ACR Meeting Abstracts

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  • Abstract Number: 1899 • 2019 ACR/ARP Annual Meeting

    sFlt-1, PlGF and VEGF in the Differential Diagnosis Between Active SLE Nephritis During Pregnancy and Preeclampsia

    Guilherme De Jesus1, Marcela Lacerda 1, Bruna Rodrigues 1, Flavia dos Santos 1, Adriana Nascimento 1, Luis Cristóvão Porto 1, Nilson Ramires de Jesús 1, Roger Levy 2 and Evandro Klumb 1, 1Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil, 2GlaxoSmithKline, Upper Providence, PA

    Background/Purpose: Pregnancy in patients with SLE is associated with significant morbidity and mortality. SLE activity during pregnancy, specifically nephritis, makes the differential diagnosis with preeclampsia…
  • Abstract Number: 1900 • 2019 ACR/ARP Annual Meeting

    Assessing Commercial Titers of anti-Ro60 and Ro52 Antibodies to Risk Stratify Surveillance of Anti-Ro/SSA Antibody Positive Pregnancies

    Kimberly Robins 1, Rohit Bhan1, Catherine Trad 1, Rebecca Cohen 1, Miao Chang 1, Benjamin Wainwright 1, Mala Masson 1, Shilpi Mehta-Lee 1, Peter Izmirly 1, Robert Clancy 1, Bettina Cuneo 2 and Jill Buyon 1, 1NYU School of Medicine, New York, 2Children's Hospital Colorado, Aurora

    Background/Purpose: Pregnancy counseling of all anti-Ro positive women includes advice regarding the development of congenital heart block (CHB), albeit the risk is only 2% for…
  • Abstract Number: 1901 • 2019 ACR/ARP Annual Meeting

    Serious Infections in Offspring Exposed in Utero to Non-TNFi Biologics and Tofacitinib

    Evelyne Vinet1, Yvan St-Pierre 1, Cristiano S. Moura 1, Jeffrey Curtis 2 and Sasha Bernatsky 3, 1McGill University Health Centre, Montreal, QC, Canada, 2University of Alabama at Birmingham, Birmingham, AL, 3Research Institute of the McGill University Health Centre, Montreal, QC, Canada

    Background/Purpose: During pregnancy, maternal circulating immunoglobulins G (IgG) are actively transported across the placenta through their Fc portion. Thus, TNFi and other biologics harbouring an Fc…
  • Abstract Number: 1902 • 2019 ACR/ARP Annual Meeting

    Systems Biology in 874 Patients with Primary Sjögren’s Syndrome Indicates the Predominant Role of Interferon Alpha Compared to Interferon Gamma, Its Association with Systemic Complications, and a New Aspect of the Genetic Contribution of HLA

    Pierre Bost 1, Xavier Mariette 2, Vincent Bondet 3, Alba Llibre 1, Céline Posseme 3, Bruno Charbit 3, Christian Thorball 4, Roland Jonsson 5, Chris Lessard 6, Renaud Felten 7, Fai Ng 8, K Silvis 9, Lucienne Chatenoud 10, Hélène Dumortier 11, Jacques Fellay 4, Karl A Brostadt 12, Silke Appel 5, Jessica R Tarn 8, Lluis Quintana-Murci 3, Michael Minguenau 13, Nicolas Meyer 14, Darragh Duffy 1, Benno Schwikowski 1 and Jacques-Eric Gottenberg15, 1PASTEUR, PARIS, France, 2Université Paris-Sud, Paris, France, Paris, Centre, France, 3PASTEUR, PARIS, Centre, France, 4School of Life Sciences, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 5University of Bergen, Bergen, Norway, 6ORMF, Oklahoma City, 7Strasbourg Unviersity Hospital, Strasbourg, Alsace, France, 8Newcastle Hospital, Newcastle, United Kingdom, 9ORMF, Oklahoma, 10Necker Hospital, Paris, France, 11IBMC, Strasbourg, Alsace, France, 12Universiy of Bergen, Bergen, Norway, 13Biogen, Boston, 14Strasbourg University Hospital, STRASBOURG, France, 15Department of Rheumatology, Strasbourg University Hospital, Strasbourg, France

