ACR Meeting Abstracts

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  • Abstract Number: 2166 • ACR Convergence 2023

    Long-Term Effects of Abatacept on Arthritis and Atherosclerosis in Older vs Younger Patients with Rheumatoid Arthritis: 3-year Results of a Prospective, Multicenter, Observational Study

    Zento Yamada1, Sei Muraoka1, Mai Kawazoe2, Wataru Hirose3, Hajime Kono4, Shinsuke Yasuda5, Takahiko Sugihara6 and Toshihiro Nanki2, 1Division of Rheumatology, Department of Internal Medicine, Toho University School of Medicine, Tokyo, Japan, 2Division of Rheumatology, Department of Internal Medicine, Toho University School of Medicine, Ota-ku, Japan, 3Hirose Clinic of Rheumatology, Saitama, Japan, 4Teikyo University School of Medicine, Tokyo, Japan, 5Department of Rheumatology, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University (TMDU), Tokyo, Japan, 6Toho University, Tokyo, Japan

    Background/Purpose: Patients with rheumatoid arthritis (RA) are at an increased risk of cardiovascular disease secondary to atherosclerosis. Although it has been reported that TNF inhibitor…
  • Abstract Number: 2151 • ACR Convergence 2023

    Effects of Methotrexate on Blood Pressure in Rheumatoid Arthritis: A Randomized Controlled Trial

    Sara Tommasi1, Richard Woodman1, Michael Wiese2, Michael Shanahan1 and Arduino Mangoni1, 1Flinders University, Adelaide, Australia, 2University of South Australia, Adelaide, Australia

    Background/Purpose: Treatment with methotrexate (MTX) has been shown to be associated with lower cardiovascular risk and lower blood pressure (BP) compared with other disease modifying…
  • Abstract Number: 2142 • ACR Convergence 2023

    Adherence Patterns in Rheumatoid Arthritis Patients Receiving a Janus Kinase (JAK) Inhibitor or a Tumor Necrosis Factor α Inhibitor (TNFi) After the Addition of a Black Box Warning to JAK Inhibitors

    W. Cliff Rutter, Kunal Patel, Samantha Delgado, Guy Cozzi, Elisea Avalos-Reyes, Will Cavers, Chen Liu, Rashmi Grover, Lucia Feczko and Kjel Johnson, CVS Health, Woonsocket, RI

    Background/Purpose: In 2021, the FDA concluded that there is an increased risk of serious heart-related events with the Janus Kinase (JAK) inhibitor tofacitinib, which is…
  • Abstract Number: 2111 • ACR Convergence 2023

    Self-reported Methotrexate Adherence Underestimates Biochemical Adherence: Results from the Methotrexate Use Improvement in Rheumatoid Arthritis Using Biomarker Feedback Trial

    James Bluett1, Kimme Hyrich2, Brian Keevil3, Patty Doran4 and Anne Barton5, 1University of Manchester, Manchester, United Kingdom, 2Versus Arthritis Centre for Epidemiology, Centre for Musculoskeletal Research, The University of Manchester, Manchester, United Kingdom, 3Department of Clinical Biochemistry, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, United Kingdom, 4School of Social Sciences, The University of Manchester, Manchester, United Kingdom, 5Versus Arthritis Centre for Genetics and Genomics, Centre for Musculoskeletal Research, The University of Manchester, Manchester, United Kingdom

    Background/Purpose: Methotrexate (MTX) adherence is suboptimal and is associated with disease flare, DAS-28 response, radiographic damage and healthcare costs. Adherence can be measured using self-reported…
  • Abstract Number: 2168 • ACR Convergence 2023

    The Potential of Autologous Patient-derived Circulating Extracellular Vesicles to Improve Drug Delivery in Rheumatoid Arthritis

    Gilad Halpert1, Ori Moskovitch1, Adi Anaki2, Tal Caller1, Omer Gendelman1, Abdulla watad1, Ruty Mehrian-Shai1, Rachella Popovtzer2, Boris Guilbord1, Ori Segal1 and Howard AMITAL1, 1Sheba Medical Center, Ramat Gan, Israel, 2Bar Ilan University, Ramat Gan, Israel

    Background/Purpose: The use of biological treatment in patients with rheumatoid arthritis (RA) can induce non-specific immune suppression, which might result in higher rates of infections.…
  • Abstract Number: 2178 • ACR Convergence 2023

    Increased Risk of Dementia in Patients with Primary Sjogren’s Syndrome: A Nationwide Population-based Cohort Study

