Mendelian randomization(MR)is widely used in causal mediation analysis to control unmeasured confounding effects,which is valid under some strong assumptions.It is thus of great interest to assess the impact of violat...Mendelian randomization(MR)is widely used in causal mediation analysis to control unmeasured confounding effects,which is valid under some strong assumptions.It is thus of great interest to assess the impact of violations of these MR assumptions through sensitivity analysis.Sensitivity analyses have been conducted for simple MR-based causal average effect analyses,but they are not available for MR-based mediation analysis studies,and we aim to fill this gap in this paper.We propose to use two sensitivity parameters to quantify the effect due to the deviation of the IV assumptions.With these two sensitivity parameters,we derive consistent indirect causal effect estimators and establish their asymptotic propersties.Our theoretical results can be used in MR-based mediation analysis to study the impact of violations of MR as-sumptions.The finite sample performance of the proposed method is illustrated through simulation studies,sensitivity ana-lysis,and application to a real genome-wide association study.展开更多
Background:Mendelian randomization(MR)analysis has become popular in inferring and estimating the causality of an exposure on an outcome due to the success of genome wide association studies.Many statistical approache...Background:Mendelian randomization(MR)analysis has become popular in inferring and estimating the causality of an exposure on an outcome due to the success of genome wide association studies.Many statistical approaches have been developed and each of these methods require specific assumptions.Results:In this article,we review the pros and cons of these methods.We use an example of high-density lipoprotein cholesterol on coronary artery disease to illuminate the challenges in Mendelian randomization investigation.Conclusion:The current available MR approaches allow us to study causality among risk factors and outcomes.However,novel approaches are desirable for overcoming multiple source confounding of risk factors and an outcome in MR analysis.展开更多
基金This work was supported by the National Natural Science Foundation of China(12171451,72091212).
文摘Mendelian randomization(MR)is widely used in causal mediation analysis to control unmeasured confounding effects,which is valid under some strong assumptions.It is thus of great interest to assess the impact of violations of these MR assumptions through sensitivity analysis.Sensitivity analyses have been conducted for simple MR-based causal average effect analyses,but they are not available for MR-based mediation analysis studies,and we aim to fill this gap in this paper.We propose to use two sensitivity parameters to quantify the effect due to the deviation of the IV assumptions.With these two sensitivity parameters,we derive consistent indirect causal effect estimators and establish their asymptotic propersties.Our theoretical results can be used in MR-based mediation analysis to study the impact of violations of MR as-sumptions.The finite sample performance of the proposed method is illustrated through simulation studies,sensitivity ana-lysis,and application to a real genome-wide association study.
基金grants HG003054 and HGO11052(to X.Z.)from the National Human Genome Research Institute(NHGRI),USA.
文摘Background:Mendelian randomization(MR)analysis has become popular in inferring and estimating the causality of an exposure on an outcome due to the success of genome wide association studies.Many statistical approaches have been developed and each of these methods require specific assumptions.Results:In this article,we review the pros and cons of these methods.We use an example of high-density lipoprotein cholesterol on coronary artery disease to illuminate the challenges in Mendelian randomization investigation.Conclusion:The current available MR approaches allow us to study causality among risk factors and outcomes.However,novel approaches are desirable for overcoming multiple source confounding of risk factors and an outcome in MR analysis.