    Background/Purpose: Primary Sjögren’s syndrome (pSS) is the second most frequent systemic autoimmune disease affecting 0.1% of the general population. No specific immunomodulatory drug has demonstrated…
  • Abstract Number: 1903 • 2019 ACR/ARP Annual Meeting

    BTK Overexpression Is Associated with the Risk of Lymphoma in Primary Sjögren’s Syndrome: Data from Whole Blood Transcriptome of 346 Patients Followed-up Prospectively for 10 Years

    Pierre-Marie Duret1, Tao Ye 2, Wan-Fai Ng 3, Alain Saraux 4, Valérie Devauchelle Pensec 5, Raphaele Seror 6, Veronique Le-Guern 7, Claire Larroche 8, Aleth Perdriger 9, Jean Sibilia 10, Jessica Tarn 11, Gaetane Nocturne 12, Xavier Mariette 13 and Jacques-Eric Gottenberg 14, 1Hôpitaux civils de Colmar, COLMAR CEDEX, France, 2GenomEAST platform / Institut National de la Santé et de la Recherche Médicale (INSERM), U1258, Institut de Génétique et de Biologie Moléculaire, IGBMC, Strasbourg, France, 3Musculoskeletal Research Group Institute of Cellular Medicine Faculty of Medical Sciences Newcastle University, Newcastle, United Kingdom, 4CHU de la Cavale-Blanche Brest, Brest, France, 5University Hospital of Brest, Brest, France, 6Hopitaux universitaires Paris Sud, Kremlin-Bicetre, France, 7Department of Internal Medicine, Referral Center for Rare Autoimmune and Systemic Diseases, Hôpital Cochin, AP-HP, Université Paris Descartes, Paris, France,, Paris, France, 8Internal Medicine, Paris, France, Paris, France, 9Rheumatology department, Rennes University Hospital, France, Rennes, France, 10CHU Strasbourg, Strasbourg, France, 11Institute of Cellular Medicine Newcastle University, Newcastle, United Kingdom, 12Center for Immunology of Viral Infections and Autoimmune Diseases, Assistance Publique – Hôpitaux de Paris, Hôpitaux Universitaires Paris-Sud, Le Kremlin-Bicêtre, Université Paris Sud, INSERM, Paris, France., Paris, France, 13Center for Immunology of Viral Infections and Autoimmune Diseases, Assistance Publique – Hôpitaux de Paris, Hôpitaux Universitaires Paris-Sud, Le Kremlin-Bicêtre, Université Paris Sud, INSERM, Paris, France, 14Department of Rheumatology, Strasbourg University Hospital, Strasbourg, France

    Background/Purpose: To identify a molecular signature associated with lymphomagenesis in primary Sjögren’s Syndrome (pSS).Methods: Whole peripheral blood samples were collected from 346 well-phenotyped pSS patients…
  • Abstract Number: 1904 • 2019 ACR/ARP Annual Meeting

    IL-6 Receptor Inhibition in Primary Sjögren Syndrome : Results from a Randomized Multicenter Academic Double Blind Placebo-controlled Trial of Tocilizumab in 110 Patients

    Renaud Felten 1, Nicolas Meyer 1, P Duffaut 2, D Saadoun 3, Eric Hachulla 4, Pierre Yves Hatron 4, Carine Salliot 5, Aleth Perdriger 6, Jacques Morel 7, Arsène Mekinian 8, Olivier Vittecoq 9, Jean Marie Berthelot 10, Emmanuelle Dernis 11, Véronique Le Guern 12, Philippe Dieudé 13, Claire Larroche 14, Christophe Richez 15, Thierry Martin 1, Charles Zarnitsky 16, Gilles Blaison 17, P Kieffer 18, François Maurier 19, Stéphanie Rist 5, Patrice Cacoub 20, Emmanuel Andres 21, Emmanuel Chatelus 1, Christelle Sordet 1, Jean Sibilia 1, Cécile Arnold 1, Mira Tawk 1, Ouafaa Aberkane 1, Raphaele Seror 22, Lise Holterbach 1, Xavier Mariette 22 and Jacques-Eric Gottenberg23, 1Strasbourg University Hospital, Strasbourg, France, 2Bordeaux University Hospital, Bordeaux, Aquitaine, France, 3Pitie Salpetrière Hospital, APHP, Paris, France, 4Lille University Hospital, Lille, France, 5Orleans Hospital, Orleans, France, 6Rennes University Hospital, Rennes, France, 7Montpellier University Hospital, Montpellier, France, 8Saint-Antoine Hospital, APHP, Paris, France, 9Rouen University Hospital, ROUEN, France, 10Nantes University Hospital, Nantes, France, 11Le Mans Hospital, Le Mans, France, 12Cochin Hospital, APHP, PARIS, France, 13Bichat Hospital, APHP, PARIS, 14Avicenne Hospital, PARIS, France, 15Bordeaux University Hospital, Bordeaux, France, 16Le Havre Hospital, Le Havre, 17Colmar Hospital, Colmar, France, 18Mulhouse Hospital, Mulhouse, France, 19Metz Hospital, Metz, France, 20Pitie Salpéterière, APHP, Paris, France, 21CHU Strasbourg, strasbourg, 22Bicetre Hospital, APHP, Paris, France, 23Department of Rheumatology, Strasbourg University Hospital, Strasbourg, France

