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  • Abstract Number: 799 • 2016 ACR/ARHP Annual Meeting

    Biomarker Identification & Molecular Sub-Classification in Systemic Sclerosis for Precision Medicine Using RNA-Seq

    Elisha D.O. Roberson1,2, Li Cao1, David J. Morales-Heil1, Benjamin Korman3 and John Varga4, 1Department of Medicine, Washington University, St. Louis, MO, 2Department of Genetics, Washington University, St. Louis, MO, 3Department of Rheumatology, Northwestern University, Feinberg School of Medicine Scleroderma Program, Chicago, IL, 4Rheumatology and Dermatology, Northwestern University, Feinberg School of Medicine Scleroderma Program, Chicago, IL

    Background/Purpose: Systemic sclerosis (SSc) is a complex and highly heterogeneous disease with multi-organ involvement. Accurate tools for disease sub-classification are lacking. In most patients, skin…
  • Abstract Number: 800 • 2016 ACR/ARHP Annual Meeting

    An Altered Cardiovascular System Development Gene Expression Signature in Skin is a Hallmark of Limited Cutaneous Systemic Sclerosis

    Emma C. Derrett-Smith1,2, Viktor Martyanov3, Cecilia B. Chighizola4, Pia Moinzadeh5, Korsa Khan6, Tammara A. Wood3, Pier Luigi Meroni7, David Abraham8, Voon H. Ong9, Michael Whitfield3 and Christopher Denton8, 1Centre for Rheumatology and Connective Tissue Diseases, UCL Division of Medicine, London, United Kingdom, 2Rheumatology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom, 3Department of Molecular and Systems Biology, Geisel School of Medicine at Dartmouth, Hanover, NH, 4Department of Clinical Sciences and Community Health, University of Milan, IRCCS Istituto Auxologico Italiano, Milano, Italy, 5Department of Rheumatology, UCL Division of Medicine, London, United Kingdom, 6Centre For Rheumatology and Connective Tissue Diseases, UCL Division of Medicine, London, United Kingdom, 7Rheumatology Department, University of Milan, Istituto Ortopedico Gaetano Pini, Milano, Italy, 8Division of Medicine, Centre for Rheumatology and Connective Tissue Disease, University College London, London, United Kingdom, 9Rheumatology, UCL Division of Medicine, London, United Kingdom

     Background/Purpose: Limited cutaneous SSc (lcSSc) is characterised by less extensive skin fibrosis but patients can develop major internal organ complications and vascular manifestations. Gene expression…
  • Abstract Number: 801 • 2016 ACR/ARHP Annual Meeting

    Multi-Tissue Gene Expression Pathway Analysis of Emerging Therapeutics in a TGFβ Dependent Mouse Model of Systemic Sclerosis

    Emma C. Derrett-Smith1,2, Shiwen Xu3, Rachel K. Hoyles4 and Christopher Denton5, 1Centre for Rheumatology and Connective Tissue Diseases, UCL Division of Medicine, London, United Kingdom, 2Rheumatology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom, 3Division of Medicine, ​Centre for Rheumatology and Connective tissue disease, University College London, London, United Kingdom, 4Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom, 5Division of Medicine, Centre for Rheumatology and Connective Tissue Disease, University College London, London, United Kingdom

    Background/Purpose:   We have previously investigated the interplay between TGFβ, BMP, VEGF and endothelin in SSc using the TβRIIΔk-fib strain, a transgenic mouse model in…
  • Abstract Number: 802 • 2016 ACR/ARHP Annual Meeting

    Whole Transcriptome Profiling through RNA Sequencing Reveals Differentially Expressed Sense-Antisense Gene Pairs in Patients with Systemic Sclerosis

