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  • Abstract Number: 1500 • 2012 ACR/ARHP Annual Meeting

    Activation of Pregnane X Receptor Induces Regression of Experimental Dermal Fibrosis

    Christian Beyer1, Alla Skapenko2, Alfiya Distler3, Clara Dees4, Helena Reichert5, Louis E. Munoz3, Jan Leipe6, Hendrik Schulze-Koops7, Oliver Distler8, Georg Schett9 and Joerg HW Distler3, 1Department of Internal Medicine 3, Department of Internal Medicine 3 and Institute for Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany, 2Division of Rheumatology and Clinical Immunology, Med. Poliklinik,, University of Munich, Munich, Germany, 3Department of Internal Medicine III and Institute for Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany, 4Department of Internal Medicine 3 and Institute for Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany, 5Department of Internal Medicine 3, University of Erlangen-Nuremberg, Erlangen, Germany, 6Med. Poliklinik, University of Munich, Division of Rheumatology and Clinical Immunology, Munich, Germany, 7University of Munich, Munich, Germany, 8Division of Rheumatology, University Hospital Zurich, Zurich, Switzerland, 9Dept of Medicine 3, Rheumatology and Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany

    Background/Purpose: Pregnane-X-receptor (PXR) belongs to a superfamily of nuclear receptors that function as ligand-activated transcriptional factors. Although endogenous ligands have not yet been identified, PXR…
  • Abstract Number: 1501 • 2012 ACR/ARHP Annual Meeting

    Increased Periostin Levels in Patients with Systemic Sclerosis

    Yukie Yamaguchi1, Junya Ono2, Miho Masuoka3, Shoichiro Ohta4, Kenji Izuhara3, Zenro Ikezawa5, Michiko Aihara6 and Kazuo Takahashi6, 1Department of Environmental-immuno Dermatology, Yokohama City University Graduate School of Medicine, Yokohama, Japan, 2Shino-Test Corporation, Sagamihara, Japan, 3Department of Biomolecular Sciences, Saga Medical School, Saga, Japan, 4Department of Laboratory Medicine, Saga medical School, Saga, Japan, 5Dermatology, International University of Health and Welfare Atami Hospital, Atami, Japan, 6Environmental-immuno Dermatology, Yokohama City University Graduate School of Medicine, Yokohama, Japan

    Background/Purpose: Systemic sclerosis (SSc) results in significant morbidity and mortality due to organ fibrosis characterized by increased deposition of extracellular matrix (ECM). Periostin is one…
  • Abstract Number: 1502 • 2012 ACR/ARHP Annual Meeting

    Hedgehog Signaling in Murine Chronic Sclerodermatous Graft-Versus-Host Disease

    Pawel Zerr1, Katrin Palumbo-Zerr1, Alfiya Distler2, Michal Tomcik3, Stefan Vollath2, Louis E. Munoz2, Christian Beyer4, Clara Dees5, Friederike Egberts6, Ilaria Tinazzi7, Francesco Del Galdo8, Oliver Distler9, Georg Schett10, Bernd M. Spriewald11 and Joerg HW Distler2, 1Department of Internal Medicine 3 and Institute for Clinical Immunology, Department of Internal Medicine 3 and Institute for Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany, 2Department of Internal Medicine III and Institute for Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany, 3Institute of Rheumatology, Department of Rheumatology, 1st Faculty of Medicine, Charles University, Prague 2, Czech Republic, 4Department of Internal Medicine 3, Department of Internal Medicine 3 and Institute for Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany, 5Department of Internal Medicine 3 and Institute for Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany, 6Department of Dermatology, Department of Dermatology, Schleswig-Holstein University Hospital, Campus Kiel, Kiel, Germany, 7Unit of Rheumatology, Scleroderma Research Program, Leeds Institute of Molecular Medicine, Division of Musculoskeletal Diseases, University of Leeds, Leeds, United Kingdom, 8Musculoskeletal Diseases, Scleroderma Research Program, Leeds Institute of Molecular Medicine, Division of Musculoskeletal Diseases, University of Leeds, Leeds, United Kingdom, 9Department of Rheumatology, Center of Experimental Rheumatology and Zurich Center of Integrative Human Physiology, University Hospital Zurich, Zurich, Switzerland, 10Institute for Clinical Immunology, Department of Internal Medicine 3 and Institute for Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany, 11Department of Internal Medicine V, Department of Internal Medicine V, University of Erlangen-Nuremberg, Erlangen, Germany

