ACR Meeting Abstracts

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  • Abstract Number: 1667 • ACR Convergence 2024

    Correlates of Physical Activity (PA) in Persons Undergoing Total Knee Arthroplasty (TKA): Does Pain Matter?

    Elena Losina1, Jamie Collins1, Clare Safran-Norton1, Mike Paskewicz1, Faith Selzer2, Sonia Pavlesen3, Kelly Frier1, Jon Dhani1, Darya Lee1, Ella Macdonald3, Alexa Streicher3, Linda Ehrlich-Jones4, Neil Segal5, Christine Pellegrini6, Elizabeth Wellsandt7, Rowland Chang8 and Jeffrey Katz1, and KArAT Team, 1Brigham and Women's Hospital, Boston, MA, 2Brigham and Women's Hospital, Amesbury, MA, 3University of Buffalo, Buffalo, NY, 4Shirley Ryan Ability Lab, Chicago, IL, 5University of Kansas, Kansas City, KS, 6University of South Carolina, Columbia, SC, 7University of Nebraska Medical Center, Omaha, NE, 8Northwestern University Division of Rheumatology, Chicago, IL

    Background/Purpose: Low PA in persons with symptomatic knee osteoarthritis (OA) has often been attributed to pain. Evolving data suggest that TKA recipients do not increase…
  • Abstract Number: 1684 • ACR Convergence 2024

    Autoantibodies to Transcription Factor a Mitochondria Are Associated with Damage Accrual, Malignancy Risk and Mortality in SLE

    Eduardo Gomez1, Daniel Goldman2, Merlin Paz3, Michelle Petri2 and Felipe Andrade4, 1The Johns Hopkins University, Baltimore, MD, 2Johns Hopkins University School of Medicine, Timonium, MD, 3Johns Hopkins Medicine, Baltimore, MD, 4The Johns Hopkins University School of Medicine, Timonium, MD

    Background/Purpose: We recently identified autoantibodies in SLE that target transcription factor A mitochondrial (TFAM), a critical protein in mitochondrial DNA transcription and packaging1. These autoantibodies…
  • Abstract Number: 1734 • ACR Convergence 2024

    Safety and Efficacy Data from a Phase I Trial of Umbilical Lining-Derived Stem Cells (ULSC) in Adult Dermatomyositis/Polymyositis

    Michael R Bubb`1, Eileen Handberg1, Rafael Gonzalez2, Blas Betancourt1, J. Nicole Bostick1, Sarah Long1, Keith March1 and Carl Pepine1, 1University of Florida, Gainesville, FL, 2Restem, LLC, Corona, CA

    Background/Purpose: Mesenchymal stem/stromal cells are self-renewing, multi-potent stromal cells which act as modulators of immune responses. Umbilical cord-derived mesenchymal stromal cells, a classification of cells…
  • Abstract Number: 1789 • ACR Convergence 2024

    Multi-omic Profiling Identifies Pathogenic Pro-inflammatory Human Monocytes/Macrophages in Systemic Lupus Erythematosus

    Lais Osmani1, Min Shin2, Sang Jin Lee3, Helen Cai4, Won Jae Seong2, Hyoungsu Kim2, Jongjin Yoo2, Angela Mirabella2, William Bracamonte2, Mario Felix5, Jong Gyun Ahn2, Hong-Jai Park2, Juan Young6, Junghee Shin2, Serhan Unlu7, Noelle Yoo2, Edward Doherty2, Jiaye Chen2, Chenxi Li2, Gabriela Sanchez-Zuno2, Caroline Valdez4, Thuy Tran8, Mei Dong2, Sang Kim2, Christine Ko9, Sungyong You10, Jose Gomez11, Richard Bucala12 and Insoo Kang2, 1Yale, New Haven, CT, 2Yale University School of Medicine, Internal Medicine (Rheumatology, Allergy & Immunology), New Haven, CT, 3Division of Rheumatology, Kyungpook National University Hospital, Dae gu, Republic of Korea, 4Yale University School of Medicine, New Haven, CT, 5Yale, Hamden, CT, 6Yale University School of Medicine, Psychiatry, New Haven, CT, 7Cleveland Clinic, Internal Medicine, Cleveland, OH, 8Yale University School of Medicine, Internal Medicine (Medical Oncology), New Haven, CT, 9Yale University School of Medicine, Dermatology and Pathology, New Haven, CT, 10Cedars-Sinai Medical Center, Surgery and Computational Biomedicine, Los Angeles, CA, 11Yale University School of Medicine, Internal Medicine (Pulmonary, Critical Care & Sleep), New Haven, CT, 12Yale University School of Medicine, Internal Medicine (Rheumatology, Allergy & Immunology) and Pathology, New Haven, CT

