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  • Abstract Number: 1781 • 2017 ACR/ARHP Annual Meeting

    Pituitary Disease and Granulomatosis with Polyangiitis: A Collaborative Canadian Case Series and Review of the Literature

    Martha Decker1, Christian Pagnoux2, Constance Chik3, Nader A. Khalidi4, Derek Emery5 and Elaine Yacyshyn6, 1Division of Rheumatology, University of Alberta, Edmonton, AB, Canada, 2Division of Rheumatology, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada, 3Division of Endocrinology, University of Alberta, Edmonton, AB, Canada, 4Rheumatology, McMaster University, Hamilton, ON, Canada, 5Division of Radiology, University of Alberta, Edmonton, AB, Canada, 6Medicine, University of Alberta, Edmonton, AB, Canada

    Background/Purpose: Pituitary involvement in granulomatosis with polyangiitis (GPA) is rare with an incidence of approximately 1%. Objectives were: (1) Describe ten new cases of pituitary…
  • Abstract Number: 1782 • 2017 ACR/ARHP Annual Meeting

    Mycophenolic Acid Decreases IL-10 and IL-6 Production By B Cells of Granulomatosis with Polyangiitis Patients and Healthy Controls in Vitro

    Anouk von Borstel1, Wayel H. Abdulahad2, Abraham Rutgers2, Judith Land2, Coen A. Stegeman1, Peter Heeringa3 and Jan-Stephan F. Sanders1, 1Internal Medicine, Division of Nephrology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands, 2Rheumatology and Clinical Immunology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands, 3Pathology and Medical Biology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands

    Background/Purpose: Granulomatosis with polyangiitis (GPA) is a relapsing autoimmune disease affecting small- to medium-sized blood vessels. B cells are thought to play an important antibody-independent…
  • Abstract Number: 1783 • 2017 ACR/ARHP Annual Meeting

    The Value of a Combination of Serum Proteins to Identify Response to Induction Therapy Among Patients with ANCA-Associated Vasculitis

    Sadao Jinno1,2, S. Reza Jafarzadeh3, Roscoe Warner4, Ulrich Specks5, John H. Stone6, Gary S. Hoffman7, Cees G.M. Kallenberg8, Carol A. Langford9, Philip Seo10, Robert F. Spiera11, E. William St Clair12, Kent Johnson13, Peter A. Merkel14 and Paul A. Monach2, 1Rheumatology, Boston University School of Medicine, Boston, MA, 2Boston University School of Medicine, Boston, MA, 3Clinical Epidemiology Research and Training Unit, Boston University School of Medicine, Boston, MA, 4University of Michigan Medical School, Ann Arbor,, MI, 5Mayo Clinic College of Medicine, Rochester, MN, 6Massachusetts General Hospital Rheumatology Unit, Harvard Medical School, Boston, MA, 7Rheumatology, Cleveland Clinic, Cleveland, OH, 8Rheumatology and Clinical Immunology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands, 9Rheumatic and Immunologic Diseases, Cleveland Clinic, Cleveland, OH, 10Medicine, Johns Hopkins University, Baltimore, MD, 11Rheumatology, Hospital for Special Surgery, New York, NY, 12Rheumatology, Duke University Medical Center, Durham, NC, 13University of Michigan Medical School, Ann Arbor, MI, 14Division of Rheumatology, University of Pennsylvania; Perelman School of Medicine, Philadelphia, PA

     Background/Purpose: Most patients with anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) achieve clinical remission after induction therapy. However, even among patients who achieve remission, induction therapy…
  • Abstract Number: 1784 • 2017 ACR/ARHP Annual Meeting

    The Novel Anti-CD40 Monoclonal Antibody CFZ533 Shows Beneficial Effects in Patients with Primary Sjögren’s Syndrome: A Phase IIa Double-Blind, Placebo-Controlled Randomized Trial

