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  • Abstract Number: 744 • 2013 ACR/ARHP Annual Meeting

    Relationship Between Infectious Side Effects and Immunoglobulin Levels In The Maintenance Rituximab Vs Azathioprine For ANCA-Associated Vasculitides Trial

    Loic Guillevin1, Christian Pagnoux2, Alexandre Karras3, Chahera Khouatra4, Olivier Aumaître5, Pascal Cohen6, Olivier Decaux7, Hélène Desmurs-Clavel8, Pierre Gobert9, Thomas Quemeneur10, Claire Blanchard-Delaunay11, Pascal Godmer12, Xavier Puechal13, Pierre-Louis Carron14, Pierre-Yves Hatron15, Nicolas Limal16, Mohamed Hamidou17, Francois Maurier18, Thomas Papo19, Matthias Büchler20, Bernard Bonnotte21, Philippe Ravaud22 and Luc Mouthon23, 1Internal Medicine, Division of Internal Medicine, Hôpital Cochin, University Paris Descartes, Paris, France, 2Internal Medicine, Hôpital Cochin, PARIS, France, 3Nephrology, Hôpital Européen Georges Pompidou, APHP, Paris, France, 4CHU Lyon, Lyon, France, 5Division of internal Medicine, Centre Hospitalier Universitaire, Hôpital Gabriel Montpied, Clermont–Ferrand, Clermont–Ferrand, France, 6National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, Paris, France, 7Department of Internal Medicine, Rennes University Hospital, Rennes, France, 8University of Lyon, LYON, France, 9Nephrology, Centre Hospitalier d'Avignon, Avignon, France, 10Internal medicine, CHR de Valenciennes, Valenciennes, France, 11Internal Medicine, Hôpital de Niort, Niort, France, 12Department of Internal Medicine, Centre Hospitalier Bretagne Atlantique de Vannes, Vannes, France, 13Department of Internal Medicine, Referral Center for Rare Autoimmune and Systemic Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France, 14Internal Medicine, Centre Hospitalier de Grenoble, Grenoble, France, 15Department of Internal Medicine, Claude Huriez University Hospital, Lille, France, 16Department of Internal Medicine, Hôpital Henri Mondor, APHP, Creteil, France, 17Internal Medicine Department, Nantes University Hospital, Nantes, France, 18HP Metz Belle Isle Hospital, Department of Internal Medicine, Metz, France, 19Internal Medicine, University Paris-7, INSERM U699, APHP, Bichat Hospital, Paris, France, 20Nephrology, University Hospital of Tours, TOURS, France, 21Department of Internal Medicine, Centre Hospitalier de Dijon, Dijon, France, 22Epidemiology, Hopital Hotel Dieu, Paris Descartes University, Paris, France, 23Department of Internal Medicine, Referral Center for Rare Autoimmune and Systemic Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France, Paris, France

    Background/Purpose: MAINRITSAN trial (NCT 00748644) results demonstrated that 500 mg of rituximab (RTX) every 6 months was superior to azathioprine (AZA) to maintain ANCA-associated–vasculitis (AAV)…
  • Abstract Number: 745 • 2013 ACR/ARHP Annual Meeting

    Rate Of Infection and Development Of Malignancy In Patients With ANCA-Associated Vasculitis Treated With Rituximab: A Meta-Analysis From Randomized Trials

    Carolina Mejia-Otero1, Carlos J. Lozada2 and Luis Arias-Urdaneta3, 1Internal Medicine, Mount Sinai Medical Center, Miami, FL, 2Dept of Medicine/Rheumatology, University of Miami Miller School of Medicine, Miami, FL, 3Rheumatology, Mount Sinai Medical Center, Miami Beach, FL

    Background/Purpose: Over the past 40 years failures to achieve remission in a proportion of patients and the potential development of significant adverse effects have been…
  • Abstract Number: 746 • 2013 ACR/ARHP Annual Meeting

    Glucocorticoid Treatment and Damage In The Antineutrophil- Cytoplasm Antibody Associated Vasculitides

