ACR Meeting Abstracts

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  • Abstract Number: 2827 • 2017 ACR/ARHP Annual Meeting

    A Novel Statistical Method to Resolve Cellular Heterogeneity in Disease Tissues: Integrating Transcriptomic Data in Accelerating Medicines Partnership (AMP) – RA Network Phase 1 Data

    Fan Zhang1, Kamil Slowikowski2, Chamith Fonseka1, Kevin Wei3, Maria Gutierrez-Arcelus4, James Lederer5, Nir Hacohen6, Vivian P. Bykerk7, Michael Holers8, Peter Gregersen9, Mandy J. McGeachy10, Larry W. Moreland11, Andrew Filer12, Costantino Pitzalis13, Yvonne C. Lee14, Jennifer H. Anolik15, Michael Brenner4 and Soumya Raychaudhuri16, 1Divisions of Genetics and Rheumatology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 2Division of Medicine and Rheumatology, Brigham and Women's Hospital, Harvard Medical Schoo, Boston, MA, 3Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 4Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 5Department of Surgery, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 6Harvard Medical School, Boston, MA, 72-005, Mt Sinai Hospital, Toronto, ON, Canada, 8Medicine, Division of Rheumatology, University of Colorado Denver, Aurora, CO, 9The Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY, 10Medicine, University of Pittsburgh, Pittsburgh, PA, 11Rheumatology & Clinical Immunology, University of Pittsburgh, Pittsburgh, PA, 12Institute of Inflammation and Ageing (IIA), University of Birmingham, Birmingham, United Kingdom, 13Centre for Experimental Medicine and Rheumatology, William Harvey Research Institute, Barts and The London, School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom, 14Rheumatology Immunology & Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 15Medicine- Allergy, Immunology and Rheumatology, University of Rochester Medical Center, Rochester, NY, 16Division of Medicine and Rheumatology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA

    Background/Purpose: Detecting distinct cellular subsets in disease tissues is key to understanding the pathogenesis of immune diseases, for example in synovial tissues in rheumatoid arthritis…
  • Abstract Number: 2828 • 2017 ACR/ARHP Annual Meeting

    A Graph-Theoretic-Approach Applied to Modular-Repertoire-Analysis Identifies Shared Gradual Whole Blood Interferon Signatures in Systemic Lupus Erythematosus and Primary Sjögren’s Syndrome Patients and Reveals New Interferon-Related Modules in Disease Progression

    Ilya Korsunski1, Noémie Jourde-Chiche2, Peter Gregersen3, Damien Chaussabel4, Laurent Chiche5 and Naomi I. Maria6, 1Center for Genomics and Human Genetics, Feinstein Institute for Medical Research, Manhasset, NY, 2Nephrology, AP-HM, Department of Nephrology, CHU Conception, Marseille, France, 3Robert S. Boas Center for Genomics and Human Genetics, Feinstein Institute for Med Res, Manhasset, NY, 4Translational Medicine, Sidra Medical and Research Center, Doha, Qatar, 5Internal medicine, Hopital europeen, Marseille, France, 6Center for Autoimmune and Musculoskeletal Diseases, Feinstein Institute for Medical Research, Manhasset, NY

    Background/Purpose: There is significant clinical and molecular heterogeneity among patients suffering from systemic autoimmune diseases, such as systemic lupus erythematosus (SLE) and primary Sjögren’s Syndrome…
  • Abstract Number: 2829 • 2017 ACR/ARHP Annual Meeting

    Complete Epigenetic Landscape of Rheumatoid Arthritis Fibroblast-like Synoviocytes Reveals Unanticipated Critical Pathogenic Pathways

