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  • Abstract Number: 832 • 2017 ACR/ARHP Annual Meeting

    Single Cell Analysis Reveals Heterogeneity of Type I IFN Gene Expression in Developing Autoreactive B Cells

    Jennie Hamilton1, PingAr Yang2, Qi Wu3, Bao Luo4, Shanrun Liu5, Jun Li6, Mark Walter7, Eleanor Fish8, Hui-Chen Hsu3 and John D. Mountz9, 1Medicine/Division of Clinical Immunology and Rhematology, University of Alabama at Birmingham, Birmingham, AL, 2Department of Medicine, Clinical Immunology & Rheumatology, University of Alabama at Birmingham, Birmingham, AL, 3Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, 4Division of Clinical Immunology and Rheumatology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, 5Biochemistry & Molecular Genetics, University of Alabama at Birmingham, Birmingham, AL, 6Medicine, University of Alabama at Birmingham, Birmingham, AL, 7Microbiology, University of Alabama at Birmingham, Birmingham, AL, 8University Health Network & Department of Immunology, University of Toronto, Toronto General Research Institute, Toronto, ON, Canada, 9University of Alabama at Birmingham, Department of Medicine, Birmingham, AL

    Background/Purpose: B cell development involves passage through a formative transitional B cell stage in the spleen. In SLE, self-nucleic acid reactive B cells fail to…
  • Abstract Number: 833 • 2017 ACR/ARHP Annual Meeting

    Chronic Cutaneous Lupus Erythematosus Patients Have a Breakdown in Autoreactive VH4.34 Antibody Tolerance While Maintaining Tolerance to dsDNA and Chromatin

    Scott Jenks1, Regina Bugrovsky1, Xiaoqian Wang1,2, Aisha Hill3, Chungwen Wei4, S. Sam Lim5, Ignacio Sanz6 and Cristina Drenkard5, 1Emory University School of Medicine and Lowance Center for Human Immunology, Atlanta, GA, 2Division of Rheumatology and Lowance Center for Human Immunology, Emory University School of Medicine, Atlanta, GA, 3Medicine, Emory University School of Medicine, atlanta, GA, 4Medicine, Emory University School of Medicine, Atlanta, GA, 5Division of Rheumatology, Emory University School of Medicine, Atlanta, GA, 6Rheumatology and Lowance Center for Human Immunology, Emory University School of Medicine and Lowance Center for Human Immunology, Atlanta, GA

    Background/Purpose: While the contribution of humoral immunity to SLE is well established, the role it plays in chronic cutaneous lupus erythematosus (CCLE) is less clear.…
  • Abstract Number: 834 • 2017 ACR/ARHP Annual Meeting

    Citrulline-Polyspecific B Cell Antigen Receptors Arising from Somatic Hypermutation within Clades Demonstrate Pathogenicity in Rheumatoid Arthritis

    Philip J. Titcombe1,2, Gustaf Wigerblad3, Natalie Sippl3, Na Zhang1, Anna K. Shmagel4, Peter Sahlström5, Yue Jack Zhang1, Laura Barsness Motschenbacher1, Yogita Ghodke-Puranik6, Monika Hansson7, Lena Israelsson5, Timothy B. Niewold8, Lars Klareskog9, Camilla Svensson10, Khaled Amara7, Vivianne Malmström11 and Daniel L. Mueller1, 1Medicine/Rheumatic and Autoimmune Diseases, University of Minnesota Medical School, Minneapolis, MN, 2Rheumatology Unit, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden, 3Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden, 4Rheumatic & Autoimmune Diseases, University of Minnesota Medical School, Minneapolis, MN, 5Dept. of Medicine, Rheumatology Unit, Karolinska Institutet, Stockholm, Sweden, 6Colton Center for Autoimmunity, New York University, New York, NY, 7Department of Medicine, Rheumatology Unit, Karolinska Institutet, Stockholm, Sweden, 8Rheumatology and Immunology, Mayo Clinic, Rochester, MN, 9Rheumatology unit, Department of Medicine, Karolinska Institutet, Stockholm, Sweden, 10Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden, 11Rheumatology Unit, Karolinska Institutet, Stockholm, Sweden

    Background/Purpose: Citrulline–modified proteins arising from the post-translational modification of arginine residues are recognized as primary rheumatoid arthritis (RA) autoantigen targets based on the strong association…
  • Abstract Number: 835 • 2017 ACR/ARHP Annual Meeting

    Generation of an Efficient CRISPR-Cas9 Editing Technique in Human Primary B Cells for the Targeted Study of Autoimmune Susceptibility Genes

