“…Up to a 50% genetic risk factor is attributed to RA development [7] , while smoking is another prominent risk that contributes to RA in well-developed countries [8] . This disease proportionally exists more in women groups than in men and elderly groups [ 3 , 9 ]. Active RA is often uncontrollable which makes patients suffer from painful chronic swelling, tissue damage, instability and deformity [ 10 , 11 ].…”