Evidence map›Paper›PMID 30635941›Full record

ArticleGenetic epidemiology2019

Constrained instruments and their application to Mendelian randomization with pleiotropy.

Lai Jiang, Karim Oualkacha, Vanessa Didelez, Antonio Ciampi, Pedro Rosa-Neto, Andrea L Benedet, Sulantha Mathotaarachchi, John Brent Richards, Celia M T Greenwood, Alzheimer’s Disease Neuroimaging Initiative

Abstract read
In one paragraph

Article in Genetic epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Association between cathepsins and skin cancers: A bidirectional two-sample Mendelian randomization study.Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 2024
    Article
  5. Article
  6. Mendelian randomization.Nature reviews. Methods primers · 2022
    Article
  7. Causal simulation experiments: Lessons from bias amplification.Statistical methods in medical research · 2022
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Lai JiangLady Davis Institute for Medical Research, Jewish General Hospital, Montreal, Quebec, Canada.ORCID 0000-0002-0244-4620
Karim OualkachaDepartment of Mathematics, Université du Québec à Montréal, Montreal, Quebec, Canada.ORCID 0000-0002-9911-079X
Vanessa DidelezBIPS & Department of Mathematics, Leibinz Institute for Prevention Research and Epidemiology, University of Bremen, Bremen, Germany.
Antonio CiampiLady Davis Institute for Medical Research, Jewish General Hospital, Montreal, Quebec, Canada.
Pedro Rosa-NetoDepartment of Neurology & Neurosurgery, McGill University, Montreal, Quebec, Canada.
Andrea L BenedetTranslational Neuroimaging Laboratory, McGill University Research Centre for Studies in Aging, Douglas Hospital, McGill University, Montreal, Quebec, Canada.
Sulantha MathotaarachchiTranslational Neuroimaging Laboratory, McGill University Research Centre for Studies in Aging, Douglas Hospital, McGill University, Montreal, Quebec, Canada.
John Brent RichardsDepartment of Medicine, McGill University, Montreal, Quebec, Canada.
Celia M T GreenwoodLady Davis Institute for Medical Research, Jewish General Hospital, Montreal, Quebec, Canada.ORCID 0000-0002-2427-5696
Alzheimer’s Disease Neuroimaging Initiative

Funding

Project 1U19AG024904 · NIA · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI MICHAEL W WEINER · 2016 to 2026
$226.7M
Alzheimer's Disease Neuroimaging Initiative - SupplementU01AG024904 · NIA · NORTHERN CALIFORNIA INSTITUTE RES &EDUC · PI WEINER, MICHAEL W · 2004 to 2015
$121.0M
CIHR PJT-148620NIA NIH HHS U01 AG024904NIA NIH HHS U19 AG024904
6 · The paper itself

Abstract

In Mendelian randomization (MR), inference about causal relationship between a phenotype of interest and a response or disease outcome can be obtained by constructing instrumental variables from genetic variants. However, MR inference requires three assumptions, one of which is that the genetic variants only influence the outcome through phenotype of interest. Pleiotropy, that is, the situation in which some genetic variants affect more than one phenotype, can invalidate these genetic variants for use as instrumental variables; thus a naive analysis will give biased estimates of the causal relation. Here, we present new methods (constrained instrumental variable [CIV] methods) to construct valid instrumental variables and perform adjusted causal effect estimation when pleiotropy exists and when the pleiotropic phenotypes are available. We demonstrate that a smoothed version of CIV performs approximate selection of genetic variants that are valid instruments, and provides unbiased estimates of the causal effects. We provide details on a number of existing methods, together with a comparison of their performance in a large series of simulations. CIV performs robustly across different pleiotropic violations of the MR assumptions. We also analyzed the data from the Alzheimer's disease (AD) neuroimaging initiative (ADNI; Mueller et al., 2005. Alzheimer's Dementia, 11(1), 55-66) to disentangle causal relationships of several biomarkers with AD progression.

Indexed as

AlgorithmsConfounding Factors, EpidemiologicGenetic Association StudiesGenetic PleiotropyGenetic VariationHumansMendelian Randomization AnalysisModels, GeneticPhenotypeinstrumental variablesMendelian randomizationpleiotropysmoothed algorithm

Identifiers

PMID30635941
PMCPMC6537099

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.