ACR Meeting Abstracts

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  • Abstract Number: 1044 • 2019 ACR/ARP Annual Meeting

    TGF-β Isoforms Modulate the RNA Cargo of Extracellular Vesicles (Exosomes) Isolated from Cultured Normal Human Lung Microvascular Endothelial Cells: A Mechanistic Link Between Endothelial Cell Dysfunction and the Establishment of a Profibrotic Phenotype in SSc?

    Peter Wermuth1 and Sergio Jimenez 1, 1Jefferson Institute of Molecular Medicine and Division of Connective Tissue Diseases, Thomas Jefferson University, Philadelphia, PA, Philadelphia, PA

    Background/Purpose: Extracellular vesicles (EV) are a diverse assortment of lipid bilayer-bound vesicles of various sizes and origin. Exosomes are a subset of EV arising from…
  • Abstract Number: 1045 • 2019 ACR/ARP Annual Meeting

    Myocardial Involvement in SSc: Key Role of Lin-gp38+ Stromal Cells in the Onset of Fibrosis and Defects of the Conduction System

    Mara Stellato1, Michal Rudnik 2, Florian Renoux 3, Przemyslaw Blyszczuk 4, Elena Osto 5, Matthias Dewenter 6, Petra Seebeck 7, Elena Pachera 2, Oliver Distler 8 and Gabriela Kania 4, 1Center of Experimental Rheumatology, Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, 2Center of Experimental Rheumatology, Department of Rheumatology, University Hospital Zurich, Zurich, Zurich, Switzerland, 3Center of Experimental Rheumatology, Department of Rheumatology, University Hospital Zurich, Zurich, 4Centre of Experimental Rheumatology, Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, 5Institute of Clinical Chemistry, University Hospital Zurich, Switzerland, Zurich, Zurich, Switzerland, 6Department of Molecular Cardiology and Epigenetics, University Hospital, Heidelberg, Germany, Heidelberg, Germany, 7Zurich integrative Rodent Physiology, University of Zurich, Switzerland, Zurich, Switzerland, 8Dept. of Rheumatology, University Hospital Zürich, Zürich, Switzerland, Zürich, Switzerland

    Background/Purpose: Cardiac fibrosis is a known complication of SSc, associated with increased mortality. During fibrogenesis, fibroblasts differentiate into myofibroblasts and secrete excessive extracellular matrix proteins.…
  • Abstract Number: 1046 • 2019 ACR/ARP Annual Meeting

    The Effect of Nintedanib versus Mycopheolate Mofetil in the FRA2 Mouse Model of Systemic Sclerosis Associated Interstitial Lung Disease

    Thuong Trin-Minh 1, Yun Zhang 2, Jörg Distler 3 and Lutz Wollin4, 1University Erlangen-Nuremberg, Erlangen-Nuremburg, Germany, 2University Erlangen-Nuremberg, Erlangen, Germany, 3Department of Internal Medicine 3 – Rheumatology and Immunology, Friedrich-Alexander-University Erlangen-Nürnberg (FAU) and University Hospital Erlangen, Erlangen, Germany, Erlangen, Germany, 4oehringer Ingelheim, Biberach, Germany

    Background/Purpose: Interstitial lung disease (ILD) is a key driver of mortality in patients with systemic sclerosis (SSc). In lack of approved treatment it constitutes a…
  • Abstract Number: 1047 • 2019 ACR/ARP Annual Meeting

    CXCL4-L1 Levels Are Elevated in Systemic Sclerosis Patients and Correlate with Pulmonary Arterial Hypertension and Capillaroscopic Indices of Vascular Damage

    Vasiliki Kalliopi Bournia1, Markos Patsouras 2, Nikolaos Vlachoyiannis 3, Athanasios Tzioufas 4, Petros Sfikakis 5 and Panagiotis Vlachoyiannopoulos 6, 11st Department of Propaedeutic and Internal Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece, Athens, Greece, 2Department of Pathophysiology, Medical School, National and Kapodistrian University of Athens, Greece, Athens, 31st Department of Propaedeutic and Internal Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece, Athens, 4Department of Pathophysiology, Athens School of Medicine, National and Kapodistrian University of Athens, Athens, Greece, Athens, Greece, 5Joint Rheumatology Programme, National & Kapodistrian University of Athens Medical School, Athens, Greece, Athens, Greece, 6University General Hospital of Athens “Laiko”, Athens, Greece

    Background/Purpose: Recent findings have implicated CXCL4 in the pathogenesis of systemic sclerosis (SSc), while also indicating a potential role of this chemokine as a biomarker…
  • Abstract Number: 1048 • 2019 ACR/ARP Annual Meeting

    Clonally Expanded CD4+ Cytotoxic T Cells, Endothelial Cell Apoptosis and the Pathogenesis of Early Systemic Sclerosis