    Rizi Ai1, Teresina Laragione2, Deepa Hammaker3, David L. Boyle4, Andre ‎ Wildberg5, Keisuke Maeshima3, Emmanuele Palescandolo6, Vinod Krishna6, Bryan Linggi7, David Pocalyko8, John W. Whitaker9, Percio S. Gulko2, Wei Wang10 and Gary S. Firestein11, 1UC San Diego, La Jolla, CA, 2Medicine/Rheumatology, Icahn School of Medicine at Mount Sinai, New York, NY, 3Division of Rheumatology, Allergy and Immunology, UCSD School of Medicine, La Jolla, CA, 4University of California San Diego, La Jolla, CA, 5Chemistry and Biochemistry, UNIVERSITY OF CALIFORNIA SAN DIEGO, LA JOLLA, CA, 6Janssen Pharmaceuticals, Spring House, PA, 7janssen Pharmaceuticals, Spring House, PA, 8Janssen Research, Spring House, PA, 9Janssen Pharmaceuticals, La Jolla, CA, 10Chemistry and Biochemistry, UC San Diego, La Jolla, CA, 11Medicine, University of California San Diego, La Jolla, CA

    Background/Purpose: Epigenetics participates in the pathogenesis of rheumatoid arthritis (RA). Epigenetic marks, gene expression and DNA polymorphisms have been investigated but the analyses are limited…
  • Abstract Number: 2830 • 2017 ACR/ARHP Annual Meeting

    Epigenetic Cell Counting: A Novel Tool to Quantify Immune Cells in Salivary Glands Detects Robust Correlations of T Follicular Helper Cells with Immunopathology

    Joel A.G. van Roon1, Frederique M. Moret1, Sofie L.M. Blokland1, Aike A. Kruize2, Gerben Bouma3, Andre van Maurik3, Sven Olek4, Ulrich Hoffmueller4 and Timothy R.D.J. Radstake5, 1Rheumatology & Clinical Immunology/ Laboratory of Translational Immunology, University Medical Center Utrecht, Utrecht, Netherlands, 2Rheumatology & Clinical Immunology, University Medical Center Utrecht, Utrecht, Netherlands, 3Immunoinflammation TAU, GlaxoSmithKline, Stevenage, United Kingdom, 4Epiontis GmbH, Berlin, Germany, 5Laboratory of Translational Immunology, University Medical Center Utrecht, Utrecht, Netherlands

    Background/Purpose: Histological analysis of salivary glands for decades has been a valuable tool in the characterization of patients with primary Sjögren’s syndrome (pSS) and non-Sjögren’s…
  • Abstract Number: 2831 • 2017 ACR/ARHP Annual Meeting

    Real-World Experience with Tofacitinib Versus Adalimumab and Etanercept in Biologic-Naive Patients with RA Previously Treated with Methotrexate: Data from a US Administrative Healthcare Insurance Claims Database

    Tim Smith1, James Harnett1, David Gruben2, Connie Chen1, Ekta Agarwal1 and John Woolcott3, 1Pfizer Inc, New York, NY, 2Pfizer Inc, Groton, CT, 3Pfizer Inc, Collegeville, PA

    Background/Purpose: Tofacitinib is an oral Janus kinase inhibitor for the treatment of RA.  Tofacitinib access has been restricted by many US payers to use after…
  • Abstract Number: 2832 • 2017 ACR/ARHP Annual Meeting

    Finding the Optimal Treatment Strategy for Disease Activity-Guided Dose Reduction of Adalimumab and Etanercept in Rheumatoid Arthritis: A Modelling Study

    D.P.G. Bos1, L.M. Verhoef1, C.H.M. van den Ende1,2, F.H.J. van den Hoogen1,2, Bruno Fautrel3,4, M.E.J.L. Hulscher5, W. Kievit6 and A.A. Den Broeder1,2, 1Rheumatology, Sint Maartenskliniek, Nijmegen, Netherlands, 2Rheumatology, Radboud university medical centre, Nijmegen, Netherlands, 3UPMC University Paris 06, Pitié-Salpétrière Hospital, Paris, France, 4Paris VI Pierre et Marie Curie University, Paris, France, 5Radboud Institute for Health Sciences, IQ healthcare, Radboud university medical centre, Nijmegen, Netherlands, 6Department for Health Evidence, Radboud university medical centre, Nijmegen, Netherlands

