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  • Abstract Number: 972 • 2014 ACR/ARHP Annual Meeting

    Racial, Gender and Geographic Differences in Systemic Lupus Erythematous and Lupus Nephritis Mortality Rates in the Unites States, 1968-2010

    Eric Y Yen1, Magda Shaheen2, Jennifer MP Woo3, Deborah K. McCurdy4 and Ram Raj Singh5, 1Pediatrics/Rheumatology, UCLA Division of Pediatric Rheumatology, Los Angeles, CA, 2Charles R. Drew University of Medicine and Science, Los Angeles, CA, 3UCLA Division of Pediatric Rheumatology, Los Angeles, CA, 4Pediatric Rheumatology, UCLA Division of Pediatric Rheumatology, Los Angeles, CA, 5Medicine, UCLA Division of Rheumatology, Los Angeles, CA

    Title:  Racial, Gender and Geographic Differences in Systemic Lupus Erythematous and Lupus Nephritis Mortality Rates in the Unites States, 1968-2010Background/Purpose:  Many epidemiologic studies of systemic…
  • Abstract Number: 970 • 2014 ACR/ARHP Annual Meeting

    Risk of Developing Antiphospholipid Syndrome Following Infection: A Systematic Review and Meta-Analysis of Observational Studies

    Noha Abdel-Wahab1,2, Maria A. Lopez-Olivo3, Saurabh Talathi4 and Maria E. Suarez-Almazor1, 1The Department of General Internal Medicine, The University of Texas, MD Anderson Cancer Center, Houston, TX, 2Rheumatology & Rehabilitation Department, Assiut University Hospital, Assiut, Egypt, 3Department of General Internal Medicine, The University of Texas, MD Anderson Cancer Center, Houston, TX, 4The University of Texas Health Science Center at Houston, School of Public Health, Houston, TX

    Background/Purpose:   Infection has been increasingly reported in the literature as an environmental trigger inducing the development of anti-phospholipid antibodies or antiphospholipid syndrome in genetically predisposed…
  • Abstract Number: 971 • 2014 ACR/ARHP Annual Meeting

    The Long-Term Efficacy of an Anti-Pneumococcal Polysaccharide Vaccine (PPSV23, Pneumovax) Among Autoimmune Inflammatory Rheumatic Patients

    Adi Broyde1, Uri Arad2, Noa Madar-Balakinski2, Daphna Paran3, Ilana Kaufman4, Ira Litinsky5, David Levartovsky6, Irena Wigler2, Dan Caspi7 and Ori Elkayam8, 1Department of rheumatology, Tel Aviv medical center, Tel Aviv, Israel, 2Department of Rheumatology, Tel Aviv Sourasky Medical Center and the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel, 3Rheumatology, Tel-Aviv Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel, 4Tel Aviv Sourasky Medical Center and the Sackler Faculty of Medicine, Tel Aviv University, Tel-aviv, Israel, 5Rheumatology, Tel Aviv Sourasky Medical Ctr, Tel-Aviv University, Tel Aviv, Israel, 6Department of rheumatology. Tel Aviv Medical Center, Tel Aviv, Israel, 7Rheumatology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel, 8Rheumatology, Tel-Aviv Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Tel- Aviv, Israel

    Background/Purpose: Vaccination with Pneumovax is recommended for adult patients with auto-immune inflammatory rheumatic diseases (AIIRD). Re-vaccination is recommended after 5 years in this population although…
  • Abstract Number: 969 • 2014 ACR/ARHP Annual Meeting

    Caspase-8 Prevents Lung Fibrosis in a Murine SSc-like Disease Model By Preventing Macrophage Differentiation

    Alexander Misharin1, Carla M. Cuda2, Luisa Morales-Nebreda3, Gokhan Mutlu1, GR Scott Budinger3 and Harris R. Perlman4, 1Northwestern University, Chicago, IL, 2Medicine / Rheumatology, Northwestern University Feinberg School of Medicine, Chicago, IL, 3Medicine, Northwestern University, Feinberg School of Medicine, Chicago, IL, 4Northwestern University Feinberg School of Medicine, Chicago, IL