    Joanna Robson1, Helen Doll2, Ravi Suppiah3, Oliver Flossmann4, Lorraine Harper5, Peter Hoglund6, David Jayne7, Alfred Mahr8, Kerstin Westman9 and Raashid A. Luqmani10, 1Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences, Botnar Research Centre, University of Oxford, Oxford, United Kingdom, 2Department of Population Health, University of East Anglia, Norwich, United Kingdom, 3Department of Rheumatology, Auckland District Health Board, Auckland, New Zealand, 4Nephrology, Royal Berkshire Hospital, Reading, United Kingdom, 5Nephrology, University of Birmingham, Birmingham, United Kingdom, 6Competence Centre fo Clinical Research, Skane University Hospital, Lund, Sweden, 7Vasculitis and Lupus Clinic, Addenbrookes Hospital University of Cambridge, Cambridge, United Kingdom, 8Department of Internal Medicine, Hospital Saint-Louis, Paris, France, 9Nephrology and Transplantation, Skåne University Hospital Malmö, Lund University, Malmö, Sweden, 10Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Science, University of Oxford, Oxford, United Kingdom

    Background/Purpose: Granulomatosis with polyangiitis [Wegener's] (GPA) and microscopic polyangiitis (MPA) are antineutrophil-cytoplasm antibody associated vasculitides (AAVs). Damage is quantified by the Vasculitis Damage Index (VDI).…
  • Abstract Number: 747 • 2013 ACR/ARHP Annual Meeting

    Efficacy Of Glucocorticoids To Treat Limited Flares In ANCA-Associated Vasculitis

    Eli Miloslavsky1, Ulrich Specks2, Peter A. Merkel3, Philip Seo4, Robert F. Spiera5, Carol A. Langford6, Gary S. Hoffman7, Cees G.M. Kallenberg8, E. William St. Clair9, Nadia Tchao10, Linna Ding11, David Ikle12, Brett Jepson12, Paul Brunetta13 and John H. Stone14, 1Division of Rheumatology, Massachusetts General Hopsital, Boston, MA, 2Mayo Clinic, Rochester, MN, 3Division of Rheumatology, Vasculitis Center, University of Pennsylvania, Philadelphia, PA, 4Rheumatology Division, Johns Hopkins Vasculitis Center, Johns Hopkins University, Baltimore, MD, 5Rheumatology, Hospital for Special Surgery, New York, NY, 6Center for Vasculitis Care and Research, Cleveland Clinic, Cleveland, OH, 7Center for Vasculitis Care and Research, Cleveland Clinic Foundation, Cleveland, OH, 8Rheumatology and Clinical Immunology, University Medical Center Groningen, Groningen, Netherlands, 9Medicine, Duke University Medical Center, Durham, NC, 10Immune Tolerance Network, Bethesda, MD, 11NIAID, Bethesda, MD, 12Rho, Chapel Hill, NC, 13Biotherapeutics, Genentech, So San Francisco, CA, 14Rheumatology, Massachusetts General Hospital, Boston, MA

    Background/Purpose: The great majority of patients with granulomatosis with polyangiitis (GPA) and microscopic polyangiitis (MPA) achieve disease remission initially, but relapses occur in up to…
  • Abstract Number: 715 • 2013 ACR/ARHP Annual Meeting

    Protein Phosphatase 5 (PP5) Regulates Methylation Sensitive Gene Expression In CD4+ T Cells

    Dipak R. Patel, Gabriela Gorelik and Bruce C. Richardson, Internal Medicine, University of Michigan, Ann Arbor, MI

    Background/Purpose: CD4+CD28- T cells are enriched in chronic inflammatory diseases like rheumatoid arthritis (RA) and lupus.  They are cytotoxic and resistant to apoptosis.  Compared to…
  • Abstract Number: 707 • 2013 ACR/ARHP Annual Meeting

    Different Location and Extent Of Impaired Perfusion Of The Choroid Plexus In Primary and Secondary Raynaud’s Phenomenon

    Francesca Ingegnoli1, Roberta Gualtierotti2, Luisa Pierro3, Elisabetta Miserocchi4, Giulio Modorati5, Claudia Del turco3, Marco Gagliardi3, Giuseppe Parrinello6, Tommaso Schioppo2 and Pier Luigi Meroni7, 1Dept. of clinical sciences and community health, Rheumatology, Istituto G. Pini, University of Milan, Milano, Italy, 2Dept. of clinical sciences and community health, Division of Rheumatology, Istituto G. Pini, University of Milan, Milano, Italy, 3Department of Ophthalmology, Vita-Salute University, San Raffaele Scientific Institute, Milano, Italy, 4Department of Ophthalmology, Scientific Institute San Raffaele, University Vita-Salute, Milan, Italy, 5San Raffaele Scientific Institute, Ocular immunology and uveitis service, Milano, Italy, 6Department of Ophthalmology,, Vita-Salute University, San Raffaele Scientific Institute, Milano, Italy, 7Division of Rheumatology, Gaetano Pini Institute, Milano, Italy