    Background/Purpose: IL-6 is suspected to play an important pathogenic role in primary Sjögren’s syndrome (pSS) through its crucial roles in B-cell activation, and T-cell polarization,…
  • Abstract Number: 1905 • 2019 ACR/ARP Annual Meeting

    Sicca/Sjögren Syndrome Triggered by PD-1/PD-L1 Checkpoint Inhibitors: Data from the International ImmunoCancer Registry (ICIR)

    Manuel Ramos-Casals 1, Alexandre Maria 2, Maria E. Suárez-Almazor 3, Olivier Lambotte 4, Benjamin A. Fisher 5, Gabriela Hernandez-Molina 6, Philippe Guilpain 2, Xerxes Pundole 3, Soledad Retamozo7, Alejandra Flores-Chávez 8, Chiara Baldini 9, Clifton Bingham 10, Pilar Brito-Zerón 11, Jacques-Eric Gottenberg 12, Marie Kostine 13, Timothy R.D. Radstake 14, Thierry Schaeverbeke 15, Hendrik Schulze-Koops 16, Leonard Calabrese 17, Munther A Khamashta 18 and Xavier Mariette 19, 1Department of Autoimmune Diseases, ICMiD. Sjögren Syndrome Research Group (AGAUR), Laboratory of Autoimmune Diseases Josep Font, IDIBAPS-CELLEX. Department of Medicine, University of Barcelona, Hospital Clínic, Barcelona, Spain., Barcelona, Spain, 2Department of Internal Medicine, Multi-Organic Diseases, Local Referral Center for Autoimmune Diseases, Saint Eloi Hospital- Montpellier-1 University, Montpellier Cedex 5, France, Montpellier, France, 3Department of Rheumatology/Clinical Immunology, The University of Texas MD Anderson Cancer Center, Houston, TX , USA., Houston, TX, 4APHP Médecine Interne/Immunologie Clinique, Hôpital Bicêtre, Paris, France. Université Paris Sud 11 – INSERM U1184 - CEA, Immunology of Viral Infections and Autoimmune Diseases, IDMIT Department, IBFJ, Fontenay-aux-Roses & Le Kremlin-Bicêtre, France., Paris, France, 5Institute of Inflammation and Ageing, University of Birmingham; and National Institute of Health Research Birmingham Biomedical Research Centre and Department of Rheumatology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK, Birmingham, United Kingdom, 6Department of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico, 7Instituto De Investigaciones En Ciencias De La Salud, Univ. Nacional de Córdoba, Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto Universitario de Ciencias Biomédicas de Córdoba, Córdoba, Argentina., Cordoba, Argentina, 8Department of Autoimmune Diseases, ICMiD, Barcelona, Spain., Barcelona, Spain, 9Rheumatology Unit, University of Pisa, Italy., Pisa, Italy, 10Johns Hopkins University, Baltimore, MD, 11Sjögren Syndrome Research Group (AGAUR), Laboratory of Autoimmune Diseases Josep Font, IDIBAPS-CELLEX, Department of Autoimmune Diseases, ICMiD, University of Barcelona, Hospital Clínic. Autoimmune Diseases Unit, Department of Medicine, Hospital CIMA- Sanitas, Barcelona, Spain., Barcelona, Spain, 12Department of Rheumatology, Strasbourg University Hospital, Strasbourg, France, 13Department of Rheumatology, Centre Hospitalier Universitaire, Bordeaux, France, Bordeaux, France, 14Department of Rheumatology/Clinical Immunology, University Medical Center Utrecht, Utrecht, The Netherlands., Utrecht, Netherlands, 15FHU ACRONIM, Department of Rheumatology, Centre Hospitalier Universitaire, Bordeaux, France, Bordeaux, France, 16Department of Rheumatology/Clinical Immunology, Ludwig-Maximilians-University Munich, Munich, Germany., Munich, Germany, 17Rheumatologic and Immunologic Disease/Cleveland Clinic, Cleveland, OH, 18King's College London School of Medicine, London, United Kingdom, 19Center for Immunology of Viral Infections and Autoimmune Diseases, Assistance Publique – Hôpitaux de Paris, Hôpitaux Universitaires Paris-Sud, Le Kremlin-Bicêtre, Université Paris Sud, INSERM, Paris, France

