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  • Abstract Number: 2175 • 2015 ACR/ARHP Annual Meeting

    Comparative Study Between Coagucheck XS Versus Standard Laboratory Practice Protrombine Time for Monitoring Anticoagulant Therapy in Patients with Antiphospholipid Syndrome   

    Maria Ester Simeira Fonseca1, Michelle Lopes2, Christiane Pereira Gouvea3 and Danieli Andrade4, 1Rheumatology, University of São Paulo, São Paulo, Brazil, 2Rheumatology, Hospital das Clinicas, Faculdade de Medicina, University of São Paulo, São Paulo, Brazil, 3Hematology, University of São Paulo, São Paulo, Brazil, 4Autoimmunity & Inflammation, Hospital for Special Surgery, New York, NY

    Background/Purpose:  Antiphospholipid Syndrome (APS) is an autoimmune disease characterized by antiphospholipid antibodies (aPL) associated with thrombosis and/or pregnancy morbidity. Although initially described in patients with systemic lupus erythematosus (SLE) it…
  • Abstract Number: 2176 • 2015 ACR/ARHP Annual Meeting

    The Ability of Recombinant Domain I of Beta-2-Glycoprotein I to Inhibit Lupus Anticoagulant Effect of IgG from Patients with APS Is Enhanced By Pegylation

    Thomas McDonnell1, Charis Pericleous1, Ian Giles1, Yiannis Ioannou2 and Anisur Rahman1, 1Rayne Institute, Centre for Rheumatology Research, UCL Division of Medicine, London, United Kingdom, 2Rayne Institute, Arthritis Research UK Centre for Adolescent Rheumatology, UCL Division of Medicine, London, United Kingdom

    Background/Purpose: Antiphospholipid Syndrome (APS) is an autoimmune rheumatic disorder in which antiphospholipid antibodies (aPL) cause clinical events including vascular thrombosis (VT) and pregnancy morbidity (PM).…
  • Abstract Number: 2177 • 2015 ACR/ARHP Annual Meeting

    Pegylated Recombinant Domain I of Beta-2-Glycoprotein I, a Potential Therapeutic Agent for Antiphospholipid Syndrome, Fully Retains Its Ability to Inhibit Binding of IgG or IgA Antibodies from Patients with APS to Beta-2-Glycoprotein I in Vitro

    Thomas McDonnell1, Charis Pericleous1, Yiannis Ioannou2, Ian Giles1 and Anisur Rahman1, 1Rayne Institute, Centre for Rheumatology Research, UCL Division of Medicine, London, United Kingdom, 2Rayne Institute, Arthritis Research UK Centre for Adolescent Rheumatology, UCL Division of Medicine, London, United Kingdom

    Background/Purpose: Antiphospholipid Syndrome (APS) is an autoimmune rheumatic disorder in which antiphospholipid antibodies (aPL) cause clinical events including vascular thrombosis (VT) and pregnancy morbidity (PM).…
  • Abstract Number: 2178 • 2015 ACR/ARHP Annual Meeting

    Oxidation of beta2-Glycoprotein I (beta2-GPI) Associates with the Presence of Antibodies to Domain I of beta2-GPI in Patients with the Antiphospholipid Syndrome but Is Not Affected By the Antibodies in Vivo in a Rat Model

    Maria Gabriella Raimondo1,2, Charis Pericleous3, Anna Radziszewska4,5, Maria Orietta Borghi6,7, Silvia S. Pierangeli8, Pier Luigi Meroni6,9, Ian Giles3, Anisur Rahman3 and Yiannis Ioannou3,10, 1Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy, 2Centre for Rheumatology Research, UCL Division of Medicine, University College London, London, United Kingdom, 3Rayne Institute, Centre for Rheumatology Research, UCL Division of Medicine, London, United Kingdom, 4The Rayne Institute, Arthritis Research UK Centre for Adolescent Rheumatology at University College London, Great Ormond Street Hospital and UCLH, University College London, London, United Kingdom, 5The Rayne Institute, Centre for Rheumatology Research, UCL Division of Medicine, London, United Kingdom, 6Department of Clinical Sciences and Community Health, Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy, 7Laboratory of Immuno-rheumatology, IRCCS Istituto Auxologico Italiano, Milan, Italy, 8Rheumatology/Internal Medicine, University of Texas Medical Branch, Galveston, TX, 9Immunorheumatology Research Laboratory, IRCCS Istituto Auxologico Italiano, Cusano Milanino (mi), Italy, 10Rayne Institute, Arthritis Research UK Centre for Adolescent Rheumatology, UCL Division of Medicine, London, United Kingdom

