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  • Abstract Number: 2787 • 2018 ACR/ARHP Annual Meeting

    −21 HLA-Class I Dimorphism Differentiates Psoriatic Arthritis (PsA) from Psoriasis without Psoriatic Arthritis (PsC)

    Vinod Chandran1, Quan Li2, Rohan Machhar2, Fatima Abji1, Justine Y. Ye1, Rajan Nair3, Philip Stuart3, Katerina Oikonomopoulou2, James T. Elder4, Dafna D Gladman2 and Proton Rahman5, 1Rheumatology, University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 2University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 3University of Michigan, Ann Arbor, MI, 4University of Michigan Medical School, Ann Arbor, MI, 5Rheumatology, St Claires Mercy Hospital, St Johns, NF, Canada

    Background/Purpose: The association between human leukocyte antigen (HLA) class I alleles and psoriatic disease indicates a potential role for the innate immune system in disease…
  • Abstract Number: 2788 • 2018 ACR/ARHP Annual Meeting

    The Effects of Plasma Exchange and Reduced-Dose Glucocorticoids during Remission-Induction for Treatment of Severe ANCA-Associated Vasculitis

    Michael Walsh1, Peter A. Merkel2 and David Jayne3, 1Nephrology, McMaster University, Hamilton, ON, Canada, 2Division of Rheumatology, Division of Rheumatology, University of Pennsylvania, Philadelphia, PA, 3Department of Medicine, University of Cambridge, Cambridge, United Kingdom

    Background/Purpose: It is uncertain whether plasma exchange improves clinical outcomes in anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis.  Also uncertain is whether, compared to standard therapy with…
  • Abstract Number: 2789 • 2018 ACR/ARHP Annual Meeting

    Efficacy of Apremilast for Oral Ulcers Associated with Active Behçet’s Syndrome over 28 Weeks: Results from a Phase III Study

    Gulen Hatemi1, Alfred Mahr2, Yoshiaki Ishigatsubo3, Yeong Wook Song4, Melike Melikoglu5, Sue Cheng6, Shannon McCue6, Maria Paris6, Mindy Chen6 and Yusuf Yazici7, 1Rheumatology, Istanbul University, Cerrahpasa Medical School, Istanbul, Turkey, 2Hospital Saint-Louis, University Paris Diderot, Paris, France, 3Yokohama City University Graduate School of Medicine, Yokohama, Japan, 4Rheumatology, Seoul National University Hospital, Seoul, Korea, Republic of (South), 5Istanbul University Cerrahpasa Medical School, Istanbul, Turkey, 6Celgene Corporation, Summit, NJ, 7New York University School of Medicine, New York, NY

    Background/Purpose: Behçet’s syndrome is a chronic, relapsing, multi-system inflammatory disorder characterized by recurrent oral ulcers (OU), which can be disabling and substantially impact quality of…
  • Abstract Number: 2790 • 2018 ACR/ARHP Annual Meeting

    Screening of Patients with Adult-Onset Idiopathic Polyarteritis Nodosa for Deficiency of Adenosine Deaminase 2

    Oskar Schnappauf1, Monique Stoffels2, Ivona Aksentijevich2, Daniel L. Kastner2, Peter C. Grayson3, David Cuthbertson4, Simon Carette5, Sharon A. Chung6, Lindsy J. Forbess7, Nader A. Khalidi8, Curry L. Koening9, Carol Langford10, Carol A. McAlear11, Paul A. Monach12, Larry W. Moreland13, Christian Pagnoux14, Philip Seo15, Jason Springer16, Antoine G. Sreih17, Kenneth J. Warrington18, Steven R. Ytterberg18 and Peter A. Merkel19, 1NHGRI, National Institutes of Health, Bethesda, MD, 2Metabolic, Cardiovascular, and Inflammatory Disease Genomics Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, 3National Institute of Arthritis, Musculoskeletal and Skin Disease, National Institutes of Health, Bethesda, MD, 4Biostatistics and Informatics, Department of Pediatrics, Department of Biostatistics and Informatics, Department of Pediatrics, University of South Florida, Tampa, FL, 5Division of Rheumatology, Mount Sinai Hospital, Toronto, ON, Canada, 6Russell/Engleman Rheumatology Research Center, University of California, San Francisco, San Francisco, CA, 7Division of Rheumatology, Cedars-Sinai Medical Center, Los Angeles, CA, 8Rheumatology, McMaster University, Hamilton, ON, Canada, 9Rheumatology, Division of Rheumatology, University of Utah, Salt Lake City, UT, 10Rheumatic and Immunologic Diseases, Department of Rheumatic and Immunologic Diseases, Cleveland Clinic, Cleveland, OH, 11Division of Rheumatology, University of Pennsylvania, Philadelphia, PA, 12Section of Rheumatology, Boston University School of Medicine, Boston, MA, 13Division of Rheumatology and Clinical Immunology, Division of Rheumatology, University of Pittsburgh, Pittsburgh, PA, 14Division of Rheumatology, Division of Rheumatology, Mount Sinai Hospital, Toronto, ON, Canada, 15Medicine, Division of Rheumatology, Johns Hopkins University, Baltimore, MD, 16Department of Internal Medicine, The University of Kansas Medical Center, Division of Allergy, Clinical Immunology & Rheumatology, Kansas City, KS, 17Rheumatology, Division of Rheumatology, University of Pennsylvania, Philadelphia, PA, 18Rheumatology, Division of Rheumatology, Mayo Clinic College of Medicine, Rochester, MN, 19Division of Rheumatology and the Department of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania, Philadelphia, PA

