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  • ACR Meetings
  • Abstract Number: 1752 • 2012 ACR/ARHP Annual Meeting

    Depletion of CD4-Effector Memory T Cells and Clonally Expanded IgG4 Memory B Cells May Explain the Therapeutic Efficacy of Rituximab in IgG4-Related Disease: Studies Using Flow Cytometry and Single-Cell Sequencing

    Hamid Mattoo1, Arezou Khosroshahi2, Vinay Mahajan3, Mollie Carruthers2, John Stone3 and Shiv Pillai4, 1Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 2Rheumatology, Massachusetts General Hospital, Boston, MA, 3Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 4Oncology, Massachusetts General Hospital, Boston, MA

    Depletion of CD4-effector memory T cells and clonally expanded IgG4 memory B cells may explain the therapeutic efficacy of rituximab in IgG4-related disease: Studies using…
  • Abstract Number: 1753 • 2012 ACR/ARHP Annual Meeting

    A Rheumatoid Factor Paradox: Inhibition of Rituximab-Induced Complement Dependent Cytotoxicity of B Cells

    Jonathan D. Jones1, Irene Shyu2, Marianna M. Newkirk3 and William F. C. Rigby2, 1Rheumatology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, 2Rheumatology, Dartmouth-Hitchcock Med Ctr, Lebanon, NH, 3Medicine, McGill University Health Centr, Montreal, QC, Canada

    Background/Purpose:   Rheumatoid factor (RF) is an autoantibody directed against the Fc portion of IgG antibodies.  It is found in ~80% of patients with rheumatoid…
  • Abstract Number: 1754 • 2012 ACR/ARHP Annual Meeting

    Disruption of Dominant B-Cell and Plasma Cell Clones in Rheumatoid Arthritis Synovium by Rituximab Correlates with Treatment Response

    Marieke E. Doorenspleet1, Paul L. Klarenbeek1, Maartje J. Boumans1, Rogier M. Thurlings2, Rebecca E. Esveldt1, Barbera D. van Schaik3, Antoine H. van Kampen3, Danielle M. Gerlag4, Frank Baas5, Paul-Peter Tak1, Robert M. Plenge6 and Niek de Vries1, 1Division of Clinical Immunology and Rheumatology, Academic Medical Center of the University of Amsterdam, Amsterdam, Netherlands, 2Clinical Immunology & Rheumatology, Academic Medical Center/University of Amsterdam, Amsterdam, Netherlands, 3Department of Bioinformatics, Academic Medical Center of the University of Amsterdam, Amsterdam, Netherlands, 4Division of Clinical Immunology and Rheumatology, Academic Medical Center/University of Amsterdam, Amsterdam, Netherlands, 5Department of Genome Analysis, Academic Medical Center of the University of Amsterdam, Amsterdam, Netherlands, 6Division of Rheumatology, Immunology and Allergy and Division of Genetics, Brigham and Women's Hospital, Boston, MA

    Background/Purpose: Autoreactive B lymphocytes are thought to play an important role in rheumatoid arthritis (RA). B-cell depletion therapy by rituximab (RTX) has shown that targeting…
  • Abstract Number: 1755 • 2012 ACR/ARHP Annual Meeting

    The Alternative ΔCD20 Transcript Variant Is Not Expressed in B Cells and Synovial Tissue From Patients with Rheumatoid Arthritis

    Clémentine Gamonet1, Marina Deschamps2, Béatrice Gaugler3, Philippe Saas4, Isabelle Auger5, Christophe Ferrand4, Eric Toussirot6 and CIC BT5067, 1INSERM UMR1098/ Etablissement Français du Sang / Université de Franche Comté, France, 2INSERM UMR1098 / Etablissement Français du Sang/ Université de Franche Comté, Besançon, France, 3EFS Bourgogne Franche Comté, INSERM UMR1098 / Etablissement Français du Sang / Université de Franche Comté, Besançon, France, 4Etablisement Français du Sang ; Université de Franche Comté, INSERM UMR1098, Besançon, France, 5Université Aix Marseille II, INSERM UMR1097, Marseille, France, 6University Hospital, CIC Biotherapy 506 and Rheumatology and EA 4266 Pathogens and Inflammation, Besançon, France, 7Chru, Clinical Investigation Center Biotherapy 506, Besançon, France