    Background/Purpose: Although bDMARDs are often able to control the RA, they are expensive and associated with adverse effects. Therefore, it is important to use the…
  • Abstract Number: 2833 • 2017 ACR/ARHP Annual Meeting

    Cost-Effectiveness of Competing Anticoagulation Strategies in Knee Replacement Patients

    Savannah R. Smith1,2, Jeffrey N. Katz3,4 and Elena Losina3,4, 1Orthopedics, Brigham and Women's Hospital, Boston, MA, 2George Washington University School of Medicine and Health Sciences, Washington, DC, 3Orthopaedics, Brigham and Women's Hospital, Boston, MA, 4Harvard Medical School, Boston, MA

    Background/Purpose: Total knee replacement (TKR) patients are routinely prescribed anticoagulation therapy to prevent deep vein thrombosis (DVT) and pulmonary embolism (PE). Clinical guidelines are ambiguous…
  • Abstract Number: 2834 • 2017 ACR/ARHP Annual Meeting

    Healthcare Cost Drivers in Rheumatoid Arthritis

    Nina Mars1, Anne M Kerola2,3, Markku J Kauppi4,5, Matti Pirinen1, Outi Elonheimo6 and Tuulikki Sokka-Isler7, 1Institute for Molecular Medicine Finland (FIMM), University of Helsinki, Helsinki, Finland, 2Department of Internal Medicine, Päijät-Häme Central Hospital, Lahti, Finland, 3University of Helsinki, Helsinki, Finland, 4School of Medicine, University of Tampere, Tampere, Finland, 5Department of Rheumatology, Päijät-Häme Central Hospital, Lahti, Finland, 6FCG Finnish Consulting Group Ltd., Helsinki, Finland, 7Rheumatology, Jyvaskyla Central Hospital, Jyvaskyla, Finland

    Background/Purpose: Rheumatoid arthritis (RA) is associated with high healthcare resource utilization, but knowledge about factors determining healthcare costs is limited. The aim was to identify…
  • Abstract Number: 2835 • 2017 ACR/ARHP Annual Meeting

    5-Year Evolution Patterns of Physical Activity and Sedentary Behavior of Patients with Symptomatic Hip and/or Knee Osteoarthritis, and Their Sociodemographic and Clinical Correlates

    Sarah Bitar1, Abdou Y Omourou2,3, Aurélie Van-hoye1, Francis Guillemin4,5 and Anne-Christine Rat4,5,6, 1Université de Lorraine, EA 4360 APEMAC, Nancy, France, 2Université de lorraine, EA 4360 APEMAC, Nancy, France, 3Inserm, CIC-1433 Clinical epidemiology, Nancy, France, 4Université de Lorraine, EA4360, APEMAC, Nancy, France, 5Inserm, CIC-1433 Epidémiologie Clinique, Vandoeuvre-lès-Nancy, France, 6Rheumatology Department, CHRU Nancy, Vandoeuvre-lès-Nancy, France

    Background/Purpose: Regular Physical Activity (PA) at a moderate level of intensity for approximately 2.5 hours per week is recommended in the management of hip and/or…
  • Abstract Number: 2836 • 2017 ACR/ARHP Annual Meeting

    The Additional Economic Burden of Depression Among Adults with Rheumatoid Arthritis in the United States

    Nan Li and Steven Peterson, Janssen Research & Development, LLC, Spring House, PA

    Background/Purpose: Depression is significantly more prevalent in patients with rheumatoid arthritis (RA) compared with the general population.1  It has a significant effect on RA patients,…
  • Abstract Number: 2837 • 2017 ACR/ARHP Annual Meeting

    Cross-Sectional Analysis of Chikungunya Arthritis Patients 22-Months Post-Infection Demonstrates a Lack of Viral Persistence in Synovial Fluid

