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  • Abstract Number: 2586 • 2013 ACR/ARHP Annual Meeting

    Antinuclear Antibody Negative Systemic Sclerosis Patients Have Less Vasculopathic Disease Manifestations

    Gloria Salazar1, Shervin Assassi1, Fredrick M. Wigley2, Daniel Furst3,4,5, Laura K. Hummers2, Dinesh Khanna6, John Varga7, Elena Schiopu8, Virginia D. Steen9, Murray Baron10, Marie Hudson11, Janet E. Pope12,13, Monique E. Hinchcliff14, Marvin J. Fritzler15, David B. Robinson16, Robert W. Simms17, Richard M. Silver18, Tracy M. Frech19, Barri J. Fessler20, Jerry A. Molitor21, Sara Zamanian22, Niall Jones23, John D. Reveille1, Frank C. Arnett1 and Maureen D. Mayes24, 1Rheumatology, University of Texas Health Science Center at Houston, Houston, TX, 2Division of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 3David Geffen School of Medicine, Div of Rheumatology, University of California at Los Angeles, Los Angeles, CA, 4Div of Rheumatology, UCLA Medical School, Los Angeles, CA, 5Rheumatology, UCLA, Los Angeles, CA, 6University of Michigan Health System, Ann Arbor, MI, 7Rheumatology, Northwestern University Feinberg School of Medicine, Chicago, IL, 8Rheumatology/Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, 9Department of Rheumatology, Georgetown University Medical Center, Washington, DC, 10McGill University, Montreal, QC, Canada, 11Rheumatology, Lady David Institute for Medical Research and Jewish General Hospital, Montreal, QC, Canada, 12Univ of Western Ontario, London, ON, Canada, 13St Joseph Health Care, London, ON, Canada, 14Division of Rheumatology, Northwestern University Medical School, Chicago, IL, 15Medicine, University of Calgary, Calgary, AB, Canada, 16Arthritis Centre, University of Manitoba, Winnipeg, MB, Canada, 17Rheumatology, Boston University School of Medicine, Boston, MA, 18Div Rheumatology & Immunology, Medical University of South Carolina,Charleston,USA, Charleston, SC, 19Internal Medicine-Division of Rheumatology, University of Utah School of Medicine, SLC, UT, 20Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, 21Rheumatic/Autoimmune Diseases, Univ of MN MMC108, Minneapolis, MN, 22Internal Medicine/Rheumatology, University of Texas Health Science Center at Houston, Houston, TX, 23Rheumatology Clinic at 124th Street Medical Clinic, Edmonton, AB, Canada, 24University of Texas Health Science Center at Houston, Houston, TX

    Antinuclear Antibody Negative Systemic Sclerosis Patients Have Less Vasculopathic Disease ManifestationsBackground/Purpose: Systemic Sclerosis (SSc) is an autoimmune disease characterized by fibrosis of skin and internal…
  • Abstract Number: 2588 • 2013 ACR/ARHP Annual Meeting

    Pulmonary Hypertension In Patients With Anti-U1-RNP Antibodies

    Vincent Sobanski1, Bernadette Lynch2, Benjamin E. Schreiber3, Svetlana I. Nihtyanova4, Jennifer Harvey5, Clive Handler6, Christopher P. Denton7 and John G. Coghlan8, 1Department of Rheumatology, Royal Free Hospital, London, United Kingdom, 2Department of Rheumatology, The Royal Free Hospital, London, United Kingdom, 3Royal Free Hospital NHS Foundation Trust, National Pulmonary Hypertension Service, London, United Kingdom, 4Department of Rheumatology, Royal Free and University College Medical School, London, United Kingdom, 5Clinical Immunology, Royal Free Hospital, London, United Kingdom, 6Department of Pulmonary Hypertension, The Royal Free Hospital, London, United Kingdom, 7Centre for Rheumatology, Royal Free and University College Medical School, London, United Kingdom, 8National Pulmonary Hypertension Service, The Royal Free Hospital NHS Foundation Trust, London, United Kingdom

    Background/Purpose: Pulmonary hypertension (PH) is a leading cause of morbidity and mortality in patients with connective tissue diseases (CTD). Patients with anti-U1-RNP antibodies belong to…
  • Abstract Number: 2589 • 2013 ACR/ARHP Annual Meeting

    Scleroderma Patients With Pulmonary Hypertension and Increased Pulmonary Capillary Wedge Pressure In The Pulmonary Hypertension Assessment and Recognition Of Outcomes In Scleroderma (PHAROS) Cohort