    Background/Purpose:  β2GPI represents the major antigenic target for antiphospholipid antibodies (aPL), the hallmark of antiphospholipid syndrome (APS). β2GPI contains five homologous domains, with domain I…
  • Abstract Number: 2179 • 2015 ACR/ARHP Annual Meeting

    Signaling By Mammalian Target of Rapamycin (mTORC) Highlight Pathological IgG and IgA in SLE Patients with Secondary APS

    Robert Clancy1, Sara Rasmussen2, Janet Nwaukoni1 and H. Michael Belmont3, 1Medicine, Division of Rheumatology, New York University School of Medicine, New York, NY, 2Department of Medicine, Division of Rheumatology, New York University School of Medicine, New York, NY, 3Hosp for Joint Disease, New York, NY

    Background/Purpose: The spectrum of the vascular pathology affecting SLE patients with secondary antiphospholipid syndrome includes vasculopathy with endothelial cell hyperplasia as in APS nephropathy. Previous…
  • Abstract Number: 2180 • 2015 ACR/ARHP Annual Meeting

    Primary Antiphospholipid Syndrome Patients Display Increased Levels of Cell-Bound C4d in Comparison to SLE and Healthy Donors

    Maria Gerosa1,2, Paola Adele Lonati3, Tania Ubiali1, Martina Cornalba1, Maria Orietta Borghi1,4 and Pier Luigi Meroni1,2,5, 1Department of Clinical Sciences and Community Health, Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy, 2Division of Rheumatology, Division of Rheumatology, Istituto Ortopedico Gaetano Pini, Milan, Italy, 3Laboratory of Immuno-rheumatology, Laboratory of Immuno-rheumatology, IRCCS Istituto Auxologico Italiano, Cusano Milanino, Jamaica, 4Laboratory of Immuno-rheumatology, IRCCS Istituto Auxologico Italiano, Milan, Italy, 5Laboratory of Immuno-rheumatology, Laboratory of Immuno-rheumatology, IRCCS Istituto Auxologico Italiano, Cusano Milanino, Italy

    Background/Purpose: Systemic Lupus Erythematosus (SLE) patients display high levels of the cell-bound complement activation factor C4d deposits on erythrocytes, B lymphocytes and platelets. In particular,…
  • Abstract Number: 2181 • 2015 ACR/ARHP Annual Meeting

    Antiphospholipid Antibody-Mediated Increase of Tissue Factor in Arterial Wall Is Associated with Increased Thrombus Size in a Mouse Model

    Pierre Grant1, Rohan Willis2, Zurina Romay-Penabad1, Elizabeth Papalardo3, Mohammad Jamaluddin4, Rajani Rudrangi3, Emilio B Gonzalez5 and Allan R Brasier6, 1University of Texas Medical Branch, Galveston, TX, 2Rheumatology/Dept Int Med, University of Texas Medical Branch, Galveston, TX, 3Internal Medicine, Rheumatology, University of Texas Medical Branch, Galveston, TX, 4Institute for Translational Science, University of Texas Medical Branch, Galveston, TX, 5Rheumatolgoy/Dept Int Med, University of Texas Medical Branch, Galveston, TX, 6Internal Medicine and Institute for Translational Sciences, University of Texas Medical Branch, Galveston, TX

    Background/Purpose: Antiphospholipid syndrome (APS) is a multisystemic autoimmune disease characterized by recurrent thrombotic and adverse obstetric events in the presence of antiphospholipid antibodies (aPL). Compelling…
  • Abstract Number: 2182 • 2015 ACR/ARHP Annual Meeting

    Increased Risk of Livedo Reticularis Associated with Antiphospholipid Antibodies in Patients with Systemic Lupus Erythematosus: A Systematic Review and Meta-Analysis

