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  • Abstract Number: 1059 • 2019 ACR/ARP Annual Meeting

    BDCA2 Targeting of Human Plasmacytoid Dendritic Cells via CBS004 Reverts Dependent IFN Activation and Tissue Fibrosis in vitro and in vivo

    Rebecca Ross1, Clarissa Corinaldesi 2, Gemma Migneco 3, Yasser El-Sherbiny 4, Steve Holmes 5, Jörg Distler 6, Clive McKimmie 7 and Francesco Del Galdo 8, 1Univesristy of Leeds, Leeds, England, United Kingdom, 2University of Leeds, Leeds, England, United Kingdom, 3University of Leeds, Leeds, United Arab Emirates, 4University of Nottingham, Nottingham, United Kingdom, 5Capella Bioscience, london, United Kingdom, 6Department of Internal Medicine 3 – Rheumatology and Immunology, Friedrich-Alexander-University Erlangen-Nürnberg (FAU) and University Hospital Erlangen, Erlangen, Germany, Erlangen, Germany, 7University of Leeds, Leeds, United Kingdom, 8University of Leeds and LTHT NIHR Biomedical Research Centre, Leeds, United Kingdom

    Background/Purpose: Human plasmacytoid dendritic cells (pDCs) have been implicated in the pathogenesis of Systemic Sclerosis (SSc) through their ability to infiltrate the skin and secrete…
  • Abstract Number: 1060 • 2019 ACR/ARP Annual Meeting

    The Diversity and Community Metrics of the Esophageal Microbiome of SSc Patients

    Monica Espinoza1, Bhaven Mehta 2, Yue Wang 3, Aileen Hoffman 4, Kathleen Aren 5, Mary Carns 6, Noelle Kosarek 2, Tammara Wood 3, Monique Hinchcliff 7 and Michael Whitfield 8, 1Dartmouth College, Hanover, NH, 2Dartmouth College, Hanover, 3Geisel School of Medicine at Dartmouth, Hanover, NH, 4Northwestern University, Chicago, 5Northwestern.edu, Chicago, 6Northwestern University, Hanover, 7Yale University, Section of Rheumatology, Allergy and Immunology, New Haven, CT, 8Geisel School of Medicine at Dartmouth College, Biomedical Data Science at Dartmouth College, Hanover

    Background/Purpose: Systemic Sclerosis (SSc) is an autoimmune disease characterized by fibrosis and inflammation.  Multiple organ systems are affected including the skin, gastrointestinal tract, vasculature, and…
  • Abstract Number: 1061 • 2019 ACR/ARP Annual Meeting

    PI3K-Akt Pathway Plays a Crucial Role in Production of Collagen in Fli1 Deficient Condition and Its Inhibitor Has the Therapeutic Potential in Treating Fibrosis

    Yuko Ota1, Atsushi Kitani 2 and Warren Strober 2, 1Department of Allergy and Rheumatology, Nippon Medical School Graduate School of Medicine, Tokyo, Japan, 2Mucosal Immunity Section, Laboratory of Clinical Immunology and Microbiology, NIAID, NIH, Bethesda, MD

    Background/Purpose: Systemic sclerosis (SSc) is a connective tissue disease characterized by fibrosis of the skin and internal organs. Previous studies have shown that dermal fibroblast…
  • Abstract Number: 1062 • 2019 ACR/ARP Annual Meeting