    Kyung-Ann Lee1, Hyeji Jeon1, Hyun-Sook Kim1 and Gi Hyeon Seo2, 1Soonchunhyang University Seoul Hospital, Seoul, South Korea, 2Health Insurance Review and Assessment Service, Wonju, South Korea

    Background/Purpose: Autoimmunity and systemic inflammation may play a role in early-stage dementia. Few studies have investigated whether primary Sjogren's syndrome (pSS) increases the risk of…
  • Abstract Number: 2184 • ACR Convergence 2023

    Development of Salivary Gland Organoids to Study Sjögren Syndrome

    Loïc Meudec1, Negaar Goudarzi2, Juliette Pascaud3, Fanny Jaulin2, Xavier Mariette4 and Gaetane Nocturne5, 1CHU Kremlin-Bicêtre, Rheumatology, Le Kremlin-Bicêtre, France, 2INSERM UMR 981, Institut Gustave Roussy, Villejuif, France, Villejuif, France, 3Center for Immunology of Viral Infections and Autoimmune Diseases, INSERM UMR 1184, FHU CARE, Université Paris-Saclay, Le Kremlin-Bicêtre, France, 4Université Paris-Saclay, Le Kremlin-Bicêtre, France, 5APHP, Le Kremlin-Bicêtre, France

    Background/Purpose: Sjögren disease (Sjo) is an autoimmune disease characterized by the infiltration of exocrine glands by immune cells, especially salivary glands (SG). SG epithelial cells…
  • Abstract Number: 2174 • ACR Convergence 2023

    JAK Inhibitors in Rheumatoid Arthritis-Interstitial Lung Disease. National Multicenter Study of 73 Patients, 55 of Baricitinib

    Ana Serrano-Combarro1, Belén Atienza-Mateo2, Jesus Alejandro Valero-Jaimes3, Marta Pastor-Mena4, Rafael Benito Melero-Gonzalez5, David Castro-Corredor6, Maria Martin-Lopez7, Santos Castañeda8, Jesus Loarce-Martos9, Natalia Mena Vazquez10, Carmen carrasco-Cubero11, Carolina Diez-Morrondo12, andrea Garcia-Valle13, Gema Bonilla14, Juan Maria Blanco-Madrigal15, Natividad del Val del Amo16, Nuria Vegas Revenga17, Lorena Perez-Albadalejo18, Rafaela Ortega Castro19, Deseada Palma-Sanchez20, Ana Maria fernandez-Ortiz21, Patricia Lopez-Viejo22, Maria Lopez-Lasanta23, Marta Garijo Bufort24, Ivette Casafont-Sole25, Olga Maiz-Alonso26, Juan Moreno-Morales27, Ana Urruticoechea28, Carolina Perez-Garcia29, Jose Rosas30, Virginia Ruiz-Esquide31, Delia Fernández-Lozano32, Ignacio Brana Abascal33, Evelin Cecilia Cervantes-Perez34, Julia Fernandez-Melon35, Cristina Fernandez36, Bryan Josue Flores Robles37, Diego Ferrer38 and Ricardo Blanco39, 1Hospital Universitario Marques de Valdecilla, IDIVAL, Santander, Spain, 2Rheumatology, Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Spain, 3Hospital Bidasoa, Irún, Spain, 4Hospital de Jerez de la Frontera, Cádiz, Spain, 5CHU Vigo, O Carballino, Spain, 6General University Hospital of Ciudad Real, Santa Cruz de Mudela (Ciudad Real), Spain, 7Hospital 12 de Octubre, Madrid, Spain, 8Hospital Universitario de la Princesa, Madrid, Spain, 9Ramón y Cajal University Hospital, Madrid, Spain, 10IBIMA, Málaga, Spain, 11Department of Rheumatology, Hospital Universitario de Badajoz, Badajoz, Spain, 12Division of Rheumatology, Hospital de León, León, Spain, 13Division of Rheumatology, Complejo Asistencial Universitario de Palencia, Palencia, Spain, 14Department of Rheumatology, Hospital Clínico Universitario La Paz, Madrid, Spain, 15Division of Rheumatology, H. Universitario de Basurto, Bilbao, Spain, 16Complejo Hospitalario de Navarra, Pamplona, Spain, 17Hospital Galdakao- Usansolo, Galdakao, Spain, 18Division of Rheumatology, Hospital Universitario de Jaén, Jaén, Spain, 19Hospital Reina Sofía, Cordoba, Spain, 20Hospital Rafael Mendez, Lorca, Spain, 21CHU Badajoz, Badajoz, Spain, 22Division of Rheumatology, Hospital Severo Ochoa, Leganéz, Spain, 23Hospital Universitari Vall d'Hebron, Rheumatology, Barcelona, Spain, 24H. de Sagunto, Valencia, Italy, 25Hospital Universitari Germans Trias i Pujol, Badalona, Spain, 26University Hospital Donostia, San Sebastian, Spain, 27Hospital Universitario Santa Lucia Cartagena, Cartagena, Spain, 28Hospital Can Misses, Ibiza, Spain, 29Hospital del Mar, Barcelona, Spain, 30Hospital Marina Baixa, Alicante, Spain, 31Hospital Clinic, Rheumatology, Barcelona, Spain, 32Hospital de Mérida, Merida, Spain, 33Division of Rheumatology, Hospital Universitario Central de Asturias, Oviedo, Spain, 34Complexo Hospitalario Universitario de Pontevedra, Pontevedra, Spain, 35Division of Rheumatology, Hospital Universitario Son Espases, Palma de Mallorca, Spain, 36Hospital Universitario San Juan de Alicante, Alicante, Spain, 37Hospital Universitario San Pedro, Logroño, Spain, 38Division of Pneumology, Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Spain, 39Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Spain