    Background/Purpose: Sclerodermatous chronic graft-versus-host disease (cGvHD) is a prognosis limiting complication of allogeneic bone marrow transplantation. cGvHD can manifest on virtually every organ system. However,…
  • Abstract Number: 1503 • 2012 ACR/ARHP Annual Meeting

    Effect of Thiol Antioxidants On the Profibrotic Phenotype of Scleroderma Dermal Fibroblasts

    Pei-Suen Tsou1, Beatrix Balogh2, Adam J. Pinney2, Elena Schiopu3, Dinesh Khanna4 and Alisa E. Koch5, 1Internal Medicine, Division of Rheumatology, University of Michigan Medical Center, Ann Arbor, MI, 2University of Michigan Medical School, Ann Arbor, MI, 3Rheumatology/Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, 4Division of Rheumatology, University of Michigan Medical Center, Ann Arbor, MI, 5Internal Medicine - Rheumatology, University of Michigan Medical School, Ann Arbor, MI

    Background/Purpose: Systemic sclerosis (Scleroderma, SSc) is a connective tissue disease characterized by vasculopathy and fibrosis of the skin and organs. Increase in superoxide production and…
  • Abstract Number: 1504 • 2012 ACR/ARHP Annual Meeting

    A Possible Contribution of Visfatin to the Resolution of Skin Sclerosis in Patients with Diffuse Cutaneous Systemic Sclerosis Via a Direct Anti-Fibrotic Effect On Dermal Fibroblasts and Th1 Polarization of the Immune Response

    Tetsuo Toyama1, Yoshihide Asano2, Yuri Masui3, Sayaka Shibata2, Kaname Akamata1, Shinji Noda2, Naohiko Aozasa1, Takashi Taniguchi2, Takehiro Takahashi2, Yohei Ichimura2, Hayakazu Sumida2, Koichi Yanaba2, Takafumi Kadono2 and Shinichi Sato1, 1Department of Dermatology, University of Tokyo Graduate School of Medicine, Tokyo, Japan, 2Dermatology, University of Tokyo Graduate School of Medicine, Tokyo, Japan, 3Department of Dermatology, University of Tokyo, Tokyo, Japan

    Background/Purpose: Our latest studies have demonstrated that adipocytokines, including adiponectin, apelin, and retinol-binding protein-4, are potentially involved in the development of complicated clinical symptoms associated…
  • Abstract Number: 1505 • 2012 ACR/ARHP Annual Meeting

    Inactivation of Tankyrases Ameliorates Canonical Wnt Signaling and Prevents Experimental Fibrosis

    Alfiya Distler1, Lisa Deloch2, Jingang Huang2, Clara Dees2, Neng Yu Lin2, Christian Beyer3, Oliver Distler4, Georg A. Schett5 and Joerg HW Distler1, 1Department of Internal Medicine III and Institute for Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany, 2Department of Internal Medicine 3 and Institute for Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany, 3Department of Internal Medicine 3, Department of Internal Medicine 3 and Institute for Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany, 4Division of Rheumatology, University Hospital Zurich, Zurich, Switzerland, 5Dept of Medicine 3, Rheumatology and Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany

    Background/Purpose: Systemic sclerosis (SSc) is characterized by aberrant activation of fibroblasts with increased release of extracellular matrix components. Canonical Wnt signaling has recently emerged as…
  • Abstract Number: 1506 • 2012 ACR/ARHP Annual Meeting

    Primary Human Scleroderma Dermal Endothelial Cells Exhibit Defective Angiogenesis

    Pei-Suen Tsou1, Bradley J. Rabquer2, Beatrix Balogh2, Ann Kendzicky2, Bashar Kahaleh3, Elena Schiopu4, Dinesh Khanna5 and Alisa E. Koch6, 1Internal Medicine, Division of Rheumatology, University of Michigan Medical Center, Ann Arbor, MI, 2University of Michigan Medical School, Ann Arbor, MI, 3Medicine/Rheumatology, University of Toledo, Toledo, OH, 4Rheumatology/Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, 5Division of Rheumatology, University of Michigan Medical Center, Ann Arbor, MI, 6Internal Medicine - Rheumatology, University of Michigan Medical School, Ann Arbor, MI

    Background/Purpose: Angiogenesis, the formation of new blood vessels, plays a critical role in a number of pathological processes including systemic sclerosis (scleroderma, SSc). SSc is…
  • Abstract Number: 1507 • 2012 ACR/ARHP Annual Meeting

