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  • Abstract Number: 2672 • 2012 ACR/ARHP Annual Meeting

    Genome-Wide Association Analysis Reveals Genetic Heterogeneity of Sjögren’s Syndrome (SS) According to Specific Subphenotypes and Ancestry

    Lindsey A. Criswell1, Kimberly E. Taylor2, Caitlin McHugh3, Cathy Laurie3, Kimberly Doheny4, Mi Y. Lam2, Joanne Nititham5, Laura Bierut6, Emily L. Harris7, Alan N. Baer8, Stephen Challacombe9, Yi Dong10, Hector Lanfranchi11, Morten Schiodt12, M. Srinivasan13, Susumu Sugai14, Hisanori Umehara15, Frederick B. Vivino16, Zhao Yan17, Stephen Shiboski2, Troy Daniels18, John S. Greenspan19, Caroline Shiboski19 and SICCA20, 1Rosalind Russell Medical Research Center for Arthritis, Department of Medicine, Division of Rheumatology, University of California, San Francisco, San Francisco, CA, 2University of California, San Francisco, San Francisco, CA, 3University of Washington, Biostatistics, Seattle, WA, 4Center for Inherited Disease Research, Baltimore, MD, 5Medicine, Rosalind Russell Medical Research Center for Arthritis, San Francisco, CA, 6Psychiatry, Washington University, St. Louis, MO, 7National Institute of Dental and Craniofacial Research, Bethesda, MD, 8Division of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 9Kings College London, London, United Kingdom, 10Dept of Rheumatology, Peking Univ Med Coll Hospital, East City Beijing, China, 11University of Buenos Aires, Buenos Aires, Argentina, 12Righospitalet, Copenhagen, Denmark, 13Aravind Eye Hospital, Madurai, India, 14Kanazawa Medical University, Ishikawa, Japan, 15Internal Medicine, Division of Hematology and Immunology, Kanazawa Medical University, Kanazawa, Japan, 16Medicine, Penn Presbyt Med Ctr, Philadelphia, PA, 17Department of Rheumatology, Peking Union Medical College Hospital, Beijing, China, 18Orofacial Sciences, Box 0422, UCSF Schools of Medicine & Dentistry, San Francisco, CA, 19Orofacial Sciences, University of California, San Francisco, San Francisco, CA, 20San Francisco, CA

    Background/Purpose: Our goal is to define the contribution of genetic factors to SS and related subphenotypes. Methods: We studied 2,459 participants in the Sjögren’s International…
  • Abstract Number: 2673 • 2012 ACR/ARHP Annual Meeting

    Sibling Relative Risk and Heritability of Sjögren’s Syndrome: A Nationwide Population Study in Taiwan

    Chang-Fu Kuo1, Matthew J. Grainge2, Kuang-Hui Yu3, Lai-Chu See4, Shue-Fen Luo3, Ana M. Valdes5, I-Jun Chou6, Hsiao-Chun Chang3, Weiya Zhang1 and Michael Doherty7, 1Academic Rheumatology, School of Clinical Sciences, University of Nottingham, Nottingham, United Kingdom, 2Division of Epidemiology and Public Health, School of Community Health Sciences, University of Nottingham, Nottingham, United Kingdom, 3Division of Rheumatology, Immunology and Allergy, Chang Gung Memorial Hospital, Taoyuan, Taiwan, 4Department of Public Health, College of Medicine, Chang Gung University, Taoyuan, Taiwan, 5Dept of Twin Research and Genetic Epidemiology, St. Thomas' Hospital, King's College London, Dept of Twin Research and Genetic Epidemiology, St. Thomas' Hospital, King's College London, London, United Kingdom, 6Department of Pediatrics, Chang Gung Memorial Hospital, Taoyuan, Taiwan, 7Academic Rheumatology, University of Nottingham, Nottingham, United Kingdom

    Background/Purpose: Although familial aggregation has been found in many autoimmune diseases, the evidence for familial aggregation in Sjögren’s syndrome is lacking. The aims of this…
  • Abstract Number: 2674 • 2012 ACR/ARHP Annual Meeting

    Cis-Expression Quantitative Trait Loci Analysis of Dysregulated Interferon-Pathway Genes Identifies HLA-C and OAS1 As Novel Candidates for Susceptibility to Sjögren’s Syndrome

