antibodies to citrullinated protein antigens (ACPA) precede the development of rheumatoid arthritis (RA) and may be generated in the lung of established and preclinical…
  • Abstract Number: 479 • 2017 ACR/ARHP Annual Meeting

    Protein Carbamylation Is Induced By Activated Neutrophil: Ex Vivo Analysis

    Shuichiro Nakabo1, Koichiro Ohmura1, Shuji Akizuki1, Nobuo Kuramoto1, Kosaku Murakami2, Ran Nakashima2, Motomu Hashimoto3, Hajime Yoshifuji1, Masao Tanaka3 and Tsuneyo Mimori1, 1Department of Rheumatology and Clinical Immunology, Graduate School of Medicine, Kyoto University, Kyoto, Japan, 2Clinical Immunology and Rheumatology, Graduate School of Medicine, Kyoto University, Kyoto, Japan, 3Department of Advanced Medicine for Rheumatic Diseases, Graduate School of Medicine, Kyoto University, Kyoto, Japan

    Protein carbamylation is induced by activated neutrophil: ex vivo analysisBackground/Purpose: Anti-carbamylated protein (anti-CarP) antibodies were reported to be detected in 45% of rheumatoid arthritis (RA)…
  • Abstract Number: 480 • 2017 ACR/ARHP Annual Meeting

    ANTI-Carbamylated Protein Antibodies (CARP) in Palindromic Rheumatism: Prevalence and Clinical Significance

    Raul Castellanos-Moreira Sr.1, Virginia Ruiz-Esquide1, María José Gomara2, Sonia Cabrera-Villalba1, Sebastian C Rodriguez-Garcia1, Georgina Salvador3, Andrea Cuervo1, Julio Ramírez1, M. Victoria Hernández1, Juan Cañete1, Isabel Haro2 and Raimon Sanmartí1, 1Rheumatology Service, Hospital Clínic de Barcelona, Barcelona, Spain, 2Unit of Synthesis and Biomedical Applications of Peptides, IQAC-CSIC, Barcelona, Spain, 3Hospital Universitario Mutua Terrassa, Barcelona, Spain

    Background/Purpose: Autoantibodies (RF or ACPA) are found in sera from patients with palindromic rheumatism (PR) but there are no studies analyzing the presence of Anti-carbamylated…
  • Abstract Number: 481 • 2017 ACR/ARHP Annual Meeting

    Immunocompetent Cells Expressing Citrullinated Proteins in Joint Synovium of Osteoarthritis and Rheumatoid Arthritis

    Kyoko Honne1, Masahiro Iwamoto2, Shunichiro Hanai1, Satoshi Machida3, Hitoshi Sekiya4, Reina Tsuda5, Tatsuhiko Ozawa5, Tadayoshi Karasawa6, Atsushi Muraguchi5, Masafumi Takahashi6, Hiroyuki Kishi5 and Seiji Minota7, 1Division of Rheumatology and Clinical Immunology, Jichi Medical University, Shimotsuke, Japan, 2Deivision of Rheumatology and Clinical Immunology, Jichi Medical University, Shimotsuke, Japan, 3Department of Orthopaedic Surgery, Orthopedics Clinic Medical Papas, Tochigi, Japan, 4Department of orthopedic surgery, Jichi Medical University, Shimotsuke, Japan, 5Department of Immunology, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama, Toyama, Japan, 6Division of Inflammation Research Center for Molecular Medicine, Jichi Medical University, Shimotsuke, Japan, 7Division of Rheumatology and Clinical Immunology, Jichi Medical University, Tochigi, Japan

    Background/Purpose: Human monoclonal ACPA (Human-ACPA) is reported to strongly bind to synovium in RA patients [1]. The aims of our study were 1) To investigate…
  • Abstract Number: 482 • 2017 ACR/ARHP Annual Meeting

    The Link between ACPA and Erosion Development: Is ACPA Sufficient? an Association Study in Clinically Suspect Arthralgia

    Robin M ten Brinck1, REM Toes2 and Annette H.M. van der Helm-van Mil1, 1Department of Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 2Rheumatology, Leiden University Medical Center, Leiden, Netherlands

    Background/Purpose: Anti-citrullinated protein antibodies (ACPA) associate with more severe joint erosions in rheumatoid arthritis (RA), but the underlying mechanism is unclear. Recent in vitro and…
  • Abstract Number: 483 • 2017 ACR/ARHP Annual Meeting