    Background/Purpose: Deficiency of adenosine deaminase 2 (DADA2) is the first described type of monogenic vasculitis. Patients usually present in childhood, but age of onset, disease…
  • Abstract Number: 2791 • 2018 ACR/ARHP Annual Meeting

    Characterization of Monoclonal Anti-PAD4 Autoantibodies from Rheumatoid Arthritis Patients: Functional Implications for Citrullination and Disease Progression

    Alejandro Gomez, Sarah Kongpachith, Nithya Lingampalli, Cecilia Cisar and William H. Robinson, Department of Medicine, Stanford University, Stanford, CA

    Background/Purpose: Anti-citrullinated protein antibodies (ACPA) are present in two-thirds of patients with rheumatoid arthritis (RA), and target proteins that have been post-translationally modified by the…
  • Abstract Number: 2792 • 2018 ACR/ARHP Annual Meeting

    The Effect of B Cell Targeted Therapies on Autoantibodies and Excessive Neutrophil Extracellular Trap Formation in Systemic Lupus Erythematosus

    Laura van Dam1, Zgjim Osmani1, Tineke Kraaij1, Sylvia W.A. Kamerling1, Jaap A. Bakker2, Hans U. Scherer3, Ton Rabelink1, Reinhard Voll4, David A. Isenberg5, Cees van Kooten1 and Y.K. Onno Teng1, 1Nephrology, Leiden University Medical Center, Leiden, Netherlands, 2Clinical Chemistry and Laboratory Medicine, Leiden University Medical Center, Leiden, Netherlands, 3Department of Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 4Clinic for Rheumatology and Clinical Immunology, University Medical Center Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany, 5University College London, London, United Kingdom

    Background/Purpose: Systemic lupus erythematosus (SLE) is a severe systemic autoimmune disease characterized by immune-complexes (ICx) which cause inflammation and damage. Effective targeting of autoantibody secreting…
  • Abstract Number: 2793 • 2018 ACR/ARHP Annual Meeting

    Molecular Mimicry and Autoimmunity: Anti-P. Gingivalis antibody Response in ACPA-Positive Rheumatoid Arthritis

    Natalia Sherina1, Natalie Sippl1, Lena Israelsson1, Erwan Le Maitre2, Nastya Kharlamova1, Monika Hansson3, Kaja Eriksson4, Tulay Yucel-Lindberg4, Khaled Amara1 and Karin Lundberg1, 1Rheumatology Unit, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden, 2Rheumatology Unit, Department of Medicine, Solna,, Karolinska Institutet, Stockholm, Sweden, 3Medicine, Rheumatology Unit, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden, 4Division of Periodontology, Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden

    Background/Purpose: The presence of anti-citrullinated protein antibodies (ACPA) is a hallmark of rheumatoid arthritis (RA). ACPAs specifically recognize citrullinated epitopes, a result of a post-translational…
  • Abstract Number: 2794 • 2018 ACR/ARHP Annual Meeting

    Peptidylarginine Deiminases Are Required for Normal Immunoglobulin G Half-Life

    Mandar Bawadekar1 and Miriam A. Shelef1,2, 1Department of Medicine, Division of Rheumatology, University of Wisconsin - Madison, Madison, WI, 2William S. Middleton Memorial Veterans Hospital, Madison, WI

