Evidence map›Paper›PMID 34157017›Full record

ArticlePLoS genetics2021

Causal inference for heritable phenotypic risk factors using heterogeneous genetic instruments.

Jingshu Wang, Qingyuan Zhao, Jack Bowden, Gibran Hemani, George Davey Smith, Dylan S Small, Nancy R Zhang

Open access · goldAbstract read
In one paragraph

Article in PLoS genetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 3 pooled it
13.0field-weighted citation impact, top 1% of its field
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

63 citing papers in PubMed, 3 syntheses or guidelines pooled it, 97 citations in OpenAlex.

  1. Pooled it
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  3. Telomere Length and Hearing Loss: A Two-Sample Mendelian Randomization.International journal of environmental research and public health · 2022
    Pooled it
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3 more citing papers are in PubMed but not listed here.

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

7 authors at 5 institutions in 2 countries.

Jingshu WangDepartment of Statistics, University of Chicago, Chicago, Illinois, United States of America.ORCID 0000-0002-1968-6888
Qingyuan ZhaoDepartment of Pure Mathematics and Mathematical Statistics, University of Cambridge, Cambridge, United Kingdom.ORCID 0000-0001-9902-2768
Jack BowdenCollege of Medicine and Health, University of Exeter, Exeter, United Kingdom.ORCID 0000-0003-2628-3304
Gibran HemaniMRC Integrative Epidemiology Unit, University of Bristol, Bristol, United Kingdom.ORCID 0000-0003-0920-1055
George Davey SmithMRC Integrative Epidemiology Unit, University of Bristol, Bristol, United Kingdom.ORCID 0000-0002-1407-8314
Dylan S SmallDepartment of Statistics, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America.
Nancy R ZhangDepartment of Statistics, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America.ORCID 0000-0002-0880-5749
University of Bristol · GBUniversity of Pennsylvania · USUniversity of Cambridge · GBUniversity of Chicago · USUniversity of Exeter · GB

Funding

Novel Designs and Methods to Remove Hidden Confounding Bias in Health SciencesR01AG065276 · NIA · UNIVERSITY OF PENNSYLVANIA · PI TCHETGEN TCHETGEN, ERIC JOEL · 2020 to 2024
$2.4M
Medical Research Council MC_UU_00011/1NIA NIH HHS R01 AG065276Wellcome Trust 208806/Z/17/Z
6 · The paper itself

Abstract

Over a decade of genome-wide association studies (GWAS) have led to the finding of extreme polygenicity of complex traits. The phenomenon that "all genes affect every complex trait" complicates Mendelian Randomization (MR) studies, where natural genetic variations are used as instruments to infer the causal effect of heritable risk factors. We reexamine the assumptions of existing MR methods and show how they need to be clarified to allow for pervasive horizontal pleiotropy and heterogeneous effect sizes. We propose a comprehensive framework GRAPPLE to analyze the causal effect of target risk factors with heterogeneous genetic instruments and identify possible pleiotropic patterns from data. By using GWAS summary statistics, GRAPPLE can efficiently use both strong and weak genetic instruments, detect the existence of multiple pleiotropic pathways, determine the causal direction and perform multivariable MR to adjust for confounding risk factors. With GRAPPLE, we analyze the effect of blood lipids, body mass index, and systolic blood pressure on 25 disease outcomes, gaining new information on their causal relationships and potential pleiotropic pathways involved.

Indexed as

CausalityPhenotypeGenetic PleiotropyGenome-Wide Association StudyHumansMendelian Randomization AnalysisPolymorphism, Single NucleotideRisk Factors

Identifiers

PMID34157017
PMCPMC8301661
OpenAlexW3174540256

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.