Rheumatoid arthritis

Dietary Polyunsaturated Fatty Acid and the Risk of Rheumatoid Arthritis: Insights From Genetic Predisposition and Proteomics

Arthritis RheumatolPublished Prospective cohort study

Authors' conclusion

These findings indicated the potential benefits of n-3 PUFAs intake in reducing RA risk and provided new insights into the mechanisms by which n-3 PUFAs influence RA risk.

Study context

Population
Rheumatoid arthritis (RA)-free participants in the UK Biobank1,640 RA cases
Participants
188,597 participants
Exposure
Higher PUFA intake and RA risk
Outcome
Incident RA
Methodological detailsUK Biobank, Cox proportional hazard models, polygenic risk score, Olink proteomics, mediation analyses
  • UK Biobank
  • Cox proportional hazard models
  • Polygenic risk score
  • Olink proteomics
  • Mediation analyses

Main finding

As reported in the abstract

median follow-up 9.1 years

Each one-SD deviation increase in stearidonic acid (SDA), eicosapentaenoic acid (EPA), docosapentaenoic acid (DPA) and docosahexaenoic acid (DHA) intake reduced RA risk

9% to 10%

Observational data: associations, not effects.

Further findings

n-3 PUFA intake in high genetic risk (subgroup)

n-3 PUFA intake (SDA, EPA, DPA, DHA) significantly decreased RA risk among individuals with high genetic risk, with antagonistic additive interactions against genetic predisposition

Proteomic mediation

Mediating proteins involved in immune regulation, inflammation and cell homeostasis
55
CD80 and TNF receptor superfamily 4 emerged as vital mediators between specific n-3 PUFA intake and RA risk

Original publication

Dietary Polyunsaturated Fatty Acid and the Risk of Rheumatoid Arthritis: Insights From Genetic Predisposition and Proteomics. Arthritis Rheumatol. Published 1 July 2025. doi:10.1002/art.43229

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