ACR Meeting Abstracts

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  • Abstract Number: 1653 • 2013 ACR/ARHP Annual Meeting

    Rheumatoid Arthritis Synovial IL-21+CD4+ T Cells Specifically Induce Matrix Metalloproteinase Production By Fibroblast-Like Synoviocytes

    Maria C. Lebre1, Pedro L. Vieira2, Saïda Aarrass1, Thomas Newsom-Davis2, Paul Peter Tak3 and Gavin R. Screaton2, 1Clinical Immunology and Rheumatology & Experimental Immunology, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands, 2Department of Immunology, Imperial College London, London, United Kingdom, 3Academic Medical Center / University of Amsterdam, Department of Clinical Immunology and Rheumatology & GlaxoSmithKline, Amsterdam, Netherlands

    Background/Purpose: IL-21 is a cytokine produced by activated CD4+ T cells and T follicular helper cells (TFh) that has been implicated in several autoimmune diseases…
  • Abstract Number: 1654 • 2013 ACR/ARHP Annual Meeting

    Characterization Of T Cell Phenotype and Function In a Double Transgenic (Collagen-Specific TCR /HLA-DR1) Humanized Model Of Arthritis

    Seunghyun Kim1, Bo Tang2, Sarah Hammond3, DL Cullins3, David Brand4, EF Rosloniec3, John M. Stuart5, Arnold E. Postlethwaite6, AH Kang3 and Linda Myers3, 1Medicine/Rheumatology, University of Tennessee Health Science Center, Memphis, TN, 2Immunology, St. Jude Children's Research Hospital, Memphis, TN, 3University of Tennessee Health Science Center, Memphis, TN, 4Research Service 151, VA Medical Center, Memphis, TN, 5Medicine, VA Medical Center, University of Tennessee Health Science Center, Memphis, TN, 6Med-Div of Conn Tis Dis, University of Tennessee Health Science Center, Memphis, TN

    Background/Purpose: T cells orchestrate joint inflammation in rheumatoid arthritis (RA), yet they are difficult to study due to the small numbers of antigen-specific cells. The…
  • Abstract Number: 1655 • 2013 ACR/ARHP Annual Meeting

    HLA-B27 and KIR3DL2 Interactions Promote The Differentiation and Survival Of Proinflammatory T Cells In Spondyloarthritis

    A. Ridley1, I. Wong-Baeza2, H. Hatano2, J. Shaw2, H. Al-Mossawi2, P. Bowness2 and S. Kollnberger2, 1Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Science, University of Oxford, Oxford, United Kingdom, 2Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom

    Background/Purpose: T helper 17 (Th17) cells are a subset of pro-inflammatory CD4+ T cells implicated in a number of inflammatory arthritides including the Spondyloarthritides (SpAs). …
  • Abstract Number: 1656 • 2013 ACR/ARHP Annual Meeting

    Interferon Type I and T Helper 17: A Dangerous Liaison In Primary Sjögren’s Syndrome?

    Zana Brkic1, Sandra M.J. Paulissen2, Cornelia G. van Helden-Meeuwsen3, Naomi I. Maria3, Odilia B.J. Corneth4, Nadine Davelaar5, Jan Piet van Hamburg5, Paul L. Van Daele3, Virgil A. Dalm1, Martin van Hagen3, Erik Lubberts6 and Marjan A. Versnel1, 1Erasmus Medical Center, Immunology, Rotterdam, Netherlands, 2Rheumatology, Erasmus Medical Center, Rotterdam, Netherlands, 3Immunology, Erasmus Medical Center, Rotterdam, Netherlands, 4Rheumatology and Immunology, Erasmus Medical Center, Rotterdam, Netherlands, 5Immunology, Erasmus MC, University Medical Center, Rotterdam, Netherlands, 6Erasmus Medical Center, Rheumatology, Rotterdam, Netherlands

    Background/Purpose: The T helper 17 (Th17) cell subset, which produces IL-17A, IL-17F, IL-22 and IL-21, has been implicated in the pathogenesis of primary Sjögren’s syndrome…
  • Abstract Number: 1657 • 2013 ACR/ARHP Annual Meeting