    Benjamin Fisher1, Margit Zeher2, Wan-Fai Ng3, Michele Bombardieri4, Maximilian Posch5, Athena S Papas6, Arwa M Farag6, Thomas Daikeler7, Bettina Bannert8, Alan J. Kivitz9, Steven E. Carsons10, David A. Isenberg11, Francesca Barone12, Simon Bowman13, Pascal Espie14, Grazyna Wieczorek14, Pierre Moulin14, David Floch14, Cyrielle Dupuy14, Xiaohui Ren14, Petra Faerber14, Andrew M Wright15, Hans Ulrich Hockey15, Michael Rotte14, James S. Rush15 and Peter Gergely14, 1Rheumatology Research Group, University of Birmingham, Birmingham, United Kingdom, 2Division of Clinical Immunology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary., Debrecen, Hungary, 3Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, United Kingdom, 4Centre for Experimental Medicine and Rheumatology, William Harvey Research Institute, Queen Mary University of London, UK, London, United Kingdom, 5Charité Research Organisation GmbH, Berlin, Germany, 6Tufts University, Boston, MA, 7Rheumatology, University Hospital Basel, Basel, Switzerland, 8University Hospital Basel, Basel, Switzerland, 9Department of Rheumatology, Altoona Center for Clinical Research, Duncansville, PA, 10NYU Winthrop University Hospital, Department of Medicine, Mineola, NY, 11Centre for Rheumatology, Division of Medicine, University College London, London, United Kingdom, 12Institute of Inflammation and Ageing (IIA), University of Birmingham, Birmingham, United Kingdom, 13Department of Rheumatology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK, Birmingham, United Kingdom, 14Novartis Institutes for Biomedical Research, Basel, Switzerland, 15Novartis Pharmaceuticals Corporation, Basel, Switzerland

    Background/Purpose: Primary Sjogren’s syndrome (pSS) is a systemic, progressive autoimmune disease characterized by formation of ectopic germinal centers in exocrine glands and secretory gland dysfunction.…
  • Abstract Number: 1785 • 2017 ACR/ARHP Annual Meeting

    Serious or Opportunistic Infections in Infants Born to Pregnant Women with Rheumatoid Arthritis and Treated with a Biologic Medication

    Christina D Chambers1, Diana L Johnson2, Yunjun Luo3, Ronghui Xu4 and Kenneth L Jones3, 1Pediatrics and Family Medicine and Public Health, University of California San Diego, La Jolla, CA, 2Department of Pediatrics, University of California, San Diego, La Jolla, CA, 3Pediatrics, University of California San Diego, La Jolla, CA, 4Department of Family Medicine and Public Health, University of California, San Diego, La Jolla, CA

    Background/Purpose:   Use of biologic therapies for rheumatoid arthritis (RA) in pregnancy is common. There is theoretical concern that these medications could interfere with postnatal…
  • Abstract Number: 1786 • 2017 ACR/ARHP Annual Meeting

    Lupus Nephritis Is Linked to Immunity to an Intestinal Commensal Lachnospiracaea Species

    Gregg J. Silverman1, Doua F. Azzouz2, Hanane El Bannoudi2, Aidana Omarbekova3, Brad H. Rovin4, Roberto Caricchio5, Alexander Alekseyenko6 and Jill P. Buyon2, 1Department of Medicine, New York University School of Medicine, New York, NY, 2Medicine, New York University School of Medicine, New York, NY, 3New York University School of Medicine, New York, NY, 4Ohio State University Medical Center, Columbus, OH, 5Medicine/Rheumatology, Temple University, Philadelphia, PA, 6Medical University of South Carolina, Charleston, SC

    Background/Purpose: A transmissible agent has long been suspected in the pathogenesis of SLE, yet the potential contribution of members of the intestinal microbiome to the…
  • Abstract Number: 1787 • 2017 ACR/ARHP Annual Meeting

    Efficacy and Safety of Continuing Versus Withdrawing Adalimumab in Maintaining Remission in Patients with Non-Radiographic Axial Spondyloarthritis

    Robert B.M. Landewé1, Joachim Sieper2, Philip J Mease3, Robert D Inman4, Xin Wang5, Mei Li5, Aileen L. Pangan5 and Jaclyn K. Anderson5, 1University of Amsterdam, Amsterdam, Netherlands, 2Charité Universitätsmedizin Berlin, Berlin, Germany, 3Swedish Medical Center and University of Washington, Seattle, WA, 4Department of Immunology, University of Toronto, Toronto, ON, Canada, 5AbbVie Inc., North Chicago, IL