    Ersilia M. DeFilippis1, Denis Wahl2 and Stephane Zuily2, 1Department of Medicine, Brigham and Women's Hospital, Boston, MA, 2CHU de Nancy, Vascular Medicine Division and Regional Competence Center For Rare Vascular And Systemic Autoimmune Diseases, Nancy, F-54000, France; Inserm, UMR_S 1116, Nancy, F-54000, France; Université de Lorraine, Nancy, F-54000, France, Nancy, France

    Background/Purpose : Livedo reticularis (LR) is present in patients with systemic lupus erythematosus (SLE), and the role of antiphospholipid antibodies (aPL) is controversial. Therefore our…
  • Abstract Number: 2183 • 2015 ACR/ARHP Annual Meeting

    Clinical and Epidemiological Correlates of the Adjusted Global Anti-Phospholipid Syndrome Score in a Large Cohort of Chinese APS Patients

    Yu Zuo1, Chun Li2, David R. Karp3 and Zhanguo Li2, 1Rheumatology, UT Southwestern Medical Center, Dallas, TX, 2Peking University People's Hospital, Beijing, China, 3UT Southwestern Medical Center, Dallas, TX

    Background/Purpose: It is well known that anti-phospholipid antibodies (aPL) are associated with an increased risk of arterial and venous thrombosis and pregnancy loss/morbidity. However, anticoagulation…
  • Abstract Number: 2184 • 2015 ACR/ARHP Annual Meeting

    Non-Criteria Clinical Manifestations in Antiphospholipid Syndrome: Clinical Behavior and Association with Damage Accrual

    Gabriela Hernandez-Molina1, Cindy Maldonado-Garcia1 and Antonio R. Cabral2, 1Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico city, Mexico, 2Immunology & Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico city, Mexico

    Background/Purpose: The relevance of non-criteria clinical manifestations of antiphospholipid syndrome (APS) has been less studied than its thrombotic and obstetric features. The aim of this…
  • Abstract Number: 2185 • 2015 ACR/ARHP Annual Meeting

    Small but Clinically Insignificant Decreases in Antiphospholipid Antibody Titers Occur in aPL-Positive Patients during Pregnancy

    Cécile Yelnik1,2, Flint Porter3,4, Ware D. Branch3,4, Jill P. Buyon5, Marta Guerra6, Carl Laskin7, Michael Lockshin8, Michelle Petri9, Joan T. Merrill10, Lisa R. Sammaritano11, Mary D. Stephenson12, Mimi Y. Kim13 and Jane E. Salmon11,14, 1Service de Médecine Interne, Centre National de Référence des Maladies Systémiques Rares, Hôpital Claude Huriez, CHRU Lille, Lille, France, 2Faculté de Médecine Henri Warembourg, Université Lille Nord de France, Lille, France, 3University of Utah, Salt Lake City, UT, 4Intermountain Healthcare, Salt Lake City, UT, 5NYU School of Medicine, New York, NY, 6Rheumatology 3rd Fl Rsrch, Hospital for Special Surgery, New York, NY, 7Medicine, Rheumatology and Obstetrics and Gynecology, University of Toronto and LifeQuest Centre for Reproductive Medicine, Toronto, ON, Canada, 8Barbara Volcker Center for Women & Rheumatic Disease, Hospital for Special Surgery, New York, NY, 9Johns Hopkins Lupus Center, Johns Hopkins University School of Medicine, Baltimore, MD, 10Clinical Pharmacology, Oklahoma Medical Research Foundation, Oklahoma City, OK, 11Rheumatology, Hospital for Special Surgery, New York, NY, 12University of Illinois College of Medicine, Chicago, IL, 13Albert Einstein College of Medicine, Bronx, NY, 14Hospital for Special Surgery, New York, NY

    Background/Purpose: The presence of aPL has been associated with pregnancy complications, but the evolution of aPL titers during pregnancy in aPL-positive patients and the utility…
  • Abstract Number: 2186 • 2015 ACR/ARHP Annual Meeting

    The Role of Hydroxychloroquine Treatment on Pregnancy Outcome in Women with Antiphospholipid Antibodies