    Background/Purpose Pulmonary fibrosis has emerged as the leading cause of death in patients with Systemic Sclerosis (SSc). Currently available therapies are only marginally effective in…
  • Abstract Number: 968 • 2014 ACR/ARHP Annual Meeting

    Priming of WNT Signalling during Fibrosis Is Mediated By TGF-β Induced Axin-2 Downregulation

    Justin Gillespie1, Emma C. Derrett-Smith2, Michael McDermott1, Paul Emery3, Christopher P Denton4 and Francesco Del Galdo3, 1Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, United Kingdom, 2Centre for Rheumatology and Connective Tissue Diseases,, UCL Medical School Royal Free Campus, London, United Kingdom, 3Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds and NIHR Leeds Musculoskeletal Biomedical Research Unit, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom, 4Centre for Rheumatology and Connective Tissue Disease, UCL Medical School Royal Free Campus, London, United Kingdom

    Background/Purpose Systemic Sclerosis (SSc) is characterized by autoimmune activation, vasculopathy and tissue fibrosis. Recently, activation of the Wnt/β-catenin signaling pathway in SSc fibroblasts has been…
  • Abstract Number: 966 • 2014 ACR/ARHP Annual Meeting

    Adiponectin Is an Endogenous Anti-Fibrotic and Target in Systemic Sclerosis: Novel Link Between Fibrosis and Metabolism

    Feng Fang1, Roberta G. Marangoni1, Xingchun Zhou2, Wen Hong3, Boping Ye3, Asano Yoshihide4, Shinichi Sato5, Yuri Masui6, Chengning Zhang7, Katja Lakota8, Jun Wei9, Monique E. Hinchcliff7, Philipp Scherer10, Laszlo Otvos11 and John Varga12, 1Division of Rheumatology, Northwestern University, Feinberg School of Medicine, Chicago, IL, 2College of Life and Science, China Pharmaceutical University, Nanjing, China, 3China Pharmaceutical University, Nanjing, China, 4University of Tokyo, Tokyo, Japan, 5Department of Dermatology, Faculty of Medicine, University of Tokyo, Tokyo, Japan, 6Department of Dermatology, University of Tokyo, Tokyo, Japan, 7Northwestern University, Feinberg School of Medicine, Chicago, IL, 8Medicine, Northwestern University, Feinberg School of Medicine, Chicago, IL, 9Rheumatology, Northwestern University, Feinberg School of Medicine, Chicago, IL, 10University of Texas Southwestern Medical Center, Dallas, TX, 11Temple University, Philadelphia, PA, 12Rheumatology, Northwestern University Feinberg School of Medicine, Chicago, IL

    Background/Purpose :Systemic sclerosis (SSc) skin fibrosis is associated with attenuated cutaneous adipose tissue and adipogenic gene expression. Levels of the adipose-derived cytokine adiponectin (APN) and…
  • Abstract Number: 965 • 2014 ACR/ARHP Annual Meeting

    Blockade of TLR4 Signaling By TAK242 Ameliorates Experimental Organ Fibrosis

    Swati Bhattacharyya1, Wenxia Wang1, Zenshiro Tamaki2, Yasuhiro Tsukimi3, Masashi Yamasaki3 and John Varga4, 1Medicine/Rheumatology, Northwestern University, Feinberg School of Medicine, Chicago, IL, 2Medicine, Northwestern University, Feinberg School of Medicine, Chicago, IL, 3Takeda Pharmaceutical Company Limited, Kanagawa, Japan, 4Rheumatology, Northwestern University Feinberg School of Medicine, Chicago, IL

    Background/Purpose Our recent studies implicate innate immune signaling through Toll like receptor 4 (TLR4) in scleroderma pathogenesis. Aberrant production and accumulation of the endogenous TLR4…
  • Abstract Number: 964 • 2014 ACR/ARHP Annual Meeting

    Skin Collagen Synthesis Rates Distinguish Between Early and Late Diffuse Scleroderma Patients