    Lymphocyte Subset Abnormalities in Early Diffuse Cutaneous Systemic Sclerosis

    David Fox1, Steven Lundy 2, Michael Whitfield 3, Veronica Berrocal 4, Phillip Campbell 5, Stephanie Rasmussen 5, Ray Ohara 6, Alexander Stinson 6, Evan Wiewiora 7, Cathie Spino 7, Erica Bush 8, Daniel Furst 9, Shiv Pillai 10 and Dinesh Khanna 11, 1Division of Rheumatology, Department of Internal Medicine, Autoimmunity Center of Excellence,University of Michigan, Ann Arbor, MI, 2SystImmune, Inc., Redmond, WA, 3Department of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Hannover, NH, 4Department of Biostatistics, School of Publich Health, University of Michigan, Ann Arbor, MI, 5Division of Rheumatology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, 6Washington University, St. Louis, MO, 7Department of Biostatistics, School of Public Health, University of Michigan, Ann Arbor, MI, 8Scleroderma Program, Division of Rheumatology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, 9University of California, Los Angeles, CA, 10Ragon Institude of MGH, MIT and Harvard, Charlestown, MA, 11Scleroderma Program, Division of Rheumatology, Department of Internal Medicine, Autoimmunity Center of Excellence, University of Michigan, Ann Arbor

    Background/Purpose: A variety of abnormalities in lymphocyte surface markers and functional subsets have been described in patients with systemic sclerosis (SSc), but conflicting results abound,…
  • Abstract Number: 1063 • 2019 ACR/ARP Annual Meeting

    Effects of Abatacept on T Regulatory Cells in Early Diffuse Systemic Sclerosis

    David Fox1, Michael Whitfield 2, Veronica Berrocal 3, Steven K. Lundy 4, Phillip Campbell 5, Stephanie Rasmussen 5, Ray Ohara 6, Alexander Stinson 6, Evan Wiewiora 7, Cathie Spino 7, Erica Bush 8, Daniel Furst 9, Shiv Pillai 10 and Dinesh Khanna 11, 1Division of Rheumatology, Department of Internal Medicine, Autoimmunity Center of Excellence,University of Michigan, Ann Arbor, MI, 2Department of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Hannover, NH, 3Department of Biostatistics, School of Publich Health, University of Michigan, Ann Arbor, MI, 4TBD, Seattle, WA, 5Division of Rheumatology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, 6Washington University, St. Louis, MO, 7Department of Biostatistics, School of Public Health, University of Michigan, Ann Arbor, MI, 8Scleroderma Program, Division of Rheumatology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, 9University of California at Los Angeles, Los Angeles, CA, 10Ragon Institude of MGH, MIT and Harvard, Charlestown, MA, 11Scleroderma Program, Division of Rheumatology, Department of Internal Medicine, Autoimmunity Center of Excellence, University of Michigan, Ann Arbor

    Background/Purpose: Background: In a randomized controlled trial of abatacept in early diffuse systemic sclerosis (Khanna D, et al ACR 2018), we observed early clinical flares…
  • Abstract Number: 1064 • 2019 ACR/ARP Annual Meeting

    CD123+ Plasmacytoid Dendritic Cells from Systemic Sclerosis Patients Are Susceptible to the Cytotoxic Activity of Tagraxofusp, a CD123-Targeted Therapy

    Ross Lindsay1, Janice Chen 1, Robert Spiera 2, Jessica Gordon 2, Marie-Dominique Ah Kioon 3, Franck Barrat 3 and Christopher Brooks 1, 1Stemline Therapeutics, New York, 2Hospital for Special Surgery, New York, NY, 3HSS Research Institute, Hospital for Special Surgery, New York

    Background/Purpose: Tagraxofusp is a novel targeted therapy directed to the interleukin-3 receptor (CD123). Tagraxofusp is comprised of human IL-3 recombinantly fused to a truncated diphtheria…
  • Abstract Number: 1065 • 2019 ACR/ARP Annual Meeting

    Aberrant Expression Levels of Soluble Co-inhibitory Receptors Linked to Disease Activity in Systemic Sclerosis

    Voon Ong1, Svetlana Nihtyanova 2, David Abraham 2, Maithri Aspari 3, Christopher Denton 4 and Bent Deleuran 5, 1UCL Medical School, Royal Free Campus, London, 2University College London, London, United Kingdom, 3Department of Biomedicine; Department of Rheumatology, Aarhus University, Arrhus, Denmark, 4University College London Division of Medicine, Centre for Rheumatology and Connective Tissue Diseases, London, UK, London, United Kingdom, 5Department of Biomedicine; Department of Rheumatology, Aarhus University, Aarhus, Denmark

