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Dietary factors and rheumatoid arthritis: new perspectives from a Mendelian randomisation 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, People’s Republic of China
Shouye Hu
Affiliation:
Department of Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi’an, Shaanxi, People’s Republic of China
Weisong Zhang
Affiliation:
Department of Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi’an, Shaanxi, People’s Republic of China
Binfei Zhang
Affiliation:
Department of Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi’an, Shaanxi, People’s Republic of China
Zhi Yang*
Affiliation:
Department of Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi’an, Shaanxi, People’s Republic of China
*
Corresponding authors: Zhi Yang; Email: [email protected]; Yidian Wang; Email: [email protected]
Corresponding authors: Zhi Yang; Email: [email protected]; Yidian Wang; Email: [email protected]

Abstract

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 randomisation (MR) analysis to examine the causal associations between twenty-two 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 twenty-two dietary factors were obtained from UK Biobank. Random-effects inverse variance weighted 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 Author(s), 2024. Published by Cambridge University Press on behalf of The Nutrition Society

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Footnotes

These authors contributed equally to this work.

References

Xu, L, Chang, C, Jiang, P, et al. (2022) Metabolomics in rheumatoid arthritis: advances and review. Front Immunol 13, 961708.CrossRefGoogle ScholarPubMed
Yuan, J, Xiong, X, Zhang, B, et al. (2022) Genetically predicted C-reactive protein mediates the association between rheumatoid arthritis and atlantoaxial subluxation. Front Endocrinol 13, 1054206.CrossRefGoogle ScholarPubMed
Wu, D, Luo, Y, Li, T, et al. (2022) Systemic complications of rheumatoid arthritis: focus on pathogenesis and treatment. Front Immunol 13, 1051082.CrossRefGoogle ScholarPubMed
Fazal, SA, Khan, M, Nishi, SE, et al. (2018) A clinical update and global economic burden of rheumatoid arthritis. Endocr Metab Immune Disord Drug Targets 18, 98109.CrossRefGoogle ScholarPubMed
Guo, H-Y, Wang, W, Peng, H, et al. (2022) Bidirectional two-sample Mendelian randomization study of causality between rheumatoid arthritis and myocardial infarction. Front Immunol 13, 1017444.CrossRefGoogle ScholarPubMed
Lucchino, B, Spinelli, FR, Iannuccelli, C, et al. (2019) Mucosa-Environment interactions in the pathogenesis of rheumatoid arthritis. Cells 8, 700.CrossRefGoogle ScholarPubMed
Petta, I, Fraussen, J, Somers, V, et al. (2018) Interrelation of diet, gut microbiome, and autoantibody production. Front Immunol 9, 439.CrossRefGoogle ScholarPubMed
Camps-Bossacoma, M, Abril-Gil, M, Saldaña-Ruiz, S, et al. (2016) Cocoa diet prevents antibody synthesis and modifies lymph node composition and functionality in a rat oral sensitization model. Nutrients 8, 242.CrossRefGoogle Scholar
Jin, J, Li, J, Gan, Y, et al. (2021) Red meat intake is associated with early onset of rheumatoid arthritis: a cross-sectional study. Sci Rep 11, 5681.CrossRefGoogle ScholarPubMed
Overgaard, SH, Sørensen, SB, Munk, HL, et al. (2022) Impact of fibre and red/processed meat intake on treatment outcomes among patients with chronic inflammatory diseases initiating biological therapy: a prospective cohort study. Front Nutr 9, 985732.CrossRefGoogle ScholarPubMed
