Rheumatoid arthritis

Identifying the strongest novel gene-respiratory disease interactions for rheumatoid arthritis risk

Semin Arthritis RheumPublished Case-control study

An erratum to this article was published (Semin Arthritis Rheum, 24 Oct 2026 ↗)

Authors' conclusion

This study identified novel respiratory risk factors and gene-respiratory endotypes for RA

Study context

Population
Mayo Clinic and Mass General Brigham biobanks (mean age 64 years, 70% female in Mayo Clinic (MC); 54 years, 76% female in Mass General Brigham (MGB))
Participants
1,125 vs 4,495
Comparison
Gene-respiratory exposure interactions for incident rheumatoid arthritis (RA) risk
  • RA casesn = 1,125
  • Non-RA controlsn = 4,495reference
Outcome
Interactions between genetic (known RA risk alleles) and respiratory exposures for incident RA risk
Methodological detailsmatched on age, sex and duration of electronic health record (EHR) history, discovery (Mayo Clinic biobank) and validation (Mass General Brigham biobank), logistic regression
  • Matched on age, sex and duration of EHR history
  • Discovery (Mayo Clinic biobank) and validation (Mass General Brigham biobank)
  • Logistic regression

Main finding

As reported in the abstract

Gene-respiratory interactions validated in MGB (four novel)
Estimate (95% CI)
CD83/RNF182 (rs12530098)-acute pharyngitis
OR (seronegative RA, MC) 4.06(1.61–10.3)
CD83/RNF182 (rs12530098)-acute pharyngitis
OR (seronegative RA, MGB) 3.68(1.42–9.56)
JARID2 (rs113532504)-asthma
OR (seropositive RA, MC) 2.66(1.30–5.44)
JARID2 (rs113532504)-asthma
OR (seropositive RA, MGB) 1.93(1.20–3.08)

Observational data: associations, not effects.

Further findings

Respiratory exposures and incident RA (MC)

OR (95% CI)
ILD1.55 (1.00–2.40)
Overall respiratory burden1.67 (1.30–2.15)

Dose-response: CD83/RNF182-acute pharyngitis interaction, highest respiratory burden

OR (95% CI)
CD83/RNF182-acute pharyngitis, highest respiratory burdenStrongest dose-response association8.54 (1.59–45.9)

Original publication

Identifying the strongest novel gene-respiratory disease interactions for rheumatoid arthritis risk. Semin Arthritis Rheum. Published 30 January 2026. doi:10.1016/j.semarthrit.2026.152937

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