    Background/Purpose: Emerging evidence suggests dysregulated T cell activation in systemic sclerosis (SSc). Co-inhibitory-receptors such as TIM-3, PD-1 and LAG-3 are key factors in immune homeostasis…
  • Abstract Number: 1066 • 2019 ACR/ARP Annual Meeting

    Dysregulated IL-6 Dependent Dermal Adenosine Signaling via Adenosine A2A Receptor May Drive Fibrosis in Systemic Sclerosis

    Christopher Denton 1, Shiwen Xu 2, Sue Verma 3 and Voon Ong4, 1University College London Division of Medicine, Centre for Rheumatology and Connective Tissue Diseases, London, UK, London, United Kingdom, 2University College London, London, United Kingdom, 3Leadiant Biosciences, London, United Kingdom, 4UCL Medical School, Royal Free Campus, London

    Background/Purpose: Altered generation of adenosine from extracellular nucleotides by ectonucleotidases may orchestrate chronic injury responses and promote fibrosis via the adenosine A2A receptor (ADORA2A). We…
  • Abstract Number: 1067 • 2019 ACR/ARP Annual Meeting

    Identification of miRNAs in Systemic Sclerosis Based on Activity and Network Analysis­­­

    Yiwei Yuan1, Yue Wang 2, Patricia Pioli 3 and Michael Whitfield 4, 1Geisel School of Medicine at Dartmouth, Hanover, 2Geisel School of Medicine at Dartmouth, Hanover, NH, 3Dartmouth College, Hanover, 4Geisel School of Medicine at Dartmouth College, Biomedical Data Science at Dartmouth College, Hanover

    Background/Purpose: Systemic sclerosis (SSc; scleroderma) is a rare, heterogenous autoimmune disease characterized by skin fibrosis, vasculopathy and internal organ involvement. SSc patients can be divided…
  • Abstract Number: 1068 • 2019 ACR/ARP Annual Meeting

    Classical Monocytes from African Ancestry Patients with Systemic Sclerosis Show Transcription and Energy Regulation Gene Expression Signatures

    Paula Ramos1, Willian da Silveira 2, Jena Wirth 1, Nathan Wilson 1, Robert Wilson 1, Jin Hyun Nam 1, E. Starr Hazard 1, Jim Oates 3, Melissa Cunningham 1, Dongjun Chung 1 and Gary Hardiman 2, 1Medical University of South Carolina, Charleston, 2Queen’s University, Belfast, United Kingdom, 3Division of Rheumatology & Immunology/Medical University of South Carolina, Charleston, SC

    Background/Purpose: Systemic sclerosis (SSc) is a rare autoimmune disorder characterized by immune dysregulation, cutaneous and visceral fibrosis, and vasculopathy. It disproportionately affects African ancestry (AA)…
  • Abstract Number: 1069 • 2019 ACR/ARP Annual Meeting

    CD4+ T Helper Cell Populations with High PD-1 Expression Are Expanded in Systemic Sclerosis

    Alisa Mueller1, Andrea Fava 2, Deepak Rao 1 and Francesco Boin 3, 1Brigham and Women's Hospital, Boston, MA, 2Johns Hopkins University School of Medicine, Baltimore, MD, 3UCSF, San Francisco, CA

    Background/Purpose: Systemic sclerosis (SSc) is an autoimmune disease characterized by tissue fibrosis, vascular injury, and autoantibody production. CXCR5+ PD-1+ T follicular helper (Tfh) cells, which…
  • Abstract Number: 1070 • 2019 ACR/ARP Annual Meeting

    Cytokine Signatures Differentiate Systemic Sclerosis Patients at High versus Low Risk for Pulmonary Arterial Hypertension