    He Li1, John A. Ice2, Jennifer A. Kelly3, Indra Adrianto2, Stuart B. Glenn4, Kimberly S. Hefner5, Evan G. Vista6, Donald U. Stone7, Raj Gopalakrishnan8, Glen D. Houston9, David M. Lewis10, Michael Rohrer8, Pamela Hughes8, John B. Harley11, Courtney G. Montgomery2, James Chodosh7, James A. Lessard12, Juan-Manuel Anaya13, Barbara M. Segal14, Nelson L. Rhodus15, Lida Radfar16, Mark B. Frank17, R. Hal Scofield18, Christopher J. Lessard19 and Kathy Moser Sivils3, 1Arthritis and Clinical Immunology, Oklahoma Medical Research Foundation; University of Oklahoma Health Sciences Center, Oklahoma City, OK, 2Arthritis and Clinical Immunology Research Program, Oklahoma Medical Research Foundation, Oklahoma City, OK, 3Oklahoma Medical Research Foundation, Oklahoma City, OK, 4Arthritis and Clinical Immunology, Oklahoma Medical Research Foundation, Oklahoma City, OK, 5Hefner Eye Care and Optical Center, Oklahoma City, OK, 6Rheumatology and Clinical Immunology, University of Santo Tomas, Taguig City, Philippines, 7Ophthalmology, University of Oklahoma Health Sciences Center, Oklahoma City, OK, 8Diagnostic and Biological Sciences, University of Minnesota, Minneapolis, MN, 9Collage of Denistry, University of Oklahoma Health Sciences Center, Oklahoma City, OK, 10College of Dentistry, University of Oklahoma Health Sciences Center, Oklahoma City, OK, 11Division of Rheumatology and The Center for Autoimmune Genomics & Etiology, University of Cincinnati, Cincinnati Children's Hospital Medical Center; US Department of Veterans Affairs Medical Center, Cincinnati, OH, 12Valley Bone and Joint Clinic, Grand Forks, ND, 13School of Medicine and Health Sciences, Universidad del Rosario. Center for Autoimmune Diseases Research (CREA), Bogotá, Colombia, 14Rheumatology, Hennepin County Medical Center, Minneapolis, MN, 15University of Minnesota, Minneapolis, MN, 16University of Oklahoma Health Sciences Center, Oklahoma City, OK, 17Arthritis & Immunology, Oklahoma Medical Research Foundation, Oklahoma City, OK, 18Arthritis and Clinical Immunology Program, Oklahoma Medical Research Foundation, Oklahoma City, OK, 19Arthritis and Clinical Immunology Research Program, Oklahoma Medical Research Foundation; University of Oklahoma Health Sciences Center, Oklahoma City, OK

    Background/Purpose: Sjögren’s syndrome (SS) is a progressive autoimmune exocrinopathy characterized by symptoms of dry eyes and mouth present in 0.7-1% of Europeans. Dysregulation of interferon…
  • Abstract Number: 2675 • 2012 ACR/ARHP Annual Meeting

    Oral and Gut Microbiota Influence Immune Responses to Sjogren’s Syndrome Associated Antigen Ro60

    Agnieszka Szymula1, Barbara Szczerba1, Harini Bagavant1, Shu-Man Fu2 and Umesh Deshmukh3, 1Department of Medicine, University of Virginia, Charlottesville, VA, 2University of Virginia, Charlottesville, VA, 3Medicine, University of Virginia, Charlottesville, VA

    Background/Purpose: Autoantibodies reactive against Ro60 protein are often found in patients with Sjogren’s syndrome.  This study was undertaken to investigate the role of oral and…
  • Abstract Number: 2676 • 2012 ACR/ARHP Annual Meeting

    Long-Term Humoral Autoimmunity to Ro60 in Primary Sjögren’s Syndrome Is Driven by Clonal Succession

    Rhianna Lindop1, Isabell Bastian1, Georgia Arentz1, Lauren Thurgood1, Andrew Whyte1, Tim, K. Chataway2, Michael Jackson1 and Tom Gordon1, 1Immunology, Flinders Medical Centre and Flinders University, Adelaide, Australia, 2Human Physiology, School of Medicine, Flinders University, Adelaide, Australia

    Background/Purpose : Long-lived humoral autoimmunity to Ro60 is considered a hallmark of primary Sjögren’s syndrome (SS), but the mechanism by which this immunity is sustained over…
  • Abstract Number: 2677 • 2012 ACR/ARHP Annual Meeting

    IL-23 Controls Autoimmunity by Facilitating Clearance of Apoptotic Bodies in the Marginal Zone in Lupus-Prone BXD2 Mice