    Propylthiouracil Reduces Fibrosis in Chronic Oxidant Stress Mouse Model of Scleroderma

    Gianluca Bagnato1, Alessandra Bitto2, Natasha Irrera2, Gabriele Pizzino2, Neal Roberts3, Maurizio Cinquegrani4, Donatella Sangari1, Francesco Squadrito2, Gianfilippo Bagnato1 and Antonino Saitta4, 1Rheumatology, University of Messina, Messina, Italy, 2Pharmacology, University of Messina, Messina, Italy, 3Medical College of Virginia, Richmond, VA, 4Internal Medicine, University of Messina, Messina, Italy

    Background/Purpose: Systemic sclerosis (SSc) is characterized by fibrosis of skin and visceral organs; vascular damage and resultant ischemia; and immunological dysregulation manifested by autoantibodies. Hypothyroidism,…
  • Abstract Number: 1508 • 2012 ACR/ARHP Annual Meeting

    Simvastatin Attenuates Pulmonary Fibrosis in a Murine Model of Systemic Sclerosis

    Gianluca Bagnato1, Alessandra Bitto2, Natasha Irrera2, Gabriele Pizzino2, Donatella Sangari1, Maurizio Cinquegrani3, Neal Roberts4, Gianfilippo Bagnato1, Francesco Squadrito2 and Antonino Saitta3, 1Rheumatology, University of Messina, Messina, Italy, 2Pharmacology, University of Messina, Messina, Italy, 3Internal Medicine, University of Messina, Messina, Italy, 4Medical College of Virginia, Richmond, VA

    Background/Purpose: Simvastatin is best known for its antilipidemic action due to its inhibition of 3-hydroxy-3-methylglutaryl CoenzymeA (HMG CoA) reductase. Inhibition of biological precursors in this pathway also…
  • Abstract Number: 1509 • 2012 ACR/ARHP Annual Meeting

    Correlates of Skin Gene Expression Profile in Systemic Sclerosis

    Shervin Assassi1, Jeffrey T. Chang2, Filemon K. Tan1, Minghua Wu3, Gloria A. Salazar Cintora1, Irum Zaheer4, Dinesh Khanna5, Daniel Furst6 and Maureen D. Mayes7, 1Rheumatology, Univ of Texas Health Science at Houston, Houston, TX, 2Univ of Texas Health Science at Houston, Houston, TX, 3Rheumatology, University of Texas Health Science Center at Houston, Houston, TX, 4Methodist Hospital, Houston, TX, 5Division of Rheumatology, University of Michigan Medical Center, Ann Arbor, MI, 6Div of Rheumatology, UCLA Medical School, Los Angeles, CA, 7Internal Medicine/Rheumatology, Univ of Texas Health Science at Houston, Houston, TX

    Background/Purpose: Skin global gene expression profiling indicates presence of distinct gene expression signatures in patients with systemic sclerosis (SSc). We examine the correlation of the…
  • Abstract Number: 1510 • 2012 ACR/ARHP Annual Meeting

    Critical Role of the Adhesion Receptor Dnax Accessory Molecule-1 (DNAM-1) in the Development of Inflammation-Driven Dermal Fibrosis in Mouse Model of Systemic Sclerosis

    Jerome Avouac1, Muriel Elhai2, Michal Tomcik3, Manuel Friese4, Marco Colonna5, Günter Bernhardt6, Andre Kahan7, Gilles Chiocchia8, Joerg HW Distler9 and Yannick Allanore10, 1Paris Descartes University, Rheumatology A department, Cochin Hospital, Paris, France, 2Paris Descartes University, INSERM U1016, Institut Cochin, Sorbonne Paris Cité, Paris, France, 3Institute of Rheumatology, Department of Rheumatology, 1st Faculty of Medicine, Charles University, Prague 2, Czech Republic, 4Zentrum für Molekulare Neurobiologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany, 5Washington University, Department of Immunology, St. Louis, MO, 6Institute of Immunology, Hannover Medical School, Hannover, Germany, 7Rheumatology A Department, Cochin Hospital, APHP, Paris Descartes University, Paris, France, 8Immunology and Hematology Department, Institut Cochin - INSERM U1016 - CNRS (UMR 8104), Paris, France, 9Department of Internal Medicine III and Institute for Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany, 10Rheumatology, Paris Descartes University, Rheumatology A department, Cochin Hospital, Paris, France

    Background/Purpose: DNAX accessory molecule 1 (DNAM-1) is an adhesion factor involved in the adhesion and co-stimulation of T cells. DNAM-1 has been recently identified as…
  • Abstract Number: 1511 • 2012 ACR/ARHP Annual Meeting