    Background/Purpose: Systemic lupus erythematosus (SLE or lupus) is a clinically heterogeneous autoimmune disease, in which emerging evidence implicates the innate immune system, particularly monocytes and…
  • Abstract Number: 1773 • ACR Convergence 2024

    Divergent Genetic Architecture in Boys and Girls with NEMO-deleted Exon 5 Autoinflammatory Syndrome (NEMO-NDAS) Implies Role for Wildtype Effector Cells

    Adriana Almeida de Jesus1, Kip Friend2, Bin Lin3, Eric Karlins4, Colton McNinch4, Sara Alehashemi5, Keith Kauffman6, FARZANA BHUYAN3, Taylor Newbolt6, Andrea Bohrer7, Andre Rastegar3, Sophia Park3, Dana Kahle3, Jacob Mitchell3, Amanda Chen3, Sofia Torreggiani8, Kader Cetin Gedik9, Katsiaryna Uss2, Amer Khojah10, Eveline Wu11, Christiaan Scott12, Timothy Ronan Leahy13, Emma MacDermott14, Orla Killeen15, Thaschawee Arkachaisri16, Brian Nolan17, Zoran Gucev18, Kathryn Cook19, Vafa Mammadova20, Gulnara Nasrullayeva20, Mariana Correia Marques21, Abigail Bosk22, Seza Ozen23, Scott Canna24, Maude Tusseau25, Emilie Chopin26, Guilaine Boursier27, Veronique Hentgen28, Ines Elhani29, Mario Sestan30, Marija Jelusic31, Danielle Fink32, Douglas Kuhns32, Clifton Dalgard33, Alexandre Belot34, Timothy Moran11, Katherine Meyer-Barber7, Andrew Oler4, Daniel Barber6 and Raphaela Goldbach-Mansky35, 1NIAID, NIH, Silver Spring, MD, 2Translational Autoinflammatory Diseases section (TADS), LCIM, NIAID, NIH, Bethesda, MD, 3TADS, NIAID, NIH, Bethesda, MD, 4BCBB, NIAID, NIH, Bethesda, MD, 5NIH/NIAID/TADS, Potomac, MD, 6T Lymphocyte Biology Section, LPD, NIAID, NIH, Bethesda, MD, 7Inflammation and Innate Immunity Unit, LCIM, NIAID, NIH, Bethesda, MD, 8University Of Maryland Baltimore, Baltimore, MD, 9Translational Autoinflammatory Diseases section (TADS), LCIM, NIAID, NIH, Pittsburgh, PA, 10Umm Al-Qura University, Makkah, Saudi Arabia, 11University of North Carolina School of Medicine, Chapel Hill, NC, 12University of Cape Town, Cape Town, South Africa, 13Children’s Health Ireland (CHI) at Crumlin, Dublin, Ireland, 14CHI Crumlin, Dublin, Dublin, Ireland, 15Children's Health Ireland, Dublin, Ireland, 16KK Women's and Children's Hospital, SingHealth, Singapore, Singapore, 17Ann and Robert H Lurie Children's Hospital of Chicago, Chicago, IL, 18University Children's Hospital, Skopje, Macedonia, 19Akron Children's Hospital, Akron, OH, 20Azerbaijan Medical University, Baku, Azerbaijan, 21National Institutes of Health, Bethesda, MD, 22Children's National Hospital, Bethesda, DC, 23Department of Pediatrics, Hacettepe University, Ankara, Turkey, 24Children's Hospital of Philadelphia, Philadelphia, PA, 25RAISE, Hospices Civils de Lyon, Lyon, France, 26Hospices Civils de Lyon, Lyon, France, 27University of Montpellier, Montpellier, 28Laboratoire de Génétique des Maladies Rares et Autoinflammatoires, Département de Génétique Médicale, Maladies Rares et Médecine Personnalisée, CEREMAIA, CHU de Montpellier, Univ Montpellier, Montpellier, France, Le Chesnay, France, 29Department of Internal Medicine, Caen University Hospital, Caen, France, Caen, France, 30University of Zagreb School of Medicine University Hospital Centre Zagreb, Zagreb, Croatia, 31University of Zagreb School of Medicine, University Hospital Centre Zagreb, Zagreb, Zagreb, Croatia, 32Collaborative Clinical Research Branch, NIAID, NIH, Bethesda, MD, Bethesda, MD, 33The American Genome Center, Department of Anatomy, Physiology & Genetics, Uniformed Services University, Bethesda, MD, 34Hospices Civils de Lyon, Collonges au mont d'or, France, 35Translational Autoinflammatory Diseases section (TADS), LCIM, NIAID, NIH, Potomac, MD

