ACR Meeting Abstracts

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Abstracts tagged "ANA"

  • Abstract Number: 98 • 2018 ACR/ARHP Annual Meeting

    Presence of Apoptotic Microparticle Containing Immune Complexes in Asymptomatic ANA+ Individuals Despite the Absence of Inflammation

    Carolina Muñoz-Grajales1,2, Dennisse Bonilla1, Ariana Karanxha1, Dario Ferri1,2, Earl Silverman3, Sindhu Johnson4, Arthur Bookman5, Zahi Touma5,6 and Joan E. Wither1,2,5,7, 1Krembil Research Institute, University Health Network, Toronto, ON, Canada, 2Department of Immunology, Department of Immunology, University of Toronto, Toronto, ON, Canada, 3Division of Rheumatology, The Hospital for Sick Children and University of Toronto, Toronto, ON, Canada, 4Rheumatology, Mount Sinai Hospital and University Health Network, Toronto, ON, Canada, 5Division of Rheumatology, University Health Network, Toronto, ON, Canada, 6University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 7Department of Medicine, Department of Medicine, University of Toronto, Toronto, ON, Canada

    Background/Purpose: Currently, little is known about what distinguishes asymptomatic Anti-Nuclear Antibody (ANA) positive individuals (ANA+NS) who will progress to Systemic Lupus Erythematosus (SLE) from those…
  • Abstract Number: 110 • 2018 ACR/ARHP Annual Meeting

    Single-Cell RNA-Seq Analysis of ANA+ Healthy and SLE Patients Show Variations in Activated Stress Response and Regulatory Pathways

    Miles C. Smith1, Samantha Slight-Webb1, Susan R. Macwana1, Judith A. James2,3 and Joel M. Guthridge1, 1Arthritis and Clinical Immunology, Oklahoma Medical Research Foundation, Oklahoma City, OK, 2Arthritis and Clinical Immunology Program, Oklahoma Medical Research Foundation, Oklahoma City, OK, 3Medicine & Pathology, Univ. of Oklahoma, Okla, OK

    Background/Purpose: One hallmark of the autoimmune disease Systemic lupus erythematosus (SLE) is the presence of antinuclear antibodies (ANAs). While the specificities and levels can indicate…
  • Abstract Number: 554 • 2018 ACR/ARHP Annual Meeting

    Are There Any Associations between ANA Development and Poor Treatment Response to Bdmards in RA Patients?

    Yuki Ishikawa1, Motomu Hashimoto2, Hiromu Ito3, Masao Tanaka2, Naoichiro Yukawa4, Takao Fujii5, Wataru Yamamoto6, Tsuneyo Mimori7 and Chikashi Terao8,9,10, 1One Joslin Place, Joslin Diabetes Center, Harvard Medical School, Boston, MA, 2Department of Advanced Medicine for Rheumatic Diseases, Graduate School of Medicine, Kyoto University, Kyoto, Japan, 3Department of Orthopedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan, 4Department of Rheumatology and Clinical Immunology, Graduate School of Medicine, Wakayama University, Wakayama, Japan, 5Dept of Rheum/Clinical Immun, Wakayama Medical University, Wakayama, Japan, 6Department of Health Information Management, Kurashiki Sweet Hospital, Okayama, Japan, 7Department of Rheumatology and Clinical Immunology, Graduate School of Medicine, Kyoto University, Kyoto, Japan, 8Center for Investigative Medical Sciences, RIKEN, Yokohama, Japan, 9Clinical Research Center, Shizuoka General Hospital, Shizuoka, Japan, 10Department of Applied Genetics, The School of Pharmaceutical Sciences, University of Shizuoka, Shizuoka, Japan

    Background/Purpose: It has been well known that anti-TNF-α treatment for RA patients is associated with ANA development. We previously reported that ANA development along with…
  • Abstract Number: 758 • 2018 ACR/ARHP Annual Meeting

    Cutaneous Lupus Erythematosus Patients with a Negative ANA Meeting Acr and/or SLICC Criteria for Systemic Lupus Erythematosus