    Tobias Messemaker1,2, Loubna Chadli3, Varshna Goelela3, Maaike Boonstra4, Annemarie Dorjee4, Stefan Andersen3, Harald Mikkers2, Tom WJ Huizinga4, Zhenghui Li5, Guoshuai Cai5, Michael Whitfield6, René Toes7, Jamil Aarbiou3, Jeroen De Groot3, Jeska K. de Vries-Bouwstra4 and Fina Kurreeman4, 1Department of Rheumagoloty, Leiden University Medical Center, Leiden, Netherlands, 2Department of Molecular cell Biology, Leiden University Medical Center, Leiden, Netherlands, 3Charles River Nederland B.V., Leiden, Netherlands, 4Department of Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 5Department of Genetics, Geisel School of Medicine at Dartmouth, Hanover, NH, 6Department of Molecular and Systems Biology, Geisel School of Medicine at Dartmouth, Hanover, NH, 7Rheumatology, Leiden University Medical Center, Leiden, Netherlands

    Background/Purpose: Systemic sclerosis (SSc) is an autoimmune disease characterized by fibrosis of skin and multiple organs. Morbidity and mortality are high and pathogenesis is poorly…
  • Abstract Number: 803 • 2016 ACR/ARHP Annual Meeting

    Multi-Organ RNA-Sequencing of Systemic Sclerosis (SSc) Patients Shows Reproducible Gene Expression Profiles Across Organ Systems

    Bhaven K. Mehta1, Michael E. Johnson1, Kimberly A. Archambault1, Tammara A. Wood2, Antonia Valenzuela3, Amanda Crawford4, David Fiorentino5, Nielsen Fernandez-Becker6, Laren Becker6, Linda Nguyen6, Francesco Boin7, Paul Wolters8, Lorinda Chung9 and Michael Whitfield2, 1Molecular and Systems Biology, Geisel School of Medicine at Dartmouth, Hanover, NH, 2Department of Molecular and Systems Biology, Geisel School of Medicine at Dartmouth, Hanover, NH, 3Stanford University School of Medicine, Stanford, CA, 4Dermatology, Stanford University, Redwood City, CA, 5Dermatology, Stanford University, Stanford, CA, 6Gastroenterology & Hepatology, Stanford University School of Medicine, Palo Alto, CA, 7Rheumatology, University California San Francisco, San Francisco, CA, 8Pulmonary Division, Department of Medicine, University of California, San Francisco, San Francisco, CA, 9Rheumatology, Stanford University Medical Center, Palo Alto, CA

    Background/Purpose:  While a hallmark of systemic sclerosis (SSc) is skin fibrosis, internal organ involvement is the primary cause of mortality. Pulmonary Arterial Hypertension (PAH), Interstitial…
  • Abstract Number: 804 • 2016 ACR/ARHP Annual Meeting

    Combined-Phenotype Meta-GWAS in Systemic Sclerosis and Rheumatoid Arthritis Identifies IRF4 As a New Common Susceptibility Locus