    Claire Emson1, Martin Decaris1, Michelle Gatmaitan1, Flora Luo1, Dan Holochwost1, Simplicia FloraCruz1, Thomas Angel1, Kelvin Li1, Marc Hellerstein1, Fredrick M. Wigley2, Scott Turner1,3 and Francesco Boin2, 1KineMed Inc., Emeryville, CA, 2Division of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 35980 Horton Street, Suite 470, KineMed Inc., Emeryville, CA

    Background/Purpose The synthesis and degradation of extracellular matrix (ECM), particularly collagen, is one of the central mechanisms perturbed in scleroderma (SSc). Understanding the kinetics of…
  • Abstract Number: 962 • 2014 ACR/ARHP Annual Meeting

    A Systematic Review and Network Meta-Analysis of the Risk of Serious Infections with Immunosuppressives for Lupus Nephritis

    Jasvinder A. Singh1, Alomgir Hossain2, Ahmed Kotb2 and George Wells3, 1University of Alabama at Birmingham, Birmingham, AL, 2University of Ottawa, Ottawa, ON, Canada, 3Cardiovascular Resarch Methods Centre, University of Ottawa Heart Institute, Ottawa, ON, Canada

    Background/Purpose To compare the risk of serious infections of immunosuppressive medications used for the treatment of lupus nephritis. Methods We performed an up to date…
  • Abstract Number: 979 • 2014 ACR/ARHP Annual Meeting

    Genome-Wide Association Study for Severe Radiographic Knee Osteoarthritis

    Youfang Liu1, Michelle Yau2, Laura Yerges-Armstrong3, Braxton Mitchell3, Rebecca D. Jackson4, Marc C. Hochberg5, Shad Smith6, William Maixner6, Luda Diatchenko7 and Joanne M. Jordan8, 1Thurston Arthritis Research Center, University of North Carolina, Chapel Hill, NC, 2Epidemiology and Public Health, University of Maryland, Baltimore,, MD, 3Medicine, University of Maryland School of Medicine, Baltimore, MD, 4Division of Endocrinology, Diabetes, & Metabolism, Department of Internal Medicine, The Ohio State University, Columbus, OH, 5Division of Rheumatology & Clinical Immunology, University of Maryland School of Medicine, Baltimore, MD, 6Regional Center for Neurosensory Disorders, School of Dentistry,, University of North Carolina, Chapel Hill, NC, 7McGill University, Montreal, QC, Canada, 8University of North Carolina Dept of Epidemiology, Chapel Hill, NC

    Background/Purpose Knee osteoarthritis (OA) is a heritable common joint disorder. In previously reported genetic studies, cases were usually defined with a radiographic Kellgren and Lawrence…
  • Abstract Number: 978 • 2014 ACR/ARHP Annual Meeting

    Socioeconomic Status Measures Are Associated with Increasing Pain, Stiffness and Physical Function Among Individuals with Knee and Hip Osteoarthritis

    Rebecca J. Cleveland1, Jordan B. Renner2, Joanne M. Jordan3 and Leigh F. Callahan4, 1Thurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, 2University of North Carolina Department of Radiology, Chapel Hill, NC, 3University of North Carolina Dept of Epidemiology, Chapel Hill, NC, 4Thurston Arthritis Res Ctr, University of North Carolina, Chapel Hill, NC

    Background/Purpose The determinants of disability progression (DP) among those with knee and/or hip osteoarthritis (OA) are not well known. Our aim was to explore whether…
  • Abstract Number: 963 • 2014 ACR/ARHP Annual Meeting

    Reduction in Proteinuria and Normalization of C4 Complement Levels Predict Response to Treatment of Lupus Nephritis with Low-Dose Pulse Cyclophosphamide and Abatacept

    Sarah Goglin1, David Wofsy2, Miriam G. Cisternas3 and Maria Dall'era1, 1Medicine/Rheumatology, University of California, San Francisco, San Francisco, CA, 2University of California, San Francisco, San Francisco, CA, 3MGC Data Services, Carlsbad, CA