    Background/Purpose: Splice-site variants in X-linked IKBKG cause NEMO-deleted exon5 autoinflammatory syndrome (NEMO-NDAS); a pseudogene (IKBKGP1) complicates genetic diagnosis. NEMO-NDAS is four times more common in…
  • Abstract Number: 1757 • ACR Convergence 2024

    Bimekizumab Treatment Resulted in Improvements in MRI Inflammatory and Structural Lesions in the Sacroiliac Joints of Patients with Axial Spondyloarthritis: 52-Week Results and Post Hoc Analyses from Two Phase 3 Studies

    Walter Maksymowych1, Sofia Ramiro2, Denis Poddubnyy3, Xenofon Baraliakos4, Robert Lambert1, Ute Massow5, Thomas Vaux6, Chetan Prajapati6, Alexander Marten5, Natasha de Peyrecave7 and Mikkel Ostergaard8, 1University of Alberta, Edmonton, AB, Canada, 2Leiden University Medical Center, Bunde, Netherlands, 3Charite-Universitatsmedizin Berlin, Berlin, Germany, 4Rheumazentrum Ruhrgebiet Herne, Ruhr-University Bochum, Herne, Germany, 5UCB Pharma, Monheim am Rhein, Germany, 6UCB Pharma, Slough, United Kingdom, 7UCB Pharma, Brussels, Belgium, 8Department of Clinical Medicine, University of Copenhagen and Center for Rheumatology, Copenhagen Center for Arthritis Research, Glostrup, Denmark

    Background/Purpose: The impact of bimekizumab (BKZ), a monoclonal IgG1 antibody that selectively inhibits interleukin (IL)‑17F in addition to IL-17A, on structural lesions in patients (pts)…
  • Abstract Number: 1817 • ACR Convergence 2024

    Activated Macrophages Mediate Loss of Dermal White Adipose Tissue in Fibrotic Skin

    Chanhyuk Park1, Helen Jarnagin2, Asmaa Mohamed3, Yina Huang3, Michael Whitfield4 and Patricia Pioli1, 1Geisel School of Medicine at Dartmouth, Lebanon, NH, 2Dartmouth College, Lebanon, NH, 3Dartmouth, Lebanon, 4Geisel School of Medicine at Dartmouth, Hanover, NH

    Background/Purpose: Autoimmune systemic sclerosis (SSc) is characterized by inflammation, vasculopathy, and dermal and internal organ fibrosis. A widely-reported but poorly understood aspect of SSc skin…
  • Abstract Number: 1736 • ACR Convergence 2024

    Effectiveness and Safety of Tofacitinib vs. Calcineurin Inhibitor in Interstitial Lung Disease Secondary to Anti-Melanoma Differentiation-Associated Gene 5-Positive Dermatomyositis: A Multi-Center Cohort Study with Propensity Score-Based Inverse Probability of Treatment Weighting

    Wanlong Wu1, Bingpeng Guo2, Wenjia Sun3, Dan Chen4, Wenwen Xu5, Zhiwei Chen5, Yakai Fu5, Yan Ye5, Xia Lyu6, Zhixin Xue5, Kaiwen Wang5, Jiangfeng Zhao7, Chunhua Ye5, Min Dai5, Wei Fan5, Jia Li5, Xiaodong Wang5, Yu Xue8, Weiguo Wan8, Li Sun4, Huaxiang Wu9, Qun Luo2, Qian Han2, Qiong Fu1 and Shuang Ye1, 1Department of Rheumatology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China (People's Republic), 2State Key Laboratory of Respiratory Disease, National Clinical Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China (People's Republic), 3The Second Affiliated Hospital of Zhejiang University, School of Medicine, Hangzhou, Zhejiang, China (People's Republic), 4The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China (People's Republic), 5Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China (People's Republic), 6Department of Rheumatology, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, Shanghai, China (People's Republic), 7Department of Rheumatology, Jiading Branch, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China (People's Republic), 8Department of Rheumatology, Huashan Hospital, Fudan University, shanghai, China (People's Republic), 9Department of Rheumatology, The Second Affiliated Hospital of Zhejiang University, Hangzhou, Zhejiang, China (People's Republic)

