Association between polycyclic aromatic hydrocarbons and rheumatoid arthritis / 中华老年医学杂志

ABSTRACT

Objective To analyze the association between polycyclic aromatic hydrocarbons(PAHs)exposure and rheumatoid arthritis (RA)based on large sample data.Methods The RA patients(RA group)and non-RA patients(non-RA group)with complete data were selected from the National Health and Nutrition Survey Database in the United States(NHANES)(2005-2014).The logistic regression model was used to analyze the association between 8 monohydroxylated(OH-)PAH metabolites in the urine and RA.Results A total of 357 RA patients and 5,256 non-RA participants were included.After adjusting the confounding factors by logistic analysis,the level of OH-PAHs mixture at the highest quartile(Q4)was associated with increased risk of RA compared with that at the lowest quartile(Q1) (OR =1.60,95 ％ CI1.16 2.23).For a single kind of OH-PAHs,the Q4 levels of 1-hydroxynaphthalene (OR =1.59,95 ％ CI.1.14-2.23),2-hydroxynaphthalene (OR =1.66,95 ％ CI1.19-2.32),2-hydroxyfluorene(OR =1.61,95 ％ CI1.17-2.22),3-hydroxyfluorene(OR =1.64,95％ CI1.18-2.27) and 1-hydroxyphenanthrene (OR =1.38,95 ％ CI1.00-1.94) were all associated with significantly increased risk of RA compared with the Q1 level(all P＜0.05).However,the Q2 level of 1-hydroxypyrene(OR =0.60,95％ CI0.43-0.83) was related to a decreased incidence of RA (P＜0.01).Conclusions OH-PAHs mixed exposure is a risk factor for RA.The association between the level of individual OH-PAH and the rate of RA is bidirectional and is depended on the type and concentration of OH-PAHs.