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Accepted manuscript

Dietary factors and rheumatoid arthritis: new perspectives from a Mendelian randomization analysis

Published online by Cambridge University Press:  05 December 2024

Yidian Wang*
Affiliation:
Department of Joint Surgery, Honghui Hospital, Xi’an Jiaotong University, Xi’an, Shaanxi, China.
Shouye Hu
Affiliation:
Department of Joint Surgery, Honghui Hospital, Xi’an Jiaotong University, Xi’an, Shaanxi, China.
Weisong Zhang
Affiliation:
Department of Joint Surgery, Honghui Hospital, Xi’an Jiaotong University, Xi’an, Shaanxi, China.
Binfei Zhang
Affiliation:
Department of Joint Surgery, Honghui Hospital, Xi’an Jiaotong University, Xi’an, Shaanxi, China.
Zhi Yang*
Affiliation:
Department of Joint Surgery, Honghui Hospital, Xi’an Jiaotong University, Xi’an, Shaanxi, China.
*
*Corresponding author: Zhi Yang, Department of Joint Surgery, Honghui Hospital, Xi’an Jiaotong University, Xi’an, Shaanxi, China, Email: xgcgfd @126.com. Yidian Wang, Department of Joint Surgery, Honghui Hospital, Xi’an Jiaotong University, Xi’an, Shaanxi, China, Email: [email protected].
*Corresponding author: Zhi Yang, Department of Joint Surgery, Honghui Hospital, Xi’an Jiaotong University, Xi’an, Shaanxi, China, Email: xgcgfd @126.com. Yidian Wang, Department of Joint Surgery, Honghui Hospital, Xi’an Jiaotong University, Xi’an, Shaanxi, China, Email: [email protected].
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Abstract

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Rheumatoid arthritis (RA) is a prevalent autoimmune disease, and there is growing evidence suggesting a potential correlation between dietary factors and the pathogenesis of this condition. In order to investigate the causal relationship between diet and RA, we conducted a two-sample Mendelian randomization (MR) analysis to examine the causal associations between 22 dietary factors and RA. Summary data from genome-wide association studies (GWAS) of RA were obtained from large GWAS meta-analyses. GWAS summary data for 22 dietary factors were obtained from UK Biobank (UKB). Random-effects inverse variance weighted (IVW) was used as the primary method for assessing causality, and analyses of heterogeneity and horizontal pleiotropy were performed to ensure the accuracy of the results. Research indicates a negative genetic causal relationship between cereal intake (OR = 0.64, 95% CI: 0.41 - 0.99, P = 0.048) and oily fish intake (OR = 0.70, 95% CI: 0.52 - 0.95, P = 0.020) with the risk of RA. Other dietary factors were not causally related to RA. Sensitivity analysis shows that our results are reliable. This study provides genetic evidence suggesting that cereal intake and oily fish intake are protective factors for RA, indicating that RA patients and individuals at high risk should make appropriate dietary adjustments.

Type
Research Article
Copyright
© The Authors 2024

Footnotes

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Authors contributed equally