    Background/Purpose: Raynaud’s phenomenon (RP) is a disorder characterized by systemic vascular dysregulation which has been related with vasospasms and retinal blood flow abnormalities. Nevertheless among…
  • Abstract Number: 708 • 2013 ACR/ARHP Annual Meeting

    Intravenous Immunoglobulin May Be An Effective Therapy In Scleroderma Patients With Refractory Active Diffuse Cutaneous Disease

    Corrie Poelman1, Laura K. Hummers2, Fredrick M. Wigley2, Cynthia Anderson1, Francesco Boin2 and Ami A. Shah2, 1Johns Hopkins University School of Medicine, Baltimore, MD, 2Division of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD

    Background/Purpose: A subset of patients with active diffuse cutaneous scleroderma has refractory disease despite traditional immunosuppressive therapy. In this retrospective observational study, we investigated whether…
  • Abstract Number: 709 • 2013 ACR/ARHP Annual Meeting

    Nilotinib (Tasigna™) In The Treatment Of Early Diffuse Systemic Sclerosis: A Single Group, Open Label Pilot Clinical Trial – One Year Results

    Jessica K. Gordon1, Cynthia Magro2, Uzunma Udeh1, Daniele Lerner1, Horatio F. Wildman3, Wei-Ti Huang4, Mary K. Crow5 and Robert F. Spiera1, 1Rheumatology, Hospital for Special Surgery, New York, NY, 2Dermatopathology, Weill-Cornell Medical Center, New York, NY, 3Dermatology, Weill-Cornell Medical Center, New York, NY, 4Biostatistics, Hospital for Special Surgery, New York, NY, 5Department of Medicine, Hospital for Special Surgery, New York, NY

    Background/Purpose: Tyrosine kinase inhibitors (TKI) are under investigation for the treatment of diffuse cutaneous Systemic Sclerosis (dcSSc.)  Nilotinib is a second-generation TKI which selectively antagonizes c-abl and…
  • Abstract Number: 710 • 2013 ACR/ARHP Annual Meeting

    Interleukin-6 Driven STAT3 Phosphorylation In Circulating Lymphocytes Is Specific For CD4+ T Cells In Early Rheumatoid Arthritis

    Amy E. Anderson1, Christine Routledge1, Philip Mawson2, John D. Isaacs3 and Arthur G. Pratt3, 1Institute of Cellular Medicine (Musculoskeletal Research Group), NIHR Newcastle Biomedical Research Centre, Newcastle Hospitals Foundation Trust and Newcastle University, Newcastle upon Tyne, United Kingdom, 2Musculoskeletal Directorate, The Freeman Hospital, Newcastle upon Tyne, United Kingdom, 3Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom

    Background/Purpose: Rheumatoid arthritis (RA) is a chronic, inflammatory autoimmune disease, caused by a breakdown in self tolerance. Robust biomarkers are needed which, as well having…
  • Abstract Number: 711 • 2013 ACR/ARHP Annual Meeting

    1,25(OH)2D3 Inhibits Th17 Cytokine Production and RORγt Expression Through GATA3/IL4-Dependent and -Independent Mechanisms

    Wendy Dankers1, Jan Piet van Hamburg2,3, Anne-Marie Mus1, Patrick S. Asmawidjaja1, Johannes van Leeuwen4, Rudi W. Hendriks5, Louis Boon6, Edgar Colin7 and Erik Lubberts1,8, 1Rheumatology, Erasmus MC, University Medical Center, Rotterdam, Netherlands, 2Rheumatology, Erasmus MC, Rotterdam, Netherlands, 3Immunology, Erasmus MC, University Medical Center, Rotterdam, Netherlands, 4Internal Medicine, Erasmus MC, University Medical Center, Rotterdam, Netherlands, 5Pulmonary Medicine, Erasmus MC, University Medical Center, Rotterdam, Netherlands, 6Bioceros, Utrecht, Netherlands, 7Department of Rheumatology, ZGT, Almelo, Netherlands, 8Erasmus Medical Center, Rheumatology, Rotterdam, Netherlands

    Background/Purpose: Vitamin D has suppressive effects on autoimmune diseases, such as rheumatoid arthritis (RA). One important mechanism of disease suppression by vitamin D is inhibition…
  • Abstract Number: 712 • 2013 ACR/ARHP Annual Meeting

    Increased IL-23 Receptor Expression Is Observed On KIR3DL2+ CD4+ T Cells In Ankylosing Spondylitis and Correlates With IL-23R Polymorphisms

