Evidence map›Paper›PMID 40435229›Full record

ReviewThe Journal of infectious diseases2025

Mendelian Randomization and Infection: Pitfalls and Promises.

Fergus Hamilton, Guillaume Butler-Laporte, George Davey Smith

Abstract readReview
In one paragraph

Review in The Journal of infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

3 authors.

Fergus HamiltonMedical Research Council Integrative Epidemiology Unit, University of Bristol, Bristol, United Kingdom.ORCID 0000-0002-9760-4059
Guillaume Butler-LaporteDivision of Infectious Diseases, McGill University Health Centre, Montreal, Quebec, Canada.ORCID 0000-0001-5388-0396
George Davey SmithMedical Research Council Integrative Epidemiology Unit, University of Bristol, Bristol, United Kingdom.ORCID 0000-0002-1407-8314

Funding

Medical Research Council MC_UU_00032/1National Institute for Health and Care Research
6 · The paper itself

Abstract

Mendelian randomization (MR) is an increasingly common study design in infectious diseases (ID). It holds promise for identifying causes and consequences of infections where conventional epidemiology has struggled, and can highlight plausible drug targets, as shown in successful coronavirus disease 2019 (COVID-19) trials (baricitinib, tocilizumab). However, many current applications provide limited insight due to violations of core assumptions, yielding uninterpretable results. This article reviews MR principles, assumptions, and specific challenges in ID. We highlight examples violating key assumptions, noting that MR studies using infection as an exposure are particularly prone to bias compared to using infection as an outcome. We discuss the future of MR in ID, emphasizing appropriate application to address causal questions unanswerable by other methods and capitalize on emerging opportunities where MR can provide unique insights.

Indexed as

Communicable DiseasesMendelian Randomization AnalysisCOVID-19HumansResearch DesignSARS-CoV-2causal inferenceepidemiologygeneticsmalariaMendelian randomization

Identifiers

PMID40435229
PMCPMC12455319

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.