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  • Abstract Number: 3166 • 2016 ACR/ARHP Annual Meeting

    HLA-B27 and Ankylosing Spondylitis Have Shared Effects on the Gut Microbiome

    Mary-Ellen Costello1, Mark Asquith2, Kim-Anh Lê Cao3, Tammy Martin4, Sarah Diamond2, Michelle Beaumont5, Timothy D. Spector5, James T. Rosenbaum2 and Matthew A. Brown1, 1Translational Research Institute, Translational Genomics Group, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia, 2Oregon Health & Science University, Portland, OR, 3Translational Research Instiute, The University of Queensland Diamantina Institute, Brisbane, Australia, 4Ophthalmology, Oregon Health & Science Univ, Portland, OR, 5Dept of Twin Research and Genetic Epidemiology, King's College London, London, United Kingdom

    Background/Purpose: Evidence for a discrete intestinal microbiome signature in the terminal ileum (TI) of ankylosing spondylitis (AS) patients, compared to healthy controls, has recently been…
  • Abstract Number: 3167 • 2016 ACR/ARHP Annual Meeting

    Total and Glucocorticoid-Related Damage Accrual in the Systemic Lupus International Collaborating Clinics Inception Cohort

    Jayne Little1,2, Mark Lunt3, Benjamin Parker1,2, Ian N. Bruce2,4 and The Systemic Lupus International Collaborating Clinics (SLICC) Group, 1Centre for Musculoskeletal Research, Arthritis Research UK Epidemiology Unit, The University of Manchester, Manchester Academic Health Sciences Centre, Manchester, United Kingdom, 2NIHR Manchester Musculoskeletal Biomedical Research Unit, Central Manchester University Hospitals NHS Foundation Trust, Manchester, United Kingdom, 3Arthritis Research UK Epidemiology Unit, The University of Manchester, Manchester Academic Health Sciences Centre, Manchester, United Kingdom, 4Central Manchester University Hospital NHS Foundation Trust and Manchester Academic Health Science Centre, Arthritis Research UK Epidemiology Unit, The University of Manchester, Manchester Academic Health Sciences Centre, Manchester, United Kingdom

    Total and Glucocorticoid-Related Damage Accrual in The Systemic Lupus International Collaborating Clinics Inception Cohort.   Jayne Little1, Mark Lunt1, Ben Parker1, Ian N. Bruce1 and The…
  • Abstract Number: 3168 • 2016 ACR/ARHP Annual Meeting