    Background/Purpose: determining predictive factors for response to biologics may help to select appropriate treatment in patients with RA. Rituximab (RTX) is a chimeric monoclonal antibody…
  • Abstract Number: 1756 • 2012 ACR/ARHP Annual Meeting

    Peripheral Blood B Cell Subsets and BAFF/APRIL Receptor Expression, Together with Circulating BAFF and APRIL Levels, Are Disturbed in Rheumatoid Arthritis but Not in Ankylosing Spondylitis

    Béatrice Gaugler1, Caroline Laheurte2, Ewa Bertolini3, Daniel Wendling4, Philippe Saas5, Eric Toussirot6 and CIC BT5067, 1EFS Bourgogne Franche Comté, INSERM UMR1098 / Etablissement Français du Sang / Université de Franche Comté, Besançon, France, 2Etablissement Français du Sang/ Université de Franche Comté / CBT506 / CHRU, INSERM UMR1098 / Plateforme Biomonitoring, Besançon, France, 3University Hospital, Rheumatology, Besançon, France, 4Service de Rhumatologie, Minjoz University Hospital, Besancon, France, 5Etablisement Français du Sang ; Université de Franche Comté, INSERM UMR1098, Besançon, France, 6Université de Franche Comté , CHRU, CIC Biotherapy 506 and Rheumatology and EA 4266 Pathogens and Inflammation, Besançon, France, 7Chru, Clinical Investigation Center Biotherapy, Besançon, France

    Background/Purpose: B cells play a critical role in systemic autoimmune disease and especially rheumatoid arthritis (RA). BAFF and APRIL are involved in B cell activation…
  • Abstract Number: 1757 • 2012 ACR/ARHP Annual Meeting

    B Cell Activating Factor Receptor Expression After Rituximab: Comparison of Patients with Rheumatoid Arthritis and Thrombotic Thrombocytopenic Purpura

    Elena Becerra1, Maria J. Leandro1, Edward O. Heelas2, John P. Westwood2, Inmaculada de la Torre3, Marie A. Scully2 and Geraldine Cambridge1, 1Rheumatology, Rheumatology, University College London, London, United Kingdom, 2Hematology, Hematology, University College London, London, United Kingdom, 3Rheumatology, Rheumatology, Gregorio Marañón Hospital, Madrid, Spain

    Background/Purpose: B cell depletion therapy based on rituximab (RTX) is an effective therapy for Rheumatoid Arthritis (RA) and for Thrombotic Thrombocytopenic Purpura (TTP). Serum B…
  • Abstract Number: 1717 • 2012 ACR/ARHP Annual Meeting

    Autologous Lipostructure in the Treatment of Fibrotic Perioral Changes in Systemic Sclerosis: A Pilot Study

    Nicoletta Del Papa1, Fabio Caviggioli2, Domenico Sambataro3, Eleonora Zaccara1, Gabriele Di Luca4, Valeriano Vinci2 and Marco Klinger5, 1UOC Day Hospital Reumatologia, G. Pini Hospital, Milano, Italy, 2UOC Chirurgia Plastica,, UOC Chirurgia Plastica, Multimedica Holding SpA, Università degli Studi di Milano, Milano, Italy, 3UOC Day Hospital Reumatologia,, G. Pini Hospital, Milano, Italy, 4UOS Chirurgia Vascolare,, Osp. G. Pini, Milano, Italy, 5UOC Chirurgia Plastica 2, Istituto Clinico Humanitas, Università degli Studi di Milano;, Milano, Italy

    Background/Purpose: Systemic Sclerosis (SSc) is an autoimmune disease characterized by varying degree of fibrosis in skin and other tissues. Therapeutic options for fibrotic changes are very…
  • Abstract Number: 1718 • 2012 ACR/ARHP Annual Meeting

    Cost Effectiveness of Nurse-Led Care for People with Rheumatoid Arthritis: A Multicentre RCT