    Enothelin-1 Plays a Role In The Pathogenesis Of Reversible Cerebral Vasoconstriction Syndrome

    Tariq Hammad1, Leonard H. Calabrese2, Ken Uchino3, Seby John3, Mark Stillman4, Stewart Tepper4, Colin O'Rourke5, Allison Janocha1, Serpil Erzurum1 and Rula Hajj-Ali4, 1Cleveland Clinic, Cleveland, OH, 2Rheumatic & Immunologic Dis, Cleveland Clinic, Cleveland, OH, 3Neurology, Cleveland Clinic Foundation, Cleveland, OH, 4Cleveland Clinic Foundation, Cleveland, OH, 5Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH

    Background/Purpose:    Cerebral vasoconstriction    is thought to be the underlying pathogenetic mechanism   of Reversible Cerebral Vasoconstriction Syndromes (RCVS). However, mediators of the syndrome at molecular levels…
  • Abstract Number: 1658 • 2013 ACR/ARHP Annual Meeting

    Vessel Wall Characteristics Using High Resolution Magnetic Resonance Imaging In Reversible Cerebral Vasoconstriction Syndrome and Central Nervous System vasculitis 

    Rula Hajj-Ali1, Seby John2, Tariq Hammad3, Emmanuel Obusez3, Ken Uchino2, Stephen Jones4, Ferdinand Hui5, Russell Cerejo3 and Leonard H. Calabrese6, 1Cleveland Clinic Foundation, Cleveland, OH, 2Neurology, Cleveland Clinic Foundation, Cleveland, OH, 3Cleveland Clinic, Cleveland, OH, 4Neuroradiology, Cleveland Clinic, Cleveland, OH, 5Cerebrovascular, Clevalnd Clinic, Cleveland, OH, 6Rheumatic & Immunologic Dis, Cleveland Clinic, Cleveland, OH

    Background/Purpose: Distinguishing between reversible cerebral vasoconstriction syndrome (RCVS) and central nervous system (CNS) vasculitis is often a diagnostic dilemma. High-resolution-3-Tesla Magnetic Resonance Imaging with contrast…
  • Abstract Number: 1660 • 2013 ACR/ARHP Annual Meeting

    Primary  Central  Nervous  System  Vasculitis: Treatment and Course

    Carlo Salvarani1, Robert D. Brown Jr.2, Teresa J. H. Christianson2, John Huston III2, Kenneth Calamia3, Caterina Giannini2 and Gene G. Hunder4, 1Rheumatology, Arcispedale S Maria Nuova-IRCCS, Reggio Emilia, Italy, 2Mayo Clinic, Rochester, MN, 3Mayo Clinic, Jacksonville, FL, 4Rheumatology, Mayo Clinic, Rochester, MN

    Background/Purpose: To determine the response to therapy and long-term outcome of PCNSV we reviewed all cases of PCNSV seen over a 29-year period.    Methods:…
  • Abstract Number: 1661 • 2013 ACR/ARHP Annual Meeting

    The Spectrum of childhood Inflammatory Brain Diseases; An Increasingly Recognised Field