    Matthew R. Lammi1,2, Lesley Ann Saketkoo3,4, Jessica K. Gordon5, Paula Lauto6 and Virginia D. Steen7, 1Section of Pulmonary and Critical Care Medicine, LSU Scleroderma and Sarcoidosis Patient Care and Research Center, New Orleans, LA, 2Louisiana State University Health Sciences Center, Pulmonary and Critical Medicine, New Orleans, LA, 3Scleroderma and Sarcoidosis Patient Care and Research Center, Rheumatology and Pulmonary Medicine, Louisiana State University Health Sciences Center, New Orleans, LA, 4LSU Scleroderma and Sarcoidosis Patient Care and Research Center, New Orleans, LA, 5Rheumatology, Hospital for Special Surgery, New York, NY, 6Pulmonary and Critical Care Medicine, LSU Health Sciences Center, New Orleans, LA, 7Department of Rheumatology, Georgetown University Medical Center, Washington, DC

    Background/Purpose: Systemic sclerosis (SSc) commonly leads to pulmonary hypertension (PH), which may be associated with left heart disease and an elevated pulmonary capillary wedge pressure…
  • Abstract Number: 2590 • 2013 ACR/ARHP Annual Meeting

    Laser Speckle Contrast Analysis A New Method To Evaluate Blood Perfusion in Different Skin Areas Of Systemic Sclerosis Patients: Comparison With Laser Doppler Flowmetry

    Alberto Sulli1, Barbara Ruaro2, Giorgia Ferrari2, Elena Bernero2, Carmen Pizzorni2, Vanessa Smith3 and Maurizio Cutolo4, 1Research Laboratory and Academic Unit of Clinical Rheumatology, Department of Internal Medicine, University of Genova, Genoa, Italy, 2Research Laboratory and Academic Division of Clinical Rheumatology, Department of Internal Medicine, University of Genova, Genoa, Italy, 3Department of Rheumatology, Ghent University Hospital, Ghent, Belgium, 4Internal medicine, Research Laboratory and Academic Unit of Clinical Rheumatology, Department of Internal Medicine, University of Genova, Genoa, Italy

    Background/Purpose: In systemic sclerosis (SSc), blood perfusion (BP) may be evaluated by both laser speckle contrast analysis (LASCA) and laser Doppler flowmetry (LDF) techniques, as…
  • Abstract Number: 2591 • 2013 ACR/ARHP Annual Meeting

    Scleroderma Renal Crisis and Pulmonary Arterial Hypertension Are Very Rare In The Same Patient

    Bernadette Lynch1, Vincent Sobanski1,2, Clive Handler3, Benjamin E. Schreiber4, John G. Coghlan5, Voon H. Ong6, Aine Burns7 and Christopher P. Denton8, 1Department of Rheumatology, The Royal Free Hospital, London, United Kingdom, 2Service de médecine interne, Centre National de Référence de la Sclérodermie Systémique, Hôpital Claude Huriez, CHRU Lille, Lille, France, 3Department of Pulmonary Hypertension, The Royal Free Hospital, London, United Kingdom, 4Royal Free Hospital NHS Foundation Trust, National Pulmonary Hypertension Service, London, United Kingdom, 5National Pulmonary Hypertension Service, The Royal Free Hospital NHS Foundation Trust, London, United Kingdom, 6Department of Rheumatology, The Royal Free and University College Medical School, London, United Kingdom, 7Department of Nephrology, The Royal Free Hospital, London, United Kingdom, 8Centre for Rheumatology and Connective Tissue Diseases, UCL Medical School Royal Free Campus, London, United Kingdom

    Background/Purpose: Systemic Sclerosis (SSc) is associated with occlusive vasculopathy resulting in digital ischaemia, telangiectasia, scleroderma renal crisis (SRC) and pulmonary arterial hypertension (PAH). SRC and…
  • Abstract Number: 2592 • 2013 ACR/ARHP Annual Meeting

    Clinical Significance Of Endothelial Vasodilator Function Evaluated By Endopat In Patients With Systemic Sclerosis