    Economic Evaluation of Damage Accrual in an International SLE Inception Cohort

    Megan Barber1, Ian N. Bruce2, Murray Urowitz3, John G. Hanly4, Li Su5, Juanita Romero-Diaz6, Caroline Gordon7, Sang-Cheol Bae8, Sasha Bernatsky9, Daniel J Wallace10, Joan T. Merrill11, David A. Isenberg12, Anisur Rahman13, Ellen M. Ginzler14, Michelle Petri15, Mary Anne Dooley16, Paul R. Fortin17, Dafna D. Gladman18, Jorge Sanchez-Guerrero19, Kristján Steinsson20, Rosalind Ramsey-Goldman21, M Khamashta22, Cynthia Aranow23, Graciela S. Alarcon24, Barri J. Fessler25, Susan Manzi26, Ola Nived27, Andreas Jönsen28, Asad Zoma29, Ronald F. van Vollenhoven30, Manuel Ramos-Casals31, Guillermo Ruiz-Irastorza32, S. Sam Lim33, Kenneth C. Kalunian34, Murat Inanc35, Diane L. Kamen36, Christine A. Peschken37, Søren Jacobsen38, Anca Askanase39, Jill P. Buyon40, Chris Theriault41, Vernon Farewell42 and Ann E. Clarke43, 1Division of Rheumatology, University of Calgary, Caglary, AB, Canada, 2Central Manchester University Hospital NHS Foundation Trust and Manchester Academic Health Science Centre, Arthritis Research UK Epidemiology Unit, The University of Manchester, Manchester Academic Health Sciences Centre, Manchester, United Kingdom, 3Medicine, Toronto Western Hospital and University of Toronto, Toronto, ON, Canada, 4Rheumatology, Division of Rheumatology, Capital Health and Dalhousie University, Halifax, NS, Canada, 5Nova Scotia Rehab Site, Division of Rheumatology, Capital Health and Dalhousie University, Halifax, NS, Canada, 6Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico city, Mexico, 7NIHR/Wellcome Trust Clinical Research Facility, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom, 8Hanyang University Hospital for Rheumatic Diseases, Seoul, Korea, Republic of, 9Divisions of Rheumatology and Clinical Epidemiology, McGill University Health Centre, Montreal, QC, Canada, 10Cedars-Sinai Medical Center, West Hollywood, CA, 11Arthritis and Clinical Immunology Program, Oklahoma Medical Research Foundation, Oklahoma City, OK, 12Centre for Rheumatology, Division of Medicine, University College London, London, United Kingdom, 13Rayne Institute, Centre for Rheumatology Research, UCL Division of Medicine, London, United Kingdom, 14Rheumatology, SUNY Downstate Medical Center, Brooklyn, NY, 15Rheumatology Division, Johns Hopkins University School of Medicine, Baltimore, MD, 16Dooley Rheumatology, Chapel Hill Doctors, Chapel Hill, NC, 17Rheumatology, University of Laval, Quebec, QC, Canada, 18Rheumatology, Centre for Prognosis Studies in the Rheumatic Diseases, Toronto Western Hospital and University of Toronto, Toronto, ON, Canada, 19Rheumatology, Toronto Western Hospital, Toronto, ON, Canada, 20Rheumatology, Univ. Hospital, Reykjavik, Iceland, 21FSM, Northwestern University, Chicago, IL, 22Lupus Research Unit, Lupus Research Unit, The Rayne Institute, King's College London School of Medicine, St Thomas' Hospital, London, United Kingdom, 23Molecular Medicine and Medicine, Hofstra Northwell School of Medicine, Hempstead, NY, 24Department of Medicine, Division of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, Birmingham, AL, 25Rheumatology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, 26Lupus Center of Excellence, West Penn Allegheny Health System, Pittsburgh, PA, 27Department of Rheumatology, University Hospital, Lund, Sweden, 28Lund University, Department of Clinical Sciences, Rheumatology, Lund, Sweden, 29Rheumatology, Hairmyres Hospital, East Kilbride, Great Britain, 30Amsterdam Rheumatology and Immunology Center (ARC), Amsterdam, Netherlands, 31Department of Autoimmune Diseases, ICMiD, Hospital Clínic, Sjögren Syndrome Research Group (AGAUR), Laboratory of Autoimmune Diseases Josep Font, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain, 32Universidad del Pais Vasco, Servicio de Medicina Interna, Hospital de Cruces, Bizkaia, Spain, 33Medicine, Emory University School of Medicine, Atlanta, GA, 34Division of Rheumatology, Allergy & Immunology, UCSD School of Medicine Center for Innovative Therapy, La Jolla, CA, 35Department of Internal Medicine, Division of Rheumatology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey, 36Medicine/Rheumatology & Immunology, Medical University of South Carolina, Charleston, SC, 37RR 149G, Univ of Manitoba, Winnipeg, MB, Canada, 38Rheumatology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark, 39Rheumatology, Columbia University Medical Center, New York, NY, 40Medicine, New York University School of Medicine, New York, NY, 41Medicine, Queen Elizabeth II Health Sciences Centre and Dalhousie University, Halifax, NS, Canada, 42Medicine, Division of Rheumatology, Capital Health and Dalhousie University, Halifax, NS, Canada, 43Division of Rheumatology, University of Calgary, Calgary, AB, Canada

    Background/Purpose: Little is known about the association of healthcare costs with damage accrual in SLE. We describe the costs associated with damage states across the disease…
  • Abstract Number: 3169 • 2016 ACR/ARHP Annual Meeting

    Mortality Trends in Systemic Lupus Erythematosus: A General Population-Based Cohort Study

    April Jorge1, Na Lu1,2, Sharan K. Rai3 and Hyon Choi1, 1Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 2Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 3Arthritis Research Canada, Vancouver, BC, Canada

    Background/Purpose: Systemic lupus erythematosus (SLE) is associated with an increased risk of mortality. Despite improvements in the recognition and treatment of SLE, it remains a challenging…
  • Abstract Number: 3170 • 2016 ACR/ARHP Annual Meeting

    Association Between Insulin Resistance, Subclinical Artheriosclerosis and Activity/Damage Status in Systemic Lupus Erythematosus Patients

    Hiurma Sanchez-Perez1, Beatriz Tejera2 and Ivan Ferraz-Amaro3, 1Rheumatology, Rheumatology Division, Hospital Universitario de Canarias, La Laguna, Spain, 2Rheumatology Division, Hospital Universitario de Canarias, Santa Cruz de Tenerife, Spain, 3Rheumatology, Rheumatology Division, Hospital Universitario de Canarias, Tenerife, Spain