    Marinka Twilt1, Eyal Muscal2, Tania Cellucci3, Pavla Dolezalova4, Rob Forsyth5, Susan Kim6, David A. Cabral7, Johannes Roth8, Adam Kirton9, Rolando Cimaz10, Jasmin Kummerle-Deschner11, Annet van Royen-Kerkhof12, Jürgen Brunner13, Gaelle Chedeville14, Jordi Anton15, Angela Robinson16, Mary Toth17, Tilmann Kallinich18, Claudia Bracaglia19, Alexis Boneparth20, Shehla Sheikh21 and Susanne M. Benseler21, 1Division of Rheumatology, The Hospital for Sick Children, Toronto, ON, Canada, 2TCH Pediatric Rheum Center, Baylor College of Medicine, Houston, TX, 3Rheumatology, Hamilton Health Sciences, McMaster, Hamilton, ON, Canada, 4Pediatric Rheumatology Unit, Department of Pediatrics and Adolescent Medicine, General University Hospital in Prague, Prague, Czech Republic, 5Newcastle upon Tyne's NHS foundation Trust, Newcastle upon Tyne, United Kingdom, 6Division of Immunology, Boston Children's Hospital, Boston, MA, 7University of British Columbia, Vancouver, BC, Canada, 8University of Ottawa, Ottawa, ON, Canada, 9Neurology, Alberta Children's Hospital, Calgary, AB, Canada, 10Rheumatology Unit, A. Meyer Children's Hospital, Florence, Italy, 11University Childrens Clinic Tuebingen, Tuebingen, Germany, 12Department of Pediatric Immunology & Rheumatology, Wilhelmina Children’s Hospital, University Medical Center Utrecht, Utrecht, Netherlands, 13pediatric Rheumatology, University Children's Hospital, Innsbruck, Austria, 14Pediatric Rheumatology, Montreal Children's Hospital, Montreal, QC, Canada, 15Rheumatology, Hospital Sant Joan de Deu, Barcelona, Spain, 16Pediatrics, Rainbow Babies & Children's Hospital / Case Medical Center, Cleveland, OH, 17Rheumatology, Akron Children's Hospital, Akron, OH, 18Charite, University Medicine Berlin, Berlin, Germany, 19Department of Pediatric Medicine, Division of Rheumatology, Ospedale Pediatrico Bambino Gesù, IRCCS, Rome, Italy, 20Pediatrics, The Children's Hospital at Montefiore, Bronx, NY, 21Rheumatology, The Hospital for Sick Children, Toronto, ON, Canada

    Background/Purpose: Childhood Inflammatory Brain diseases are potentially life-threatening diseases leading to severe neurological deficits if not treated. The spectrum of childhood inflammatory brain diseases is…
  • Abstract Number: 1662 • 2013 ACR/ARHP Annual Meeting

    Developing Guideline For Polymyalgia Rheumatica: Prioritisation Of Outcome Measures – Perspective Of Patients, General Practitioners and Rheumatologists

    Yogesh Singh1, Christian Dejaco2,3, Sarah Mackie4, Daniel Ching5, Artur Bachta6, Ajesh Maharaj7, Alexandre Wagner8, Manuela Lima9, David Jayne10, Kevin Barraclough11, Christian D Mallen12, Stephen P. Merry13, Jane Hollywood14, Madeline Whitlock15, Kate Gilbert16, Pamela Hildreth16, Jennifer Nott16, Hannah Padbury16, Jean Miller16, Lorna Neill16, David Tronnier17, Pablo Perel18, Andrew Hutchings19, Dario Camellino20, Steven E. Carsons21, William Docken22, Christina Duftner23, Andy Abril24, Robert F. Spiera25, Colin T. Pease26, Andreas P. Diamantopoulos27, Frank Buttgereit28, Peter V. Balint29, Elisabeth Nordborg30, Lina Bianconi31, Billy Fashanu15, Shunsuke Mori32, Víctor M. Martínez-Taboada33, Maria C. Cid34, Wolfgang A. Schmidt35, Marco A. Cimmino36, Michael Schirmer37, Carlo Salvarani38, Eric L. Matteson39 and Bhaskar Dasgupta40, 1Rheumatology, Southend university hospital, Westcliff-on-sea, United Kingdom, 2Rheumatology and Immunology, Medical University Graz, Graz, Austria, 3Department of Rheumatology and Immunology, Medical University Graz, Graz A-8036, Austria, 4NIHR-Leeds Musculoskeletal Biomedical Research Unit, University of Leeds, Leeds, United Kingdom, 5Timaru Hospital, Timaru, New Zealand, 6Military Medical Institute, Warsaw, Poland, 7Prince Mshiyeni Memorial Hospital, Durban, South Africa, 8Universidade Federal de São Paulo, Sao Paulo, Brazil, 9Universidade dos Açores, Azores, Portugal, 10Vasculitis and Lupus Clinic, Addenbrookes Hospital University of Cambridge, Cambridge, United Kingdom, 11Hoyland House General Practice, Painswick, United Kingdom, 12Arthritis Research UK Primary Care Centre, University of Keele, Keele, United Kingdom, 13Family Medicine, Mayo Clinic, Rochester, MN, 14Rheumatology, Southend Hospital, Southend, United Kingdom, 15Southend University Hospital, Southend, United Kingdom, 16PMRGCAUK, Southend, United Kingdom, 17patients' representative, Rochester, MN, 18London School of Hygiene & Tropical Medicine, London, United Kingdom, 19Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, United Kingdom, 20Dipartimento Medicina Interna, Clinica Reumatologica, Genova, Italy, 21Div of Rheumatology, Winthrop University Hospital, Mineola, NY, 22Brigham Orth & Arthritis Center, Chestnut Hill, MA, 23Internal Medicine, Hopital Kufstein, Kufstein, Austria, 24Rheumatology, Mayo Clinic Florida, Jacksonville, FL, 25Rheumatology, Hospital for Special Surgery, New York, NY, 26Department of Rheumatology, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom, 27Rheumatology, Hospital of Southern Norway Trust, Kristiansand, Norway, 28Charité - Universitätsmedizin Berlin, Berlin, Germany, 29Rheumatology, National Institute of Rheumatology and Physiotherapy, Budapest, Hungary, 30Sahlgenska University Hospital, Goteborg, Sweden, 31Ambulatorio Medicina Generale, Bibbiano, Italy, 32Clinical Research Center for Rheumatic Diseases, NHO Kumamoto Saishunsou National Hospital, Kumamoto, Japan, 33Rheumatology, Hospital Universitario Marqués de Valdecilla. IFIMAV., Santander, Spain, 34Vasculitis Research Unit, Department of Autoimmune Diseases, Hospital Clínic University of Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain, 35Med Ctr Rheumatology Berlin Buch, Immanuel Krankenhaus Berlin, Berlin, Germany, 36Research Laboratory and Academic Division of Clinical Rheumatology, Department of Internal Medicine, University of Genova, Genoa, Italy, 37Internal medicine, Innsbruck Medical University, Innsbruck, Austria, 38Rheumatology, Arcispedale S Maria Nuova-IRCCS, Reggio Emilia, Italy, 39Rheumatology, Mayo Clinic, Rochester, MN, 40Southend University Hospital, Essex, United Kingdom