    Background/Purpose: Interstitial lung disease (ILD) is a severe extra-articular manifestation of rheumatoid arthritis (RA). Abatacept and Rituximab are the recommended drugs. JAK inhibitors (JAKi) have…
  • Abstract Number: 2160 • ACR Convergence 2023

    Poly-Refractory Rheumatoid Arthritis: All B/tsDMARD Classes Exhausted – An Uncommon Disease Subset with Distinct Inflammatory and Non-inflammatory Phenotypes

    Paula David1, Andrea Di Matteo1, Or Hen1, Shouvik Dass2, Helena Marzo-Ortega3, Paul Emery4, Benazir Saleem2 and Dennis McGonagle5, 1University of Leeds, Leeds Institute of Rheumatic and Musculoskeletal Medicine (LIRMM), Leeds, United Kingdom, 2Leeds Teaching Hospitals NHS Trust, Rheumatology, Chapel Allerton Hospital, Leeds, United Kingdom, 3NIHR Leeds Biomedical Research Centre, Leeds Teaching Hospitals NHS Trust and Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, United Kingdom, 4Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, and NIHR Leeds Biomedical Research Centre, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom, 5Leeds Biomedical Research Centre, University of Leeds, Leeds, United Kingdom

    Background/Purpose: We previously reported on difficult to treat Rheumatoid Arthritis (RA) in nearly 1600 patients treated with biologic (b) or target synthetic (ts) DMARDs including…
  • Abstract Number: 2172 • ACR Convergence 2023

    Subcutaneus vs Intravenous Abatacept in Rheumatoid Arthritis-Interstitial Lung Disease. National Multicenter Study of 509 Patients

