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Ethnicity-specific patterns of epigenetic age acceleration in rheumatoid arthritis

Lookup NU author(s): Dr Arthur PrattORCiD

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

© The Author(s) 2025.Rheumatoid arthritis (RA) is an age-related chronic inflammatory disease which may include accelerated biological ageing processes in its pathogenesis. To determine if increased biological age is associated with risk of RA and/or is present once disease is established. We used DNA methylation to compare biological age (epigenetic age) of immune cells in adults at risk of RA and those with confirmed RA, including twins discordant for RA. The established RA studies were secondary analyses of existing DNA methylation data. Sub-group analysis considered the influence of ethnicity. Four epigenetic clocks were used to determine DNA methylation age. DNA methylation age was no different in adults at risk of RA in the Leiden Clinically Suspect Arthralgia (CSA) cohort (n = 38 developed RA, n = 24 did not), and there was also no difference in DNA methylation age between 77 UK twins discordant for RA, or adults with established RA from the Swedish EIRA cohort (n = 342) compared to healthy controls (n = 328). A sub-group analysis of RA patients of South Asian ethnicity (10 RA patients, 14 healthy controls) showed DNA methylation age acceleration of 3.3 years (p = 0.00014) using the mean DNA methylation age of four epigenetic clocks. Our study suggests that epigenetic age acceleration may be differentially influenced by South Asian ethnicity, but that RA was not generally associated with accelerated epigenetic age. The higher epigenetic age in the South Asian patients may explain the earlier age of onset in this minority ethnic population.


Publication metadata

Author(s): Sharma-Oates A, Dunne N, Raza K, Padyukov L, Rivera N, van der Helm-van Mil A, Pratt AG, Duggal NA, Jones SW, Lord JM

Publication type: Article

Publication status: Published

Journal: GeroScience

Year: 2025

Pages: epub ahead of print

Online publication date: 11/01/2025

Acceptance date: 31/12/2024

Date deposited: 25/03/2025

ISSN (print): 2509-2715

ISSN (electronic): 2509-2723

Publisher: Springer Science and Business Media Deutschland GmbH

URL: https://doi.org/10.1007/s11357-025-01508-w

DOI: 10.1007/s11357-025-01508-w

Data Access Statement: The primary data in this study are available upon reasonable request to the corresponding author.

PubMed id: 39797936


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Funding

Funder referenceFunder name
FOREUM
the University of Birmingham Research Development Fund
the European League Against Rheumatism (EULAR)

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