Manzel, A, Muller, DN, Hafler, DA, et al. (2014) Role of ‘Western diet' in inflammatory autoimmune diseases. Curr Allergy Asthma Rep 14, 404.CrossRefGoogle ScholarPubMed
Schönenberger, KA, Schüpfer, A-C, Gloy, VL, et al. (2021) Effect of anti-inflammatory diets on pain in rheumatoid arthritis: a systematic review and meta-analysis. Nutrients 13, 4221.CrossRefGoogle ScholarPubMed
Papandreou, P, Gioxari, A, Daskalou, E, et al. (2023) Mediterranean diet and physical activity nudges v. usual care in women with rheumatoid arthritis: results from the MADEIRA randomized controlled trial. Nutrients 15, 676.CrossRefGoogle Scholar
Forsyth, C, Kouvari, M, D'Cunha, NM, et al. (2018) The effects of the Mediterranean diet on rheumatoid arthritis prevention and treatment: a systematic review of human prospective studies. Rheumatol Int 38, 737747.CrossRefGoogle ScholarPubMed
Sekula, P, Del Greco, MF, Pattaro, C, et al. (2016) Mendelian randomization as an approach to assess causality using observational data. J Am Soc Nephrol 27, 32533265.CrossRefGoogle Scholar
Emdin, CA, Khera, AV & Kathiresan, S (2017) Mendelian randomization. JAMA 318, 19251926.CrossRefGoogle ScholarPubMed
Ha, E, Bae, S-C & Kim, K (2021) Large-scale meta-analysis across East Asian and European populations updated genetic architecture and variant-driven biology of rheumatoid arthritis, identifying 11 novel susceptibility loci. Ann Rheumatic Dis 80, 558565.CrossRefGoogle ScholarPubMed
Rusk, N (2018) The UK Biobank. Nat Methods 15, 1001.CrossRefGoogle ScholarPubMed
Lin, L, Luo, P, Yang, M, et al. (2022) Causal relationship between osteoporosis and osteoarthritis: a two-sample Mendelian randomized study. Front Endocrinol 13, 1011246.CrossRefGoogle ScholarPubMed
Hartwig, FP, Davey Smith, G & Bowden, J (2017) Robust inference in summary data Mendelian randomization via the zero modal pleiotropy assumption. Int J Epidemiol 46, 19851998.CrossRefGoogle ScholarPubMed
Luo, S, Au Yeung, SL, Zuber, V, et al. (2020) Impact of genetically predicted red blood cell traits on venous thromboembolism: multivariable Mendelian randomization study using UK Biobank. J Am Heart Assoc 9, e016771.CrossRefGoogle ScholarPubMed
Bowden, J, Davey Smith, G, Haycock, PC, et al. (2016) Consistent estimation in Mendelian randomization with some invalid instruments using a weighted median estimator. Genet Epidemiol 40, 304314.CrossRefGoogle ScholarPubMed
Verbanck, M, Chen, C-Y, Neale, B, et al. (2018) Detection of widespread horizontal pleiotropy in causal relationships inferred from Mendelian randomization between complex traits and diseases. Nat Genet 50, 693698.CrossRefGoogle ScholarPubMed
Rondanelli, M, Perdoni, F, Peroni, G, et al. (2021) Ideal food pyramid for patients with rheumatoid arthritis: a narrative review. Clin Nutr (Edinburgh Scotland) 40, 661689.CrossRefGoogle ScholarPubMed
Bergeron, N, Chiu, S, Williams, PT, et al. (2019) Effects of red meat, white meat, and nonmeat protein sources on atherogenic lipoprotein measures in the context of low compared with high saturated fat intake: a randomized controlled trial. Am J Clin Nutr 110, 2433.CrossRefGoogle ScholarPubMed
Shi, W, Huang, X, Schooling, CM, et al. (2023) Red meat consumption, cardiovascular diseases, and diabetes: a systematic review and meta-analysis. Eur Heart J 44, 26262635.CrossRefGoogle ScholarPubMed