    Aileen Chang1, Karen Martins* Contributed equally2, Liliana Encinales3, St. Patrick Reid4, Marlon Acuña3, Carlos Encinales3, Christian Matranga5, Nelly Pacheco3, Carlos Cure3, Bhavarth Shukla6, Teofilo Arteta Ruiz3, Richard Amdur7, Lisa Cazares8, Melissa Gregory8, Michael Ward8, Alexandra Porras9, Alejandro Rico Mendoza9, Lian Dong8, Tara Kenny8, Ernie Brueggemann8, Lydia Downey8, Priyanka Kamalapathy7, Paola Lichtenberger6, Orlando Falls3, Gary Simon7, Jeffrey Bethony7 and Gary S. Firestein10, 1Medicine, George Washington University, Washington, DC, 2United States Army Medical Research Institute for Infectious Disease, Frederick, MD, 3Allied Research Society, Baranquilla, Colombia, 4University of Nebraska, Omaha, NE, 5Broad Institute, Boston, MA, 6University of Miami, Miami, FL, 7George Washington University, Washington, DC, 8United States Army Medical Research Institute of Infectious Disease, Frederick, MD, 9Allied Research Society, Bogota, Colombia, 10Medicine, UCSD, La Jolla, CA

    Background/Purpose: Chikungunya virus infection is a mosquito-borne disease that causes chronic joint pain for months to years in approximately one half of infected patients. The…
  • Abstract Number: 2838 • 2017 ACR/ARHP Annual Meeting

    Apoptotic Bodies Containing dsDNA Covalently Modified By Parvovirus B19 Non-Structural Protein NS1 Induce dsDNA Autoantibodies and End Organ Damage in Non-Autoimmune Mice

    Stanley J. Naides1, Kanoktip Puttaraksa2, Heidi Pirttinen2 and Leona Gilbert2, 1Immunology, Quest Diagnostics Nichols Institute, San Juan Capistrano, CA, 2Department of Biological and Environmental Science and Nanoscience Center, University of Jyvaskyla, Jyvaskyla, Finland

    Background/Purpose: Persistent viral infections can induce aberrant immune responses and are implicated in the development of autoimmunity. Parvovirus B19 (B19V) non-structural protein, NS1, a helicase,…
  • Abstract Number: 2839 • 2017 ACR/ARHP Annual Meeting

    Practice Patterns of Pneumocystis Pneumonia Prophylaxis in Connective Tissue Diseases:  a Survey of Infectious Disease Physicians

    Rachel M. Wolfe1, Susan E. Beekmann2, Philip M. Polgreen2 and James E. Peacock Jr.3, 1Internal Medicine, Section on Rheumatology and Immunology, Wake Forest Baptist Health, Winston-Salem, NC, 2Internal Medicine, Division of Infectious Diseases, Carver College of Medicine, Iowa City, IA, 3Internal Medicine, Section on Infectious Disease, Wake Forest Baptist Health, Winston-Salem, NC

    Background/Purpose: Potent immunosuppressive therapy for connective tissue diseases (CTDs) imparts an increased risk for opportunistic infections including Pneumocystis pneumonia (PCP). High mortality rates have been…
  • Abstract Number: 2840 • 2017 ACR/ARHP Annual Meeting

    Clinical Presentation and Outcomes in Patients with Prosthetic Joint Septic Arthritis Who Had One-Stage Versus Two-Stage Joint Replacement

    Mary Louise Fowler1, Kevin Byrne2, Sarah Lieber3, Robert Shmerling4 and Ziv Paz3, 12Boston University School of Medicine, Boston, MA, 2Boston University School of Medicine, Boston, MA, 3Beth Israel Deaconess Medical Center, Boston, MA, 4Rheumatology, Beth Israel Deaconess Medical Center, Boston, MA