    Background/Purpose:  Insulin resistance (IR) may contribute to an increase in cardiovascular risk. The aim of this study was to examine the association between IR and…
  • Abstract Number: 3171 • 2016 ACR/ARHP Annual Meeting

    The Impact of Statin Use on Mortality in Systemic Autoimmune Rheumatic Diseases

    April Jorge, Na Lu and Hyon K. Choi, Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA

    Background/Purpose: Individuals with systemic autoimmune rheumatic diseases (SARDs)—such as systemic lupus erythematosus (SLE) and systemic sclerosis (SSc)—have been found to have an increased risk of…
  • Abstract Number: 3172 • 2016 ACR/ARHP Annual Meeting

    Temporal Trends in SLE Mortality According to Sex, Race, Ethnicity, and Geographic Region in the United States over the Past Five Decades

    Eric Yen1, Magda Shaheen2, Jennifer MP Woo1, Neil Mercer1, Lewei Duan1, Ning Li1, Arun Karlamangla1, Deborah K. McCurdy1 and Ram R. Singh1, 1UCLA, Los Angeles, CA, 2Charles R. Drew University of Medicine and Science, Los Angeles, CO

    Background/Purpose: Over the past half-century, diagnostic and therapeutic developments for SLE have led to dramatic improvements in the 5- and 10-year survival. Whether these achievements…
  • Abstract Number: 3173 • 2016 ACR/ARHP Annual Meeting

    Pan-PPAR Agonist IVA337 Is Effective in the Prevention of Experimental Lung Fibrosis and Related Pulmonary Hypertension

    Jerome Avouac1, Irena Konstantinova2, Christophe Guignabert3, Sonia Pezet4, Anne Cauvet5, Jeremy Sadoine6, Thomas Guilbert4, Jean-Michel Luccarini7, Jean-Louis Junien7, Pierre Broqua7 and Yannick Allanore8, 1Rheumatology A department and INSERM U1016, Paris Descartes University, Cochin Hospital, Paris, France, 2Inventiva, Daix, France, 3Inserm UMR_S 999, Hôpital Marie Lannelongue, Le Plessis Robinson, France, 4Institut Cochin, INSERM U1016, Paris, France, 5INSERM U1016, Paris Descartes University, Cochin Hospital, Paris, France, 6Equipe d’Accueil (EA) 2496 Pathologie, Imagerie et Biothérapies Orofaciales, Faculty of Odontology, Paris Descartes University, Montrouge, France, 7Inventiva, DAIX, France, 8Rheumatology, Paris Descartes University, Paris, France

    Background/Purpose: Peroxisome proliferator-activated receptors (PPARs) are nuclear receptors known to modulate fibrosis. The pan-PPAR agonist IVA337 recently demonstrated efficacy in prevention and treatment of experimental…
  • Abstract Number: 3174 • 2016 ACR/ARHP Annual Meeting

    Apremilast Attenuates the Fibrogenic Phenotype of Dermal Fibroblasts from Patients with Systemic Sclerosis, Contributing to the Prevention of the Progression of Experimental Dermal Fibrosis

    Tomoaki Higuchi1, Yasushi Kawaguchi2, Kae Takagi3, Akiko Tochimoto2, Yuki Ichimura2, Yasuhiro Katsumata2, Hisae Ichida2, Hidenaga Kawasumi2, Hirokazu Nishina2, Mari Tochihara2, Akira Nishino2, Shinya Hirahara2, Rina Moriyama2 and Hisashi Yamanaka4, 1Institute Of Rheumatology, Tokyo Women's Medical University, Tokyo, Japan, 2Institute of Rheumatology, Tokyo Women's Medical University, Tokyo, Japan, 3Medicine, Tokyo Women's Medical University medical Center East, Tokyo, Japan, 4Tokyo Women's Medical University, Tokyo, Japan

    Background/Purpose: Systemic sclerosis (SSc) is a chronic fibrosing disorder that affects the skin and other internal organs. Inflammation, vasculopathy and fibrosis at the affected area…
  • Abstract Number: 3175 • 2016 ACR/ARHP Annual Meeting

    Longitudinal Analysis of MMF Clinical, Molecular, and Immunohistochemistry (IHC) Responses Shows SSc Patients Lose Their Inflammatory Signature and Rebound upon Treatment Cessation

