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  • Abstract Number: 3181 • 2015 ACR/ARHP Annual Meeting

    How Common Is Inactive Disease in a Prospective Cohort of Patients with Juvenile Idiopathic Arthritis? the Importance of Definition

    Stephanie Shoop1, Suzanne M. Verstappen2, Eileen Baildam3, Alice Chieng4, Joyce Davidson5,6, Helen Foster7, Yiannis Ioannou8, Flora McErlane7, Lucy R Wedderburn9, Wendy Thomson10 and Kimme L. Hyrich10, 1ARC Epidemiology, Stopford Building, ARC Epidemiology Unit, The University of Manchester, M13 9PT, United Kingdom, 2ARC Epidemiology, Stopford Building, ARC Epidemiology Unit, the University of Manchester, Manchester, United Kingdom, 3Paediatric Rheumatology, Alder Hey Children's NHS Foundation Trust, Liverpool, United Kingdom, 4Royal Manchester Children's Hospital, Manchester, United Kingdom, 5The Royal Hospital for Sick Children, Glasgow, Glasgow, United Kingdom, 6The Royal Hospital for Sick Children, Edinburgh, Edinburgh, United Kingdom, 7Royal Victoria Hospital, Newcastle, United Kingdom, 8Rayne Institute, University College London, London, UK, London, United Kingdom, 9Great Ormond Street Hospital NHS Foundation Trust, Paediatric Rheumatology, London, United Kingdom, 10arc Epidemiology Unit, Manchester, United Kingdom

    Background/Purpose: Patients with JIA are at risk of disability, pain and joint damage in the longer-term. Treating toward clinically inactive disease (ID) has the potential…
  • Abstract Number: 3182 • 2015 ACR/ARHP Annual Meeting

    High Body Mass Index Negatively Impacts Time to Achieving Sustained Remission in Early Rheumatoid Arthritis: Results from a Multicenter Early Arthritis Cohort Study

    Elizabeth Schulman1, Kathleen Andersen2, Meng Zhang3, Susan M. Goodman4, Daming Lin5, Gilles Boire6, Boulos Haraoui7, Carol Hitchon8, Shahin Jamal9, Edward C. Keystone10, Janet E. Pope11, Diane Tin12, Carter Thorne13, VP Bykerk2 and CATCH Investigators, 1Rheumatology, Hospital for Special Surgey, New York, NY, 2Hospital for Special Surgery, New York, NY, 3Epidemiology and Biostatistics, Hospital for Special Surgery, New York, NY, 4Rheumatology, Hospital for Special Surgery, New York, NY, 5Rheumatology, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada, 6Department of Medicine/Division of Rheumatology, University of Sherbrooke, Sherbrooke, QC, Canada, 7Institut de Rhumatologie de Montréal, Montréal, QC, Canada, 8University of Manitoba, Winnipeg, MB, Canada, 9Vancouver Coastal Health, Vancouver, BC, Canada, 10Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada, 11University of Western Ontario, London, ON, Canada, 12The Arthritis Program, Southlake Regional Health Centre, Newmarket, ON, Canada, 13Southlake Regional Health Centre, Newmarket, ON, Canada

    Background/Purpose: High BMI has been associated with worse disease severity and lower rates of sustained remission (susREM) in early rheumatoid arthritis (ERA). In this study,…
  • Abstract Number: 3183 • 2015 ACR/ARHP Annual Meeting

    The Clinical and Economic Costs of Not Achieving Remission in Rheumatoid Arthritis

    Jeffrey R. Curtis1, Lang Chen1,2, Meredith Kilgore3, Huifeng Yun4 and Jeffrey D. Greenberg5, 1University of Alabama at Birmingham, Birmingham, AL, 2University of Alabama at Bimingham, Birmingham, AL, 3Health Care Organization & Policy, University of Alabama at Birmingham, Birmingham, AL, 4Epidemiology, University of Alabama at Birmingham, Birmingham, AL, 5Corrona, LLC, Southborough, MA

    Background/Purpose: Treat to target guidelines recommend achieving a state of remission or low disease activity for rheumatoid arthritis (RA) patients. However, the benefit of lower…
  • Abstract Number: 3184 • 2015 ACR/ARHP Annual Meeting