    Background/Purpose: It is not known whether TNF blockers can be stopped in non-radiographic (nr-axSpA) patients who are in remission. In ABILITY-1, adalimumab (ADA) significantly improved…
  • Abstract Number: 1788 • 2017 ACR/ARHP Annual Meeting

    Dose Intra-Articular Injection of Corticosteroids Increase the Risk of Knee Osteoarthritis Progression? Data from the Osteoarthritis Initiative

    Guang-hua Lei1, Chao Zeng1, Jie Wei2,3, Yi-lun Wang1 and Dong-xing Xie1, 1Department of orthopaedics, Xiangya Hospital, Central South University, Changsha, China, 2Health Management Center, Xiangya Hospital, Central South University, Changsha, China, 3Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, China

    Background/Purpose: Although intra-articular injection of corticosteroids (IAIC) has been one of the modalities of treatment for symptomatic knee OA, the recommendations for its use are…
  • Abstract Number: 1789 • 2017 ACR/ARHP Annual Meeting

    Improved Survival with Transplantation in Granulomatosis with Polyangiitis in the United States: Data from the US Renal Data System

    Zachary S. Wallace1, Rachel Wallwork2, Leo Lu3, John H. Stone4, Yuqing Zhang5 and Hyon K. Choi6, 1Division of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 2Department of Medicine, Massachusetts General Hospital, Boston, MA, 3Allergy, Immunology, and Rheumatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 4Massachusetts General Hospital Rheumatology Unit, Harvard Medical School, Boston, MA, 5Department of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 6Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA

    Improved Survival with Transplantation in Granulomatosis with Polyangiitis in the United States: Data from the US Renal Data SystemBackground/Purpose: Granulomatosis with polyangiitis (GPA) is a…
  • Abstract Number: 1790 • 2017 ACR/ARHP Annual Meeting

    Sphingosine -1 Phosphate Receptor-1-Mediated Endothelial Cell Barrier Function Protects Against Immune Complex-Induced Vascular Injury: A Potential Novel Therapeutic Target for SLE

    Nathalie Burg1, Steven Swendeman2, Stefan Worgall3, Timothy Hla2 and Jane E. Salmon1, 1Rheumatology, Hospital for Special Surgery, New York, NY, 2Boston Children's Hospital, Boston, MA, 3Pediatrics/ Pulmonary, Weill Cornell Medical Center, New York, NY

    Background/Purpose: Sphingosine 1-phosphate (S1P), a bioactive lysophospholipid, is important for vascular homeostasis via signaling through S1P receptors. HDL-bound apolipoprotein M (ApoM) is a physiological S1P…
  • Abstract Number: 1791 • 2017 ACR/ARHP Annual Meeting

    TET1 Is an Important Transcriptional Activator of the Tnfa Locus in Macrophages

    Emmanuel Karouzakis1, Fangfang Sun2, Agnieszka Pajak1, Shuang Ye2, Steffen Gay1, Oliver Distler3 and Michel Neidhart1, 1Center of Experimental Rheumatology, Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, 2Department of Rheumatology, Renji Hospital South Campus, School of Medicine, Shanghai Jiao Tong University, Shanghai, China, 3Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland

    Background/Purpose: Activated macrophages are found in the inflamed and hyperplastic synovial RA tissue. Macrophages are the main producers of high levels of pro-inflammatory cytokines such…
  • Abstract Number: 1792 • 2017 ACR/ARHP Annual Meeting

    Distinct and Overlapping Activities of IL-17A and TNF on the Expression of Proinflammatory Cytokines and MMPs in Psoriatic Arthritis: Rationale for Anti-IL-17A/Anti-Tnfalpha Combination Therapy?