    Diana Toledo1, Monique Hinchcliff2, Jaclyn Taroni1, Tammara A. Wood3, Jennifer Franks3, Sanjiv Shah4, Rishi Agrawal4, Lauren Beussink-Nelson4, Mary A. Carns5, Sofia Podlusky6, Patricia Pioli7 and Michael Whitfield3, 1Department of Molecular & Systems Biology, Geisel School of Medicine at Dartmouth, Hanover, NH, 2Northwestern University, Feinberg School of Medicine Scleroderma Program, Chicago, IL, 3Department of Molecular and Systems Biology, Geisel School of Medicine at Dartmouth, Hanover, NH, 4Northwestern University, Chicago, IL, 5Department of Medicine, Division of Rheumatology, Northwestern University Feinberg School of Medicine, Northwestern University, Chicago, IL, 6Rheumatology Feinberg School of Medicine, Northwestern University, Chicago, IL, 7Microbiology and Immunology, Geisel School of Medicine at Dartmouth, Hanover, NH

    Background/Purpose: We previously showed patients in the inflammatory subset were most likely to demonstrate improvement in modified Rodnan Skin Score (mRSS) during mycophenolate mofetil (MMF)…
  • Abstract Number: 3176 • 2016 ACR/ARHP Annual Meeting

    Meta-Analysis of SSc Clinical Trials with Molecular Gene Expression Data Suggests Potential Combination Therapies

    Jaclyn N. Taroni1, Viktor Martyanov2 and Michael L. Whitfield2, 1Department of Molecular & Systems Biology, Geisel School of Medicine at Dartmouth, Hanover, NH, 2Department of Molecular and Systems Biology, Geisel School of Medicine at Dartmouth, Hanover, NH

    Background/Purpose: Clinical trials in SSc have tended to be underpowered and not meet clinical endpoints. Genome-wide gene expression measured in some studies can prove challenging…
  • Abstract Number: 3177 • 2016 ACR/ARHP Annual Meeting

    Targeted Nuclear Imaging for the Early Detection of Lung Involvement in Systemic Sclerosis

    Janine Schniering1, Stephanie Haller2, Zhongning Guo1, Martina Benesova2,3, Carol A. Feghali-Bostwick4, Roger Schibli2,3, Oliver Distler5, Cristina Müller2,3 and Britta Maurer5, 1Department of Rheumatology, University Hospital Zurich, Schlieren, Switzerland, 2Center for Radiopharmaceutical Sciences ETH-PSI-USZ, Paul Scherrer Institute, Villigen PSI, Switzerland, 3Department of Chemistry and Applied Biosciences, Swiss Federal Institute of Technology, Zurich, Switzerland, 4Medicine, Medical University of South Carolina, Charleston, SC, 5Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland

    Background/Purpose: Interstitial lung disease (ILD) is one of the main causes of systemic sclerosis (SSc)-related deaths. Since routine diagnostics such as high resolution computed tomography…
  • Abstract Number: 3178 • 2016 ACR/ARHP Annual Meeting

    Heart Dysfunction in Systemic Sclerosis: Involvement of a Novel Fibrogenic Stromal Cell Subset

    Mara Stellato1, Michal Rudnik1, Florian Renoux2, Elena Pachera1, Karl Sotlar3, Karin Klingel4, Joerg C. Henes5, Przemyslaw Blyszczuk6, Oliver Distler1 and Gabriela Kania1, 1Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, 2Depertment of Rheumatology, University Hospital Zurich, Schlieren, Switzerland, 3Institute of Pathology, Ludwig Maximilians University, Munich, Germany, 4Department of Molecular Pathology, University Hospital Tuebingen, Tuebingen, Germany, 5Department of Internal Medicine II, Division of Rheumatology, University Hospital Tuebingen, Tuebingen, Germany, 6Cardioimmunology, Center of Molecular Cardiology, University of Zurich, 8952 Schlieren, Switzerland

    Background/Purpose: Cardiac dysfunction is a significant cause of the high mortality in systemic sclerosis (SSc). Heart involvement in SSc patients resembles inflammatory dilated cardiomyopathy (iDCM)…
  • Abstract Number: 3179 • 2016 ACR/ARHP Annual Meeting

    Scale Structure and Measurement Properties of a Disease Specific Patient-Reported Outcome for Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis

    Joanna C. Robson1,2,3, Jill Dawson4, Judy A. Shea5, Helen Doll6, Susan Ashdown7, Renee Borchin8, Ebony Easley9, John T. Farrar10, Don Gebhart11, Katherine Kellom12, Georgia Lanier13, Raashid Luqmani14, Carol A McAlear15, John Mills16, Nataliya Milman17,18,19, Jacqueline Peck7, Gunnar Tomasson20, Peter F. Cronholm9 and Peter A. Merkel21, 1Faculty of Health and Applied Science, University of the West of England, Bristol, United Kingdom, 2Department of Rheumatology, University Hospitals Bristol NHS Trust, Bristol, United Kingdom, 3School of Clinical Sciences, University of Bristol, Bristol, United Kingdom, 4Nuffield Department of Population Health HSRU, University of Oxford, Oxford, United Kingdom, 5Division of General Internal Medicine, University of Pennsylvania, Philadelphia, PA, 6Department of Population Health, University of East Anglia, Norwich, United Kingdom, 7Oxford, Oxford, United Kingdom, 8University of South Florida, Tampa, FL, 9Department of Family Medicine and Community Health, The University of Pennsylvania, Philadelphia, PA, 10University of Pennsylvania, Philadelphia, PA, 11Columbus, Columbus, OH, 12PolicyLab, Children's Hospital of Philadelphia, Philadelphia, PA, United Kingdom, 13NONE, Framingham, MA, 14NDORMS , Rheumathology, Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences, Botnar Research Centre, University of Oxford, Oxford, United Kingdom, 15Penn Vasculitis Center, Division of Rheumatology, University of Pennsylvania, Philadelphia, PA, 16Vasculitis UK, Sheffield, United Kingdom, 17Department of Medicine, University of Ottawa, Ottawa, ON, Canada, 18The Ottawa Hospital, Ottawa, ON, Canada, 19Department of Clinical Epidemiology, Ottawa Hospital Research Institute, Ottawa, ON, Canada, 20Dept of Public Health Sciences, University of Iceland, Reykjavik, IS, 21Division of Rheumatology, University of Pennsylvania, Philadelphia, PA

    Background/Purpose:  Candidate questionnaire items were produced following in-depth qualitative research in the UK, US, and Canada plus cognitive interviews, extensive piloting and independent linguistic and…
  • Abstract Number: 3180 • 2016 ACR/ARHP Annual Meeting

    Utility of Measurements of Urinary Soluble CD163 & MCP-1 in the Identification of Subtle Renal Flares in ANCA-Associated Vasculitis

    Sarah M Moran1, Michelle Ryan1, Paul A. Monach2, David Cuthbertson3, Simon Carette4, Jean Dunne5, Gary S. Hoffman6, Nader A. Khalidi7, Curry L. Koening8, Carol A. Langford9, Carol A. McAlear10, Larry W. Moreland11, Christian Pagnoux4, Philip Seo12, Ulrich Specks13, Antoine G. Sreih14, Steven R. Ytterberg15, Lina Zgaga16, Peter A. Merkel17, Mark A. Little18 and the Vasculitis Clinical Research Consortium, 1Clinical Medicine, Trinity Health Kidney Centre, Dublin, Ireland, 2Rheumatology, Boston University School of Medicine, Boston, MA, 3Biostatistics and Informatics, Department of Pediatrics, University of South Florida, Tampa, FL, 4Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada, 5Immunology Department, St James's Hospital, Dublin, Ireland, 6Rheumatology, Cleveland Clinic, Cleveland, OH, 7McMaster University, St Joseph's Healthcare Hamilton, Hamilton, ON, Canada, 8Rheumatology, University of Utah, Salt Lake City, UT, 9Rheumatic and Immunologic Diseases, Cleveland Clinic, Cleveland, OH, 10University of Pennsylvania, Philadelphia, PA, 11Rheumatology & Clinical Immunology, University of Pittsburgh, Pittsburgh, PA, 12Medicine, Johns Hopkins University, Baltimore, MD, 13Mayo Clinic, Rochester, MN, 14Rheumatology, The University of Pennsylvania, Philadelphia, PA, 15Rheumatology, Mayo Clinic, Rochester, MN, 16Public Health and Primary Care, Trinity College Dublin, Dublin, Ireland, 17Division of Rheumatology, University of Pennsylvania, Philadelphia, PA, 18Clinical Medicine, Trinity College Dublin, Dublin, Ireland

    Background/Purpose: Prior work has shown that urinary soluble CD163 (usCD163) displays excellent biomarker characteristics for detection of active renal vasculitis using samples from patients with…
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