    Background/Purpose: The current management of anti-melanoma differentiation-associated gene 5-positive dermatomyositis (MDA5+DM) is challenging and largely empirical rather than evidence-based. Small-sized proof-of-concept trial and case series…
  • Abstract Number: 1554 • ACR Convergence 2024

    Belimumab Increases SLE Responder Index-4 Response Rates versus Placebo in Early Active Systemic Lupus Erythematosus: A Large Integrated Analysis of Belimumab Trials

    Karen Costenbader1, Joan Merrill2, Marta Mosca3, Holly Quasny4, Christine Henning5, Steven Bloom6, Julia Harris6, Ciara O’Shea7, Tatsuya Atsumi8 and Ronald van Vollenhoven9, 1Brigham and Women’s Hospital, Division of Rheumatology, Inflammation and Immunity, Harvard Medical School, Boston, MA, 2Oklahoma Medical Research Foundation, Arthritis & Clinical Immunology Program, Oklahoma City, OK, 3University of Pisa, Department of Clinical and Experimental Medicine - Rheumatology Unit, Pisa, Italy, 4GSK, Clinical Sciences, Durham, NC, 5GSK, Global Medical Affairs, Durham, NC, 6GSK, Immunology Biostatistics, Brentford, United Kingdom, 7GSK, Rheumatology, Global Medical Affairs, Dublin, Ireland, 8Department of Rheumatology, Endocrinology and Nephrology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan, Sapporo, Japan, 9Amsterdam Rheumatology and Immunology Center and Amsterdam University Medical Centers, Department of Rheumatology, Amsterdam, Netherlands

    Background/Purpose: There are benefits of early treatment for autoimmune diseases; however, data are not available for patients (pts) with SLE as there is no definition…
  • Abstract Number: 1571 • ACR Convergence 2024

    Growth Differentiation Factor 15 Is a Serum Biomarker and Pathogenic Factor of Progressive Fibrosis in Systemic Sclerosis

    Vishal Kakkar1, Sunhwa Kim2, Yingtao Bi3, Christopher Wasson1, Stefano Di Donato4, Rebecca Ross5, Marco Di Battista6, Enrico De Lorenzis7, Thierry Sornasse2 and Francesco Del Galdo1, 1University of Leeds, Leeds, United Kingdom, 2AbbVie, South San Francisco, CA, 3Abbvie, Worcester, MA, 4Leeds Institute of Rheumatic and Musculoskeletal Medicine, Chapel Allerton Hospital, Leeds, UK, Leeds, United Kingdom, 5Medicine and Health, University of Leeds, Leeds, United Kingdom, 6Leeds Institute of Rheumatic and Musculoskeletal Medicine, Chapel Allerton Hospital, Leeds, UK, Pisa, United Kingdom, 7Catholic University of the Sacred Heart, Roma, Rome, Italy

    Background/Purpose: In systemic sclerosis (SSc), interstitial lung disease (ILD) remains the leading cause of mortality. A decline in forced vital capacity (FVC) is considered a…
  • Abstract Number: 1788 • ACR Convergence 2024

    Memory B Cell Activation and Dysregulation in Systemic Lupus Erythematosus

    Shady Younis1, Salvinaz Moutusy2, Shaghayegh Jahanbani2, Xiaohao Wu2, Marlayna Harris2, Mahesh Pandit3, Laura van Dam4, orr Sharpe5, Paul Utz1 and William Robinson6, 1Stanford University, Stanford, CA, 2Stanford University School of Medicine, Stanford, 3Stanford University School of Medicine, Stanofrd, 4Stanford, Palo Alto, CA, 5Department of Immunology and Rheumatology, Stanford University, Stanford, CA, 6Division of Immunology and Rheumatology, Stanford University, and VA Palo Alto Health Care System, Stanford, CA