    Elena Lopez-Isac1, Shervin Assassi2, Carmen Pilar Simeón3, Patricia Carreira4, Norberto Ortego Centeno5, Benjamin Fernandez Gutierrez6, Alejandro Balsa7, Miguel Angel González-Gay8, Lorenzo Beretta9, Claudio Lunardi10, Gianluca Moroncini11, Torsten Witte12, Nicolas Hunzelmann13, Joerg HW Distler14, Gabriela Riekemasten15, Annette HM van der Helm-van Mil16, Jeska K. de Vries-Bouwstra17, Cesar Magro-Checa18, Alexandre E. Voskuyl19, Madelon C. Vonk20, Øyvind Molberg21, Tony Merriman22, Roger Hesselstrand23, Annika Nordin24, Leonid Padyukov25, Ariane L. Herrick26, Stephen Eyre27, Christopher Denton28, Carmen Fonseca29, Timothy R.D.J. Radstake30, Jane Worthington31, Maureen D Mayes2 and Javier Martín1, 1Institute of Parasitology and Biomedicine López-Neyra, IPBLN-CSIC, Granada, Spain, 2Department of Internal Medicine - Rheumatology, University of Texas-McGovern Medical School, Houston, TX, 3Internal Medicine, Hospital Universitari Vall d'Hebron, Barcelona, Spain, 4Department of Rheumatology, Hospital Universitario 12 de Octubre, Madrid, Spain, 5Medicine Department, Hospital Universitario San Cecilio, Granada, Spain, 6Department of Rheumatology, Hospital Clínico San Carlos, Madrid, Spain, 7Department of Rheumatology, Hospital La Paz, Madrid, Spain, 8School of Medicine, University of Cantabria, Santander, Spain, 9Referral Center for Systemic Autoimmune Diseases, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy, 10Department of Medicine, Università degli Studi di Verona, Verona, Italy, 11Dipartimento di Scienze mediche e Chirurgiche, Università politecnica delle Marche and Ospedali Riuniti, Ancona, Italy, 12Department of Clinical Immunology and Rheumatology, Hannover Medical School, Hannover, Germany, 13Department of Dermatology, University of Cologne, Cologne, Germany, 14Department of Internal Medicine 3 – Rheumatology and Immunology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany, 15Department of Rheumatology, University of Lübeck, Luebeck, Germany, 16Rheumatology, Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 17Department of Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 18Department of Rheumatology, Leiden University Medical Center, Leiden, Spain, 19Rheumatology, Amsterdam Rheumatology and immunology Center, Location VU University Medical Center, Amsterdam, Netherlands, 20Department of the Rheumatic Diseases, Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands, 21Rheumatology, Oslo University Hospital, Oslo, Norway, 22Department of Biochemistry, University of Otago, Otago, New Zealand, 23Department of Rheumatology, Lund University, Lund, Sweden, 24Department of Rheumatology, Karolinska Institute, Stockholm, Sweden, 25Unit of Rheumatology, Department of Medicine, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden, 26Centre for Musculoskeletal Research, University of Manchester, MAHSC, Salford Royal Hospital, Manchester, United Kingdom, 27The University of Manchester, Manchester, United Kingdom, 28Division of Medicine, Centre for Rheumatology and Connective Tissue Disease, University College London, London, United Kingdom, 29Centre for Rheumatology, Royal Free and University College Medical School, London, United Kingdom, 30Laboratory of Translational Immunology, UMC Utrecht, Utrecht, Netherlands, 31Arthritis Research UK Epidemiology Unit, Manchester Academic Health Science Centre, The University of Manchester, Manchester, United Kingdom

    Background/Purpose: Genome-wide association studies (GWASs) have revolutionized our understanding of the genetic component of complex autoimmune diseases (ADs) by the identification of thousands of susceptibility…
  • Abstract Number: 805 • 2016 ACR/ARHP Annual Meeting

    HLA Class II Functional Motifs Associated with Severe Systemic Sclerosis (SSc) and Sclerotic Graft Versus Host Disease (sclGVHD): The Shared Epitopes of Fibrosis

    Jelena Blagojevic1,2, David Venzon3, Lorenzo Beretta4, Edward W Cowen5, Laurin M Curtis6, Marco Matucci-Cerinic7, Steven Z Pavletic8 and Francesco Del Galdo9, 1Department of Clinical and Experimental Medicine, Division of Rheumatology, University of Florence, Florence, Italy, 2Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, NIHR Leeds Musculoskeletal Biomedical Research Unit, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom, 3Biostatistics and Data Management Section, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA, Bethesda, MD, 4Scleroderma Unit, Referral Center for Systemic Autoimmune Diseases, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy, 5Dermatology Branch, National Cancer Institute (NCI), National Institutes of Health, Bethesda, MD, 6Experimental Transplantation and Immunology Branch, National Cancer institute (NCI), National Institutes of Health (NIH), Bethesda,, Bethesda, MD, 7Department of Experimental and Clinical Medicine, Division of Rheumatology, University of Florence, Florence, Italy, 8Experimental Transplantation and Immunology Branch, National Cancer institute (NCI), National Institutes of Health (NIH), Bethesda, Bethesda, MD, 9Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds and NIHR Leeds Musculoskeletal Biomedical Research Unit, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom

    Background/Purpose: Single Nucleotide polymorphisms within the HLA region have been strongly associated with the occurrence of SSc and sclGVHD. However, specific studies on the amino…
  • Abstract Number: 806 • 2016 ACR/ARHP Annual Meeting

    Single Cell Rnaseq Defines a Unique Transcriptome Profile for Myofibroblasts in the Skin of Patients with Systemic Sclerosis

