Across rheumatic diseases

Fine particulate matter air pollution and anti-nuclear antibodies

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

PM2.5 exposure was associated with ANA positivity at high titres.

Study context

Population
General population, Ontario Health Study cohort (sera collected 2010–2013)
Participants
3,548 participants
Exposure
Highest vs lowest quartile of ambient PM2.5 exposure
Outcome
ANA positivity (indirect immunofluorescence on HEp-2 cells) at titre thresholds
Methodological detailsrandom sample of a general population cohort, multivariable logistic regression
  • Random sample of a general population cohort
  • Multivariable logistic regression

Main finding

As reported in the abstract

ANA positivity by titre, highest vs lowest quartile of PM2.5
Highest quartile vs Lowest quartileOdds ratio (95% CI)
ANA titre ≥1:640
1.46(1.02–2.10)
ANA titre ≥1:1280
1.54(1.06–2.60)

Observational data: associations, not effects.

Further findings

ANA positivity with PM2.5 as a continuous variable

OR always >1.00, increasing with ANA titre, but CIs always contained unity at any titre threshold

Original publication

Fine particulate matter air pollution and anti-nuclear antibodies. Rheumatology (Oxford). Published 22 October 2025. doi:10.1093/rheumatology/keaf545

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