    Is Treat-to-Target Really Working? a Longitudinal Analysis in Biodam

    Sofia Ramiro1, Robert B.M. Landewé2, Désirée van der Heijde1, Oliver FitzGerald3, Mikkel Østergaard4,5, Joanne Homik6, Ori Elkayam7, J Carter Thorne8, Margaret Larche9, Gianfranco Ferraccioli10, Marina Backhaus11, Gilles Boire12, Bernard Combe13, Thierry Schaeverbeke14, Alain Saraux15, Maxime Dougados16, Silvano Adami17, Marcello Govoni18, Luigi Sinigaglia19, Alain G. Cantagrel20, Cornelia F. Allaart1, Cheryl Barnabe21, Clifton O. Bingham III22, Paul P. Tak23, Dirkjan van Schaardenburg24, Hilde Berner Hammer25, Rana Dadashova26, Edna Hutchings26, Joel Paschke26 and Walter Maksymowych27, 1Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 2Department of Rheumatology, Amsterdam Rheumatology Center, Amsterdam, Netherlands, 3Rheumatology, St Vincent's University Hospital, Dublin, Ireland, 4Copenhagen Center for Arthritis Research, Copenhagen University Hospital at Glostrup, Glostrup, Denmark, 5Rigshospitalet-Glostrup, Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet - Glostrup, Glostrup, Denmark, 6Rheumatology, University of Alberta, Edmonton, AB, Canada, 7Rheumatology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel, 8University of Toronto, Toronto, ON, Canada, 9Rheumatology, McMaster University, Hamilton, ON, Canada, 10Rheumatology and Internal Medicine, Catholic University of the Sacred Heart, Rome, Italy, 11Rheumatology/Immunology, Charite University Hospital, Berlin, Germany, 12Department of Medicine/Division of Rheumatology, University of Sherbrooke, Sherbrooke, QC, Canada, 13Department of rheumatology, Lapeyronie Hospital and Montpellier University, Montpellier, France, 14Rheumatology, Pellegrin University Hospital, Bordeaux, France, 15Rheumatology Department, CHU de la Cavale Blanche, Brest Cedex, France, 16Cochin Hospital, Paris Descartes University, Paris, France, 17University of Verona, Verona, Italy, 18University of Ferrara, Ferrara, Italy, 19Department of Rheumatology, Gaetano Pini Institute, Milan, Italy, 20Dept of Rheumatology, Centre Hospitalier Universitaire de Toulouse, Toulouse, France, 21Cumming School of Medicine, University of Calgary, Calgary, AB, Canada, 22Rheumatology, Johns Hopkins University, Baltimore, MD, 23Division of Clinical Immunology and Rheumatology, Amsterdam Rheumatology Center, Amsterdam, Netherlands, 24Rheumatology, Amsterdam Rheumatology and immunology Center, Reade, Amsterdam, Netherlands, 25Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway, 26CaRE Arthritis, Edmonton, AB, Canada, 27Department of Medicine, University of Alberta, Edmonton, AB, Canada

    Background/Purpose: A Treat-to-Target approach (T2T), treating patients with RA towards a target, either remission or low disease activity (T2T-REM or T2T-LDA), is nowadays recommended. However…
  • Abstract Number: 3185 • 2015 ACR/ARHP Annual Meeting

    A Cluster-Randomized Trial of a Behavioral Intervention to Incorporate a Treat-to-Target Approach in the Clinical Care of Rheumatoid Arthritis Patients in the United States

    Leslie Harrold1,2, George W. Reed1,2, J. Timothy Harrington3, Christine J. Barr1, Katherine C. Saunders1, Allan Gibofsky4, Eric M. Ruderman5, Tmirah Haselkorn6, Jeffrey D. Greenberg1,7, Ani John6 and Joel M. Kremer8, 1Corrona, LLC, Southborough, MA, 2University of Massachusetts Medical School, Worcester, MA, 3Joiner Associates, LLC, Madison, WI, 4Hospital for Special Surgery, New York, NY, 5Medicine, Division of Rheumatology, Northwestern University Feinberg School of Medicine, Chicago, IL, 6Genentech, Inc, South San Francisco, CA, 7NYU School of Medicine, New York, NY, 8Albany Medical College and The Center for Rheumatology, Albany, NY

    Background/Purpose: We report the results of a cluster-randomized behavioral intervention trial designed to assess the impact of implementing a treat-to-target (T2T) approach vs usual care…
  • Abstract Number: 3186 • 2015 ACR/ARHP Annual Meeting

    Foot Synovitis in Patients with Rheumatoid Arthritis in Apparent Remission Is Associated with Unstable Remission Status, Radiographic Progression and Worse Long-Term Functional Outcomes