    A. Ridley1, C. Cohen2, T. Karaderi2, S. Kollnberger3, I. Wong-Baeza3, J. Shaw3, P. Wordsworth3 and P. Bowness3, 1Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Science, University of Oxford, Oxford, United Kingdom, 2Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Science, University of Oxford, Oxford, United Kingdom, 3Nuffield 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: 713 • 2013 ACR/ARHP Annual Meeting

    Interferon Regulatory Factor 2 Haploinsufficiency Deteriorates Imiquimod-Induced Psoriasis-Like Skin Inflammation

    Takayuki Kimura1, Makoto Sugaya2, Makiko Kawaguchi1, Sohshi Morimura1, Hiraku Suga1 and Shinichi Sato3, 1Department of Dermatology, Faculty of Medicine, The University of Tokyo, Tokyo, Japan, 2Dermatology, University of Tokyo Graduate School of Medicine, Tokyo, Japan, 3Department of Dermatology, Faculty of Medicine, University of Tokyo, Tokyo, Japan

    Background/Purpose: Psoriasis is a T-cell-mediated immunological skin disease with a complex pathogenesis where both genetic and environmental factors are involved. Interferon regulatory factor (IRF)-2 is one…
  • Abstract Number: 714 • 2013 ACR/ARHP Annual Meeting

    Combination Blocking Of Interleukin-6 and Interleukin-21 In Experimental Arthritis Inhibits Their Redundant Role In T Helper 17-Driven Joint Pathology

    Debbie M. Roeleveld1, Marije I. Koenders2, Renoud J. Marijnissen1,3, Cheryl L. Nickerson-Nutter4, Fons A. van de Loo1 and Wim B. van den Berg5, 1Rheumatology Research and Advanced Therapeutics, Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands, 2Rheumatology Research and Advanced Therapeutics, Radboud University Nijmegen Medical Center, Nijmegen, Netherlands, 3Rheumatology and Clinical Immunology, University Medical Centre Utrecht, Utrecht, Netherlands, 4Immunology and Autoimmunity, Pfizer, Cambridge, MA, 5Rheumatology Research and Advanced Therapeutics, Department of Rheumatology, Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands

    Background/Purpose: Both IL-6 and IL-21 have been described to drive in vitro Th17 differentiation in the presence of TGF-β. We explored whether also in vivo…
  • Abstract Number: 716 • 2013 ACR/ARHP Annual Meeting

    The Active Metabolite Of Spleen Tyrosine Kinase Inhibitor Fostamatinib Abrogates The T Cell Priming Capacity Of Dendritic Cells

    Andrew Platt1, Ross McQueenie1, Robert Benson2, John Butcher1, Martin Braddock3, James M. Brewer4, Iain B. McInnes1 and Paul Garside1, 1Infection, Immunity and Inflammation, University of Glasgow, Glasgow, United Kingdom, 2Institute of Infection, Immunity and Inflammation, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, United Kingdom, 3AstraZeneca R&D Alderley Park, Macclesfield, United Kingdom, 4Institute of Infection, Immunity and Inflammation, University of Glasgow, Glasgow, United Kingdom

    Background/Purpose: Spleen tyrosine kinase (SYK) is a core signaling protein that drives inflammatory responses and is fundamental to the propagation of signals via numerous immune-receptors…
  • Abstract Number: 717 • 2013 ACR/ARHP Annual Meeting

    Patients With Rheumatoid Arthritis Have Impaired Candida Albicans Specific Th17 Responses But Preserved Oral Candida Albicans Protective Immunity

    Shrinivas Bishu1, E. Wern Su2, Erich Wikerson3, Donald M. Jones4, Kelly A. Reckley5, Sarah L. Gaffen3 and Marc C. Levesque6, 1Department of Medicine, Division of Gastroenterology, Hepatology and Nutrition, University of Pittsburgh, Pittsburgh, PA, 2Division of Rheumatology and Clinical Immunology, University of Pittsburgh, Pittsburgh, PA, 3Rheumatology and Clinical Immunology, University of Pittsburgh, Pittsburgh, PA, 4Rheumatology & Clinical Immunology, University of Pittsburgh, Pittsburgh, PA, 5Department of Medicine, Division of Rheumatology and Clinical Immunology, University of Pittsburgh School of Medicine, Pittsburgh, PA, 6Division of Rheumatology and Clinical Immunology, University of Pittsburgh Department of Medicine, Pittsburgh, PA

    Background/Purpose: Rheumatoid arthritis (RA) patients are susceptible to infections, even after controlling for the effects of medications.  Recent data suggest an important role for the…
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