ACR Meeting Abstracts

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  • Abstract Number: 0954 • ACR Convergence 2023

    Non-canonical WNTA Promotes Cytoskeletal Rearrangement and Integrin Alpha V Clustering via JNK and ROCK to Control the Activation of Latent TGFβ

    Thuong Trinh-Minh1, Chih-Wei Chen2, Cuong Tran Manh1, yi-nan Li1, Honglin Zhu3, Debomita Chakraborty4, Yun Zhang1, Simon Rauber5, Clara Dees5, Christina Bergmann6, Alexander Kreuter7, Christiane Reuter8, Florian Groeber-Becker8, Beate Eckes9, Oliver Distler10, Andreas Ramming11, Georg Schett12 and Joerg Distler1, 1Clinic for Rheumatology University Hospital Düsseldorf, Medical Faculty of Heinrich Heine University, Düsseldorf, Germany; Hiller Research Center, University Hospital Düsseldorf, Medical Faculty of Heinrich Heine University, Düsseldorf, Germany, 23 Department of Internal Medicine 3 – Rheumatology and Immunology, Friedrich-Alexander-University Erlangen-Nürnberg (FAU) and University Hospital Erlangen, Erlangen, Germany. 4 Deutsches Zentrum für Immuntherapie, Friedrich Alexander University Erlangen-Nürnberg and Universitätsklinikum Erlangen, Erlangen, Germany., Erlangen, Germany, 33 Department of Internal Medicine 3 – Rheumatology and Immunology, Friedrich-Alexander-University Erlangen-Nürnberg (FAU) and University Hospital Erlangen, Erlangen, Germany. 4 Deutsches Zentrum für Immuntherapie, Friedrich Alexander University Erlangen-Nürnberg and Universitätsklinikum Erlangen, Erlangen, Germany. 5 Department of Rheumatology, Xiangya Hospital, Central South University, Changsha, China, 43 Department of Internal Medicine 3 – Rheumatology and Immunology, Friedrich-Alexander-University Erlangen-Nürnberg (FAU) and University Hospital Erlangen, Erlangen, Germany. 4 Deutsches Zentrum für Immuntherapie, Friedrich Alexander University Erlangen-Nürnberg and Universitätsklinikum Erlangen, Erlangen, Germany, 53 Department of Internal Medicine 3 – Rheumatology and Immunology, Friedrich-Alexander-University Erlangen-Nürnberg (FAU) and University Hospital Erlangen, Erlangen, Germany. 4 Deutsches Zentrum für Immuntherapie, Friedrich Alexander University Erlangen-Nürnberg and Universitätsklinikum Erlangen, Erlangen, Germany., Erlangen, Germany, 6Department Internal Medicine, University Hospital Erlangen, Germany, Erlangen, Germany, 7Clinic for Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Clinic, Oberhausen, Germany, 8Translational Center for Regenerative Therapies, Fraunhofer Institute for Silicate Research (ISC) Würzburg, Würzburg, Germany, 9Translational Matrix Biology, University of Cologne, Cologne, Germany. 9 Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), University of Cologne, Köln, Germany, 10Department of Rheumatology, University Hospital Zurich, University of Zurich, Zurich, Switzerland, 11Department of Internal Medicine 3 – Rheumatology and Immunology, Friedrich-Alexander-University Erlangen-Nürnberg (FAU) and University Hospital Erlangen, Erlangen, Germany; Deutsches Zentrum für Immuntherapie, Friedrich Alexander University Erlangen-Nürnberg and Universitätsklinikum Erlangen, Erlangen, Germany, 12Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany

    Background/Purpose: Systemic sclerosis (SSc) is a chronic autoimmune disorder with vasculopathy, inflammation, and fibrosis of the skin and organs. Fibrosis is caused by the abnormal…
  • Abstract Number: 0933 • ACR Convergence 2023

    The ‘Sweet’ in Lupus – IgG Glycosylation in Lupus Nephritis

    Rhea Bhargava1, Rohit Upadhyay2, Scott Wenderfer3, Jing Chen2 and George Tsokos4, 1Tulane University, New Orleans, LA, 2Tulane University School of Medicine, New Orleans, LA, 3University of British Columbia, Vancouver, BC, Canada, 4Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA

    Background/Purpose: Lupus nephritis (LN) occurs in 50% of patients with systemic lupus erythematosus (SLE) for which we lack biomarkers, and an understanding of its pathogenesis.…
  • Abstract Number: 0976 • ACR Convergence 2023

    Sarcopenia and All-Cause Mortality in US Adults with and Without Rheumatoid Arthritis

    Qiping Xu and Xuanling Du, Mayo Clinic Health System, Mankato, MN

    Background/Purpose: Sarcopenia, which refers to the loss of muscle strength and mass, has been linked to adverse health outcomes. Although several systemic reviews have reported…
  • Abstract Number: 0759 • ACR Convergence 2023

    Derivation and Validation of Four Patient Clusters in Still’s Disease, Results from GIRRCS AOSD-study Group and AIDA Network Still Disease Registry

    Piero Ruscitti1, Antonio Vitale2, Ilenia Di Cola1, Roberto giacomelli3 and Luca Cantarini4, 1University of L'Aquila, L'Aquila, Italy, 2University of Siena, Siena, Italy, 3University of Rome Campus Biomedico, Rome, Italy, 4Department of Medical Sciences, Surgery and Neurosciences, Rheumatology Unit, University of Siena and Azienda Ospedaliero-Universitaria Senese [European Reference Network (ERN) for Rare Immunodeficiency, Autoinflammatory and Autoimmune Diseases (RITA) Center], Siena, Italy

    Background/Purpose: Still's disease is a rare inflammatory disorder, these patients have a highly heterogeneous disease according to age of onset, clinical presentation, presence of life-threatening…
  • Abstract Number: 0885 • ACR Convergence 2023

    Mice Fed a Well-formulated Ketogenic Diet After OA Induction Develop Worse OA Outcomes and Increased Pain Sensitivity

    Montana Barrett1, Gabby Dyson2, Meeshal Khan3, Nicholas Hanebutt2, Cindy Miranda2, Leoni Schlupp2, Emmaline Holmlund2 and Matlock Jeffries2, 1Oklahoma State University, Guthrie, OK, 2Oklahoma Medical Research Foundation, Oklahoma City, OK, 3University of Oklahoma Health Sciences Center, Oklahoma City, OK

    Background/Purpose: A ketogenic diet (KD) has beneficial effects in preclinical models of a variety of systemic autoimmune diseases. In this study, we set out to…
  • Abstract Number: 0922 • ACR Convergence 2023

    The Multi-Omic Landscape of Systemic Lupus Erythematosus Patients Highlights Metabolic and Immune Pathways Associated with Distinctive Clinical Profiles

    Tomás Cerdó1, Carlos Perez-Sanchez2, Laurel Woodridge3, Mª Angeles Aguirre4, Rafaela Ortega Castro5, Ismael Sánchez-Pareja6, Laura Muñoz-Barrera1, Pedro Segui1, Christian Merlo6, Pedro Ortiz Buitrago7, Desiree Ruiz Vilchez8, Maria del Carmen Abalos-Aguilera8, Pilar Font Ugalde1, Nuria Barbarroja9, Alejandro Escudero10, Elizabeth Jury3 and Chary Lopez-Pedrera11, 1IMIBIC/Reina Sofia Hospital/University of Cordoba, Córdoba, Spain, 2IMIBIC, Córdoba, Spain, 3Centre for Rheumatology Research, Division of Medicine, University College London, London, United Kingdom, 4Reina Sofía University Hospital/ Rheumatology Department, Córdoba, Spain, 5Hospital Reina Sofía, Cordoba, Spain, 6IMIBIC/Reina Sofia Hospital/University of Cordoba, Rheumatology, Córdoba, Spain, 7IMIBIC/Reina Sofia Hospital/University of Cordoba, Cordoba, Spain, 8Rheumatology Department, Reina Sofia University Hospital/Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Córdoba, Spain, 9University of Cordoba, Córdoba, Spain, 10SAS, Córdoba, Spain, 11IMIBIC - Reina Sofia Hospital, Córdoba, Spain

    Background/Purpose: Systemic lupus erythematosus (SLE) poses a significant challenge at the diagnostic and treatment levels due to its severe multisystem nature and notable heterogeneity in…
  • Abstract Number: 0979 • ACR Convergence 2023

    Use and Discontinuation of Tumour Necrosis Factor Inhibitors Among Pregnant Women with Chronic Inflammatory Diseases