    Mihir D. Wechalekar1,2,3, Susan Lester4,5, Maureen Rischmueller6,7, Catherine Hill8,9 and Susanna Proudman1,8, 1Rheumatology Unit, Royal Adelaide Hospital, Adelaide, Australia, 2School of Medicine, Flinders University School of Medicine, Adelaide, Australia, 3Repatriation General Hospital, Rheumatology Research Unit, Daw Park, Australia, 4Rheumatology, Basil Hetzel Institute, QEH, Woodville South, Australia, 5Rheumatology Unit, The Queen Elizabeth Hospital, Woodville, Australia, 6Rheumatology, The Queen Elizabeth Hospital, Adelaide, Australia, 7University of Adelaide, Adelaide, Australia, 8Discipline of Medicine, University of Adelaide, Adelaide, Australia, 9The Queen Elizabeth Hospital, Woodville South, South Australia, Australia

    Background/Purpose: Previous cross-sectional data revealed disease activity (DA) measures that omit foot joint assessment inadequately capture foot synovitis in in apparent remission at 6 months1.…
  • Abstract Number: 3187 • 2015 ACR/ARHP Annual Meeting

    Predictors of Disease Relapse and Recapture of Remission Following Relapse in an Ontario Rheumatoid Arthritis Population

    Bindee Kuriya1, Xiuying Li2, George A. Tomlinson3, Edward C. Keystone4, Claire Bombardier2 and OBRI Investigators, 1Rheumatology, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada, 2Toronto General Hospital Research Institute, University Health Network, Toronto, ON, Canada, 3Medicine, Mount Sinai Hospital, Toronto, ON, Canada, 4Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada

    Background/Purpose: The timing and severity of relapse and likelihood of “recapturing” remission following a relapse in RA is not well known. We aimed to describe…
  • Abstract Number: 3188 • 2015 ACR/ARHP Annual Meeting

    Inhibition of Lymphatic Muscle Contraction By Lymphatic Endothelial iNOS Impairs Lymph Drainage from Arthritic Joints in TNF-Tg Mice and Is Prevented By Herbal Drugs

    Qianqian Liang1, Yan Chen1, Jinlong Li1, Wensheng Wang2, Li Zhang1, Hao Xu1, Ronald Wood2, Brendan Boyce2, Edward Schwarz3, Yongjun Wang1 and Lianping Xing4, 1Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China, 2University of Rochester, Rochester, NY, 3Orthopedeatrics, University of Rochester, Rochester, NY, 4University of Rochester Medical Center, Rochester, NY

    Background/Purpose: We reported previously that inflammation in TNF-Tg mice, a model of rheumatoid arthritis (RA), inhibits lymphatic vessel maturation, resulting in decreased lymphatic smooth muscle…
  • Abstract Number: 3189 • 2015 ACR/ARHP Annual Meeting

    Enhancement of Mitochondrial Biogenesis Inhibits Cell Proliferation and MMP-3/RANKL Secretion in Rheumatoid Arthritis Fibroblast-like Synovial Cells and Joint Destruction in Arthritis Model Mice

    Takeshi Ueha1, Yoshitada Sakai1, Masayuki Morishita2, Toshihisa Maeda2, Koji Fukuda2, Miho Inoue2, Risa Harada2, Masaya Minoda2, Yasushi Miura3,4,5, Akira Hashiramoto6 and Masahiro Kurosaka1,4, 1Division of Rehabilitation Medicine, Kobe University Graduate School of Medicine, Kobe, Japan, 2Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan, 3Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan, 4Orthpaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan, 5Department of Rehabilitation Science, Kobe University Graduate School of Health Sciences, Kobe, Japan, 6Department of Biophysics, Kobe University Graduate School of Health Sciences, Kobe, Japan

    Background/Purpose: Joint destruction in rheumatoid arthritis (RA) progresses via the hyperproliferation of the synovium and secretion of MMP-3/RANKL from fibroblast-like synoviocytes (FLS). In tumors, we previously…
  • Abstract Number: 3190 • 2015 ACR/ARHP Annual Meeting

    Netrin-1 and Its Receptor Unc5b Are Novel Targets for the Treatment of Inflammatory Arthritis

    Aranzazu Mediero1, Tuere Wilder2 and Bruce Cronstein3, 1Medicine, Divison of Translational Medicine, NYU School of Medicine, New York City, NY, 2Dept of Med, Div of Rheum, NYU School of Medicine, New York, NY, 3Medicine, Division of Rheumatology, NYU School of Medicine, NEW YORK, NY

    Background/Purpose: Rheumatoid arthritis (RA) is an autoimmune disease that causes chronic inflammation and destruction of the joints and some extra-articular tissues. Netrin-1 is a laminin-like…
  • Abstract Number: 3191 • 2015 ACR/ARHP Annual Meeting

    Siglec9 Suppresses Arthritis in Collagen-Induced Mice Model and Inhibits M1 Activation of RAW264.7 Macrophages