    Background/Purpose: To analyse the worldwide occurrence of sicca/Sjögren (SjS) syndrome associated with the use of immune checkpoint inhibitors (ICI) in patients with cancer.Methods: The ImmunoCancer…
  • Abstract Number: 1906 • 2019 ACR/ARP Annual Meeting

    Using Multi-modal Ultrasound to Assess Disease Activity Within the Salivary Glands of Patients with Primary Sjögren’s Syndrome Treated with Ianalumab (VAY736)

    Torsten Diekhoff 1, Maximilian Posch 2, Frank Wagner 2, Thomas Fischer 1, Quirino Schefer 2, Thomas Dörner 3, Didier Laurent 4, Yue Li 4 and Stephen Oliver4, 1Charité University Hospital, Berlin, Germany, 2Charité Research Organisation, Berlin, Germany, 3Charite Universitätsmedizin Berlin and DRFZ, Berlin, Germany, 4Novartis Pharma AG, Basel, Switzerland

    Background/Purpose: To use ultrasound (US) to demonstrate that ianalumab, a monoclonal antibody with dual mechanisms-of-action of BAFF:BAFF-R blockade and enhanced, ADCC-mediated B cell depletion, can…
  • Abstract Number: 1907 • 2019 ACR/ARP Annual Meeting

    Abatacept Reduces Serum CXCL13 and Disease-Relevant Immune Cell Phenotypes in a Double-Blind, Placebo-Controlled Primary Sjögren’s Syndrome Clinical Trial

    Jacques-Eric Gottenberg1, Sumanta Mukherjee 2, Marleen Nys 3, Robert Wong 4, Hendrika Bootsma 5 and Neelanjana Ray 4, 1Department of Rheumatology, Strasbourg University Hospital, Strasbourg, France, 2Bristol-Myers Squibb, Princeton, NJ, 3Bristol-Myers Squibb, Braine L’Alleud, Belgium, 4Bristol-Myers Squibb, Princeton, 5University of Groningen, Groningen, Netherlands

    Background/Purpose: Chemokine (C-X-C motif) ligand 13 (CXCL13), produced by follicular helper T (Tfh) cells, plays a pivotal role in B-cell homing and activation in germinal…
  • Abstract Number: 1908 • 2019 ACR/ARP Annual Meeting

    Preliminary Identification of Arthritis-Associated Microbiota in Experimental Spondyloarthritis

    Tejpal Gill1, Tri Tran 2, Stephen Brooks 3 and Robert Colbert 4, 1NIAMS/NIH, Bethesda, MD, 2NIAMS, NIH, Bethesda, MD, 3Biomining and Discovery Section/NIAMS/NIH, Bethesda, MD, 4Pediatric Clinical Trials Unit, Pediatric Translational Research Branch, NIAMS, NIH, Bethesda, MD

    Background/Purpose: Gut microbiota are strongly implicated in the pathogenesis of spondyloarthritis (SpA). Previous studies from our lab have documented extensive gut microbial dysbiosis in rats…
  • Abstract Number: 1909 • 2019 ACR/ARP Annual Meeting

    miR-21-5p Expression as a Marker of Treatment Response in Psoriatic Arthritis Patients

    Rohan Machhar1, Justine (Yang) Ye 2, Remy Pollock 1 and Dafna Gladman 3, 1Krembil Research Institute, University Health Network, Toronto, Canada, 2University Health Network, University of Toronto, Toronto, ON, Canada, 3Toronto Western Hospital, Toronto, Canada, Toronto, ON, Canada