Hatami, E, Aghajani, M, Pourmasoumi, M, et al. (2022) The relationship between animal flesh foods consumption and rheumatoid arthritis: a case-control study. Nutr J 21, 51.CrossRefGoogle ScholarPubMed
Asoudeh, F, Jayedi, A, Kavian, Z, et al. (2021) A systematic review and meta-analysis of observational studies on the association between animal protein sources and risk of rheumatoid arthritis. Clin Nutr (Edinburgh Scotland) 40, 46444652.CrossRefGoogle ScholarPubMed
Astore, C, Nagpal, S & Gibson, G (2022) Mendelian randomization indicates a causal role for n-3 fatty acids in inflammatory bowel disease. Int J Mol Sci 23, 14380.CrossRefGoogle ScholarPubMed
Balić, A, Vlašić, D, Žužul, K, et al. (2020) n-3 v. n-6 polyunsaturated fatty acids in the prevention and treatment of inflammatory skin diseases. Int J Mol Sci 21, 741.CrossRefGoogle Scholar
Calder, PC (2017) n-3 fatty acids and inflammatory processes: from molecules to man. Biochem Soc Trans 45, 11051115.CrossRefGoogle ScholarPubMed
Shiraseb, F, Hosseininasab, D, Mirzababaei, A, et al. (2022) Red, white, and processed meat consumption related to inflammatory and metabolic biomarkers among overweight and obese women. Front Nutr 9, 1015566.CrossRefGoogle ScholarPubMed
Graff, E, Vedantam, S, Parianos, M, et al. (2023) Dietary intake and systemic inflammation: can we use food as medicine? Curr Nutr Rep 12, 247254.CrossRefGoogle ScholarPubMed
Tappel, A (2007) Heme of consumed red meat can act as a catalyst of oxidative damage and could initiate colon, breast and prostate cancers, heart disease and other diseases. Med Hypotheses 68, 562564.CrossRefGoogle ScholarPubMed
Löfvenborg, JE, Ahlqvist, E, Alfredsson, L, et al. (2021) Consumption of red meat, genetic susceptibility, and risk of LADA and type 2 diabetes. Eur J Nutr 60, 769779.CrossRefGoogle ScholarPubMed
Reddy, S, Yi, L, Shields, B, et al. (2023) Alpha-gal syndrome: a review for the dermatologist. J Am Acad Dermatol 89, 750757.CrossRefGoogle ScholarPubMed
Pattison, DJ, Symmons, DPM, Lunt, M, et al. (2004) Dietary risk factors for the development of inflammatory polyarthritis: evidence for a role of high level of red meat consumption. Arthritis Rheum 50, 38043812.CrossRefGoogle ScholarPubMed
Chen, W, Liu, K, Huang, L, et al. (2022) Beef intake and risk of rheumatoid arthritis: insights from a cross-sectional study and two-sample Mendelian randomization. Front Nutr 9, 923472.CrossRefGoogle ScholarPubMed
Di Giuseppe, D, Wallin, A, Bottai, M, et al. (2014) Long-term intake of dietary long-chain n-3 polyunsaturated fatty acids and risk of rheumatoid arthritis: a prospective cohort study of women. Ann Rheumatic Dis 73, 19491953.CrossRefGoogle ScholarPubMed
Jiang, L, Shang, M, Yu, S, et al. (2022) A high-fiber diet synergizes with Prevotella copri and exacerbates rheumatoid arthritis. Cell Mol Immunol 19, 14141424.CrossRefGoogle ScholarPubMed
Li, Z, Guo, J & Bi, L (2020) Role of the NLRP3 inflammasome in autoimmune diseases. Biomed Pharmacother 130, 110542.CrossRefGoogle ScholarPubMed
Kjeldsen-Kragh, J, Haugen, M, Borchgrevink, CF, et al. (1991) Controlled trial of fasting and one-year vegetarian diet in rheumatoid arthritis. Lancet 338, 899902.CrossRefGoogle ScholarPubMed
Sköldstam, L, Larsson, L & Lindström, FD (1979) Effect of fasting and lactovegetarian diet on rheumatoid arthritis. Scand J Rheumatol 8, 249255.CrossRefGoogle ScholarPubMed