    Background/Purpose: Antibodies are a cornerstone of immunity and pathologic in autoimmunity. Immunoglobulin G (IgG) can undergo multiple different post-translation modifications, some of which can alter…
  • Abstract Number: 2795 • 2018 ACR/ARHP Annual Meeting

    IL-23 Acts through IL-23R+ Tfh cells to Promote Pathogenic IgG Autoantibody Formation in Lupus

    Huixian Hong1, Qi Wu2, PingAr Yang2, Bao Luo3, Jun Li4, Hao Li5, Daniel Cua6, Hui-Chen Hsu2 and John D. Mountz7, 1University of Alabama at Birmingham, Division of Clinical Immunology and Rheumatology, Department of Medicine, Birmingham, AL, 2Division of Clinical Immunology and Rheumatology, Department of Medicine, University of Alabama at Birmingham, Division of Clinical Immunology and Rheumatology, Department of Medicine, Birmingham, AL, 3DIvision of Clinical Immunology and Rheumatology, Department of Medicine, University of Alabama at Birmingham, Division of Clinical Immunology and Rheumatology, Department of Medicine, Birmingham, AL, 4Division of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, Division of Clinical Immunology and Rheumatology, Department of Medicine, Birmingham, AL, 5Division of Rheumatology, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, 6Discovery Research, Merck Research Laboratory, Palo Alto, CA, 7University of Alabama at Birmingham, Devision of Clinical Immunology and Rheumatology; University of Alabama at Birmingham and Birmingham VA Medical Center, Birmingham, AL

    Background/Purpose: IL-23 is currently a target for several forms of autoimmune diseases, yet its role in promoting pathogenic autoantibody development is less clear. IL-23 was…
  • Abstract Number: 2796 • 2018 ACR/ARHP Annual Meeting

    Sex-Based Differences Control ABC Function in Swef-Deficient Mice

    Michela Manni1, Danny Flores-Castro2, Chao Ye2, Edd Ricker1, Sanjay Gupta3, Yurii Chinenov4, Tania Pannellini2 and Alessandra B. Pernis5, 1Autoimmunity and Inflammation Program, Hospital for Special Surgery, New York, NY, 2Hospital for Special Surgery, New York, NY, 3Autoimmunity & Inflammation Research Program, Hospital for Special Surgery, New York, NY, 4Arthritis & Tissue Degeneration Program, Hospital for Special Surgery, New York, NY, 5David Z. Rosensweig Genomics Research Center, Hospital for Special Surgery, New York, NY

    Background/Purpose: Age-associated B cells (ABCs) are a novel B cell subset, which expands with age in non-autoimmune mice but accumulates prematurely in autoimmune-prone strains. ABCs…
  • Abstract Number: 2797 • 2018 ACR/ARHP Annual Meeting

    Regulation of Autoimmune T Cells By the Co-Receptors CD28 and PD-1

    Sabina Sandigursky1 and Adam Mor2, 1Medicine, NYU School of Medicine, New York, NY, 2Rheumatology and Pathology, NYU School of Medicine, New York, NY

    Background/Purpose: T cells play a major role in the pathogenesis of Rheumatoid Arthritis (RA). These cells are regulated by signals provided via the T cell…
  • Abstract Number: 2798 • 2018 ACR/ARHP Annual Meeting

    Expanded T-Cell Clones Are Present in the Synovium before the Clinical Onset of Rheumatoid Arthritis

    Giulia Balzaretti1,2,3, Paul L. Klarenbeek4, Marieke E. Doorenspleet5, Maria JH de Hair6, Barbera C.D. van Schaik7, Rebecca Esveldt2, Marleen van de Sande1, Danielle Gerlag8, Antoine H.C. van Kampen7, Frank Baas2,9, Paul-Peter Tak10 and Niek de Vries3,5, 1Clinical Immunology & Rheumatology, ARC | Academic Medical Center/University of Amsterdam, Amsterdam, Netherlands, 2Dept. of Genome Analysis, Academic Medical Center/University of Amsterdam, Amsterdam, Netherlands, 3Dept. of Experimental Immunology, Academic Medical Center/University of Amsterdam, Amsterdam, Netherlands, 4Amsterdam Rheumatology & immunology Center | Department of Experimental Immunology, Academic Medical Center/University of Amsterdam, Amsterdam, Netherlands, 5Amsterdam Rheumatology and immunology Center | Academic Medical Center / University of Amsterdam, Amsterdam, Netherlands, 6Department of Rheumatology & Clinical Immunology, University Medical Center Utrecht, Utrecht, the Netherlands, Utrecht, Netherlands, 7Bioinformatics Laboratory, Department of Clinical Epidemiology, Biostatistics and Bioinformatics, Academic Medical Center/University of Amsterdam, Amsterdam, Netherlands, 8GlaxoSmithKline, Stevenage, United Kingdom, 9Dept. of Genome Diagnostics, Leiden University, Leiden, Netherlands, 10GlaxoSmithKline, Cambridge, United Kingdom