    Leah K. Flatman1, Sasha Bernatsky2, Isabelle Malhamé3, Yvan St. Pierre2, Olga Basso1, Anick Bérard4 and Evelyne Vinet5, 1McGill University, Montreal, QC, Canada, 2Research Institute of the McGill University Health Centre, Montreal, QC, Canada, 3McGill University Health Centre, Montreal, QC, Canada, 4University of Montreal, Montreal, QC, Canada, 5McGill University Health Centre, Montréal, QC, Canada

    Background/Purpose: Early consensus statements recommended discontinuing tumour necrosis factor inhibitors (TNFi) during pregnancy. Despite new guidelines recommending against this, the choice to stop TNFi pre-conception…
  • Abstract Number: 0980 • ACR Convergence 2023

    Temporal Trends in Incidence Rates of Seropositive and Seronegative Rheumatoid Arthritis: A Danish Nationwide Population-based Study

    Bolette Soussi1, René Cordtz2, Kirsten Duch2, Salome Kristensen3, Asta Linauskas4, Christian Bork5, Erik Schmidt6 and Lene Dreyer3, 1Center of Rheumatic Research Aalborg, Department of Rheumatology, and Clinical Cancer Research Center, Aalborg University Hospital, Aalborg, Denmark, 2Center of Rheumatic Research Aalborg, Department of Rheumatology, Aalborg University Hospital, Aalborg, Denmark, 3Center of Rheumatic Research Aalborg, Department of Rheumatology, Aalborg University Hospital, and Department of Clinical Medicine, Aalborg University, Aalborg, Denmark, 4Department of Rheumatology, North Denmark Region Hospital, and Department of Clinical Medicine, Aalborg University, Hjørring, Denmark, 5Department of Cardiology, Aalborg University Hospital, Aalborg, Denmark, 6Department of Medicine and Cardiology, Viborg Regional Hospital, and Department of Clinical Medicine, Aalborg University, Viborg, Aalborg, Denmark

    Background/Purpose: With growing availability of autoantibody testing and autoantibodies gaining more weight in the 2010 ACR/EULAR classification criteria of rheumatoid arthritis (RA), an increasing incidence…
  • Abstract Number: 0942 • ACR Convergence 2023

    G Protein-coupled Receptor Kinase 5 in Fibrotic Tissue Remodeling

    Cuong Tran-Manh1, Thuong Trinh-Minh1, Christoph Liebel1, Chih-Wei Chen2 and Joerg Distler1, 1Clinic for Rheumatology University Hospital Düsseldorf, Medical Faculty of Heinrich Heine University, Düsseldorf, Germany; Hiller Research Center, University Hospital Düsseldorf, Medical Faculty of Heinrich Heine University, Düsseldorf, Germany, 23 Department of Internal Medicine 3 – Rheumatology and Immunology, Friedrich-Alexander-University Erlangen-Nürnberg (FAU) and University Hospital Erlangen, Erlangen, Germany. 4 Deutsches Zentrum für Immuntherapie, Friedrich Alexander University Erlangen-Nürnberg and Universitätsklinikum Erlangen, Erlangen, Germany., Erlangen, Germany

    Background/Purpose: G-protein coupled receptor kinase 5, GRK5, is a central regulator of G protein-coupled receptors (GPCRs), a vast family of cell surface receptors involved in…
  • Abstract Number: 0953 • ACR Convergence 2023

    Flavin-containing Monooxygenase (FMO3) Links the Gut and Fibrosis in Systemic Sclerosis

    Priyanka Verma1, Bharath Yalavarthi1, Karen Ho2, Lutfiyya Muhammad3, Seokjo Kim4, Johann Gudjonsson1, Rebecca C Schugar5, Mark Brown6, Xinmin Li6, Stanley L Hazen7, Swati Bhattacharyya1 and John Varga1, 1University of Michigan, Ann Arbor, MI, 2Northwestern University, Chicago, IL, 3Northwestern University Feinberg School of Medicine, Chicago, IL, 44SCM Lifescience Co. Ltd, South Korea, Japan, 5Stanford University, Stanford, CA, 6Department of Cardiovascular & Metabolic Sciences, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, 7Division of Endocrinology, Department of Medicine, Stanford University, Stanford, CA

