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B O O K - American College of Rheumatology

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A412<br />

Cell Death: Receptors, Sensors and Inflammatory<br />

Pathways R<br />

Moderators: Keith B. Elkon, MD; University <strong>of</strong> Washington;<br />

Seattle, WA<br />

Dror Mevorach, MD; Hadassah University Hospital; Jerusalem,<br />

Israel<br />

2:30 PM<br />

TAM Receptors and Innate Immune Function<br />

Greg E. Lemke, PhD; Salk Institute; La Jolla, CA<br />

3:00 PM<br />

Intracellular Sensors <strong>of</strong> Nucleic Acids and the Regulation <strong>of</strong><br />

Innate Immunity by microRNAs<br />

Luke A. O’Neill, PhD; Trinity <strong>College</strong> Dublin; Dublin, Ireland<br />

3:30 PM<br />

Necrosis and Inflammation - Pathways Uncovered<br />

Kenneth L. Rock, MD; University <strong>of</strong> Massachusetts; Worcester,<br />

MA<br />

Session Overview:<br />

Autoimmune responses in systemic and, perhaps, some<br />

organ-specific diseases are thought to arise from stimulation<br />

by self antigen derived from dead or dying cells. Recent<br />

studies have elucidated specific cellular receptors as well as<br />

intracellular sensors that recognize distinct products <strong>of</strong> dying<br />

cells. Depending on which receptors and sensors are triggered,<br />

different patterns <strong>of</strong> cytokine are produced resulting in<br />

suppression or enhancement <strong>of</strong> immune response to self.<br />

3:30 PM<br />

New Treatments and Beyond for Acute and Chronic Gout<br />

Robert Terkeltaub, MD; VA Medical Center; San Diego, CA<br />

Session Overview:<br />

Gout is a common disease. Treatment protocols have been<br />

unchanged for many years. However, there remain patients who<br />

are difficult to treat due to co-morbidities. Further, advances in<br />

diagnosis, and new and potential therapeutic agents justify an<br />

examination <strong>of</strong> how these options can be applied currently and<br />

in the future.<br />

Upon completion <strong>of</strong> this session, participants should be able to:<br />

• develop treatment strategies for patients with co-morbidities<br />

• explain novel diagnostic modalities in gout<br />

• assess new treatment options for gout<br />

Hall A3<br />

Rheumatoid Arthritis Treatment 2010: Traditional<br />

DMARDs, Biologic DMARDs and Newer Treatment<br />

Strategies C PM PS<br />

Moderators: Thomas P. Olenginski, MD; Geisinger Medical<br />

Center; Danville, PA<br />

John M. Davis, MD; Mayo Clinic; Rochester, MN<br />

2:30 PM<br />

Non-biologic Rheumatoid Arthritis Therapy: Traditional<br />

DMARDs<br />

James R. O’Dell, MD; University <strong>of</strong> Nebraska Medical Center;<br />

Omaha, NE<br />

wednesday<br />

Upon completion <strong>of</strong> this session, participants should be able to:<br />

• describe the different effects <strong>of</strong> apoptotic and necrotic cells<br />

on immune cell function<br />

• identify which molecules are critically involved in engaging<br />

cellular responses<br />

• explain how different receptors and intracellular sensors cells<br />

trigger anti- or pro-inflammatory responses in macrophages<br />

and dendritic cells<br />

• discuss how aberrations in these pathways lead to systemic<br />

autoimmune responses<br />

ACR Clinical Symposia<br />

2:30 - 4:00 PM<br />

Sidney J. Marcus Auditorium<br />

Crystallizing Your Assessment and Treatment <strong>of</strong><br />

Difficult to Treat Gout C PM PS<br />

Moderators: Bruce I. H<strong>of</strong>fman, MD; Philadelphia, PA<br />

Naomi Schlesinger, MD; University <strong>of</strong> Medicine and Dentistry<br />

<strong>of</strong> New Jersey/Robert Wood Johnson Medical School; New<br />

Brunswick, NJ<br />

2:30 PM<br />

Treatment <strong>of</strong> Gout in the Difficult Patient-Transplant, and other<br />

Co-morbidities<br />

N. Lawrence Edwards, MD; University <strong>of</strong> Florida; Gainesville, FL<br />

3:00 PM<br />

New and Old Modalities Used to Diagnose Gout<br />

Naomi Schlesinger, MD; University <strong>of</strong> Medicine and Dentristry<br />

<strong>of</strong> New Jersery/Robert Wood Johnson Medical School; New<br />

Brunswick, NJ<br />

3:00 PM<br />

Biologic DMARD Therapy in Rheumatoid Arthritis: Applying an<br />

Expanded Arsenal<br />

Josef S. Smolen, MD; Krankenhaus Lainz; Vienna, Austria<br />

3:30 PM<br />

Newer Rheumatoid Arthritis Treatment Strategies<br />

Duncan Porter, MD; Gartnavel General Hospital; Glasgow, United<br />

Kingdom<br />

Session Overview:<br />

Since 1998, the use <strong>of</strong> new, targeted biologic therapies has<br />

revolutionized the treatment <strong>of</strong> rheumatoid arthritis. Currently,<br />

agents that inhibit the action <strong>of</strong> tumor necrosis factor alpha,<br />

IL-1, IL-6, as well as selective co-stimulatory blockade and B-cell<br />

depleting therapies are available. However, early diagnosis and<br />

use <strong>of</strong> methotrexate, sulfasalazine, or hydroxychloroquine still<br />

constitute many initial treatment strategies. In 2008, the ACR<br />

published recommendations for the use <strong>of</strong> non-biologic and<br />

biologic disease-modifying antirheumatic drugs in rheumatoid<br />

arthritis. Rheumatologists have an expanded treatment arsenal<br />

and seek to apply the best evidence to treat their patients.<br />

Upon completion <strong>of</strong> this session, participants should be able to:<br />

• define the role and supportive evidence for non-biologic<br />

DMARD treatment in rheumatoid arthritis<br />

• appraise rheumatoid arthritis treatment goals and the current<br />

ACR treatment recommendations<br />

• assess the evidence supporting biologic DMARD therapy<br />

• review data from combination DMARD therapy<br />

• determine situations where DMARD may be tapered and/or<br />

withdrawn<br />

114<br />

2010 Program Book

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