    Yuriy Baglaenko1, Dario Ferri2, Juan Carlos Zuniga-Pflucker3 and Joan E. Wither2,4,5, 1Genetics and Development, Krembil Research Institute, University Health Network, Toronto, ON, Canada, 2Immunology, University of Toronto, Toronto, ON, Canada, 3Biological Sciences, Sunnybrook Research Institute, Toronto, ON, Canada, 4Krembil Research Institute, University Health Network, Toronto, ON, Canada, 5Genetics and Development, Toronto Western Research Institute, Toronto Western Hospital, Toronto, ON, Canada

    Background/Purpose: Autoimmunity is a complex, poly-genic disorder that culminates in multi-organ damage. In systemic lupus erythematosus (SLE), the prototypic autoimmune disorder, a breakdown of tolerance…
  • Abstract Number: 836 • 2017 ACR/ARHP Annual Meeting

    B Cell Receptor Sequencing of Anti-Citrullinated Protein Antibody Expressing B Cells Indicates a Selective Advantage for the Introduction of N-Glycosylation Sites during Somatic Hypermutation

    Rochelle D. Vergroesen1, Linda Slot1, Lise Hafkenscheid1, Marvyn T. Koning2, Ellen I.H. van der Voort3, Christine A. Grooff1, George Zervakis2, Tom W.J. Huizinga1, Theo Rispens4, Hendrik Veelken2, Rene E.M. Toes1 and Hans U. Scherer3, 1Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 2Hematology, Leiden University Medical Center, Leiden, Netherlands, 3Department of Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 4Immunopathology, Sanquin Research, Amsterdam, Netherlands

    Background/Purpose: The vast majority (>90%) of anti-citrullinated protein antibodies (ACPA) of the IgG isotype in serum and synovial fluid of patients with rheumatoid arthritis carry…
  • Abstract Number: 837 • 2017 ACR/ARHP Annual Meeting

    Rheumatoid Arthritis and Risk for Chronic Obstructive Pulmonary Disease or Asthma Among Women during 38 Years of Prospective Follow-up

    Jeffrey A. Sparks1, Tzu-Chieh Lin2, Carlos Camargo3, Medha Barbhaiya4, Sara K. Tedeschi5, Karen H. Costenbader2, Benjamin Raby6, Hyon K. Choi7 and Elizabeth Karlson4, 1Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 2Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 3Emergency Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, 4Rheumatology, Immunology and Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 5Division of Rheumatology, Immunology and Allergy,, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 6Pulmonary Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 7Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA

    Background/Purpose : Rheumatoid arthritis (RA) has been associated with increased risk for chronic obstructive pulmonary disease (COPD) and asthma, but these findings may have been…
  • Abstract Number: 838 • 2017 ACR/ARHP Annual Meeting

    Rates of New-Onset Pulmonary Disease Among Patients with Systemic Lupus Erythematosus in Sweden

    Lindsy J. Forbess1, Michael Weisman2 and Julia F Simard3, 1Medicine, Division of Rheumatology, Cedars-Sinai Medical Center, Los Angeles, CA, 2Cedars-Sinai Medical Center Division of Rheumatology, Los Angeles, CA, 3Division of Epidemiology, Health Research and Policy Department, Stanford School of Medicine, Stanford, CA

    Background/Purpose: Our goal was to examine lung disease and types of pulmonary manifestations observed in patients with SLE. We studied population-based register data from Sweden…
  • Abstract Number: 839 • 2017 ACR/ARHP Annual Meeting

    Use of Bisphosphonate and Risk of Incident Atrial Fibrillation in a Population-Based Study

    Shanshan Sheehy1, Christine Peloquin2 and Tuhina Neogi3, 1Clinical Epidemiology Research & Training Unit, Boston University, Boston, MA, 2Boston University School of Medicine, Boston, MA, 3Clinical Epidemiology Research and Training Unit, Boston University School of Medicine, Boston, MA

    Background/Purpose: Bisphosphonates remain the first-line agent prescribed medication for the prevention and treatment of osteoporosis. Apart from concern about atypical fractures, another concern about risk…
  • Abstract Number: 840 • 2017 ACR/ARHP Annual Meeting

    Mortality Post Hip Fracture in Rheumatoid Arthritis Compared to General Population Controls, a Population-Based Study