    Background/Purpose: B cell dysregulation and production of autoantibodies against autoantigens are hallmarks of Systemic lupus erythematosus (SLE). In healthy adults (HC), B cells with autoreactive…
  • Abstract Number: 1519 • ACR Convergence 2024

    Incidence, Risk Factors, and Outcomes of Severe Lymphopenia in Systemic Lupus Erythematosus

    Chunhui Chen1, Emily Wu2, Huong Do3 and Kyriakos Kirou3, 1New York Presbyterian Queens, Flushing, NY, 2Hospital for Special Surgery, Rochester, NY, 3Hospital for Special Surgery, New York, NY

    Background/Purpose: Lymphopenia is common in patients with systemic lupus erythematosus (SLE), occurring in 75-90% of cases over the disease course. It can result from SLE…
  • Abstract Number: 1818 • ACR Convergence 2024

    Distribution and Morphological Changes of Adventitial Fibroblasts in Healthy and Scleroderma Skin

    Banafsheh Nazari1, Tracy Tabib2, Christina Morse3 and Robert Lafyatis2, 1UPMC-Mercy, Pittsburgh, 2University of Pittsburgh, Pittsburgh, PA, 3University of Pittsburgh, Pittsburgh

    Background/Purpose: Our previous single-cell RNA-sequencing study identified two major fibroblast subpopulations in healthy skin biopsies: SFRP2/DPP4 and FMO1/LSP1 fibroblasts¹. Additionally, we discovered that adventitial fibroblasts…
  • Abstract Number: 1708 • ACR Convergence 2024

    Unveiling the Uterine-Joint Axis: Dysbiosis and Subclinical Uterine Inflammation in Female Axial Spondyloarthritis Pathogenesis

    Daniele Mauro1, Matteo Vecellio2, Anne-Sophie Bergot3, Eva Schmid4, Giulio Forte5, Alessia Stingo6, Alessia Salzillo5, Aldo Pastore7, Paolo Aretini7, Francesca Di Lorenzo7, Antonio ciancio5, Ilenia Pantano5, Gabriele Saccone8, Fulvio Zullo9, carlo Maurizio Montecucco10, Aroldo Rizzo11, Georg Schett12, Ranjeny Thomas13, Mario Zaiss14 and Francesco Ciccia15, 1University of Campania, Italy, Naples, Naples, Italy, 2Fondazione Pisana per la Scienza ONLUS, Pisa, Italy, 3Frazer Institute, University of Queensland, Brisbane, Australia, 4Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Rheumatology and Immunology, Erlangen, Erlangen, Germany, 5University of Campania L. Vanvitelli, Naples, Italy, 6University of Campania L. Vanvitelli, Nasples, Italy, 7Fondazione Pisana per la Scienza ONLUS, Giuliano Terme, Italy, 8University Federico II of Naples, Naples, Italy, 9University of Catanzaro, Catanzaro, Italy, 10Unit of Rheumatology, Fondazione IRCCS Policlinico San Matteo and University of Pavia, Pavia, Italy, 11Azienda Ospedaliera Ospedali riuniti Villa Sofia Cervello,, Palermo, Italy, 12Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany, 13University of Queensland, Brisbane, Australia, 14Department of Internal Medicine 3, Rheumatology and Immunology, Friedrich-Alexander-University Erlangen-Nürnberg (FAU) and Universittsklinikum Erlangen, Erlangen, Germany; 2 Deutsches Zentrum für Immuntherapie (DZI), Erlangen, Germany, 15Università degli studi della Campania Luigi Vanvitelli, Naples, Italy

    Background/Purpose: Numerous studies exploring gender differences in axial spondyloarthritis (AxSpA) have noted that women exhibit distinct disease manifestations. Yet, a definitive pathophysiological distinction of these diverse…
  • Abstract Number: 1578 • ACR Convergence 2024

    Association of Systemic Sclerosis and Other Systemic Autoimmune Disease Diagnosis with Increasing Anti-RNA Polymerase III Antibodies

    Warren Balaja1, Mashood Badshah2 and Megan Krause3, 1University of Kansas Medical Center, Kansas City, KS, 2The University of Kansas Medical Center, Kansas City, KS, 3University of Kansas, Kansas City, KS

    Background/Purpose: Anti-RNA polymerase III antibody (ARA) is a disease-specific antibody important for the identification and stratification of varying phenotypes of systemic sclerosis (SSc). Previous studies…
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