    Naohiko Aozasa1, Yoshihide Asano1, Masaru Hatano2, Ryosuke Saigusa1, Kouta Takakuwa1, Takehiro Takahashi1, Tetsuo Toyama1, Hayakazu Sumida1, Atsushi Yao3, Koichiro Kinugawa4, Hisataka Maki2, Toshiro Inaba2, Hironori Muraoka2, Shun Minatsuki2, Issei Komuro2 and Shinichi Sato1, 1Dermatology, University of Tokyo Graduate School of Medicine, Tokyo, Japan, 2Cardiovascular Medicine, University of Tokyo Graduate School of Medicine, Tokyo, Japan, 3Division for Health Service Promotion, University of Tokyo Graduate School of Medicine, Tokyo, Japan, 4Department of Therapeutic strategy for heart failure, University of Tokyo Graduate School of Medicine, Tokyo, Japan

    Background/Purpose: Systemic sclerosis (SSc) is a multisystem autoimmune disease characterized by initial vascular injuries and resultant fibrosis of skin and certain internal organs. Evidence has…
  • Abstract Number: 2559 • 2013 ACR/ARHP Annual Meeting

    Effect Of NOX4 Overexpression On The Levels Of Micro RNAs Relevant To Systemic Sclerosis Fibrotic Process

    Sonsoles Piera-Velazquez, Alma Makul and Sergio A. Jimenez, Jefferson Institute of Molecular Medicine, Division of Connective Tissue Diseases and Scleroderma Center,Thomas Jefferson University, Philadelphia, PA

     Background/Purpose: Systemic sclerosis (SSc) is characterized by the excessive deposition of collagen and other connective tissue components in skin and multiple internal organs.  Although transforming…
  • Abstract Number: 2562 • 2013 ACR/ARHP Annual Meeting

    Inhibition Of SOX9 Phosphorylation Abrogates The Increased Expression Of Profibrotic Genes In Systemic Sclerosis Dermal Fibroblasts

    Sonsoles Piera-Velazquez, Alma Makul and Sergio A. Jimenez, Jefferson Institute of Molecular Medicine, Division of Connective Tissue Diseases and Scleroderma Center,Thomas Jefferson University, Philadelphia, PA

    Background/Purpose: SOX9, a high mobility group transcription factor is a master regulator of chondrogenesis and plays a crucial role in the regulation of chondrocyte gene…
  • Abstract Number: 2564 • 2013 ACR/ARHP Annual Meeting

    Functional Activation Of The TRPV1 and TRPV2 Non-Selective Cation Channels Potentiates TGF-β1-Induced Endothelial-To-Mesenchymal Transition In Murine Pulmonary Endothelial Cells Suggest a Potential Role Of Trpv Channels In The Pathogenesis Of Systemic Sclerosis

    Peter J. Wermuth and Sergio A. Jimenez, Jefferson Institute of Molecular Medicine, Division of Connective Tissue Diseases and Scleroderma Center,Thomas Jefferson University, Philadelphia, PA

    Background/Purpose: Transient receptor potential (Trp) cation channel, subfamily V (TRPV) members can impact a diverse range of vascular functions, including vascular tone, vascular permeability, mechanosensing,…
  • Abstract Number: 2565 • 2013 ACR/ARHP Annual Meeting

    Synergistic Effects Of Endothelin-1 On Transforming Growth Factor-β1 (TGF-β1) Induced Endothelial-To-Mesenchymal Transition. A Novel Mechanism For The Fibrogenic Effects Of Endothelin

    Peter J. Wermuth, Zhaodong Li and Sergio A. Jimenez, Jefferson Institute of Molecular Medicine, Division of Connective Tissue Diseases and Scleroderma Center,Thomas Jefferson University, Philadelphia, PA

    Background/Purpose: The process of endothelial-to-mesenchymal transition (EndoMT) may be a crucial pathway in the generation of activated myofibroblasts, cells that play a pivotal role in…
  • Abstract Number: 2567 • 2013 ACR/ARHP Annual Meeting

    Cadherin-11 Regulates Pulmonary Fibrosis In Bleomycin-Induced Lung Injury

    Mesias Pedroza, Anuh T. George and Sandeep K. Agarwal, Medicine, Section of Immunology, Allergy and Rheumatology, Baylor College of Medicine, Houston, TX

    Background/Purpose: Pulmonary fibrosis (PF) is the leading cause of death in systemic sclerosis.  Pathologically, PF is characterized by an aberrant wound healing repair mechanism leading…
  • Abstract Number: 2552 • 2013 ACR/ARHP Annual Meeting

    Predictive Significance Of ANTI-Prothrombin Antibodies For Second and Third Trimester Obstetric Complications In Patients With Systemic LUPUS Erythematosus and ANTI-Phospholipid Syndrome