    C. Allyson Jones1, Pierre Guy2, Hui Xie3, Eric C. Sayre4 and Diane Lacaille5,6, 1Physical Therapy, University of Alberta, Edmonton, AB, Canada, 2Department of Orthopaedics, University of British Columbia / Centre for Hip Health and Mobility, Vancouver, BC, Canada, 3Biostatistics, Faculty of Health Sciences, Simon Fraser University / Arthritis Research Canada, Burnaby, BC, Canada, 4Arthritis Research Canada, Richmond, BC, Canada, 5University of British Columbia, Arthritis Research Canada, Richmond, BC, Canada, 6Arthritis Research Canada/ University of British Columbia, Vancouver, BC, Canada

    Background/Purpose: In prior work, we found a higher incidence of hip fractures in RA than age and sex matched general population controls (4.1 vs. 2.9…
  • Abstract Number: 841 • 2017 ACR/ARHP Annual Meeting

    Optimal Regimens of Sulfamethoxazole-Trimethoprim for Chemoprophylaxis of Pneumocystis Pneumonia in Patients with Systemic Rheumatic Diseases: 52-Week Follow-up of a Non-Blinded, Randomized Controlled Trial

    Masayoshi Harigai1,2, Masako Utsunomiya2,3,4, Hiroaki Dobashi5, Toshio Odani6,7, Kazuyoshi Saito8,9, Naoto Yokogawa10, Kenji Nagasaka11,12, Kenchi Takenaka3,11, Makoto Soejima11,13, Takahiko Sugihara14, Hiroyuki Hagiyama15, Shinya Hirata16, Kazuo Matsui17,18, Yoshinori Nonomura19, Masahiro Kondo20, Fumihito Suzuki13,21, Makoto Tomita22, Mari Kihara23, Waka Yokoyama3, Fumio Hirano24, Hayato Yamazaki3, Ryoko Sakai2,25, Toshihiro Nanki2,26, Ryuji Koike2,3, Hitoshi Kohsaka3 and Nobuyuki Miyasaka3, 1Division of Epidemiology and Pharmacoepidemiology of Rheumatic Diseases, Institute of Rheumatology, Tokyo Women's Medical University, Tokyo, Japan, 2Department of Pharmacovigilance, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan, 3Department of Rheumatology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan, 4Department of Rheumatology, Musashino Red Cross Hospital, Tokyo, Japan, 5Internal Medicine Division of Hematology, Rheumatology, and Respiratory Medicine, Kagawa University, Kagawa, Japan, 6Third Department of Internal Medicine, Obihiro-Kosei General Hospital, Hokkaido, Japan, 7Molecular Physiology and Therapeutics Branch/Adeno-Associated Virus Biology Section, National Institute of Dental and Craniofacial Research (NIDCR)/ National Institutes of Health (NIH), Bethesda, MD, 8Tobata General Hospital, Fukuoka, Japan, 9The First Department of Internal Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan, 10Department of Rheumatic Diseases, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan, 11Department of Rheumatology, Ome Municipal General Hospital, Tokyo, Japan, 12Department of Pharmacovigilance, Graduate School of Medical and Dental Sciences,, Tokyo Medical and Dental University, Tokyo, Japan, 13Department of Rheumatology, Soka Municipal Hospital, Saitama, Japan, 14Department of Medicine and Rheumatology, Tokyo Metropolitan Geriatric Hospital, Tokyo, Japan, 15Department of Rheumatology, Yokohama City Minato Red Cross Hospital, Kanagawa, Japan, 16Department of Hematology, Rheumatology, and Infectious Disease, Kumamoto University, Kumamoto, Japan, 17Department of Rheumatology, Kameda Medical Center, Chiba, Japan, 18Department of Internal Medicine, Takikawa Municipal Hospital, Hokkaido, Japan, 19Department of Rheumatology, Tokyo Kyosai Hospital, Tokyo, Japan, 20Department of Rheumatology, Faculty of Medicine, Shimane University, Shimane, Japan, 21Department of Rheumatology, JA Toride Medical Center, Ibaraki, Japan, 22Clinical Research Center, Tokyo Medical and Dental University, Tokyo, Japan, 23Department of Rheumatology, Tokyo Medical and Dental University, Tokyo, Japan, 24Departments of Rheumatology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan, 25Division of Epidemiology and Pharmacoepidemiology of Rheumatic Diseases, Institute of Rheumatology, Tokyo Women’s Medical University, Tokyo, Japan, 26Division of Rheumatology, Department of Internal Medicine, Toho University School of Medicine, Tokyo, Japan

    Background/Purpose: Sulfamethoxazole-trimethoprim (SMX/TMP) is a standard drug for the prophylaxis of Pneumocystis pneumonia (PCP), but is sometimes discontinued due to adverse events (AEs). We have…
  • Abstract Number: 842 • 2017 ACR/ARHP Annual Meeting