    Robert A. Lafyatis1, Lisa Rice2, Giuseppina Stifano2, Jeff Browning2,3 and Robert W. Simms4, 1Division of Rheumatology and Clinical Immunology, University of Pittsburgh School of Medicine, Pittsburgh, PA, 2Boston University School of Medicine, Boston, MA, 3Boston university, Cambridge, MA, 4Rheumatology, Boston University School of Medicine, Boston, MA

    Background/Purpose: Fibrosis in systemic sclerosis (SSc), as well as a wide variety of other fibrotic diseases, is largely driven by myofibroblasts. Myofibroblasts are known to…
  • Abstract Number: 807 • 2016 ACR/ARHP Annual Meeting

    A Novel Multi-Network Approach Reveals Tissue-Specific Cellular Modulators of Fibrosis in Systemic Sclerosis, Pulmonary Fibrosis and Pulmonary Arterial Hypertension

    Jaclyn N. Taroni1, Casey S. Greene2, Tammara A. Wood3, Romy B. Christmann4, Harrison W. Farber5, Robert A. Lafyatis6, Christopher Denton7, Monique Hinchcliff8, Patricia A. Pioli9, Michael L. Whitfield10 and J. Matthew Mahoney11, 1Department of Molecular & Systems Biology, Geisel School of Medicine at Dartmouth, Hanover, NH, 2Systems Pharmacology and Translational Therapeutics, University of Pennsylvania, Philadelphia, PA, 3Department of Molecular and Systems Biology, Geisel School of Medicine at Dartmouth, Hanover, NH, 4Division of Rheumatology, Boston University Medical School, Boston, MA, 5Pulmonary Center, Boston University Medical Center, Boston, MA, 6Division of Rheumatology and Clinical Immunology, University of Pittsburgh School of Medicine, Pittsburgh, PA, 7Division of Medicine, Centre for Rheumatology and Connective Tissue Disease, University College London, London, United Kingdom, 8Northwestern University, Feinberg School of Medicine Scleroderma Program, Chicago, IL, 9Microbiology and Immunology, Geisel School of Medicine at Dartmouth, Hanover, NH, 10Molecular and Systems Biology, Geisel School of Medicine at Dartmouth, Hanover, NH, 11Department of Neurological Sciences, College of Medicine, University of Vermont, Burlington, VT

    Background/Purpose: Systemic sclerosis (SSc) is characterized by multi-organ involvement and clinical heterogeneity. “Big data” approaches have yielded powerful tools to infer tissue-specific pathobiology. Large amounts of…
  • Abstract Number: 808 • 2016 ACR/ARHP Annual Meeting

    Down-Regulation of microRNA-126 in Scleroderma Microvascular Endothelial Cells (MVECs) Is Associated with Impaired Responses to Vascular Endothelial Growth Factor (VEGF) and Defective Angiogenesis

    bashar kahaleh1, Nezam Altorok2, Yongqing Wang3, Shadia Nada2, Mohammed Madkhali3 and John Sun3, 1Rheumatology, University of Toledo, Toledo, OH, 2Medicine/Rheumatology, University of Toledo, Toledo, OH, 3University of Toledo, Toledo, OH

    Background/Purpose: Impaired angiogenesis in SSc is a crucial component of disease pathology that occurs in spite of upregulation of VEGF and other proangiogenic factors. MicroRNA-126…
  • Abstract Number: 809 • 2016 ACR/ARHP Annual Meeting

    Micrornas Targeting the Wnt Signalling Pathway in Black African Patients with Diffuse Cutaneous Systemic Sclerosis

    Mohammed Tikly1, Jacqueline Frost2, Michèle Ramsay3, Eulalia Marti Puig4, Raquel Rabionet4, Xavier Estivill4 and Marc Friedländer5, 1Division of Rheumatology, Chris Hani Baragwanath Academic Hospital, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa, 2University of the Witwatersrand, Johannesburg, South Africa, 3Division of Human Genetics, Sydney Brenner Institute for Molecular Biosciences, University of the Witwatersrand, Johannesburg, South Africa, 4Center for Genomic Regulation, Barcelona, Spain, 5Department of Molecular Biosciences, The Wenner-Gren Institute, Science for Life Laboratory, Stockholm, Sweden