    Ana Serrano-Combarro1, Belén Atienza-Mateo2, libe Ibarrola-Paino3, Ivette Casafont-Sole4, Rafael Benito Melero-Gonzalez5, Alba Perez Linaza6, Santos Castañeda7, Rafaela Ortega Castro8, Natalia Mena Vazquez9, Nuria Vegas Revenga10, Lucia Cristina Dominguez Casas11, Elena Cañadillas-Sanchez12, Miriam Retuerto-Guerrero13, Lorena Perez-Albadalejo14, Ruben Lopez-Sanchez15, MARIA GUADALUPE MANZANO CANABAL16, Anahy Maria Brandy-Garcia17, Patricia Lopez-Viejo18, Gema Bonilla19, Olga Maiz-Alonso20, Carmen carrasco-Cubero21, Marta Garijo Bufort22, Mireia Moreno23, Ana Urruticoechea24, Sergio Ordonez-Palau25, Carmen Gonzalez-Montagut Gomez26, andrea Garcia-Valle27, Marta López28, Fernando Lozano29, Tomás Vazquez-Rodriguez30, Maria Martin-Lopez31, Juan Maria Blanco-Madrigal32, Cristina Arciniega33, Ignacio Brana Abascal34, Jesus Loarce-Martos35, Emilio Giner-Serret36, Virginia Ruiz-Esquide37, Clara ventin-Rodriguez38, Marina Rodriguez-lopez39, Pablo Andujar-Brazal40, Julia Fernandez-Melon41, Lilian Maria Lopez42, Antonio Juan Mas43, carlos Fernandez-Diaz44, Javier Loricera45, Diego Ferrer46 and Ricardo Blanco47, 1Hospital Universitario Marques de Valdecilla, IDIVAL, Santander, Spain, 2Rheumatology, Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Spain, 3Hospital Universitario de Navarra, Pamplona, Spain, 4Hospital Universitari Germans Trias i Pujol, Badalona, Spain, 5CHU Vigo, O Carballino, Spain, 6SERV. REUMATOLOGIA, Cadiz, Spain, 7Hospital Universitario de la Princesa, Madrid, Spain, 8Hospital Reina Sofía, Cordoba, Spain, 9IBIMA, Málaga, Spain, 10Hospital Galdakao- Usansolo, Galdakao, Spain, 11Hospital Universtario San Agustin, Oviedo, Spain, 12Department of Rheumatology, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain, 13Rheumatology, Hospital Universitario de León, León, Spain, 14Division of Rheumatology, Hospital Universitario de Jaén, Jaén, Spain, 15Hospital Universitario de Gran Canaria Doctor Negrín, Las Palmas de Gran Canaria, Spain, 16CAZA, Salamanca, Spain, 17Hospital Germans Trias i Pujol, Badalona, Spain, 18Division of Rheumatology, Hospital Severo Ochoa, Leganéz, Spain, 19Department of Rheumatology, Hospital Clínico Universitario La Paz, Madrid, Spain, 20University Hospital Donostia, San Sebastian, Spain, 21Department of Rheumatology, Hospital Universitario de Badajoz, Badajoz, Spain, 22Hospital de Sagunto, Valencia, Spain, 23Parc Tauli Hospital Universitari, I3PT(UAB), Barcelona, Spain, 24Hospital Can Misses, Ibiza, Spain, 25H. Arnau de Vilanova, Lleida, Spain, 26H. Clínico Universitario de Valladolid, Valladolid, Spain, 27Division of Rheumatology, Complejo Asistencial Universitario de Palencia, Palencia, Spain, 28Hospital Universitario Arava, Pamplona, Spain, 29Hospital Universitario 12 de Octubre, Madrid, Spain, 30Rheumatology, Complejo Hospitalario Universitario de Ferrol, A Coruña, Spain, 31Hospital 12 de Octubre, Madrid, Spain, 32Division of Rheumatology, H. Universitario de Basurto, Bilbao, Spain, 33Hospital de Mérida, Mérida, Spain, 34Division of Rheumatology, Hospital Universitario Central de Asturias, Oviedo, Spain, 35Ramón y Cajal University Hospital, Madrid, Spain, 36Hospital Royo Villanova, Teruel, Spain, 37Hospital Clinic, Rheumatology, Barcelona, Spain, 38Division of Rheumatology, Hospital Universitario de A Coruña, A Coruña, Spain, 39Division of Rheumatology, Hospital Clínico Universitario de Santiago, La Coruna, Spain, 40Division of Rheumatology, Hospital Universitario Doctor Peset, Valencia, Spain, 41Division of Rheumatology, Hospital Universitario Son Espases, Palma de Mallorca, Spain, 42Division of Rheumatology, Hospital Universitario Son Llàtzer, Mallorca, Spain, 43Son Llazter University Hospital, Palma, Spain, 44Division of Rheumatology, Hospital Universitario Reina Sofía, Murcia, Spain, 45Hospital Universitario Marqués de Valdecilla, Santander, Spain, 46Division of Pneumology, Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Spain, 47Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Spain

    Background/Purpose: Interstitial lung disease (ILD) is a severe extra-articular manifestation of rheumatoid arthritis (RA). Abatacept (ABA) has demonstrated efficacy in RA-ILD. Clinical trials have shown…
  • Abstract Number: 2177 • ACR Convergence 2023

    Characterization of Crevicular Fluid Microbiota in Primary Sjögren’s Syndrome

    Gabriela Hernandez-Molina1, Alberto Lopez-Reyes2, Carlos Hernandez-Hernandez3, Vanessa Ruiz3, Amaya Llorente-Chavez4, Vanessa Saavedra-González4, Luis llorente4 and Gabriela Martínez-Nava2, 1Department of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico, 2Laboratorio de Gerociencias, Instituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra, Mexico City, Mexico, 3Servicio Dental. Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico, 4Departamento de Inmunología y Reumatología, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico

    Background/Purpose: To describe the taxonomic composition of the microbiota in the crevicular fluid of patients with primary Sjögren's syndrome (PSS), and to assess their association…
  • Abstract Number: 2115 • ACR Convergence 2023

    Genetic Risk Load as a Predictor of Radiographic Damage and Mortality in Female Patients with Rheumatoid Arthritis

