期刊
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY
卷 47, 期 4, 页码 1242-1254出版社
OXFORD UNIV PRESS
DOI: 10.1093/ije/dyy080
关键词
Mendelian randomization; instrumental variables; robust methods; invalid instruments; model averaging
资金
- UK Medical Research Council [MC_UU_00002/7]
- Sir Henry Dale Fellowship - Wellcome Trust [204623/Z/16/Z]
- Sir Henry Dale Fellowship - Royal Society [204623/Z/16/Z]
- Medical Research Council Methodology Research Panel grant [RG88311]
- MRC [MC_UU_00002/7, MR/N027493/1, MR/L003120/1] Funding Source: UKRI
Background: A robust method for Mendelian randomization does not require all genetic variants to be valid instruments to give consistent estimates of a causal parameter. Several such methods have been developed, including a mode-based estimation method giving consistent estimates if a plurality of genetic variants are valid instruments; i.e. there is no larger subset of invalid instruments estimating the same causal parameter than the subset of valid instruments. Methods: We here develop a model-averaging method that gives consistent estimates under the same 'plurality of valid instruments' assumption. The method considers a mixture distribution of estimates derived from each subset of genetic variants. The estimates are weighted such that subsets with more genetic variants receive more weight, unless variants in the subset have heterogeneous causal estimates, in which case that subset is severely down-weighted. The mode of this mixture distribution is the causal estimate. This heterogeneity-penalized model-averaging method has several technical advantages over the previously proposed mode-based estimation method. Results: The heterogeneity-penalized model-averaging method outperformed the mode-based estimation in terms of efficiency and outperformed other robust methods in terms of Type 1 error rate in an extensive simulation analysis. The proposed method suggests two distinct mechanisms by which inflammation affects coronary heart disease risk, with subsets of variants suggesting both positive and negative causal effects. Conclusions: The heterogeneity-penalized model-averaging method is an additional robust method for Mendelian randomization with excellent theoretical and practical properties, and can reveal features in the data such as the presence of multiple causal mechanisms.
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