    Background/Purpose: Prosthetic joint septic arthritis (PJSA) complicates about 1 to 2 percent of joint replacement surgeries. The management of PJSA usually includes a combination of…
  • Abstract Number: 2841 • 2017 ACR/ARHP Annual Meeting

    Infection Is the Major Trigger of Adult Hemophagocytic Syndrome, an Orphan Systemic Hyperinflammatory, Life-Threatening Disease: Analysis in 147 Patients (GEAS-SEMI Registry)

    Pilar Brito-Zerón1, Alejandra Flores-Chavez2,3,4, Pedro Moral Moral5, A. Martínez-Zapico6, Pilar Hernández-Jimenez7, Guadalupe Fraile Rodriguez8, Patricia Perez Guerrero9, Eva Fonseca10, Angel Robles11, María Vaquero Herrero12, Angela Ruiz de Temiño de la Peña13, Maria José Forner14, José Ramón Larrañaga15, Mónica Rodriguez Carballeira16, Luis Fernando Viejo Llorente17, Manuel Ruiz Muñoz18, Roberto Hurtado19, César Morcillo20, Soledad Retamozo21 and Manuel Ramos-Casals22,23, 1Laboratory of Systemic Autoimmune Diseases “Josep Font”, CELLEX, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Department of Systemic Autoimmune Diseases, ICMID, Hospital Clinic, Barcelona, Barcelona, Spain, 2Department of Autoimmune Diseases, ICMiD, Hospital Clínic Barcelona, Spain., Barcelona, Spain, 3Programa de Doctorado en Ciencias Médicas, Centro Universitario de Investigaciones Biomédicas (CUIB), Universidad de Colima, Colima, Mexico, Mexico, Mexico, 4Unidad de Investigación Biomédica 02 (Unidad de Investigación en Epidemiología Clínica), UMAE, Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Jalisco, Mexico, 5Hospital La Fé Valencia, Valencia, Spain, 6Hospital Universitario de Asturias, Oviedo, Oviedo, Spain, 7Internal Medicine, Hospital 12 de Octubre, Madrid, Spain, 8Internal Medicine, Hospital Ramón y Cajal, Madrid, Madrid, Spain, 9Department of Internal Medicine, Hospital Universitario Puerta del Mar, Cádiz, Cadiz, Spain, 10Internal Medicine, Hospital de Cabueñes, Gijón, Gijón, Spain, 11Internal Medicine, Hospital La Paz, Madrid, Madrid, Spain, 12Complejo Asistencial Universitario de Salamanca, Salamanca, Spain, 13Hospital Rio Hortega Valladolid, Valladolid, Spain, 14Department of Internal Medicine, Hospital Clínico de Valencia, Valencia, Spain, 15Department of Internal Medicine, Hospital Xeral, Vigo, Vigo, Spain, 16Hospital Mutua de Terrasa, Terrasa, Spain, 17Hospital Virgen de la Salud Toledo, Toledo, Spain, 18Department of Internal Medicine, Hospital Universitario Fundacion Alcorcón, Madrid, Spain, 19Hospital Vega Baja de Orihuela, Alicante, Spain, 20Department of Medicine, Hospital CIMA-Sanitas, Barcelona, Barcelona, Spain, 21Rheumatology Unit, Hospital Privado Universitario de Córdoba, Institute University of Biomedical Sciences University of Córdoba (IUCBC), Cordoba, Argentina, 22Laboratory of Systemic Autoimmune Diseases “Josep Font”, CELLEX, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Department of Systemic Autoimmune Diseases, ICMID, Hospital Clinic, Barcelona, Spain, Barcelona, Spain, 23Department of Medicine, University of Barcelona, Barcelona, Spain., Barcelona, Spain

    Background/Purpose: Hemophagocytic syndrome or hemophagocytic lymphohistiocytosis (HLH) is an increasingly-recognized condition in adults, characterized by a wide range of etiologies, symptoms and outcomes, but with…
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