    Background/Purpose: In healthy individuals with arthralgia and RA-specific autoantibodies (so called at-risk individuals) the presence of expanded B-cell receptor (BCR) clones in peripheral blood (PB)…
  • Abstract Number: 2799 • 2018 ACR/ARHP Annual Meeting

    Sjogren’s Syndrome Minor Salivary Gland CD4+ T Cells Associate with Oral Disease Features and Have a T Follicular Helper-like Transcriptional Profile

    Michelle L. Joachims1, Kerry M. Leehan1, Mikhail Dozmorov1,2, Zijian Pan1, Astrid Rasmussen1, Lida Radfar3, David M. Lewis4, Donald U. Stone5,6, Kiely Grundahl7, R. Hal Scofield1,8,9, Christopher J. Lessard1, Jonathan Wren1, Linda F. Thompson1, Kathy L. Sivils10, Jacen Maier-Moore1,11 and A. Darise Farris1, 1Arthritis and Clinical Immunology Program, Oklahoma Medical Research Foundation, Oklahoma City, OK, 2Biostatistics, Virginia Commonwealth University, Richmond, VA, 3Department of Oral Diagnosis and Radiology, University of Oklahoma College of Dentistry, Oklahoma City, OK, 4Department of Oral and Maxillofacial Pathology, University of Oklahoma College of Dentistry, Oklahoma City, OK, 5Ophthalmology, Johns Hopkins University, Baltimore, MD, 6King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia, 7Arthritis and Clinical Immunology Research Program, Oklahoma Medical Research Foundation, Oklahoma CIty, OK, 8Department of Veterans Affairs Medical Center, Oklahoma City, OK, 9Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, 10Arthritis and Clinical Immunology Program, Oklahoma Medical Research Foundation, Oklahoma, OK, 11Clinical Laboratory Science, University of Texas at El Paso, El Paso, TX

    Background/Purpose: The predominant salivary gland (SG) T cell types contributing to disease in Sjögren’s syndrome (SS) are unclear. This study assessed the frequency and number…
  • Abstract Number: 2800 • 2018 ACR/ARHP Annual Meeting

    Adenosine 2a Receptor Signals Act to Limit Autoimmune Arthritis By Inhibiting Pathogenic Germinal Center T Follicular Helper (GC-Tfh) Cells

    Shirdi Schmiel and Daniel L. Mueller, Medicine/Rheumatic and Autoimmune Diseases, University of Minnesota Medical School, Minneapolis, MN

    Background/Purpose: CD4 germinal center (GC)-T follicular helper (Tfh) cells are important in the pathogenesis of autoimmune arthritis. Previous studies have shown that adenosine 2a receptor…
  • Abstract Number: 2801 • 2018 ACR/ARHP Annual Meeting

    A Novel B-Cell-Helper IL-21-Producing CD8+ T Cell Subset Involved in the Pathogenesis of Rheumatoid Arthritis

    Kazuhiko Higashioka1, Masahiro Ayano1, Yasutaka Kimoto2, Hiroki Mitoma1, Mitsuteru Akahoshi1, Yojiro Arinobu1, Koichi Akashi1, Takahiko Horiuchi3 and Hiroaki Niro4, 1Department of Medicine and Biosystemic Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan, 2Department of Internal Medicine, Kyushu University Beppu Hospital, Oita, Japan, 3Department of Internal Medicine, Kyushu University Beppu Hospital, Beppu, Japan, 4Department of Medical Education, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan

    Background/Purpose: A plethora of evidence from genome-wide association studies and relevant animal models implicates a pivotal role of T cells in the pathogenesis of rheumatoid…
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