    Hao Li1, Hui-Chen Hsu2, Qi Wu3, PingAr Yang3, Jun Li4, Daniel Cua5, Mohamed Oukka6 and John D. Mountz7, 1Microbiology, University of Alabama at Birmingham, Birmingham, AL, 2Department of Medicine, Clinical Immunology & Rheumatology, University of Alabama at Birmingham, Birmingham, AL, 3Division of Clinical Immunology and Rheumatology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, 4Med - Immunology/Rheumatology, University of Alabama at Birmingham, Birmingham, AL, 5Discovery Research, Merck Research Laboratory, Palo Alto, CA, 6Pediatrics, Seattle, WA, 7Dept of Med/Rheumatology Div, University of Alabama at Birmingham, Birmingham, AL

    Background/Purpose: Failure to clear apoptotic bodies is a central pathogenic mechanism for SLE. We have observed that spontaneous systemic autoimmunity and lupus in BXD2 mice…
  • Abstract Number: 2678 • 2012 ACR/ARHP Annual Meeting

    Novel Nuclear Export Inhibitors Deplete Autoreactive Plasma Cells and Protect Mice with Lupus-Like Disease From Nephritis

    Teresa Owen1, Wensheng Wang1, Dilara McCauley2, Laura Strojny1, Jennifer Hossler1, Javier Rangel-Moreno3, Michael Kauffman2, Sharon Shacham4 and Jennifer H. Anolik5, 1Medicine- Allergy, Immunology, and Rheumatology, University of Rochester Medical Center, Rochester, NY, 2Karyopharm, Therapeutics Inc., Natick, MA, 3Medicine- Allergy, Immunology, and Rheumatology, University of Rochester, Rochester, NY, 4Karyopharm Therapeutics Inc., Natick, MA, 5Medicine- Allergy, Immunology and Rheumatology, University of Rochester Medical Center, Rochester, NY

    Background/Purpose:  Most therapies currently used to treat systemic lupus erythematosus (SLE) and B cell targeted therapies under development do not effectively target plasma cells and…
  • Abstract Number: 2679 • 2012 ACR/ARHP Annual Meeting

    Loss of Caspase 8 in Dendritic Cells Induces a Systemic Lupus Erythematosus-Like Disease That Is Independent of the Necroptosome

    Carla M. Cuda1, Alexander V. Misharin2, Rana Saber2, G. Kenneth Haines III3, Jack Hutcheson4, Chandra Mohan5 and Harris R. Perlman6, 1Medicine / Rheumatology, Northwestern University Feinberg School of Medicine, Chicago, IL, 2Medicine/Rheumatology, Northwestern University, Chicago, IL, 3Department of Pathology, Yale University, New Haven, CT, 4Internal Medicine - Rheumatic Diseases, University of Texas Southwestern Medical Center, Dallas, TX, 5Internal Medicine/Division of Rheumatology, University of Texas Southwestern Medical Center, Dallas, TX, 6Feinberg School of Medicine, Northwestern University, Chicago, IL

    Background/Purpose: Systemic lupus erythematosus (SLE) is a multi-organ, destructive autoimmune disease characterized by pathogenic autoantibodies.  Though it is accepted that dendritic cells (DCs) play an…
  • Abstract Number: 2680 • 2012 ACR/ARHP Annual Meeting

    Soluble Receptor for Advanced Glycation End Products Alleviates Nephritis in NZB/WF1 Mice

    Sang-Won Lee1, Kyu-Hyoung Park1, Sungha Park2, Ji-Hye Kim1, Sung-You Hong2, Soo Kon Lee3, Donghoon Choi2 and Yong-Beom Park4, 1Internal Medicine, Yonse University College of Medicine, Seoul, South Korea, 2Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea, 3Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea, 4Department of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea

    Background/Purpose: The receptor for advanced glycation end products (RAGE) is a pattern-recognition receptor that interacts with multiple ligands such as high mobility group box 1…
  • Abstract Number: 2681 • 2012 ACR/ARHP Annual Meeting

    Blocking the Serum Protease Inhibitor Activity of Plasminogen Activator Inhibitor-1 Protects Mice From Development of Glomerulonephritis in a Model of Lupus Nephritis

    Brian Naiman1, Tracy Delaney1, Lily Cheng2, Philip Brohawn2, Chris Morehouse2, Christopher Groves1, Isabelle de-Mendez3, Dominic Corkill4, Anthony Coyle5, Ronald Herbst1 and Jane Connor1, 1Respiration, Inflammation and Autoimmunity, MedImmune, LLC, Gaithersburg, MD, 2Translational Sciences, MedImmune, LLC, Gaithersburg, MD, 3Research, MedImmune, LLC, Cambridge, United Kingdom, 4Respiration, Inflammation and Autoimmunity, MedImmune, LLC, Cambridge, United Kingdom, 5Centers for Therapeutic Innovation, Pfizer, Inc. (formerly MedImmune LLC, Gaithersburg, MD, USA), Cambridge, MA