    Meera Tarazi1, Carolyn Kushner2, Rebecca Gaffney2 and Victoria P. Werth3, 1Department of Dermatology, University of Pennsylvania, Philadelphia, PA, 2Dermatology, University of Pennsylvania, Philadelphia, PA, 3Department of Dermatology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA

    Background/Purpose: Systemic lupus erythematosus (SLE) is a disorder that is heterogeneous and can be difficult to diagnose. One hallmark of the disease is the presence…
  • Abstract Number: 1188 • 2018 ACR/ARHP Annual Meeting

    Are Residents Choosing Wisely? Analysis of Adherence to Recommendations of Ordering Anti-Nuclear Antibody Testing in an Internal Medicine Residency Primary Care Clinic

    Aparna Das, Rajarajan Panneerselvan, Annum Faisal, Jubran Rind and Rima Shah, Internal medicine, Michigan state university, grand rapids, MI

    Background/Purpose: A positive anti-nuclear antibody (ANA) is considered very useful for the diagnosis of SLE and systemic sclerosis, and somewhat useful for the diagnosis of…
  • Abstract Number: 43 • 2017 ACR/ARHP Annual Meeting

    Regulation of TLR7 Signalling By UBE2L3 Dependent Linear Ubiquitination Explains Dimethyl Fumarate Suppression of Autoreactive B Cell Development in SLE

    Daniele Mauro1, Victoria Tsang2, Isabelle A. Clayton-Lucey3, Sara Pagani2, Farah Alam2, Elena Pontarini2, Alessandra Nerviani2, Angela Pakozdi4, Andrea Cove-Smith4, Ravindra Rajakariar4, Debasish Pyne4, Timothy J Vyse5, Costantino Pitzalis2 and Myles J. Lewis4,6, 1Centre for Experimental Medicine and Rheumatology, William Harvey Research Institute, Barts and The London, School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom, 2Experimental Medicine & Rheumatology, William Harvey Research Institute, Queen Mary University of London, London, United Kingdom, 3Experimental Medicine & Rheumatology, William Harvey Research Institute, Queen Mary University of London, EC1M 6BQ, United Kingdom, 4Barts Lupus Centre, Barts Health NHS Trust, London, United Kingdom, 5Division of Genetics and Molecular Medicine, King's College London, Guy's Hospital, London, United Kingdom, 6Rheumatology, Centre for Experimental Medicine and Rheumatology, William Harvey Research Institute, Barts and The London, School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom

    Background/Purpose: A single risk haplotype spanning UBE2L3 is strongly associated with SLE and multiple autoimmune diseases. The E2 ubiquitin-conjugating enzyme UBE2L3 regulates TNFα and CD40…
  • Abstract Number: 198 • 2017 ACR/ARHP Annual Meeting

    The Impact of Electronic Consults (E-Consults) on Positive ANA Referrals in a Veteran Population

    Veena Patel1,2, Diana Stewart2,3 and Molly Horstman1,2,4, 1Internal Medicine, Baylor College of Medicine, Houston, TX, 2Internal Medicine, Michael E. DeBakey VA Medical Center, Houston, TX, 3Internal Medicine and Pediatrics, Baylor College of Medicine, Houston, TX, 4Center for Innovations in Quality, Effectiveness and Safety (iQUEST), Houston, TX

    Background/Purpose: Referrals to rheumatology for positive ANA in the absence of clinical signs and symptoms is a common practice, which may lead to unnecessary resource…
  • Abstract Number: 476 • 2017 ACR/ARHP Annual Meeting

    Novel Interaction between Anti-Citrulline Monoclonal Antibodies and Apoptotic Cells Is Mediated through Citrullinated Nuclear Antigens

    Katy A. Lloyd1, Peter Sahlström2, Johanna Steen1, Philip J. Titcombe3,4, Diana Zhou1, Christina Lundqvist5, Olov Ekwall6,7, Jimmy Ytterberg1, Johan Rönnelid8, Daniel L. Mueller3, Lars Klareskog1, Vivianne Malmström1 and Caroline Grönwall9, 1Dept. of Medicine, Rheumatology Unit, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden, 2Dept. of Medicine, Rheumatology Unit, Karolinska Institutet, Stockholm, Sweden, 3Dept. of Medicine, University of Minnesota Medical School, Minneapolis, MN, 4Dept. of Medicine, Rheumatology Unit, Karolinska Institutet, Karolinska University Hospital, Sweden, Sweden, 5Dept. of Rheumatology and Inflammation Research, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden, 6Dept. of Rheumatology and Inflammation Research, Institute of Medicine, Sahlgrenska Academy University of Gothenburg, Göteborg, Sweden, 7Dept of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden, 8Department of Immunology Genetics and Pathology, Uppsala University, Uppsala, Sweden, 9Dep. of Medicine, Rheumatology Unit, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden

    Background/Purpose: Anti-citrullinated protein antibodies (ACPA) display broad cross-reactivities and target proteins including a-enolase, filaggrin, vimentin, fibrinogen, and histones. However, every monoclonal ACPA has a distinct…
  • Abstract Number: 559 • 2017 ACR/ARHP Annual Meeting

    Performance of Multiple Platforms for Autoantibody Testing in Sjogren’s Syndrome

    Astrid Rasmussen1, Kiely Grundahl2, Lida Radfar3, C. Erick Kaufman4, David M. Lewis5, Barbara M. Segal6, Nelson L. Rhodus7, Harini Bagavant1, Umesh Deshmukh8, Christopher J Lessard8, R. Hal Scofield1 and Kathy L. Sivils1, 1Arthritis and Clinical Immunology Program, Oklahoma Medical Research Foundation, Oklahoma City, OK, 2Arthritis and Clinical Immunology Research Program, Oklahoma Medical Research Foundation, Oklahoma CIty, OK, 3Department of Oral Diagnosis and Radiology, University of Oklahoma College of Dentistry, Oklahoma City, OK, 4College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, 5Department of Oral Pathology, University of Oklahoma College of Dentistry, Oklahoma City, OK, 6Rheumatology, Hennepin County Medical Center, Minneapolis, MN, 7Department of Diagnostic and Biological Sciences, University of Minnesota School of Dentistry, Minneapolis, MN, 8Arthritis and Clinical Immunology Research Program, Oklahoma Medical Research Foundation, Oklahoma City, OK

    Background/Purpose: The research classification and clinical diagnosis of SjšgrenÕs syndrome (SS) relies heavily on the detection of autoantibodies against Ro/SSA and La/SSB, particularly in the…
  • Abstract Number: 673 • 2017 ACR/ARHP Annual Meeting

    Cell Bound Complement Activation Products Distinguish Systemic Lupus Erythematosus from Other Diseases Among Patients with High Antinuclear Antibody Titers and Normal Complement

    Daniel J. Wallace1, Elena Massarotti2, Rosalind Ramsey-Goldman3, Christopher E. Collins4, Anca Askanase5, Jill P. Buyon6, Richard Furie7, Sonali Narain7, Amit Saxena8, Kenneth C. Kalunian9, Cristina Arriens10, Chaim Putterman11, John Conklin12, Roberta Alexander12, Claudia Ibarra12, Tyler O'Malley13, Tarun Chandra14, Joseph Ahearn15, Susan Manzi16, Arthur Weinstein17 and Thierry Dervieux12, 1Cedars-Sinai Medical Center, UCLA, Los Angeles, CA, 2Brigham and Women's Hospital, Boston, MA, 3FSM, Northwestern University, Chicago, IL, 4Rheumatology, MedStar Washington Hospital Center, Washington, DC, 5Department of Medicine, Rheumatology, Columbia University College of Physicians & Surgeons, New York, NY, 6Rheumatology, NYU Langone Medical Center, New York, NY, 7Northwell Health, Great Neck, NY, 8NYU Langone Medical Center, New York, NY, 9Division of Rheumatology, Allergy and Immunology, UCSD School of Medicine, La Jolla, CA, 10Arthritis & Clinical Immunology, Oklahoma Medical Research Foundation, Oklahoma City, OK, 11Division of Rheumatology, Albert Einstein College of Medicine, Bronx, NY, USA, Bronx, NY, 12Exagen Diagnostics, Inc., Vista, CA, 13Research and Development, Exagen Diagnostics, Inc., Vista, CA, 14EmpiriQA LLC, Long Grove, IL, 15Lupus Center of Excellence, West Penn Allegheny Health System, Pittsburgh, PA, 16Medicine, Allegheny Health Network, Pittsburgh, PA, 17Rheumatology, MedStar Washington Hospital Center/Georgetown University Medical Center, Washington, DC