    Background/Purpose: Trimethylamine (TMA) generated by the gut microbiome is converted into trimethylamine N-oxide (TMAO) via the host enzyme FMO3. The TMA-FMO3-TMAO metaorganismal axis has been…
  • Abstract Number: 0766 • ACR Convergence 2023

    The OMERACT GCA Phantom Project: Validation of 3D Printed Ultrasound Training Models for Giant Cell Arteritis

    Valentin Sebastian Schäfer1, Tobias Schremmer2, Florian Recker3, Wolfgang Hartung4, Christina Duftner5, Sara Monti6, Alojzija Hocevar7, Rositsa Karalilova8, Annamaria Iagnocco9, PIERLUIGI MACCHIONI10, Giuseppe Antonio Germano11, Maria Esperanza Naredo Sanchez12, Eugenio De Miguel13, Luca Seitz14, Thomas Daikeler15, Markus Aschwanden16, Dennis Boumans17, Chetan Mukhtyar18, smith kate19, Richard Wakefield20, Andreas Diamantopoulos21, Stavros Chrysidis22, Berit Dalsgaard Nielsen23, Kresten Keller24, Uffe Dohn25, Lene Terslev26, Marcin Milchert27, Aaron Juche28, Wolfgang Schmidt29, George A. W. Bruyn30 and Christian Dejaco31, 1Clinic of Internal Medicine III, Department of Oncology, Hematology, Rheumatology and Clinical Immunology, University Hospital of Bonn, Bonn, Germany, 2Universitätsklinikum Bonn, Bonn, Germany, 3Department for Gynecology and Obstetrics, University Hospital Bonn, Bonn, Germany, 4Asklepios Clinic, Tegernheim, Germany, 5Department of Internal Medicine, Clinical Division of Internal Medicine II, Medical University Innsbruck, Innsbruck, Austria, 6Division of Rheumatology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; Department of Internal Medicine and Therapeutics, Università di Pavia, Pavia, Italy, 7Department of Rheumatology, Universitiy Medical Centre Ljubljana, Ljubljana, Slovenia, 8Clinic of Rheumatology, Medical University Plovdiv, Plovdiv, Bulgaria, 9University of Turin, Roma, Italy, 10Azienda USL -IRCCS di Reggio Emilia, Reggio Emilia, Italy, 11Rheumatology Unit- Arcispedale Santa Maria Nuova Reggio Emilia-Italy, Reggio Emilia, Italy, 12Rheumatology Department and Joint and Bone Research Unit, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain, 13Hospital Universitario La Paz, Madrid, Spain, 14Rheumatology and Immunology, Inselspital University Hospital Bern, Bern, Switzerland, 15Clinic for Rheumatology, University Hospital Basel, Basel, Switzerland, 16Department of Angiology, University Hospital Basel, Basel, Switzerland, 17Rheumatology and Clinical Immunology, Hospital Group Twente, Almelo, Netherlands, 18Vasculitis service, Rheumatology department, Norfolk and Norwich University Hospital, Norwich, United Kingdom, 19NIHR Leeds Biomedical Research Centre, Leeds, United Kingdom, 20s Leeds Insitute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, United Kingdom, 21Akershus University Hospital, Lørenskog, Norway, 22Department of Rheumatology, Southwest Jutland Hospital Esbjerg, Esbjerg, Denmark, 23Department of Rheumatology, Aarhus University Hospital, Aarhus, Denmark; Department of Medicine, The Regional Hospital in Horsens, Horsens, Denmark, 24Department of Rheumatology, Aarhus University Hospital; Department of Clinical Medicine, Aarhus University, Aarhus, Denmark, 25Copenhagen University Hospital at Hvidovre, Hvidovre, Denmark, 26Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark, 27Department of Internal Medicine, Rheumatology, Diabetology, Geriatrics and Clinical Immunology, Pomeranian Medical University in Szczecin, Szczecin, Poland, 28Immanuel Krankenhaus Berlin, Medical Centre for Rheumatology Berlin-Buch, Berlin, Germany, 29Rheumatology, Immanuel Krankenhaus Berlin, Medical Centre for Rheumatology Berlin-Buch, Berlin, Germany, 30Reumakliniek Lelystad, Loenga, Netherlands, 31Azienda Sanitaria Alto Adige, Brunico, Italy