    Background/Purpose: Lupus nephritis is an autoimmune disorder which is characterized by extracellular matrix accumulation driven by immune complex deposition and in which thrombosis and sclerosis…
  • Abstract Number: 2682 • 2012 ACR/ARHP Annual Meeting

    Calcium/Calmodulin-Dependent Protein Kinase IV Suppresses IL-2 Production and Regulatory T Cell Activity in Systemic Lupus Erythematosus

    Tomohiro Koga1, Kunihiro Ichinose2, Masayuki Mizui3, José C. Crispín4 and George C. Tsokos4, 1Medicine/Rheumatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, 2Department of Immunology and Rheumatology, Unit of Translational Medicine, Department of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan, 3Division of Rheumatology, Department of Medicine,, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, 4Medicine/Rheumatology, BIDMC, Harvard Medical School, Boston, MA

    Background/Purpose: T cells from patients with SLE exhibit abnormal signaling upon TCR engagement and have an altered gene expression profile. Accordingly, the regulation of several transcription factors…
  • Abstract Number: 2683 • 2012 ACR/ARHP Annual Meeting

    Interferon-Associated Cytokine and Chemokine Expression in Patients with Serologically Active Clinically Quiescent (SACQ) Systemic Lupus Erythematosus (SLE)

    Amanda J. Steiman1, Murray B. Urowitz2, Dominique Ibanez2, Carolina Landolt-Marticorena3, Dafna D. Gladman4 and Joan E. Wither5, 1Rheumatology, Toronto Western Hospital and University of Toronto, Toronto, ON, Canada, 2Division of Rheumatology, University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 3Rheumatology, Toronto Western Hospital, University of Toronto, Toronto, ON, Canada, 4Centre for Prognosis Studies in The Rheumatic Diseases, Toronto Western Research Institute, University of Toronto, University Health Network, Toronto, ON, Canada, 51E420/Div of Rheumatology, Toronto Western Research Institute, Toronto Western Hospital, University of Toronto, Toronto, ON, Canada

    Background/Purpose: Interferon-α (IFN-α) plays a prominent pro-inflammatory role in SLE. Studies suggest clinical/serologic discordance may illuminate SLE pathophysiology: peripheral IFN-α production is blunted in autoantibody-producing,…
  • Abstract Number: 2684 • 2012 ACR/ARHP Annual Meeting

    Cerebrospinal Fluid IL-6 and Anti-NMDA Receptor NR2 Antibodies As Surrogate Markers for CNS Disease Severity in SLE

    Shunsei Hirohata, Yoshiyuki Arinuma and Eisuke Ogawa, Int Med/Rheumatol & Infec Dis, Kitasato University School of Medicine, Sagamihara, Japan

    Background/Purpose: Neuropsychiatric manifestations occur in approximately one-half of patients with SLE and may cause substantial impairment of quality of life as well as disability. Among…
  • Abstract Number: 2685 • 2012 ACR/ARHP Annual Meeting

    Overall and Cause Specific Mortality in Patients with Systemic Lupus Erythematosus. A Meta-Analysis of Observational Studies

    Marko Yurkovich1, Kateryna Vostretsova2 and J. Antonio Avina-Zubieta3, 1Department of Medicine, University of British Columbia, Vancouver, BC, Canada, 2University of British Columbia, Vancouver, BC, Canada, 3Rheumatology, Arthritis Research Centre of Canada/University of British Columbia, Richmond, BC, Canada

    Background/Purpose:  Systemic lupus erythematosus (SLE), is a chronic autoimmune condition. It has the potential to affect any organ system and can be associated with severe…
  • Abstract Number: 2646 • 2012 ACR/ARHP Annual Meeting

    Cost-Effectiveness of Tai Chi Mind-Body Exercise for the Treatment of Fibromyalgia

    John B. Wong1 and Chenchen Wang2, 1Medicine/Clinical Decision Making, Tufts Medical Center, Boston, MA, 2Division of Rheumatology, Tufts Medical Center, Boston, MA

    Background/Purpose:   Although fibromyalgia is associated with substantial annual direct medical and indirect productivity costs, the cost-effectiveness of treatments for fibromyalgia remains understudied. A randomized…
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