Dust, Cadmium and Rheumatoid Arthritis

  • Research type

    Research Study

  • Full title

    An investigation into the dust exposures of rheumatoid arthritis patients in Cornwall and correlation to cadmium content

  • IRAS ID

    194833

  • Contact name

    Daniel Murphy

  • Contact email

    daniel.murphy8@nhs.net

  • Sponsor organisation

    Royal Cornwall Hospitals Trust R&D

  • Duration of Study in the UK

    1 years, 8 months, 13 days

  • Research summary

    This study seeks to answer the hypothesis that inhalation of dusts and fumes in the work place is associated with RA independent of smoking and that this association is confounded by the simultaneous exposure to inhaled cadmium within the dusts/fumes at the work place. Unveiling a novel mechanism of cadmium stimulating RA development in dust exposed patents would link many known independent risk factors for RA could have implications for early identification of exposed workers for interventions to minimise risk of future disease development.
    1. To identify if occupational dust exposure is a risk factor for development of rheumatoid arthritis amongst Cornish males.
    2. To investigate if occupational dust exposure correlates with a raised urinary cadmium level.
    3. To identify if urinary cadmium level is an independent marker for disease activity (DAS 28, X-ray erosions) when controlling for smoking, social deprivation score, age, smoking and occupation.
    4. Cadmium levels and anti-citrullinated calreticulin antibody positivity in RA (lab based).

  • REC name

    South West - Cornwall & Plymouth Research Ethics Committee

  • REC reference

    16/SW/0143

  • Date of REC Opinion

    7 Jul 2016

  • REC opinion

    Further Information Favourable Opinion