Background:Rheumatoid arthritis (RA) commonly affects women. Circular RNAs (circRNAs) have been reported to be related RA progress. However, it is still unknown the role of circRNA in female RA. Methods: In this study, we extracted total RNA of peripheral blood mononuclear cells (PBMC) from four RA patients and four healthy control donors, then performed RNA sequencing analysis. To validation, we recruited PBMC samples from 47 RA patients and 47 healthy control donors. The diagnosis ability of candidate circRNA in female RA was explored by Receiver Operating Characteristic (ROC) curve analysis. Levels of inflammation factors in serum, such as IL-1α, IL-1β, IL-6, IL-8,TNF-α and INF-γ, were detected in female RA patients and female healthy donors to analysis the correlation between those factors and candidate circRNA. KEGG pathway enrichment analyses were also performed to predict function of candidate circRNA.Resuluts: By analyzing circRNA expression profiles, we identified hsa_circ_0140271, generated from X chromosome gene-MED14, was specifically expressed in female RA patients. We verified hsa_circ_0140271 expression in PBMC samples from a cohort of 47 RA patients and 47 healthy control subjects via RT-qPCR and found hsa_circ_0140271 was also specifically highly expressed in female RA. In addition, ROC curve analysis indicated that the specificity of hsa_circ_0140271 in female RA patients was 1 comparing to female healthy subjects, osteoarthritis (OA) patients or Ankylosing spondylitis (AS) patients. Levels of IL-6, IL-8 and TNF-α was higher in serum from female RA patients than that from female healthy subjects. Furthermore, KEGG analysis indicated that hsa_circ_0140271 might regulate fatty acid metabolism in female RA patients.Conclusion:Our results suggested that hsa_circ_0140271 has a potential role in detect female RA and may contribute RA progress by fatty acid metabolism.