    Jihye Kim1, Yeon-Kyung Lee2, Youngho Park3, Ayeong Kwon4, Young-Chang Kwon1, Young Bin Joo2, Hye-Soon Lee5, Kwangwoo Kim4, Sang-Cheol Bae6 and So-Young Bang2, 1Hanyang University Institute for Rheumatology Research, Seoul, South Korea, 2Department of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, South Korea, 3Department of Business Statistics, Hannam University, Daejeon, South Korea, 4Department of Biology, Kyung Hee University, Seoul, South Korea, 5Hanyang University, Guri, South Korea, 6Hanyang University Hospital for Rheumatic Diseases and Hanyang University Institute for Rheumatology Research, Department of Rheumatology, Seoul, South Korea

    Background/Purpose: Rheumatoid arthritis (RA) is an autoimmune disease characterized by an unpredictable prognosis and increased mortality risk. Although the role of genetics in RA mortality…
  • Abstract Number: 1971 • ACR Convergence 2023

    Muscle Pathology in Patients with Primary Biliary Cholangitis

    Jose Cesar Milisenda1, Iago Pinal-Fernandez2, Katherine Pak2, Maria Casal-Dominguez3, Yaiza Duque-Jaimez4, Gloria Garrabou1, Sandra Muñoz-Braceras5, Mariona Guitart-Manpel1, Jose Jiram Torres-Ruiz5, Ester Tobias4, Maria Dolores Cano4, Iban Aldecoa4, Josep Maria Grau1 and Andrew Mammen3, 1Muscle Research Unit, Internal Medicine Service, Hospital Clinic, Barcelona, Spain, 2National Institutes of Health, Bethesda, MD, 3NIH, Bethesda, MD, 4Hospital Clínic de Barcelona, Barcelona, Spain, 5Muscle Disease Unit, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD

    Background/Purpose: Primary biliary cholangitis (PBC) is a chronic autoimmune liver disease that primarily affects middle-aged women. It is characterized by elevated serum alkaline phosphatase levels,…
  • Abstract Number: 1755 • ACR Convergence 2023

    Unique Pattern of Cadherin 6 Localization in Fibroblast-Like Synoviocytes

    Camilla R. L. Machado1, David Boyle1, Narayanan B. Perumal2, Robert J. Benschop3 and Gary Firestein1, 1University of California San Diego, San Diego, CA, 2Eli Lilly and Company, San Diego, CA, 3Eli Lilly and Company, Indianapolis, IN

    Background/Purpose: The synovial lining of rheumatoid arthritis (RA) is formed by a network of fibroblast-like synoviocytes (FLS). Cadherins are type I transmembrane proteins and participate…
  • Abstract Number: 1767 • ACR Convergence 2023

    TNF-α Utilizes the TWEAK/Fn-14 Axis in Human Rheumatoid Arthritis Synovial Fibroblasts to Induce Inflammation

    Farheen Sultan Shaikh1, Anil Singh1, Paul Panipinto2 and Salahuddin Ahmed1, 1Washington State University, Spokane, WA, 2Washington State University College of Pharmaceutical Science and Molecular Medicine, Spokane, WA

    Background/Purpose: Tumor necrosis factor-alpha (TNF)-α is a proinflammatory cytokine in rheumatoid arthritis that transduces intracellular signal transduction pathways through specific receptors, TNF-R1, and TNF-R2. The…
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All abstracts accepted to ACR Convergence are under media embargo once the ACR has notified presenters of their abstract’s acceptance. They may be presented at other meetings or published as manuscripts after this time but should not be discussed in non-scholarly venues or outlets. The following embargo policies are strictly enforced by the ACR.

Accepted abstracts are made available to the public online in advance of the meeting and are published in a special online supplement of our scientific journal, Arthritis & Rheumatology. Information contained in those abstracts may not be released until the abstracts appear online. In an exception to the media embargo, academic institutions, private organizations, and companies with products whose value may be influenced by information contained in an abstract may issue a press release to coincide with the availability of an ACR abstract on the ACR website. However, the ACR continues to require that information that goes beyond that contained in the abstract (e.g., discussion of the abstract done as part of editorial news coverage) is under media embargo until 10:00 AM CT on October 25. Journalists with access to embargoed information cannot release articles or editorial news coverage before this time. Editorial news coverage is considered original articles/videos developed by employed journalists to report facts, commentary, and subject matter expert quotes in a narrative form using a variety of sources (e.g., research, announcements, press releases, events, etc.).

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