    Background/Purpose: Patients are often referred to the rheumatologist because of elevated anti-nuclear antibody (ANA) titers. We sought to evaluate the association of cell bound complement…
  • Abstract Number: 700 • 2017 ACR/ARHP Annual Meeting

    Variability in Method of Testing for Antinuclear Antibodies (ANA): A Survey of Participants in the College of American Pathologist’s (CAP) Proficiency Testing Program

    Stanley J. Naides1, Jonathan Genzen2, Gyorgy Abel3, Christine Bashleben4 and Mohammad Qasim Ansari5, 1Immunology, Quest Diagnostics Nichols Institute, San Juan Capistrano, CA, 2ARUP Laboratories Inc, Salt Lake City, UT, 3Department of Pathology and Laboratory Medicine, Lahey Clinic Burlington, Burlington, VT, 4College of American Pathologists, Northfield, IL, 5Department of Pathology and Laboratory Medicine, Louis Stokes VAMC, Cleveland, OH

    Background/Purpose: A 2010 American College of Rheumatology position paper designated indirect immunofluorescence assay (IFA) on HEp-2 cells the “gold standard” for ANA testing and that…
  • Abstract Number: 1097 • 2017 ACR/ARHP Annual Meeting

    Investigating Opportunities for Cost Conscious Care: A Review of Physician Practice in Ordering Anti-Nuclear Antibody Testing at an Academic Community Hospital

    Hrudya Abraham, Jorge Espinal and Sindhu Joseph, Internal Medicine, MacNeal Hospital, Berwyn, IL

    Background/Purpose: More than 94,000 ANA tests are performed each year resulting in an estimated cost of 2.24 million dollars annually. The American College of Rheumatology…
  • Abstract Number: 2578 • 2017 ACR/ARHP Annual Meeting

    RAB4A Protects from Antinuclear Antibody Production and Nephritis in the Pristane-Induced Model of SLE

    Gourav Choudhary1, Nick Huang2, Thomas Winans3, Ryan Kelly4, Sarah Blair3, Miguel Beckford3 and Andras Perl2, 1Department of Biochemistry and Mol. Biology, SUNY Upstate Medical University, Syracuse, NY, 2Medicine, SUNY Upstate Medical University, Syracuse, NY, 3SUNY Upstate Medical University, Syracuse, NY, 4SUNY, Syracuse, NY

    Background/Purpose: Systematic lupus erythematosus (SLE) is a multisystem chronic inflammatory disease characterized by circulating antinuclear autoantibodies and dysfunction of B cells, T cells, and dendritic…
  • Abstract Number: 2918 • 2016 ACR/ARHP Annual Meeting

    The Clinical Relevance of Common ANA Patterns in Systemic Sclerosis

    Ashraf Raslan1, Clifford Stermer2 and Vivien Hsu3, 1Medicine, Rutgers-RWJ Medical School, Jersey City, NJ, 2Medicine, Rutgers-RWJMS, New York, NY, 3Rheumatology, RWJ Med Schl Scleroderma Prog, New Brunswick, NJ

    Background/Purpose: Antinuclear antibody (ANA) test is positive in nearly 95% of patients with systemic sclerosis (SSc) [1]. We aim to identify the clinical relevance of…
  • Abstract Number: 443 • 2016 ACR/ARHP Annual Meeting

    Repetitive Requisition of Antinuclear Antibody Testing (ANA) in Outpatient Multispecialty Clinics in Patients with a Known Positive ANA

    Laura Amorese-O'Connell1, Pinky Vaidya2, Durkhani Mahboob2, Charis Gn3 and Stuart Schwartz4, 1Rheumatology, Brown University, RI hospital, Providence, RI, 2Rheumatology, Roger Williams Medical Center, Providence, RI, 3Internal Medicine, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, RI, 4Brown Medical School, Providence, RI

    Background/Purpose:   Methods:  Retrospective chart review was performed on 598 patients who underwent ANA testing between April 1st, 2015 and March 31st, 2016. Data collected…
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