    Background/Purpose: The response to treatment of lupus nephritis is unpredictable. There is a need to identify clinical and biochemical characteristics that can predict treatment outcome…
  • Abstract Number: 967 • 2014 ACR/ARHP Annual Meeting

    Mir-145 Protects Against Skin Fibrosis in Vivo by targeting TGF-β Signaling

    Serena Vettori1,2, Christian Beyer3, Matthias Brock1, Naoki Iwamoto1, Britta Maurer1, Michelle Trenkmann1, Astrid Jüngel1, Renate E. Gay1, Maurizio Calcagni4, Gabriele Valentini5, Steffen Gay1, Joerg H. W. Distler3 and Oliver Distler1, 1Center of Experimental Rheumatology, Zurich University Hospital, Zurich, Switzerland, 2Internal and Experimental Medicine, Second University of Naples, Naples, Italy, 3Department of Internal Medicine III and Institute for Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany, 4Division of Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich, Switzerland, 5Internal and Experimental Medicine, Second University of Naples, Napoli, Italy

    Background/Purpose In vitro, miR-145 exerts anti-fibrotic effects in systemic sclerosis (SSc) by downregulating TGF-β signaling. In turn, ectopic TGF-β downregulates miR-145 thereby optimizing TGF-β signaling…
  • Abstract Number: 953 • 2014 ACR/ARHP Annual Meeting

    Secukinumab, a Human Anti–Interleukin-17A Monoclonal Antibody, Improves Active Psoriatic Arthritis and Inhibits Radiographic Progression: Efficacy and Safety Data from a Phase 3 Randomized, Multicenter, Double-Blind, Placebo-Controlled Study

    Philip J. Mease1, Iain B. McInnes2, Bruce Kirkham3, Arthur Kavanaugh4, Proton Rahman5, Désirée van der Heijde6, Robert Landewé7, Peter Nash8, Luminita Pricop9, Jiacheng Yuan10, Hanno Richards11 and Shephard Mpofu12, 1Swedish Medical Center and University of Washington, Seattle, WA, 2University of Glasgow, Glasgow, United Kingdom, 3Guy’s and St Thomas’ NHS Foundation Trust, London, United Kingdom, 4UCSD School of Medicine, La Jolla, CA, 5Faculty of Medicine, Memorial University of Newfoundland, St. John's, NF, Canada, 6Department of Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 7Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands, 8University of Queensland, Brisbane, Australia, 9Integrated Hospital Care (IHC) Franchise, Novartis Pharmaceuticals Corporation, East Hanover, NJ, 10Novartis Pharmaceuticals Corporation, East Hanover, NJ, 11Clinical Immunology / Dermatology, Novartis Pharma AG, Basel, Switzerland, 12Novartis Pharma AG, Basel, Switzerland

    Background/Purpose Secukinumab has demonstrated significant and rapid efficacy in the treatment of psoriasis in two phase 3 studies. We present the first randomized, multicenter, double-blind,…
  • Abstract Number: 952 • 2014 ACR/ARHP Annual Meeting

    A Phase IIb, Randomized, Double-Blind, Placebo-Controlled, Dose-Ranging, Multicenter Study to Evaluate the Efficacy and Safety of Clazakizumab, an Anti-IL-6 Monoclonal Antibody, in Adults with Active Psoriatic Arthritis

    Philip J. Mease1, A B Gottlieb2, A Berman3, E Drescher4, J Xing5, S Banerjee5 and R Wong5, 1Swedish Medical Center and University of Washington, Seattle, WA, 2Tufts Medical Center and Tufts University School of Medicine, Boston, MA, 3Centro Médico Privado de Reumatología, Tucuman, Argentina, 4Csolnoky Ferenc Hospital, Veszprém, Hungary, 5Bristol-Myers Squibb, Princeton, NJ

    Background/Purpose: New treatment options for psoriatic arthritis (PsA) are needed and interleukin-6 (IL-6), a cytokine with a central role in chronic inflammation, is a potential…
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