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View conference programme - The British Society for Rheumatology

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11:45 Collagen III and V mutations Anne de Paepe<br />

<strong>The</strong> Ehlers-Danlos syndrome groups a number of inherited connective tissue<br />

disorders in which skin and joint hyperlaxity, easy bruising, dystrophic scarring<br />

and generalized connective tissue fragility are prominent features. Mutations<br />

affecting the biosynthesis and structure of fibrillar collagens are causal in<br />

several EDS subtypes. One of the most severe subtypes, vascular EDS, is<br />

characterized by arterial fragility and reduced life expectancy due to vascular<br />

rupture and results from mutations in the gene encoding type III collagen.<br />

Approximately half of the patients with the classical <strong>for</strong>m of EDS, in which skin<br />

hyperextensibility and fragility are prominent, carry a mutation in one of the<br />

genes encoding type V collagen. <strong>The</strong> clinical and molecular aspects of these<br />

conditions as well as diagnostic and management issues will be discussed.<br />

12:05 Collagen II, XI and other mutations in Stickler syndrome Martin Snead<br />

Stickler syndrome <strong>for</strong>ms part of the spectrum of type II/XI collagen<br />

chondrodysplasias and is the commonest inherited cause of retinal detachment.<br />

12:25 Extracellular matrix mutations in the epiphyseal and other<br />

chondrodysplaysias Mike Briggs<br />

Multiple epiphyseal dysplasias are inherited bone diseases that are<br />

characterised by joint pain and stiffness and early onset osteoarthritis.<br />

Autosomal dominant <strong>for</strong>ms of these diseases are genetically heterogeneous<br />

and result from mutations in important cartilage structural proteins. Recent<br />

studies have contributed significantly to our understanding of the pathobiology<br />

of these relatively common diseases.<br />

12:45 One gene, many clinical consequences: the lessons from G proteins<br />

Paul Wordsworth<br />

G proteins fulfill a vital role in cell signaling pathways. Activating and<br />

inactivating mutations have been described in the alpha subunit. Depending on<br />

whether these are of maternal or paternal origin widely differing phenotypes<br />

may result (Albright’s hereditary osteodystrophy, progressive osseous<br />

heteroplasia, pseudohypoparathroidism). Somatic mosaicism <strong>for</strong> activating<br />

mutations results in polyostotic fibrous dysplasia (McCune Albright syndrome).<br />

Authorship acknowledgement: Lisa Miles<br />

13:00 – 14:00 Lunch Cromdale Hall<br />

BSR Biologics Register Open Meeting – progress update <strong>for</strong> BSR and<br />

BHPR members Tinto/Moorfoot<br />

14:00 – 16:00 BSR: Plenary oral presentations of abstracts Pentland/Sidlaw<br />

Chair: David GI Scott<br />

• Targeting B cells with rituximab: an effective and well tolerated treatment <strong>for</strong> active<br />

rheumatoid arthritis (RA) John Isaacs<br />

• Heberden’s nodes: what Heberden didn’t see – a high resolution MRI study of the<br />

micro-architectural abnormalities in early and established hand osteoarthritis<br />

Ai Lyn Tan<br />

• Psoriatic arthritis synovitis: a critical role <strong>for</strong> IL-15 and IL-18? David Kane<br />

• Young Investigator Award Winner: Very early rheumatoid arthritis is characterised<br />

by a unique and transient T cell and stromal cytokine profile Karim Raza<br />

• Moderate alcohol is good <strong>for</strong> women’s bones Frances Williams<br />

• Michael Mason Prize winner: Autoantibodies, lupus and the science of sabotage<br />

Anisur Rahman<br />

12

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