    Background/Purpose: Psoriatic arthritis (PsA) is an inflammatory arthritis occurring in patients with psoriasis. Links between altered miRNA expression with the pathogenesis of several autoimmune disorders…
  • Abstract Number: 1910 • 2019 ACR/ARP Annual Meeting

    Inflammatory Processes in Experimental Spondyloarthritis Are Accompanied by Formation of Ectopic Lymphoid Structures and B Cell Lineage Alterations in the Bone Marrow

    Merlijn Kaaij1, Jan Piet van Hamburg 1, Jasper Rip 2, George Kollias 3, Leonie van Duivenvoorde 1, Martijn Nolte 4, Dominique Baeten 1 and Sander Tas 1, 1Amsterdam Rheumatology & immunology Center, Amsterdam UMC/University of Amsterdam, Amsterdam, Netherlands, 2Department of Pulmonary Medicine, Erasmus MC, Rotterdam, Rotterdam, Netherlands, 3Division of Immunology, Biomedical Sciences Center ”Alexander Fleming”, Vari, Greece, Vari, Greece, 4Sanquin Research and Landsteiner Laboratory, Molecular & Cellular Hemostasis, Amsterdam UMC/University of Amsterdam, Amsterdam, Netherlands

    Background/Purpose: Tumour necrosis factor a (TNF) is important in immune-mediated inflammatory diseases such as spondyloarthritis (SpA). Transmembrane (tm)TNF-transgenic (tg) mice that overexpress tmTNF develop typical…
  • Abstract Number: 1911 • 2019 ACR/ARP Annual Meeting

    Targeting the Oxidative Stress Pathway in Experimental Spondyloarthritis Reduces Pro-inflammatory Response in Rat Macrophages and Modulates Their Metabolic Requirements

    Fatemeh Navid1, Francesca LiCausi 1, Breanna Nguyen 1, Antony Cougnoux 2, Pierre-Christian Violet 3, Mark Levine 3 and Robert Colbert 1, 1NIAMS/NIH, bethesda, 2NICHDR/NIH, Bethesda, 3NIDDK/NIH, Bethesda

    Background/Purpose: HLA-B27 is associated with the development of spondyloarthritis (SpA) and has a tendency to generate ER stress due to misfolding which can activate the…
  • Abstract Number: 1912 • 2019 ACR/ARP Annual Meeting

    High Dimensional Flowcytometric Profiling Distinguishes Psoriasis and Psoriatic Arthritis

    Michelle Mulder1, Juul van den Reek 2, Elke de Jong 2, Bram van Cranenbroek 2, Ruben Smeets 2, Irma Joosten 2, Xuehui He 3, Frank van den Hoogen 1, Hans Koenen 3 and Mark Wenink 1, 1Sint Maartenskliniek, Nijmegen, Netherlands, 2Radboudumc, Nijmegen, Netherlands, 3Radboudumc, Njimegen, Netherlands

    Background/Purpose: Psoriasis (Pso) is a common chronic inflammatory skin disease. About 30% of Pso patients develop psoriatic arthritis (PsA), a chronic inflammation of joints and…
  • Abstract Number: 1913 • 2019 ACR/ARP Annual Meeting

    Associations of HLA-B Alleles, Enthesitis and Peripheral Arthritis in Ankylosing Spondylitis

    Benjamin Naovarat1, Michael Weisman 2, Lianne Gensler 3, Michael Ward 4, Mark Hwang 1, Amirali Tahanan 1, MinJae Lee 1, Mohammad Rahbar 1, Mariko Ishimori 5, Matthew Brown 6 and John Reveille 7, 1University of Texas-McGovern Medical School, Houston, TX, 2David Geffen School of Medicine at UCLA, Los Angeles, CA, 3University San Francisco California, San Francisco, CA, 4NIAMS, Bethesda, MD, 5Cedars-Sinai Medical Center, Los Angeles, CA, 6Queensland University of Technology, Queensland, Australia, 7University of Texas McGovern Medical School, Houston

    Background/Purpose: Recent studies have suggested that peripheral arthritis in patients with spondyloarthritis is associated with HLA-B*15. Studies of white patients with psoriatic arthritis (PsA) have…
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