Evidence map›Paper›PMID 40787129›Full record

ArticleBiometrika2025

A More Robust Approach to Multivariable Mendelian Randomization.

Yinxiang Wu, Hyunseung Kang, Ting Ye

Abstract read
In one paragraph

Article in Biometrika, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

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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.

Yinxiang WuDepartment of Biostatistics, University of Washington, Seattle, Washington, U.S.A.
Hyunseung KangDepartment of Statistics, University of Wisconsin-Madison, Madison, Wisconsin, U.S.A.
Ting YeDepartment of Biostatistics, University of Washington, Seattle, Washington, U.S.A.

Funding

Advancing Causal Inference in Integrative Omics AnalysisR35GM155070 · NIGMS · UNIVERSITY OF WASHINGTON · PI Ting Ye · 2024 to 2026
$1.1M
NIGMS NIH HHS R35 GM155070
6 · The paper itself

Abstract

Multivariable Mendelian randomization (MVMR) uses genetic variants as instrumental variables to infer the direct effects of multiple exposures on an outcome. However, unlike univariable Mendelian randomization, MVMR often faces greater challenges with many weak instruments, which can lead to bias not necessarily toward zero and inflation of type I errors. In this work, we introduce a new asymptotic regime that allows exposures to have varying degrees of instrument strength, providing a more accurate theoretical framework for studying MVMR estimators. Under this regime, our analysis of the widely used multivariable inverse-variance weighted method shows that it is often biased and tends to produce misleadingly narrow confidence intervals in the presence of many weak instruments. To address this, we propose a simple, closed-form modification to the multivariable inverse-variance weighted estimator to reduce bias from weak instruments, and additionally introduce a novel spectral regularization technique to improve finite-sample performance. We show that the resulting spectral-regularized estimator remains consistent and asymptotically normal under many weak instruments. Through simulations and real data applications, we demonstrate that our proposed estimator and asymptotic framework can enhance the robustness of MVMR analyses.

Indexed as

Causal inferenceGenetic variationGWASInstrumental variableWeak instruments

Identifiers

PMID40787129
PMCPMC12335017

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Registered trials

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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.