Lipoxygenase-derived oxylipins are enriched in anti-citrullinated protein antibody (ACPA)-positive individuals at risk for developing rheumatoid arthritis

Abstract Background Rheumatoid arthritis (RA) is typically preceded by an extended preclinical period where circulating autoantibodies, particularly anti-citrullinated protein antibodies (ACPA), are detectable in the absence of clinical arthritis. Increased dietary intake of anti-inflammatory omega-...

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Main Authors: Liam J. O’Neil, Vidyanand Anaparti, Tanja Winter, Irene Smolik, Xiaobo Meng, Harold M. Aukema, Hani El-Gabalawy
Format: Article
Language:English
Published: BMC 2024-02-01
Series:Arthritis Research & Therapy
Subjects:
Online Access:https://doi.org/10.1186/s13075-024-03274-0
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author Liam J. O’Neil
Vidyanand Anaparti
Tanja Winter
Irene Smolik
Xiaobo Meng
Harold M. Aukema
Hani El-Gabalawy
author_facet Liam J. O’Neil
Vidyanand Anaparti
Tanja Winter
Irene Smolik
Xiaobo Meng
Harold M. Aukema
Hani El-Gabalawy
author_sort Liam J. O’Neil
collection DOAJ
description Abstract Background Rheumatoid arthritis (RA) is typically preceded by an extended preclinical period where circulating autoantibodies, particularly anti-citrullinated protein antibodies (ACPA), are detectable in the absence of clinical arthritis. Increased dietary intake of anti-inflammatory omega-3 (ω3) polyunsaturated fatty acids (PUFA) has been shown to be associated with a lower the risk of developing incident RA in large epidemiological studies. It is currently not known how changes in fatty acid (FA) metabolism may impact on the progression towards RA in at-risk individuals. To begin to address this question, we profiled serum FAs and oxylipins in an established cohort of at-risk ACPA-positive first-degree relatives (FDR) of RA patients (N = 31), some of whom developed RA (N = 4), and compared their profile to ACPA-negative FDR from the same population (N = 10). Methods Gas chromatography (GC) was used for FA quantitation. Oxylipins were extracted and quantified using high-performance liquid chromatography–tandem mass spectrometry (HPLC/MS/MS). Results Although we did not detect any meaningful differences in overall FA content between ACPA + and ACPA − FDR, the levels of oxylipins derived from FA metabolism demonstrated significant differences between the two groups, with the ACPA + group demonstrating enrichment in circulating arachidonic acid- and eicosapentaenoic acid-derived molecules. Compared with the ACPA − FDR group, the ACPA + FDR, including those who progressed into inflammatory arthritis, displayed higher levels of LOX-derived oxylipins. Conclusion ACPA seropositivity in otherwise unaffected individuals at-risk for developing future RA based on family history (FDR) is associated with alterations in the serum oxylipin profile that suggests dysregulated LOX activity.
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spelling doaj.art-6b732aec0b0b4c66aec5f26a32e744592024-03-05T19:51:56ZengBMCArthritis Research & Therapy1478-63622024-02-012611810.1186/s13075-024-03274-0Lipoxygenase-derived oxylipins are enriched in anti-citrullinated protein antibody (ACPA)-positive individuals at risk for developing rheumatoid arthritisLiam J. O’Neil0Vidyanand Anaparti1Tanja Winter2Irene Smolik3Xiaobo Meng4Harold M. Aukema5Hani El-Gabalawy6Department of Internal Medicine, Rady Faculty of Health Sciences, University of ManitobaDepartment of Internal Medicine, Rady Faculty of Health Sciences, University of ManitobaDepartment of Food and Human Nutritional Sciences, University of ManitobaDepartment of Internal Medicine, Rady Faculty of Health Sciences, University of ManitobaDepartment of Internal Medicine, Rady Faculty of Health Sciences, University of ManitobaDepartment of Food and Human Nutritional Sciences, University of ManitobaDepartment of Internal Medicine, Rady Faculty of Health Sciences, University of ManitobaAbstract Background Rheumatoid arthritis (RA) is typically preceded by an extended preclinical period where circulating autoantibodies, particularly anti-citrullinated protein antibodies (ACPA), are detectable in the absence of clinical arthritis. Increased dietary intake of anti-inflammatory omega-3 (ω3) polyunsaturated fatty acids (PUFA) has been shown to be associated with a lower the risk of developing incident RA in large epidemiological studies. It is currently not known how changes in fatty acid (FA) metabolism may impact on the progression towards RA in at-risk individuals. To begin to address this question, we profiled serum FAs and oxylipins in an established cohort of at-risk ACPA-positive first-degree relatives (FDR) of RA patients (N = 31), some of whom developed RA (N = 4), and compared their profile to ACPA-negative FDR from the same population (N = 10). Methods Gas chromatography (GC) was used for FA quantitation. Oxylipins were extracted and quantified using high-performance liquid chromatography–tandem mass spectrometry (HPLC/MS/MS). Results Although we did not detect any meaningful differences in overall FA content between ACPA + and ACPA − FDR, the levels of oxylipins derived from FA metabolism demonstrated significant differences between the two groups, with the ACPA + group demonstrating enrichment in circulating arachidonic acid- and eicosapentaenoic acid-derived molecules. Compared with the ACPA − FDR group, the ACPA + FDR, including those who progressed into inflammatory arthritis, displayed higher levels of LOX-derived oxylipins. Conclusion ACPA seropositivity in otherwise unaffected individuals at-risk for developing future RA based on family history (FDR) is associated with alterations in the serum oxylipin profile that suggests dysregulated LOX activity.https://doi.org/10.1186/s13075-024-03274-0Rheumatoid arthritisω-6 fatty acidsω-3 fatty acidsOxylipinsPreclinical RAPolyunsaturated fatty acids
spellingShingle Liam J. O’Neil
Vidyanand Anaparti
Tanja Winter
Irene Smolik
Xiaobo Meng
Harold M. Aukema
Hani El-Gabalawy
Lipoxygenase-derived oxylipins are enriched in anti-citrullinated protein antibody (ACPA)-positive individuals at risk for developing rheumatoid arthritis
Arthritis Research & Therapy
Rheumatoid arthritis
ω-6 fatty acids
ω-3 fatty acids
Oxylipins
Preclinical RA
Polyunsaturated fatty acids
title Lipoxygenase-derived oxylipins are enriched in anti-citrullinated protein antibody (ACPA)-positive individuals at risk for developing rheumatoid arthritis
title_full Lipoxygenase-derived oxylipins are enriched in anti-citrullinated protein antibody (ACPA)-positive individuals at risk for developing rheumatoid arthritis
title_fullStr Lipoxygenase-derived oxylipins are enriched in anti-citrullinated protein antibody (ACPA)-positive individuals at risk for developing rheumatoid arthritis
title_full_unstemmed Lipoxygenase-derived oxylipins are enriched in anti-citrullinated protein antibody (ACPA)-positive individuals at risk for developing rheumatoid arthritis
title_short Lipoxygenase-derived oxylipins are enriched in anti-citrullinated protein antibody (ACPA)-positive individuals at risk for developing rheumatoid arthritis
title_sort lipoxygenase derived oxylipins are enriched in anti citrullinated protein antibody acpa positive individuals at risk for developing rheumatoid arthritis
topic Rheumatoid arthritis
ω-6 fatty acids
ω-3 fatty acids
Oxylipins
Preclinical RA
Polyunsaturated fatty acids
url https://doi.org/10.1186/s13075-024-03274-0
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