    Takashi Maehara 1, Cory Perugino2, Naoki Kaneko 1, Hamid Mattoo 3, Jesper Kers 4, Hugues Allard-Chamard 5, Vinay Mahajan 5, Hang Liu 5, Samuel Murphy 5, Musie Ghebremichael 5, Yesim Tuncay 5, Emanuel Della Torre 6, Lloyd Liang 2, Sydney Montesi 7, Zachary Wallace 2, David Fox 8, Robert Lafyatis 9, John Stone 10, Dinesh Khanna 11 and Shiv Pillai 12, 1Kyushu University, Fukuoka, Japan, 2Massachusetts General Hospital, Boston, 3Sanofi, Cambridge, 4University of Amsterdam, Amsterdam, Netherlands, 5Ragon Institute of MGH, MTI and Harvard, Cambridge, 6Hospital San Raffaele, milan, Italy, 7Massachusetts General Hospital, Boston, MA, 8University of Michigan, Ann Arbor, 9University of Pittsburgh, Pittsburgh, PA, 10Massachusetts General Hospital Rheumatology Unit, Harvard Medical School, Boston, MA, 11Department of Medicine, University of Michigan, Ann Arbor, Michigan, USA, Ann Arbor, 12Ragon Institude of MGH, MIT and Harvard, Charlestown, MA

    Background/Purpose: The CD4+ T cell subset driving the pathogenesis of systemic sclerosis (SSc) remains poorly understood. Many different CD4+ T cell subsets have been implicated,…
  • Abstract Number: 1049 • 2019 ACR/ARP Annual Meeting

    Induction of a Profibrotic Phenotype in Normal Dermal Fibroblasts by Expression of PIM1 Kinase and Demonstration of Antifibrotic Effects of Inhibition of PIM Kinases in Systemic Sclerosis Dermal Fibroblasts

    Danielle Pomante 1, Sergio Jimenez 2 and Sonsoles Piera-Velazquez1, 1Thomas Jefferson University, Philadelphia, PA, 2Jefferson Institute of Molecular Medicine and Division of Connective Tissue Diseases, Thomas Jefferson University, Philadelphia, PA, Philadelphia, PA

    Background/Purpose: There is an urgent unmet need for effective therapeutic approaches for Systemic Sclerosis (SSc), a systemic autoimmune disease characterized by progressive fibrosis of skin…
  • Abstract Number: 1050 • 2019 ACR/ARP Annual Meeting

    Genome-Wide DNA Methylation Signatures in Classical Monocytes from African Ancestry Patients with Systemic Sclerosis

    Peter Allen1, Jena Wirth 2, Nathan Wilson 2, Jim Oates 3, Melissa Cunningham 2, Devin Absher 4 and Paula Ramos 2, 1University of Alabama at Birmingham, Birmingham, AL, 2Medical University of South Carolina, Charleston, 3Division of Rheumatology & Immunology/Medical University of South Carolina, Charleston, SC, 4HudsonAlpha Institute for Biotechnology, Huntsville, AL

    Background/Purpose: Systemic sclerosis (SSc) is a rare, fibrotic autoimmune disorder characterized by cutaneous and visceral fibrosis, immune dysregulation, and vasculopathy. It disproportionately affects individuals of…
  • Abstract Number: 1051 • 2019 ACR/ARP Annual Meeting

    Identification of Differential Chromatin Accessibility Using ATAC-seq in a Novel 3D Tissue Culture System of Systemic Sclerosis

    Tamar Wheeler1, Ji-Qing Chen 1, Diana Toledo 1, Bhaven Mehta 2, Yue Wang 2, Meredith Brown 1, Rajan Bhandari 3 and Mengqi Huang 4, 1Dartmouth College, Hanover, 2Geisel School of Medicine at Dartmouth, Hanover, NH, 3Dartmouth College, Lebanon, 4Geisel School of Medicine at Dartmouth College, Hanover, NH

    Background/Purpose: Although the majority of SSc research has focused on differential gene expression, recent studies havedemonstrated that non-coding epigenetic changes in chromatin accessibility are likely…
  • Abstract Number: 1052 • 2019 ACR/ARP Annual Meeting

    The PPAR Agonist Lanifibranor Protects Against Right Ventricular Hypertrophy in a Mouse Model of Systemic Sclerosis Associated Pulmonary Hypertension

    Emma Derrett-Smith 1, Kristina Clark1, Shiwen Xu 1, David Abraham 1, Olivier Lacombe 2, Pierre Broqua 2, Jean-Louis Junien 2, Irena Konstantinova 2 and Christopher Denton 3, 1University College London, London, United Kingdom, 2Inventiva, Daix, France, 3University College London Division of Medicine, Centre for Rheumatology and Connective Tissue Diseases, London, UK, London, United Kingdom

    Background/Purpose: The TβRIIΔk-fib transgenic mouse model of systemic sclerosis (SSc) develops constitutive structural vasculopathy with vessel wall fibrosis and is susceptible to pulmonary hypertension (PH)…
  • Abstract Number: 1053 • 2019 ACR/ARP Annual Meeting

    Parallel Analysis of Systemic Sclerosis and Keloidal Morphea Skin Biopsies Delineates the Hallmark Profibrotic Gene Expression Profile for Scleroderma in Vivo