    Takuya Matsumoto1, Nobunori Takahashi1, Toshihisa Kojima1 and Naoki Ishiguro2, 1Department of Orthopedic Surgery, Nagoya University Hospital, Nagoya, Japan, 2Department of Orthopedic Suregery, Nagoya University Hospital, Nagoya, Japan

    Background/Purpose: Siglecs (Sialic acid-binding immunoglobulin-type lectins) are type1 transmembrane proteins and expressed on cell surface of various immunocytes. Siglec9 is a member of CD33 related…
  • Abstract Number: 3192 • 2015 ACR/ARHP Annual Meeting

    KCa3.1 Ion Channel in the Pathogenesis of Rheumatoid Arthritis: KCa3.1-/- Mice Do Not Develop CIA

    Siba Raychaudhuri1, Smriti K. Raychaudhuri2 and Heike Wulff3, 1Med/Rheumatology, Univ California Davis/VA Sacramento, Davis, CA, 2Rheumatology/Immunology, VA Sacramento Medical Center, Davis, CA, 3Pharmacology, UC Davis School of Medicine, Davis, CA

    Background/Purpose: KCa3.1 is a Ca2+-activated K+ channel that modulates Ca2+-dependent signaling processes such as activation and cellular proliferation. KCa3.1 is expressed in CCR7+ naïve and…
  • Abstract Number: 3193 • 2015 ACR/ARHP Annual Meeting

    Immunomodulatory and Antiviral Therapies in a Mouse Model of Chikungunya Viral Arthritis

    Jonathan Miner1, Lindsey Cook1, Raeann Shimak2, Julie Fox1, Alissa Young1, Kristen Monte2, Subhajit Poddar2, Michael Diamond1 and Deborah Lenschow1, 1Department of Medicine, Washington University in Saint Louis School of Medicine, Saint Louis, MO, 2Washington University in Saint Louis School of Medicine, Saint Louis, MO

    Background/Purpose: Chikungunya virus (CHIKV) is a rapidly emerging arthritogenic mosquito-borne alphavirus that has infected more than 1 million individuals in the Western Hemisphere since 2014. …
  • Abstract Number: 3194 • 2015 ACR/ARHP Annual Meeting

    Oral to Subcutaneous Methotrexate Dose-Conversion Strategies in the Treatment of Rheumatoid Arthritis

    Michael Schiff1 and Peter Sadowski2, 1Division of Rheumatology, University of Colorado, Denver, CO, 2Antares Pharma Inc., Minneapolis, MN

    Background/Purpose: Methotrexate (MTX) is the cornerstone of rheumatoid arthritis (RA) therapy1 but absorption saturation limitations compromise oral MTX bioavailability (BA). Subcutaneous (SC) MTX has a…
  • Abstract Number: 3195 • 2015 ACR/ARHP Annual Meeting

    Circulating Micro-RNA Profiles in Responders to Adalimumab Plus Methotrexate Versus Methotrexate Alone: A Placebo-Controlled Clinical Trial

    Jacob Sode1,2,3, Sophine B. Krintel4, Anting L. Carlsen5, Merete Lund Hetland6, Julia Johansen7,8, Kim Hørslev-Petersen9, Kristian Stengaard-Pedersen10, Peter Junker11, Mikkel Østergaard12,13, Niels H. H. Heegaard14,15 and OPERA study group, 1Department of Autoimmunology and Biomarkers, Statens Serum Institut, Copenhagen, Denmark, 2Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark, 3Department of Rheumatology, Frederiksberg Hospital, Frederiksberg, Denmark, 4Department of Rheumatology, Copenhagen University Hospital at Glostrup, Copenhagen, Denmark, 5Department of Congenital Disorders, Statens Serum Institut, Copenhagen, Denmark, 6The DANBIO Registry, Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark, 7Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark, 8Departments of Medicine and Oncology, Copenhagen University Hospital at Herlev, Copenhagen, Denmark, 9Rheumatology, Research Unit at King Christian X Hospital for Rheumatic Diseases, Graasten, Graasten, Denmark, 10Department of Rheumatology, Aarhus University Hospital, Aarhus, Denmark, 11Department of Rheumatology, Odense University Hospital, Odense, Denmark, 12Rigshospitalet-Glostrup, Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet - Glostrup, Glostrup, Denmark, 13Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark, 14Department of Autoimmunology & Biomarkers, Statens Serum Institut, Copenhagen, Denmark, 15Department of Clinical Biochemistry & Pharmacology, Odense University Hospital, Odense C, Denmark

    Background/Purpose: The variable response to anti-TNF therapy in patients with rheumatoid arthritis (RA) remains largely unexplained, and biomarkers for treatment response are scarce. We previously…
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