    Marta Mosca1, Chiara Tani2, Martina Fabris3, Francesca Strigini4, Linda Carli1, Sabrina Vagnani5, Rosaria Talarico6, Chiara Baldini7, Alessandra Della Rossa8, Elio Tonutti9 and Stefano Bombardieri1, 1Rheumatology Unit, University of Pisa, Pisa, Italy, 2Clinical and Experimental Medicine, Rheumatology Unit, University of Pisa, Pisa, Italy, 3Institute of Clinical Pathology, Udine, Italy, 4University of Pisa, Pisa, Italy, 5Department of Clinical and Experimental Medicine, Rheumatology Unit, University of Pisa, Pisa, Italy, 6Rheumatology Unit, Pisa, Italy, 7University of Pisa, Rheumatology Unit, Pisa, Italy, 8Clinical and Experimental Medicine, Rheumatology Unit, Pisa, Italy, 9Santa Maria Hospital, Udine, Italy

    Background/Purpose: Anti-prothrombin antibodies (aPT) either alone or in association with other anti-phospholipid antibodies have been associated with an increased risk of thrombosis as well as…
  • Abstract Number: 2553 • 2013 ACR/ARHP Annual Meeting

    The Clinical Value Of Testing For Aphl, a New ELISA Kit With a Unique Phospholipid Mixture In Patients With Systemic Lupus Erythematosus (SLE)

    Savino Sciascia1, Giovanni Sanna2, Veronica Murru3, Munther A. Khamashta4 and Maria Laura Bertolaccini3, 1Department of Rare, Immunologic, Hematologic and Immunohematologic Diseases, Centro di Immunopatologia e Documentazione su Malattie rare, Torino, Italy, 2Louise Coote Lupus Unit, St. Thomas' Hospital, London, United Kingdom, 3Lupus Research Unit, The Rayne Institute, Kings College London School of Medicine, London, United Kingdom, 4Lupus Research Unit, The Rayne Institute, St Thomas Hospital, Kings College London School of Medicine, London, United Kingdom

    Background/Purpose:  Antibodies directed to APhL (a mixture of phospholipids) have been reported to predict APS more reliably than aCL tests. We designed this study to…
  • Abstract Number: 2554 • 2013 ACR/ARHP Annual Meeting

    In Vitro Fertilization In Systemic Lupus Erythematosus and Antiphospholipid Syndrome: A Series Of 82 Cycles

    Pauline Orquevaux1, Agathe Masseau2, Véronique le Guern3, Vanessa Gayet4, Danièle Vauthier-Brouzes5, Du Boutin6, Bertrand Wechsler7, Nathalie Morel8, Jean Loup Pennaforte1, Jean-Charles Piette9 and Nathalie Costedoat-Chalumeau10, 1Hu Robert Debre, CHU Reims, Reims, France, 2Internal Medicine Department, Nantes University Hospital, Nantes, France, 3Department of Internal Medicine, Hôpital Cochin, Paris, France, 4Cochin Hospital, Paris, France, 5gynecology obstetrical, Pitié Salpétrière Hospital, Paris, France, 6Internal Medicine, Assistance Publique-Hôpitaux de Paris, Hopital Pitié-Salpétrière, Paris, France, 7Internal Medicine, DHU 2iB Internal Medicine Referal Center for Autoimmune diseases Pitie Hospital, Paris, France, 8Internal Medicine, COCHIN, Paris, France, 9Department of Internal Medicine 1., CHU Pitié-Salpêtrière, Paris, France, 10Internal Medicine, Department of Internal Medicine, Referral Center for Rare Autoimmune and Systemic Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France

    Background/Purpose: Patients with systemic lupus erythematosus (SLE) and antiphospholipid syndrome (APS) undergoing in vitro fertilization (IVF) are at increased risk of both hormone-associated flare and…
  • Abstract Number: 2555 • 2013 ACR/ARHP Annual Meeting

    Development and Validation Of a Questionnaire To Screen For The Presence Of Autoimmune Disease

    Alan Boroway1, Aileen M. Davis2, Carolina Landolt-Marticorena1 and Joan E. Wither3, 1Rheumatology, Toronto Western Hospital, University of Toronto, Toronto, ON, Canada, 2Toronto Western Research Institute, Toronto Western Hospital, University of Toronto, Toronto, ON, Canada, 31E420/Div of Rheumatology, Toronto Western Research Institute, Toronto Western Hospital, University of Toronto, Toronto, ON, Canada

    Background/Purpose:   Healthy family members of patients with systemic autoimmune rheumatic diseases (SARDs) are at higher risk of developing autoimmune disease than the general population. …
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