An examination of multivariable Mendelian randomization in the single-sample and two-sample summary data settings

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ID: 299346
2018
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Abstract
Mendelian randomization (MR) is a powerful tool in epidemiology that can be used to estimate the causal effect of an exposure on an outcome in the presence of unobserved confounding, by utilizing genetic variants that are instrumental variables (IVs) for the exposure. This has been extended to multivariable MR (MVMR) to estimate the effect of two or more exposures on an outcome.We use simulations and theory to clarify the interpretation of estimated effects in a MVMR analysis under a range of underlying scenarios, where a secondary exposure acts variously as a confounder, a mediator, a pleiotropic pathway and a collider. We then describe how instrument strength and validity can be assessed for an MVMR analysis in the single-sample setting, and develop tests to assess these assumptions in the popular two-sample summary data setting. We illustrate our methods using data from UK Biobank to estimate the effect of education and cognitive ability on body mass index.MVMR analysis consistently estimates the direct causal effect of an exposure, or exposures, of interest and provides a powerful tool for determining causal effects in a wide range of scenarios with either individual- or summary-level data.
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openalex_W2949275660 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Eleanor Sanderson, George Davey Smith, Frank Windmeijer, Jack Bowden
Journal International Journal of Epidemiology
Year 2018
DOI
10.1093/ije/dyy262
URL
https://academic.oup.com/ije/article-pdf/48/3/713/29958854/dyy262.pdf
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