Müller, H, de Toledo, FW & Resch, KL (2001) Fasting followed by vegetarian diet in patients with rheumatoid arthritis: a systematic review. Scand J Rheumatol 30, 110.Google ScholarPubMed
Dey, M, Cutolo, M & Nikiphorou, E (2020) Beverages in rheumatoid arthritis: what to prefer or to avoid. Nutrients 12, 3155.CrossRefGoogle ScholarPubMed
Westerlind, H, Dukuzimana, J, Lu, X, et al. (2022) Investigation of the association between coffee and risk of RA-results from the Swedish EIRA study. Arthritis Res Ther 24, 178.CrossRefGoogle ScholarPubMed
Asoudeh, F, Dashti, F, Jayedi, A, et al. (2022) Caffeine, coffee, tea and risk of rheumatoid arthritis: systematic review and dose-response meta-analysis of prospective cohort studies. Front Nutr 9, 822557.CrossRefGoogle ScholarPubMed
Jin, J, Li, J, Gan, Y, et al. (2020) Tea consumption is associated with decreased disease activity of rheumatoid arthritis in a real-world, large-scale study. Ann Nutr Metab 76, 5461.CrossRefGoogle Scholar
Ascione, S, Barde, F, Artaud, F, et al. (2023) Association between beverage consumption and risk of rheumatoid arthritis: a prospective study from the French E3N Cohort. Rheumatol (Oxford) 62, 18141823.CrossRefGoogle ScholarPubMed
Sundström, B, Ljung, L & Di Giuseppe, D (2019) Consumption of meat and dairy products is not associated with the risk for rheumatoid arthritis among women: a population-based cohort study. Nutrients 11, 2825.CrossRefGoogle Scholar
Linos, A, Kaklamani, VG, Kaklamani, E, et al. (1999) Dietary factors in relation to rheumatoid arthritis: a role for olive oil and cooked vegetables? Am J Clin Nutr 70, 10771082.CrossRefGoogle ScholarPubMed
Gioia, C, Lucchino, B, Tarsitano, MG, et al. (2020) Dietary habits and nutrition in rheumatoid arthritis: can diet influence disease development and clinical manifestations? Nutrients 12, 1456.CrossRefGoogle ScholarPubMed
Sun, Q, Zhang, X, Liu, T, et al. (2013) Increased expression of mitotic arrest deficient-like 1 (MAD1L1) is associated with poor prognosis and insensitive to Taxol treatment in breast cancer. Breast Cancer Res Treat 140, 323330.CrossRefGoogle ScholarPubMed
Oikawa, Y, Matsuda, E, Nishii, T, et al. (2008) Down-regulation of CIBZ, a novel substrate of caspase-3, induces apoptosis. J Biol Chem 283, 1424214247.CrossRefGoogle ScholarPubMed
Ding, G, Lu, W, Zhang, Q, et al. (2021) ZBTB38 suppresses prostate cancer cell proliferation and migration via directly promoting DKK1 expression. Cell Death Dis 12, 998.CrossRefGoogle ScholarPubMed
Jing, J, Liu, J, Wang, Y, et al. (2019) The role of ZBTB38 in promoting migration and invasive growth of bladder cancer cells. Oncol Rep 41, 19801990.Google ScholarPubMed
Rossi, M, De Laurenzi, V, Munarriz, E, et al. (2005) The ubiquitin-protein ligase Itch regulates p73 stability. EMBO J 24, 836848.CrossRefGoogle ScholarPubMed
Kong, D, Gu, R, Zhang, C, et al. (2020) Knockdown of hsa_circ_0059955 induces apoptosis and cell cycle arrest in nucleus pulposus cells via inhibiting itchy E3 ubiquitin protein ligase. Drug Devel Ther 14, 39513963.CrossRefGoogle ScholarPubMed
Li, Y, Ge, Y-Z, Xu, L, et al. (2020) Circular RNA ITCH: a novel tumor suppressor in multiple cancers. Life Sci 254, 117176.CrossRefGoogle ScholarPubMed
Lin, X, Zhang, H, Boyce, BF, et al. (2020) Ubiquitination of interleukin-1α is associated with increased pro-inflammatory polarization of murine macrophages deficient in the E3 ligase ITCH. J Biol Chem 295, 1176411775.CrossRefGoogle ScholarPubMed
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