    Anti-Peptidylarginine Deiminase-4 Antibodies Are Present in the Sputum of RA Patients and Can Activate Peptidylarginine Deiminase-4 Enzyme Activity

    M. Kristen Demoruelle1, Hong Wang2, Ryan L. Davis2, A. Itzam Marin1, Jill M. Norris3, V. Michael Holers1, Kevin D. Deane1 and Erika Darrah2, 1Division of Rheumatology, University of Colorado School of Medicine, Aurora, CO, 2Division of Rheumatology, The Johns Hopkins University, Baltimore, MD, 3Department of Epidemiology, Colorado School of Public Health, Aurora, CO

    Background/Purpose: Anti-peptidylarginine deiminase (PAD)-4 antibodies (Abs) are present in a portion of RA patients and associate with more severe joint disease, suggesting that they play…
  • Abstract Number: 484 • 2017 ACR/ARHP Annual Meeting

    Sputum Neutrophils Demonstrate Increased Neutrophil Extracellular Trap Formation in RA-Free Subjects at-Risk of Future RA

    Yuko Okamoto1, Michael P. Mohning2, Stacey M. Thomas2, Ashley Visser1, Lindsay B. Kelmenson3, Jill M. Norris4, Mariana J. Kaplan5, William J. Janssen2, V. Michael Holers1, Kevin D. Deane1 and M. Kristen Demoruelle1, 1Division of Rheumatology, University of Colorado School of Medicine, Aurora, CO, 2Division of Pulmonary Disease and Critical Care Medicine, National Jewish Health, Denver, CO, 3Division of Rheumatoloty, University of Colorado School of Medicine, Aurora, CO, 4Department of Epidemiology, Colorado School of Public Health, Aurora, CO, 5Systemic Autoimmunity Branch, NIAMS/NIH, Bethesda, MD

    Background/Purpose: Data support that ACPAs are generated in the lung in RA-free subjects At-Risk of future RA. Our group previously demonstrated a significant positive correlation…
  • Abstract Number: 485 • 2017 ACR/ARHP Annual Meeting

    Different Citrullination Profiles in Spontaneous Versus Leukemia-Associated Rheumatoid Arthritis

    Tal Gazitt1, Son Hong Nguyen2, Ari Salinger2, Christian Lood3, Xizhang Sun1, Lena M. Tanaka1, David Feith4, Jeffrey Ledbetter5, Gordon Starkebaum6, Thomas Loughran Jr.7, Paul R. Thompson2 and Keith B. Elkon8, 1Division of Rheumatology, University of Washington, Seattle, WA, 2Biochemistry and Molecular Pharmacology, University of Massachusetts Medical School, Worcester, MA, 3Division of Rheumatology, Division of Rheumatology, Department of Medicine, University of Washington, Seattle, WA, 4Hematology and Oncology, University of Virginia, Charlottesville, VA, 5University of Washington, Seattle, WA, 6Department of Medicine, Division of Rheumatology, University of Washington, Seattle, WA, 7Hematology Oncology, University of Virginia, Charlottesville, VA, 8Division of Rheumatology, Department of Medicine, University of Washington, Seattle, WA

    Background/Purpose: Protein citrullination, the post-translational conversion of arginine to citrulline, mediated by peptidylarginine deiminase (PAD) enzymes, is considered a likely mechanism for the stimulation of…
  • Abstract Number: 486 • 2017 ACR/ARHP Annual Meeting

    Anti-Citrullinated Protein Antibody Reactivities in Treatment NaïVe Early Rheumatoid Arthritis

    Maria K. Jonsson1,2, Aase Hensvold3, Monika Hansson4, Linda Mathsson-Alm5, Anna-Birgitte Aga2, Joseph Sexton2, Bjørg-Tilde Fevang1,6, Siri Lillegraven2, Anca I. Catrina3 and Espen A. Haavardsholm2,7, 1Dept. of Rheumatology, Haukeland University Hospital, Bergen, Norway, 2Dept. of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway, 3Karolinska Institute, Stockholm, Sweden, 4Rheumatology Unit, Department of Medicine, Karolinska Institute, Karolinska University Hospital, Stockholm, Sweden, 5Thermo Fisher Scientific, Uppsala, Sweden, 6Dept. of Clinical Science, University of Bergen, Bergen, Norway, 7University of Oslo, Oslo, Norway

    Background/Purpose: Anti-citrullinated protein antibody (ACPA) reactivities can precede RA onset, and may be involved in the pathogenesis of the disease. We wanted to assess the…
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