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Register a new userGENIUS-MAWII: For Robust Mendelian Randomization with Many Weak Invalid Instruments
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Added by
Ting Ye
Publication date
2021
fields
Mathematical Statistics
and research's language is
English
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Mendelian randomization (MR) has become a popular approach to study causal effects by using genetic variants as instrumental variables. We propose a new MR method, GENIUS-MAWII, which simultaneously addresses the two salient phenomena that adversely affect MR analyses: many weak instruments and widespread horizontal pleiotropy. Similar to MR GENIUS citep{Tchetgen2019_GENIUS}, we achieve identification of the treatment effect by leveraging heteroscedasticity of the exposure. We then derive the class of influence functions of the treatment effect, based on which, we construct a continuous updating estimator and establish its consistency and asymptotic normality under a many weak invalid instruments asymptotic regime by developing novel semiparametric theory. We also provide a measure of weak identification and graphical diagnostic tool. We demonstrate in simulations that GENIUS-MAWII has clear advantages in the presence of directional or correlated horizontal pleiotropy compared to other methods. We apply our method to study the effect of body mass index on systolic blood pressure using UK Biobank.
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Mendelian randomization (MR) is a popular instrumental variable (IV) approach, in which one or several genetic markers serve as IVs that can sometimes be leveraged to recover valid inferences about a given exposure-outcome causal association subject to unmeasured confounding. A key IV identification condition known as the exclusion restriction states that the IV cannot have a direct effect on the outcome which is not mediated by the exposure in view. In MR studies, such an assumption requires an unrealistic level of prior knowledge about the mechanism by which genetic markers causally affect the outcome. As a result, possible violation of the exclusion restriction can seldom be ruled out in practice. To address this concern, we introduce a new class of IV estimators which are robust to violation of the exclusion restriction under data generating mechanisms commonly assumed in MR literature. The proposed approach named MR G-Estimation under No Interaction with Unmeasured Selection (MR GENIUS) improves on Robins G-estimation by making it robust to both additive unmeasured confounding and violation of the exclusion restriction assumption. In certain key settings, MR GENIUS reduces to the estimator of Lewbel (2012) which is widely used in econometrics but appears largely unappreciated in MR literature. More generally, MR GENIUS generalizes Lewbels estimator to several key practical MR settings, including multiplicative causal models for binary outcome, multiplicative and odds ratio exposure models, case control study design and censored survival outcomes.
Instrumental variable methods are among the most commonly used causal inference approaches to account for unmeasured confounders in observational studies. The presence of invalid instruments is a major concern for practical applications and a fast-growing area of research is inference for the causal effect with possibly invalid instruments. The existing inference methods rely on correctly separating valid and invalid instruments in a data dependent way. In this paper, we illustrate post-selection problems of these existing methods. We construct uniformly valid confidence intervals for the causal effect, which are robust to the mistakes in separating valid and invalid instruments. Our proposal is to search for the causal effect such that a sufficient amount of candidate instruments can be taken as valid. We further devise a novel sampling method, which, together with searching, lead to a more precise confidence interval. Our proposed searching and sampling confidence intervals are shown to be uniformly valid under the finite-sample majority and plurality rules. We compare our proposed methods with existing inference methods over a large set of simulation studies and apply them to study the effect of the triglyceride level on the glucose level over a mouse data set.
Instrumental variable methods provide a powerful approach to estimating causal effects in the presence of unobserved confounding. But a key challenge when applying them is the reliance on untestable exclusion assumptions that rule out any relationship between the instrument variable and the response that is not mediated by the treatment. In this paper, we show how to perform consistent IV estimation despite violations of the exclusion assumption. In particular, we show that when one has multiple candidate instruments, only a majority of these candidates---or, more generally, the modal candidate-response relationship---needs to be valid to estimate the causal effect. Our approach uses an estimate of the modal prediction from an ensemble of instrumental variable estimators. The technique is simple to apply and is black-box in the sense that it may be used with any instrumental variable estimator as long as the treatment effect is identified for each valid instrument independently. As such, it is compatible with recent machine-learning based estimators that allow for the estimation of conditional average treatment effects (CATE) on complex, high dimensional data. Experimentally, we achieve accurate estimates of conditional average treatment effects using an ensemble of deep network-based estimators, including on a challenging simulated Mendelian Randomization problem.
Standard Mendelian randomization analysis can produce biased results if the genetic variant defining the instrumental variable (IV) is confounded and/or has a horizontal pleiotropic effect on the outcome of interest not mediated by the treatment. We provide novel identification conditions for the causal effect of a treatment in presence of unmeasured confounding, by leveraging an invalid IV for which both the IV independence and exclusion restriction assumptions may be violated. The proposed Mendelian Randomization Mixed-Scale Treatment Effect Robust Identification (MR MiSTERI) approach relies on (i) an assumption that the treatment effect does not vary with the invalid IV on the additive scale; and (ii) that the selection bias due to confounding does not vary with the invalid IV on the odds ratio scale; and (iii) that the residual variance for the outcome is heteroscedastic and thus varies with the invalid IV. We formally establish that their conjunction can identify a causal effect even with an invalid IV subject to pleiotropy. MiSTERI is shown to be particularly advantageous in presence of pervasive heterogeneity of pleiotropic effects on additive scale, a setting in which two recently proposed robust estimation methods MR GxE and MR GENIUS can be severely biased. In order to incorporate multiple, possibly correlated and weak IVs, a common challenge in MR studies, we develop a MAny Weak Invalid Instruments (MR MaWII MiSTERI) approach for strengthened identification and improved accuracy MaWII MiSTERI is shown to be robust to horizontal pleiotropy, violation of IV independence assumption and weak IV bias. Both simulation studies and real data analysis results demonstrate the robustness of the proposed MR MiSTERI methods.
Mendelian randomization (MR) is a statistical method exploiting genetic variants as instrumental variables to estimate the causal effect of modifiable risk factors on an outcome of interest. Despite wide uses of various popular two-sample MR methods based on genome-wide association study summary level data, however, those methods could suffer from potential power loss or/and biased inference when the chosen genetic variants are in linkage disequilibrium (LD), and also have relatively large direct effects on the outcome whose distribution might be heavy-tailed which is commonly referred to as the idiosyncratic pleiotropy phenomenon. To resolve those two issues, we propose a novel Robust Bayesian Mendelian Randomization (RBMR) model that uses the more robust multivariate generalized t-distribution to model such direct effects in a probabilistic model framework which can also incorporate the LD structure explicitly. The generalized t-distribution can be represented as a Gaussian scaled mixture so that our model parameters can be estimated by the EM-type algorithms. We compute the standard errors by calibrating the evidence lower bound using the likelihood ratio test. Through extensive simulation studies, we show that our RBMR has robust performance compared to other competing methods. We also apply our RBMR method to two benchmark data sets and find that RBMR has smaller bias and standard errors. Using our proposed RBMR method, we find that coronary artery disease is associated with increased risk of critically ill coronavirus disease 2019 (COVID-19). We also develop a user-friendly R package RBMR for public use.
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