    Mwidimi Ndosi1, Martyn Lewis2, Claire Hale3, Howard Bird4, Sarah Ryan2, Helen Quinn4, Elizabeth McIvor5, Julia Taylor6, Gail Burbage7, Deborah Bond8, Jo White9, Debbie Chagadama10, Sandra Green11, Lesley Kay12, Adrian V. Pace13, Victoria Bejarano14, Paul Emery15 and Jackie Hill16, 1Division of Rheumatic and Musculoskeletal Disease, University of Leeds, Leeds, United Kingdom, 2Keele University, Staffordshire, United Kingdom, 3School of Healthcare, University of Leeds, Leeds, United Kingdom, 4University of Leeds, Leeds, United Kingdom, 5Stobhill Hospital, Glasgow, UK, Glasgow, United Kingdom, 6Rheumatology Centre, Poole Hospital NHS Trust, Poole, United Kingdom, 7King's Mill Hospital, Mansfield, United Kingdom, 8Queen Elizabeth Hospital King's Lynn, King's Lynn, United Kingdom, 9Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom, 10Rheumatology, Royal London Hospital, London, United Kingdom, 11Rheumatology, Weston General Hospital, Weston-Super-Mare, United Kingdom, 12Department of Rheumatology, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, United Kingdom, 13Rheumatology, Russells Hall Hospital, Dudley, United Kingdom, 14Rheumatology, Barnsley Hospital, Barnsley, United Kingdom, 15Medicine, Leeds Musculoskeletal Biomedical Research Unit, Leeds, United Kingdom, 16Acumen, University of Leeds, Leeds, United Kingdom

    Background/Purpose: Despite the establishment of the innovative rheumatology nurse-led clinics (NLC) in the UK, the evidence of their cost-effectiveness is unknown. This study aimed at…
  • Abstract Number: 1719 • 2012 ACR/ARHP Annual Meeting

    What Do Patients Put up with for the Benefit They Get From Methotrexate?

    Sandra M. Robinson1, Peta S. Heslop1 and David Walker2, 1R&D, North Tyneside General Hospital, North Shields, United Kingdom, 2Dept of Rheumatology, Freeman Hospital, Newcastle Upon Tyne, United Kingdom

    Background/Purpose: As with all effective drugs, Methotrexate (MTX) comes with a range of side effects. Some such as pneumonitis are severe enough to require the…
  • Abstract Number: 1720 • 2012 ACR/ARHP Annual Meeting

    Cardiovascular Risk Management in Rheumatoid Arthritis Is Nurse Led Intervention Effective?

    Fiona Niddrie1 and Gabor AC Major2, 1Rheumatology, Bone and Joint Institute; Royal Newcastle Centre, Newcastle, Australia, 2Rheumatology, Bone&Joint Institute; Royal Newcastle Centre, Newcastle, Australia

    Background/Purpose: There is a recognised increase in the incidence of heart disease in patients with rheumatoid arthritis (RA) Surveys of usual practice however frequently show…
  • Abstract Number: 1721 • 2012 ACR/ARHP Annual Meeting

    Development of User-Focused Standards of Care for Rheumatoid Arthritis the Www.Eumusc.Net Project – Work Package 5

    Michaela Stoffer1, Josef S. Smolen2, Anthony D. Woolf3, Tanja A. Stamm4 and EUMUSC.net working group WP 55, 1Internal Medicine III, division of rheumatology, Medical University of Vienna, Vienna, Austria, 2Division of Rheumatology, Department of Internal Medicine III,, Medical University of Vienna and Hietzing Hospital, Vienna, Austria, 3Rheumatology Dept, Royal Cornwall Hospital, Truro Cornwall, United Kingdom, 4Rheumatology, Medical University of Vienna, Vienna, Austria, 5Royal Cornwall Hospital Treliske, Truro Cornwall, United Kingdom

    Background/Purpose: The EUMUSC.net project facilitates cooperation between EU Member States and promotes a comprehensive European strategy to optimise musculoskeletal health.The purpose of Work package 5,…
  • Abstract Number: 1722 • 2012 ACR/ARHP Annual Meeting

    Exploring How Patients with Rheumatoid Arthritis Use a Methotrexate Decision Aid for Making Treatment Choices