    Kristina Clark1, Corrado Campochiaro 1, Nataliya Gak 1, Emma Derrett-Smith 1 and Christopher Denton 2, 1University College London, London, United Kingdom, 2University College London Division of Medicine, Centre for Rheumatology and Connective Tissue Diseases, London, UK, London, United Kingdom

    Background/Purpose: We have examined whole skin biopsy gene expression by RNAseq in a rare subgroup of scleroderma with both systemic sclerosis (SSc) and concurrent keloidal…
  • Abstract Number: 1054 • 2019 ACR/ARP Annual Meeting

    Analysis of Serum Markers Across the Scleroderma Spectrum Shows Subset and Stage Specific Profiles of Fibrogenesis

    Kristina Clark1, Corrado Campochiaro 1, Katherine Nevin 2, Eszter Csomor 2, Nicholas Galwey 2, Mary Morse 2, Nicolas Wisniacki 2, Shaun Flint 2, Voon Ong 3, Emma Derrett-Smith 1 and Christopher Denton 4, 1University College London, London, United Kingdom, 2GlaxoSmithKline, Stevenage, United Kingdom, 3UCL Medical School, Royal Free Campus, London, 4University College London Division of Medicine, Centre for Rheumatology and Connective Tissue Diseases, London, UK, London, United Kingdom

    Background/Purpose: Systemic sclerosis (SSc) is characterised by autoimmunity, fibrosis and vasculopathy. There is striking heterogeneity in skin fibrosis that is likely to reflect the balance…
  • Abstract Number: 1055 • 2019 ACR/ARP Annual Meeting

    Proteomic and Transcriptomic Analysis of Human Eosinophilic Fasciitis Fibroblasts

    Benjamin Chaigne1, Claire Fernandez 2, Morgane le Gall 2, Philippe Chafey 2, Benjamin Saintpierre 2, Virginie Salnot 2, Francois Guillonneau 2, Claire Le Jeunne 3 and Luc Mouthon 4, 1Cochin University Hospital, Paris, France, 2Cochin Institute, Paris, France, 3Paris Descartes University, Cochin Hospital, Internal Medicine department, Paris, France, 4National Referral Center for Rare Systemic Autoimmune Diseases Paris Cochin, Paris, France

    Background/Purpose: Eosinophilic fasciitis (EF) is a rare scleroderma-like disorder with less than 200 cases reported. Due to the rarity of the disease, data regarding its…
  • Abstract Number: 1056 • 2019 ACR/ARP Annual Meeting

    Profibrotic Macrophage Activation in Systemic Sclerosis Is Dependent on the Mechanosensing MRTF-A Pathway

    Tricia Lim1, Kristina Krogmannova 1, Shiwen Xu 1, Bahja Ahmed Abdi 2, David Abraham 1, Christopher Denton 3 and Richard Stratton 1, 1University College London, London, United Kingdom, 2University College London, London, 3University College London Division of Medicine, Centre for Rheumatology and Connective Tissue Diseases, London, UK, London, United Kingdom

    Background/Purpose: An M2-like alternative activation state of macrophages has been linked to the pathogenesis of several fibrotic disorders, including systemic sclerosis (SSc). MRTF-A is an…
  • Abstract Number: 1057 • 2019 ACR/ARP Annual Meeting

    Dissecting the Cellular Mechanism of Prostacyclin Analog Iloprost in Reversing Vascular Dysfunction in Scleroderma

    Pei-Suen Tsou1, Nicholas Flavahan 2 and Dinesh Khanna 3, 1University of Michigan, Ann Arbor, MI, 2The Johns Hopkins University School of Medicine, Baltimore, MD, 3Scleroderma Program, Division of Rheumatology, Department of Internal Medicine, Autoimmunity Center of Excellence, University of Michigan, Ann Arbor

    Background/Purpose: Iloprost improves Raynaud‘s phenomenon and digital ulcers in scleroderma (SSc) patients. This is hypothesized to reflect anti-platelet and vasodilatory effects. Different trials and cohorts…
  • Abstract Number: 1058 • 2019 ACR/ARP Annual Meeting

    Inhibition of Histone Readers Bromodomain and Extraterminal Domain Proteins Alleviates Scleroderma Fibrosis

    Sirapa Vichaikul 1, Phillip Campbell 2, M. Asif Amin 3, Jeffrey H. Ruth 3, Dallas Rohraff 1, David Fox 4, Dinesh Khanna 5, Amr Sawalha 6 and Pei-Suen Tsou3, 1University of Michigan, Ann Arbor, 2Division of Rheumatology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, 3University of Michigan, Ann Arbor, MI, 4Division of Rheumatology, Department of Internal Medicine, Autoimmunity Center of Excellence,University of Michigan, Ann Arbor, MI, 5Scleroderma Program, Division of Rheumatology, Department of Internal Medicine, Autoimmunity Center of Excellence, University of Michigan, Ann Arbor, 6University of Pittsburgh & University of Michigan, Pittsburgh, PA

    Background/Purpose: Epigenetic regulation, including histone acetylation, plays an important role in scleroderma (SSc) fibrosis. The binding of the bromodomain and extra-terminal domain proteins (BRDs) to…
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