    Background/Purpose: To explore similarities and differences between rheumatologists (rheum), general practitioners (GP) and patients (pt) regarding the relevance of outcome parameters in polymyalgia rheumatica (PMR).Methods:…
  • Abstract Number: 1663 • 2013 ACR/ARHP Annual Meeting

    Obese Polymyalgia Rheumatica Patients Experience More Pain and Disability and Need Higher Doses Of Glucocorticoids

    Marco A. Cimmino1, Bhaskar Dasgupta2, Cynthia S. Crowson3, Michael Schirmer4, Christian Dejaco5, Carlo Salvarani6 and Eric L. Matteson7, 1Research Laboratory and Academic Division of Clinical Rheumatology, Department of Internal Medicine, University of Genova, Genoa, Italy, 2Rheumatology, Southend University Hospital, Westcliff-on-Sea, United Kingdom, 3Department of Health Sciences Research, Mayo Clinic, Rochester, MN, 4Internal medicine, Innsbruck Medical University, Innsbruck, Austria, 5Department of Rheumatology and Immunology, Medical University Graz, Graz A-8036, Austria, 6Rheumatology, Arcispedale S Maria Nuova-IRCCS, Reggio Emilia, Italy, 7Rheumatology, Mayo Clinic, Rochester, MN

    Background/Purpose: Obesity is not only a risk factor for osteoarthritis but also for rheumatoid arthritis (RA). In obese RA patients, disease incidence is higher and…
  • Abstract Number: 1664 • 2013 ACR/ARHP Annual Meeting

    Lower Tissue Expression Of IL 6 In Patients With Giant Cell Arteritis Presenting With a Cranial Ischaemic Compication