    Risk of Serious Infection in Patients with Rheumatoid Arthritis Treated with Biologic Vs. Non-Biologic Dmards

    Gulsen Ozen1, Sofia Pedro2, Bryant R. England3, Bella Mehta4, Frederick Wolfe2 and Kaleb Michaud1, 1Rheumatology, University of Nebraska Medical Center, Omaha, NE, 2National Data Bank for Rheumatic Diseases, Wichita, KS, 3Division of Rheumatology & Immunology, Department of Internal Medicine, Nebraska-Western IA VA Health Care System & University of Nebraska Medical Center, Omaha, NE, 4Rheumatology, Hospital for Special Surgery/Weill Cornell Medical College, New York, NY

    Background/Purpose: Serious infections (SIs) are a major concern in RA patients, significantly contributing to increased mortality. We examined the SI risk associated with bDMARDs compared…
  • Abstract Number: 843 • 2017 ACR/ARHP Annual Meeting

    The Role of Personality in Patients with Fibromyalgia

    Andrew Seto1, Teresa Wu1, Lori Lyn Price2,3,4,5, Xingyi Han6, William F. Harvey1 and Chenchen Wang7, 1Tufts Medical Center, Boston, MA, 2Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA, 3Clinical Care Research, Tufts Medical Center, Boston, MA, 4Biostatistics Research Center, Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA, 5Tufts Clinical and Translational Science Institute, Tufts University, Boston, MA, 6Public Health and Community Medicine, Tufts University, Boston, MA, 7Rheumatology, Tufts Medical Center, Boston, MA

    Background/Purpose: Previous studies investigating the potential associations between personality and clinical symptoms in fibromyalgia (FM) patients have found mixed results. The purpose of this study…
  • Abstract Number: 844 • 2017 ACR/ARHP Annual Meeting

    Social Support, Stress and Health Outcomes in Systemic Lupus Erythematosus: Georgians Organized Against Lupus (GOAL) Cohort

    Charmayne M. Dunlop-Thomas, S. Sam Lim, Gaobin Bao and Cristina Drenkard, Division of Rheumatology, Emory University School of Medicine, Atlanta, GA

    Background/Purpose: Stress can influence immune and neuroendocrine processes, and may lead to poor outcomes in people with systemic lupus erythematosus (SLE). Social support can potentially…
  • Abstract Number: 845 • 2017 ACR/ARHP Annual Meeting

    Effectiveness of Brief Group Psychoanalytic Psychotherapy in Patients with Systemic Lupus Erythematosus and Follow-up

    Emilia Sato1,2, Céu Conceiçao3, Ivone Meinão4 and Sergio Blay5, 1Rheumatology Division. Escola Paulista de Medicina, Universidade Federal de Sao Paulo, Sao Paulo, Brazil, 2Rheumatology Div/Dept of Med, Escola Paulista de Medicina - Universidade Federal de São Paulo, Sao Paulo, Brazil, 3Medicine, Escola Paulista de Medicina, Universidade Federal de São Paulo, Sao Paulo, Brazil, 4Medicine, Universidade Federal de São Paulo, Sao Paulo, Brazil, 5Psychiatry, Escola Paulista de Medicina, Universidade Federal de São Paulo, Sao Paulo, Brazil

    Background/Purpose: There are few studies evaluating the effectiveness of psychotherapy in Systemic Lupus Erythematosus (SLE) patients. Objectives: To evaluate the effectiveness of brief group psychoanalytic…
  • Abstract Number: 846 • 2017 ACR/ARHP Annual Meeting

    Social Support in Couples-Focused Physical Activity Interventions for People with Hip or Knee Osteoarthritis: What Kinds of Partner Support Are Associated with Increases in Physical Activity and Reductions in Sedentary Behavior?

    Christine Rini1, Liubov Arbeeva2, Stephanie Bahorski2, Cynthia Khan3, Rebekah Layton2, Derek Hales2, Julie Upchurch2, Shelby Rimmler2, Ida Griesemer2, Mary Altpeter2, Dana Carthron4, Todd Schwartz2 and Leigh F. Callahan5, 1Biomedical Research, Hackensack University Medical Center, Hackensack, NJ, 2University of North Carolina at Chapel Hill, Chapel Hill, NC, 3Econometrica, Inc., Bethesda, MD, 4Michigan State University, East Lansing, MI, 5Thurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC

    Background/Purpose: Physical activity (PA) reduces joint symptoms in people with osteoarthritis (PWOA), but most PWOA get insufficient PA. They would benefit from small but sustained…
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