    Xiaofei Xu1, Nadine Davelaar2, Anne-Marie Otten-Mus3, Patrick Asmawidjaja2, J.M.W. Hazes4, Dominique Baeten5, Marijn Vis6, Radjesh Bisoendial1 and Erik Lubberts2, 1Rheumatology, Erasmus MC, Rotterdam, Netherlands, 2Rheumatology and Immunology, Erasmus MC, University Medical Center, Rotterdam, Netherlands, 3Immunology, Erasmus MC, University Medical Center, Rotterdam, Netherlands, 4Department of Rheumatology, Erasmus University Medical Centre, Rotterdam, Netherlands, 5Clinical Immunology and Rheumatology/Experimental immunology, Academic Medical Center/University of Amsterdam, Amsterdam, Netherlands, 6Rheumatology, Erasmus Medical Centre, Rotterdam, Netherlands

    Background/Purpose: TNF and IL-17A are proinflammatory cytokines critically involved in the pathogenesis of psoriatic arthritis (PsA). Currently, targeting TNF is the first choice of a…
  • Abstract Number: 1793 • 2017 ACR/ARHP Annual Meeting

    Interleukin-17 Is Not a Determinant for the Pro- or Anti-Inflammatory Character of Interleukin-22 in Experimental Arthritis

    Debbie M. Roeleveld1, Loreto Parga Vidal2, Monique M. Helsen2, Birgitte Walgreen3, Bianka Marklein4, Karl Skriner5, Martin Hegen6, Peter L. van Lent2, Fons A.J. van de Loo2, Wim B. van den Berg2, Peter M. van der Kraan2 and Marije I. Koenders2, 1Experimental Rheumatology, Radboud University Medical Center, Nijmegen, Netherlands, 2Experimental Rheumatology, Radboud university medical center, Nijmegen, Netherlands, 3Experimental, Radboud university medical center, Nijmegen, Netherlands, 4Humboldt University and Free University, Berlin, Germany, 5Department of Rheumatology and Clinical Immunology, Charité - University Medicine Berlin, Free University and Humboldt University Berlin, Berlin, Germany, 6Inflammation and Immunology Research Unit, Pfizer, Cambridge, MA

    Background/Purpose: High interleukin-22 (IL-22) levels are detected in serum and synovial fluid of rheumatoid arthritis (RA) patients and have been shown to positively correlate with…
  • Abstract Number: 1794 • 2017 ACR/ARHP Annual Meeting

    Overexpression of Interleuk-22 Induces Expression of the Negative Immune-Regulator SOCS3 and Potently Reduces Collagen-Induced Arthritis in Mice

    Debbie M. Roeleveld1, Monique M. Helsen2, Birgitte Walgreen3, Elly Vitters2, Fons A.J. van de Loo2, Peter L. van Lent2, Wim B. van den Berg2, Peter M. van der Kraan2 and Marije I. Koenders2, 1Experimental Rheumatology, Radboud University Medical Center, Nijmegen, Netherlands, 2Experimental Rheumatology, Radboud university medical center, Nijmegen, Netherlands, 3Experimental, Radboud university medical center, Nijmegen, Netherlands

    Background/Purpose: High interleukin-22 (IL-22) levels are detected in serum and synovial fluid of rheumatoid arthritis (RA) patients and have been shown to positively correlate with…
  • Abstract Number: 1795 • 2017 ACR/ARHP Annual Meeting

    IL-7 in Primary Sjogren Syndrome (pSS) Is Secreted By Salivary Gland Epithelial Cells after IFN Stimulation and Is Associated with B-Cell Activation

    Alexandre Virone1, Juliette Pascaud2, Elodie Rivière1, Jacques-Eric Gottenberg3, Véronique Le Guern4, Xavier Mariette1 and Gaetane Nocturne5, 1Université Paris Sud, Paris, France, 2U1184 IMVA, Université Paris Sud, Le Kremlin-Bicêtre Cedex, France, 3CNRS, Immunopathologie et Chimie Thérapeutique/Laboratory of Excellence Medalis, Institut de Biologie Moléculaire et Cellulaire, Strasbourg, France, 4Internal Medicine Department, Cochin Hospital, “René-Descartes Paris V” University, Paris, France, 5INSERM U1184, IMVA, Paris Sud University,LabEx LERMIT, Le Kremlin Bicêtre, France

    Background/Purpose : pSS is characterized by a strong IFN signature, ectopic germinal centers formation and a chronic blood lymphopenia. IL-7 plays a central part in…
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