    Lorraine O'Neill1, Jennifer McCormick2, Danielle Molloy1, Douglas J. Veale1, Conor Murphy3, Geraldine M. McCarthy4, Ursula Fearon2 and Eamonn S. Molloy1, 1Rheumatology, St. Vincent's University Hospital, Dublin 4, Ireland, 2Dublin Academic Medical Centre, Translational Rheumatology Research Group, Dublin, Ireland, 3Department of Ophthalmology, Royal Victoria Eye and Ear Hospital, Dublin, Ireland, 4Medicine/Rheumatology, Mater Misericordiae University Hospital, Dublin 7, Ireland

    Background/Purpose: Giant Cell Arteritis (GCA) is a granulomatous systemic vasculitis with a prediliction for the aorta and it’s extracranial branches.  The majority of the morbidity…
  • Abstract Number: 1623 • 2013 ACR/ARHP Annual Meeting

    Differential Methylation Of Interferon-Related Genes Is Associated With Anti-dsDNA Autoantibody Production In Systemic Lupus Erythematosus

    Sharon A. Chung1, Joanne Nititham2, Kimberly E. Taylor1, Emon Elboudwarej3, Hong L. Quach3, Lisa F. Barcellos3 and Lindsey A. Criswell2, 1University of California, San Francisco, San Francisco, CA, 2Department of Medicine, University of California, San Francisco, Rosalind Russell Medical Research Center for Arthritis, San Francisco, CA, 3Epidemiology, University of California, Berkeley, Berkeley, CA

    Background/Purpose: DNA methylation studies in systemic lupus erythematosus (SLE) have shown that SLE patients have less methylation in genes regulating the immune response compared to…
  • Abstract Number: 1624 • 2013 ACR/ARHP Annual Meeting

    Lupus Risk Alleles With High Ethnic Variability Worldwide Are Associated With Renal Disease In Hispanic Patients

    Belinda Waltman1, Kimberly E. Taylor2, Joanne Nititham3 and Lindsey A. Criswell3, 1Department of Medicine, University of California, San Francisco, San Francisco, CA, 2Department of Medicine, University of California, San Francisco, Rosalind Russell / Ephraim P. Engleman Rheumatology Research Center, San Francisco, CA, 3Department of Medicine, University of California, San Francisco, Rosalind Russell Medical Research Center for Arthritis, San Francisco, CA

    Background/Purpose: Systemic lupus erythematosus (SLE) disproportionately affects minority patients. Non-European ancestry is associated with more severe disease, and conversely, European ancestry is associated with a…
  • Abstract Number: 1625 • 2013 ACR/ARHP Annual Meeting

    Prolactin-Induced Interferon Regulatory Factor 1 Activation and Histone H4 Hyperacetylation In Monomac-6 Cells Correlating With Changes Seen In Monocytes From Systemic Lupus Erythematosus Patients

    Yiu Tak Leung1, Lihua Shi2, Kelly Maurer2, Li Song2, Michelle Petri3 and Kate Sullivan4, 1Medicine/Rheumatology, University of Pennsylvania, Philadelphia, PA, 2Immunology ARC 1216, The Children's Hospital of Philadelphia, Philadelphia, PA, 3Johns Hopkins University School of Medicine, Baltimore, MD, 4Allergy Immunology, The Children's Hospital of Philadelphia, Philadelphia, PA

    Background/Purpose: Epigenetic changes have been described in systemic lupus erythematosus (SLE) and offer a potential explanation for the chronicity of disease and missing heritability. Therapies…
  • Abstract Number: 1626 • 2013 ACR/ARHP Annual Meeting

    Genetic Alterations In Abnormal Neutrophils Isolated From Human Systemic Lupus Erythematosus Patients

    Namrata Singh1, Kayla Martin2, Mariana J. Kaplan3, Philip L. Cohen4 and Michael F. Denny5, 1Internal Medicine, Temple University, Philadelphia, PA, 2Microbiology and Immunology, Temple University, Philadelphia, PA, 3Systemic Autoimmunity Branch, National Institutes of Health/NIAMS, Bethesda, MD, 4Rheumatology, Temple University School of Medicine, Philadelphia, PA, 5Rheumatology, Temple University, Philadelphia, PA

    Background/Purpose: Human SLE patients have an abnormal population of neutrophils called low density granulocytes (LDGs). LDGs express the surface markers of mature neutrophils, yet their…
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