    Background/Purpose: Systemic sclerosis (SSc) is a complex autoimmune disease involving the immune system, vasculature and extracellular matrix [1]. Dysregulation of the Wnt pathway has been implicated in…
  • Abstract Number: 810 • 2016 ACR/ARHP Annual Meeting

    Microrna-125b As a Potential Anti-Fibrotic and Anti-Apoptotic Regulator in Systemic Sclerosis

    Anastasiia Kozlova1, Elena Pachera1, Florian Renoux2, Michal Rudnik1, Britta Maurer1, Astrid Jüngel3, Joerg H.W Distler4, Gabriela Kania1 and Oliver Distler1, 1Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, 2Depertment of Rheumatology, University Hospital Zurich, Schlieren, Switzerland, 3Ctr Exp Rheum, Univ Hosp Zurich / Zurich Ctr Integr Hum Physiol (ZIHP), Zurich, Switzerland, 4Department of Internal Medicine 3, Rheumatology and Immunology, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany

    Background/Purpose: MicroRNAs (miRs) are a class of small, noncoding RNAs that regulate many biological processes. Some microRNAs are involved in skin fibrosis. Here, we aimed…
  • Abstract Number: 811 • 2016 ACR/ARHP Annual Meeting

    Basophils Are Activated and Stimulate Both B Cells and Fibroblasts in Systemic Sclerosis

    Benjamin Chaigne1, Nicolas Dumoitier2, Alexis Regent1, Benjamin Terrier3, Jonathan London2, Matthieu Groh1, Nathalie Thieblemont4 and Luc Mouthon5, 1National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France, 2INSERM U1016, Institut Cochin, Equipe Neutrophiles et Vascularites, Paris, France, 3Internal Medicine, Cochin Hospital, Paris, France, 4Inserm U1016, Paris, France, 5Department of Internal Medicine, Referral Center for Rare Autoimmune and Systemic Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France, Paris, France

    Background/Purpose: Systemic sclerosis (SSc) is a rare multisystem connective tissue disease characterized by skin and internal organs fibrosis and vascular abnormalities, along with the presence…
  • Abstract Number: 812 • 2016 ACR/ARHP Annual Meeting

    Monocytes/Neurotrophins/Myofibroblasts As a Novel Axis in Systemic Sclerosis

    Michal Rudnik1, Mara Stellato1, Elena Pachera1, Rucsandra Dobrota1, Britta Maurer1, Joerg C. Henes2, Karin Klingel3, Karl Sotlar4, Przemyslaw Blyszczuk5, Oliver Distler1 and Gabriela Kania1, 1Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, 2Department of Internal Medicine II, Division of Rheumatology, University Hospital Tuebingen, Tuebingen, Germany, 3Department of Molecular Pathology, University Hospital Tuebingen, Tuebingen, Germany, 4Institute of Pathology, Ludwig Maximilians University, Munich, Germany, 5Cardioimmunology, Center of Molecular Cardiology, University of Zurich, 8952 Schlieren, Switzerland

    Background/Purpose: Systemic sclerosis (SSc) is an autoimmune disease, which is characterized by inflammation, fibrosis and vasculopathy in multiple organs, mainly in the lung, heart and…
  • Abstract Number: 813 • 2016 ACR/ARHP Annual Meeting

    Identifying and Assessing Subgroups in Systemic Sclerosis Patients Based on Comprehensive Autoantibody Profiling

    Petra Budde1, Hans-Dieter Zucht1, Heike Göhler1, Klaus Marquart1, Peter Schulz-Knappe1, Matthias Schneider2 and Nicolas Hunzelmann3, 1Protagen AG, Dortmund, Germany, 2Rheumatology, Heinrich-Heine-University, Duesseldorf, Germany, 3Department of Dermatology, University of Cologne, Cologne, Germany

    Background/Purpose: Systemic sclerosis (SSc) is a remarkably heterogeneous autoimmune disease, for which effective disease-modifying therapies are still lacking. The most widely used classification divides SSc…
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