    Linda C. Li1, Anne F. Townsend2, Paul M. Adam3, Catherine L. Backman4, Sydney Brooks5, Gwen A. Ellert6, Allyson Jones7, Otto Kamensek8, Cheryl Koehn9, Diane Lacaille8, Jenny Leese2, Colleen Maloney8, Elaine Yacyshyn10, Charlene Yousefi8 and Dawn Stacey11, 1Department of Physical Therapy, University of British Columbia, Vancouver, BC, Canada, 2Rheumatology, Arthritis Research Centre of Canada, Richmond, BC, Canada, 3Rheumatology Liaison, Mary Pack Arthritis Centre, Vancouver, BC, Canada, 4Occupational Science & Occupational Therapy, The University of British Columbia, Vancouver, BC, Canada, 5The Arthritis Society, Ontario Division, Toronto, ON, Canada, 6Health Education, Trelle Enterprises Inc, Vancouver, BC, Canada, 7Department of Physical Therapy, University of Alberta, Edmonton, AB, Canada, 8Arthritis Research Centre of Canada, Vancouver, BC, Canada, 9Arthritis Consumer Experts, Vancouver, BC, Canada, 10562 Heritage Med Rsch Ctr, University of Alberta, Edmonton, AB, Canada, 11School of Nursing, University of Ottawa, Ottawa, ON, Canada

    Background/Purpose: For patients with rheumatoid arthritis (RA), making treatment decisions can be overwhelming. The literature describes a sense of ambivalence among patients with chronic diseases…
  • Abstract Number: 1723 • 2012 ACR/ARHP Annual Meeting

    The Development of the Rheumatoid Arthritis Patient Priorities in Pharmacological Intervention Outcome Measures

    Tessa Sanderson1, John R. Kirwan2, Marianne Morris1, Jon Pollock3, Robert Noddings2, Anne Watts2 and Sarah Hewlett4, 1University of the West of England, Bristol, United Kingdom, 2Academic Rheumatology Unit, Bristol Royal Infirmary, Bristol, United Kingdom, 3Faculty of Health and Life Sciences, University of the West of England, Bristol, United Kingdom, 4Academic Rheumatology, University of the West of England, Bristol, United Kingdom

    Background/Purpose: Previous research developed a set of 8 priority treatment outcomes generated by patients to complement the professionally developed ACR core set for RA. These…
  • Abstract Number: 1724 • 2012 ACR/ARHP Annual Meeting

    Pandemic Influenza Immunization in Primary Antiphospholipid Syndrome (PAPS): A Trigger to Autoantibody Production?

    Danielle M. Medeiros1, Cleonice Bueno2, Ana Cristina M. Ribeiro1, Ana L. G. Calich1, Karina Rossi Bonfiglioli3, Vilma S. Viana1, Jozelio F. Carvalho4, Clovis Artur Silva5 and Eloisa Bonfá6, 1Division of Rheumatology, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, 2Division of Rheumatology, Faculdade de Medicina da Universidade de São Paulo, Sao Paulo, Brazil, 3Divison of Rheumatology, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, 4Rheumatology, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, 5Paediatric Rheumatology International Trials Organization (PRINTO), Istituto Giannina Gaslini, Genova, Italy, 6Rheumatology Division, University of Sao Paulo, Sao Paulo, Brazil

    Background/Purpose: There are scarce data suggesting that pandemic influenza vaccination may induce antiphospholipid (APL) autoantibodies in inflammatory rheumatic diseases, particularly in systemic lupus erythematosus patients.…
  • Abstract Number: 1725 • 2012 ACR/ARHP Annual Meeting

    ANTI-Factor Xa Antibodies ARE Significantly Increased in Patients with Systemic LUPUS Erythematosus and Antiphospholipid Syndrome

    Bahar Artim-Esen1, Charis Pericleous2, Ian Mackie3, Yiannis Ioannou4, Anisur Rahman5, David A. Isenberg6 and Ian Giles5, 1Division of Medicine, Centre for Rheumatology, University College London, London, United Kingdom, 2Centre for Rheumatology, Division of Medicine, Centre for Rheumatology, University College London, London, United Kingdom, 3Haemostasis Research Unit, 1st Floor, 51 Chenies Mews, Haemostasis Research Unit, University College London, London, United Kingdom, 4Arthritis Research UK Centre for Adolescent Rheumatology at University College London, Great Ormond Street Hospital and UCLH, University College London, London, United Kingdom, 5Centre for Rheumatology Research,Rayne Institute, 4th Floor, University College London, London, United Kingdom, 6Centre for Rheumatology Research, Rayne Building, 4th Floor, Centre for Rheumatology, Department of Medicine, University College London, London, United Kingdom

    Background/Purpose: Increased levels of antibodies against different serine proteases (SP) have been identified in patients with the Antiphospholipid Syndrome (APS) compared with healthy controls. These…
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