    Savino Sciascia1, Beverely J Hunt2, Eva Talavera-Garcia3, Gloria Lliso3, Munther Khamashta3 and Mª Jose Cuadrado4, 1Department of Rare, Immunologic, Hematologic and Immunohematologic Diseases, Centro di Immunopatologia e Documentazione su Malattie rare, Torino, Italy, 2Thrombosis & Haemostasis, Guy’s & St Thomas’ NHS Foundation Trust, London, UK, London, United Kingdom, 3Louise Coote Lupus Unit, Guy’s and St Thomas’ NHS Foundation Trust, London, UK, London, United Kingdom, 4Lupus Research Unit, The Rayne Institute, St Thomas' Hospital, London, United Kingdom

    Background/Purpose: With good management, around 70% of pregnant women with Antiphospholipid Syndrome (APS) will deliver a viable live infant.However, current management does not prevent all…
  • Abstract Number: 2187 • 2015 ACR/ARHP Annual Meeting

    Anti-Phosholipid Antibodies and Female Infertility: A Systematic Revision of Literature

    Cecilia B. Chighizola1, Guilherme Ramires de Jesus2 and W. David Branch3, 1Department of Clinical Sciences and Community Health, University of Milan, Istituto Auxologico Italiano, Cusano Milanino, Italy, 2Department of Obstetrics, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil, 3Obstetrics and Gynecology, University of Utah and Intermountain Healthcare, Salt Lake City, UT

    Background/Purpose: Infertility is a common condition, affecting 8-12% of couples in childbearing age. Even though the association of aPL with infertility is highly debated, infertile…
  • Abstract Number: 2188 • 2015 ACR/ARHP Annual Meeting

    Antiphospholipid Antibodies and the Risk of Damage Accrual in Systemic Lupus Erythematosus

    Mara Taraborelli1, Laura Leuenberger2, Maria Grazia Lazzaroni3, Nicole Martinazzi3, Wei Zhang4, Jane E. Salmon2, Franco Franceschini1, Angela Tincani3 and Doruk Erkan2, 1Rheumatology and Clinical Immunology, Spedali Civili of Brescia, Brescia, Italy, 2Rheumatology, Hospital for Special Surgery, New York, NY, 3Rheumatology and Clinical Immunology, Spedali Civili and University of Brescia, Brescia, Italy, 4Healthcare Research Institute, Hospital for Special Surgery, New York, NY

    Background/Purpose: A limited number of studies evaluated the impact of antiphospholipid antibodies (aPL) on organ damage in Systemic Lupus Erythematosus (SLE) with contrasting conclusions. The…
  • Abstract Number: 2189 • 2015 ACR/ARHP Annual Meeting

    Antiphospholipid Syndrome Alliance for Clinical Trials and International Networking Clinical Database and Repository (“Registry”) Prospective Follow-up Analysis: One-Year First and Recurrent Thrombosis Risk

    Doruk Erkan1, Stephane Zuily2, Alessandra Banzato3, Karel De Ceulaer4, Hannah Cohen5, Maria Tektonidou6, Danieli Andrade7 and , on Behalf of APS ACTION .8, 1Barbara Volcker Center for Women & Rheumatic Disease, Hospital for Special Surgery, New York, NY, 2Regional Competence Center For Rare Vascular And Systemic Autoimmune Diseases, Vascular Medicine Unit, Vandoeuvre-Les-Nancy, France, 3Department of Cardiac Thoracic and Vascular Sciences, (2) Department of Cardiac Thoracic and Vascular Sciences, University of Padua, Padua Italy, Padua, Italy, 4Internal Medicine, University of the West Indies, Kgn 7, Jamaica, 5Hematology., University College London, LOndon, United Kingdom, 6First Department of Internal Medicine, School of Medicine, National University of Athens, Athens, Greece, 7Autoimmunity & Inflammation, Hospital for Special Surgery, New York, NY, 8., New York, NY

    Background/Purpose: APS ACTION “Registry” was created to study the natural course of disease over 10 years in persistently antiphospholipid antibody (aPL)-positive patients with/without other systemic…
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