    Kathleen Kolstad1, Avani Khatri 2, Michele Donato 3, Sarah Chang 4, Shufeng Li 5, Virginia Steen 6, Paul Utz 4, Purvesh Khatri 3 and Lorinda Chung 7, 1Division of Immunology and Rheumatology, Department of Medicine, Stanford University, Stanford, CA, 2Institute for Immunity, Transplantation and Infection, Stanford University, Stanford, 3Institute for Immunity, Transplantation and Infection, Stanford University, Palo Alto, 4Division of Immunology and Rheumatology, Department of Medicine, Stanford, Palo Alto, 5Division of Immunology and Rheumatology, Department of Medicine, Stanford, Palo Alto, CA, 6Georgetown University, Washington, D.C., USA, Georgetown, 7Stanford University, Palo Alto, CA

    Background/Purpose: Pulmonary arterial hypertension (PAH) affects approximately 10% of patients with systemic sclerosis (SSc) and is a leading cause of death. Screening algorithms using clinical…
  • Abstract Number: 1071 • 2019 ACR/ARP Annual Meeting

    A Common Transcriptional Signature Is Present in Circulating Classical Monocytes and Skin Macrophages in Systemic Sclerosis

    Hadijat Makinde1, Salina Dominguez 2, Gaurav Gadhvi 3, Kathleen Aren 4, Chang Zeng 3, Garrett Eickelberg 3, Dinesh Khanna 5, Shervin Assassi 6, Tracy Frech 7, Monique Hinchcliff 8, Carla Cuda 9, Deborah Winter 2 and Harris Perlman 2, 1Northwestern University, Chicago, IL, 2Northwestern University Feinberg School of Medicine, Division of Rheumatology, Chicago, 3Northwestern University, Chicago, 4Northwestern.edu, Chicago, 5Scleroderma Program, Division of Rheumatology, Department of Internal Medicine, Autoimmunity Center of Excellence, University of Michigan, Ann Arbor, 6Division of Rheumatology and Clinical Immunogenetics, University of Texas McGovern Medical School, Houston, Texas, USA, Houston, TX, 7Division of Rheumatology, University of Utah and Salt Lake VAMC, Salt Lake City, UT, 8Yale University, Section of Rheumatology, Allergy and Immunology, New Haven, CT, 9Northwestern University Feinberg School of Medicine, Division of Rheumatology, Chicago, IL

    Background/Purpose: The etiology and pathogenesis of systemic sclerosis (SSc) are poorly understood; however, an increasing body of evidence supports an early inflammatory phase that precedes…
  • Abstract Number: 1072 • 2019 ACR/ARP Annual Meeting

    CCR2+ Circulating Monocytes Contribute to the Survival of ADSC in Bleomycin-Induced Skin Fibrosis

    Madhavi Latha Chalasani1, Liyoung Kim 1 and Theresa Lu 2, 1Hospital for Special Surgery, New York, NY, 2Hospital for Special Surgery, Weill Cornell Medicine (Microbiology and Immunology), New York

    Background/Purpose: Monocytes and monocyte-derived cells play a crucial role during homeostasis and also during the development of various inflammatory diseases including skin fibrosis. Ly6Chi inflammatory…
  • Abstract Number: 1073 • 2019 ACR/ARP Annual Meeting

    Identification of Distinct Pro-Fibrotic Monocyte and Macrophage Subsets in Systemic Sclerosis

    Angela Tam1, Lauren Reinke-Breen 2, Glenda Trujillo 2, Shiwen Xu 1, Christopher Denton 3, David Abraham 1, Gabor Jarai 2 and Voon Ong 4, 1University College London, London, United Kingdom, 2Bristol-Myers Squibb, Pennington, 3University College London Division of Medicine, Centre for Rheumatology and Connective Tissue Diseases, London, UK, London, United Kingdom, 4UCL Medical School, Royal Free Campus, London

    Background/Purpose: Chronic inflammation may modulate the balance of classical, intermediate and non-classical monocyte subsets (defined by CD14/CD16 expression)1.  Monocytes are heterogeneous and subsets can be…
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