    Background/Purpose: Ultrasonography has been validated as a diagnostic tool for giant cell arteritis (GCA). There is a need to develop training resources, because the glucocorticoid…
  • Abstract Number: 0990 • ACR Convergence 2023

    Association of Treatment and Disease Activity with Antibiotic Use and Hospitalized Infection Among People Living with Rheumatoid Arthritis: Baseline Data from a Longitudinal Study in the ArthritisPower Registry

    Kelly Gavigan1, Esteban Rivera2, Odette Kolenky3, Cassie Clinton4, Emily Holladay4, David Curtis5, Laura Stradford6, Jeffrey Curtis4, W. Benjamin Nowell6, Christian Curtis7 and Michael George8, 1Global Healthy Living Foundation, Upper Nyack, NY, 2Global Healthy Living Foundation, Long Island City, NY, 3Hospital of the University of Pennsylvania, Philadelphia, PA, 4University of Alabama at Birmingham, Birmingham, AL, 5Global Healthy Living Foundation, San Francisco, CA, 6Global Healthy Living Foundation, Nyack, NY, 7Illumination Health, Birmingham, AL, 8University of Pennsylvania, Philadelphia, PA

    Background/Purpose: Infections are a major contributor to morbidity and mortality in patients (pts) with rheumatoid arthritis (RA). Little is known about the risk of non-serious…
  • Abstract Number: 0985 • ACR Convergence 2023

    Assessing the Value of Comorbidity Clusters in Predicting Clinical Outcomes in Rheumatoid Arthritis: A Machine Learning Approach Using a Very Large US Registry

    Daniel Solomon1, Fredrik Johansson2, Hongshu Guan3, Leah Santacroce4, Lin Guo5, Wendi Malley5 and Heather Litman5, 1Brigham and Women's Hospital, Newton, MA, 2Chalmers University of Technology, Goteborg, Sweden, 3Brigham and Women's Hospital, Boston, MA, 4Brigham and Women's Hospital, Boston, MA, 5CorEvitas, LLC, Waltham, MA

    Background/Purpose: Comorbid conditions are very common in rheumatoid arthritis (RA) and several prior studies have derived comorbidity clusters using machine learning (ML). Clustering using ML…
  • Abstract Number: 0939 • ACR Convergence 2023

    HRCT-derived Delta Radiomic Features Classify Response to Anti-Fibrotic Treatment in Experimental and Human Fibrosing Interstitial Lung Disease

    David Lauer1, Luca Romano Kolly1, Hubert Gabrys2, Matthias Brunner1, Malgorzata Anna Maciukiewicz1, Thomas Frauenfelder3, Stephanie Tanadini-Lang2, Anne-Christine Uldry4, Manfred Heller4, Kerstin Klein5, Oliver Distler6, Janine Gote-Schniering1 and Britta Maurer7, 1University Hospital Bern, Bern, Switzerland, 2University Hospital Zurich, Zurich, Switzerland, 3Dept of Radiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland, 4University of Bern, Bern, Switzerland, 5Department of Rheumatology and Immunology, University Hospital Bern, Bern, Switzerland, 6Department of Rheumatology, University Hospital Zurich, University of Zurich, Zurich, Switzerland, 7University Hospital Bern, University Bern, Bern, Switzerland

    Background/Purpose: Quantification of response to anti-fibrotic drugs in patients with fibrosing interstitial lung disease (ILD) relies on repeated pulmonary function tests (PFT) and visual evaluation…
  • Abstract Number: 0971 • ACR Convergence 2023

    Network Meta Analyses of the Effectiveness and Safety Profiles of Janus Kinase Inhibitors and Biologic Agents in Treating Children with Non-systemic Juvenile Idiopathic Arthritis (nsJIA)

    Bin Huang1, Yuxiang Li2, Xiaomeng Yue3, Sandra Andorf2, Daniel J Lovell4 and Hermine Brunner5, 1Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 2Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 3James L. Winkle College Pharmacy, Cincinnati, OH, 4UC Department of Pediatrics, Cincinnati Children's Hospital, University of Cincinnati, Cincinnati, OH, 5Cincinnati Children's Hospital Medical Center, Division of Rheumatology, Cincinnati, OH

    Background/Purpose: Tofacitinib (TOFA, NCT02592434) and Baricitinib (BARI, NCT03773978) are Janus kinase inhibitors (JAKi) that are approved for or being tested for nsJIA treatment. We aim…
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