    Low Circulating Endothelial Progenitor Cell Levels and High VEGF Serum Levels Are Associated with the Late Nailfold Capillaroscopic Pattern in Systemic Sclerosis

    Jerome Avouac1, Maeva Vallucci2, Vanessa Smith3, Barbara Ruiz2, Alberto Sulli4, Carmen Pizzorni5, Gilles Chiocchia6, Maurizio Cutolo7 and Yannick Allanore8, 1Paris Descartes University, Rheumatology A department, Cochin Hospital, Paris, France, 2Paris Descartes University, INSERM U1016, Institut Cochin, Sorbonne Paris Cité, Paris, France, 3Department of Rheumatology, Ghent University Hospital, Ghent, Belgium, 4Research Laboratory and Academic Unit of Clinical Rheumatology, Department of Internal Medicine, University of Genova, Genoa, Italy, 5Research Laboratory and Academic Division of Clinical Rheumatology, Department of Internal Medicine, University of Genova, Genoa, Italy, 6Immunology and Hematology Department, Institut Cochin - INSERM U1016 - CNRS (UMR 8104), Paris, France, 7Research Laboratory and Academic Unit of Clinical Rheumatology, Department of Internal Medicine, University of Genova, Genova, Italy, 8Rheumatology, Paris Descartes University, Rheumatology A department, Cochin Hospital, Paris, France

    Background/Purpose: To assess whether nailfold videocapillaroscopy (NVC) changes are associated with peripheral blood or serum levels of angiogenic biomarkers in systemic sclerosis (SSc). Methods: Endothelial…
  • Abstract Number: 1512 • 2012 ACR/ARHP Annual Meeting

    Bleomycin Delivery by Osmotic Pump: A Superior Model for Human ILD

    Rebecca Lee1, Michael Bonner2, Charles Reese2, Elena Tourkina3, Zoltan Hajdu2, Jing Zhang2, Richard Visconti2 and Stanley Hoffman2, 1Division of Rheumatology, Medical University of South Carolina, Charleston, SC, 2Medical University of South Carolina, Charleston, SC, 3Rheumatology, Medical University of SC, Charleston, SC

    Background/Purpose: Interstitial lung disease (ILD) represents a group of chronic, progressive, irreversible diseases associated with pulmonary fibrosis, including systemic sclerosis and idiopathic pulmonary fibrosis. In…
  • Abstract Number: 1513 • 2012 ACR/ARHP Annual Meeting

    TSLP Receptor Deficiency Reduces IL-13 Expression and Prevents Fibrosis in Experimental Scleroderma

    Alicia Usategui1, Vanessa Miranda1, Gabriel Criado2, Manuel J. Del Rey1, Elena Izquierdo1, Warren J. Leonard3 and Jose L. Pablos1, 1Servicio de Reumatología, Instituto de Investigación Hospital 12 de Octubre (I+12), Madrid, Spain, 2Grupo de Enfermedades Inflamatorias y Autoinmunes, Instituto de Investigación Hospital 12 de Octubre (I+12), Madrid, Spain, 3Laboratory of Molecular Immunology and Immunology Center, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD

    Background/Purpose: Systemic sclerosis (SSc) is an autoimmune disease characterized by progressive fibrosis of the skin and internal organs. Although SSc shares pathogenetic features with other…
  • Abstract Number: 1514 • 2012 ACR/ARHP Annual Meeting

    Differences in the Activation Levels and Expression Patterns of the Molecular Targets of Tyrosine Kinase Inhibitors May Account for the Heterogeneous Treatment Responses

    Britta Maurer1, Alfiya Akhmetshina2, Renate E. Gay3, Beat A. Michel3, Steffen Gay4, Joerg H. W. Distler2 and Oliver Distler3, 1Division of Rheumatology, University Hospital Zurich, Zurich, Switzerland, 2Department of Internal Medicine III and Institute for Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany, 3Department of Rheumatology and Center of Experimental Rheumatology, University Hospital Zurich, Zurich, Switzerland, 4Center of Experimental Rheumatology, University Hospital Zurich and Zurich Center of Integrative Human Physiology (ZIHP), Switzerland, Zurich, Switzerland

    Background/Purpose: In SSc, treatment responses to tyrosine kinase inhibitors (TKI) are less distinct compared to animal models. Therefore, we assessed whether the heterogeneous therapeutic effects…
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