Relaxing parametric assumptions for non-linear Mendelian randomization using a doubly-ranked stratification method.

Non-linear Mendelian randomization is an extension to standard Mendelian randomization to explore the shape of the causal relationship between an exposure and outcome using an instrumental variable. A stratification approach to non-linear Mendelian randomization divides the population into strata an...

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Main Authors: Haodong Tian, Amy M Mason, Cunhao Liu, Stephen Burgess
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-06-01
Series:PLoS Genetics
Online Access:https://journals.plos.org/plosgenetics/article/file?id=10.1371/journal.pgen.1010823&type=printable
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author Haodong Tian
Amy M Mason
Cunhao Liu
Stephen Burgess
author_facet Haodong Tian
Amy M Mason
Cunhao Liu
Stephen Burgess
author_sort Haodong Tian
collection DOAJ
description Non-linear Mendelian randomization is an extension to standard Mendelian randomization to explore the shape of the causal relationship between an exposure and outcome using an instrumental variable. A stratification approach to non-linear Mendelian randomization divides the population into strata and calculates separate instrumental variable estimates in each stratum. However, the standard implementation of stratification, referred to as the residual method, relies on strong parametric assumptions of linearity and homogeneity between the instrument and the exposure to form the strata. If these stratification assumptions are violated, the instrumental variable assumptions may be violated in the strata even if they are satisfied in the population, resulting in misleading estimates. We propose a new stratification method, referred to as the doubly-ranked method, that does not require strict parametric assumptions to create strata with different average levels of the exposure such that the instrumental variable assumptions are satisfied within the strata. Our simulation study indicates that the doubly-ranked method can obtain unbiased stratum-specific estimates and appropriate coverage rates even when the effect of the instrument on the exposure is non-linear or heterogeneous. Moreover, it can also provide unbiased estimates when the exposure is coarsened (that is, rounded, binned into categories, or truncated), a scenario that is common in applied practice and leads to substantial bias in the residual method. We applied the proposed doubly-ranked method to investigate the effect of alcohol intake on systolic blood pressure, and found evidence of a positive effect of alcohol intake, particularly at higher levels of alcohol consumption.
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spelling doaj-art-92c68bbb03574a7fb7d4854160f486a12025-08-20T02:22:20ZengPublic Library of Science (PLoS)PLoS Genetics1553-73901553-74042023-06-01196e101082310.1371/journal.pgen.1010823Relaxing parametric assumptions for non-linear Mendelian randomization using a doubly-ranked stratification method.Haodong TianAmy M MasonCunhao LiuStephen BurgessNon-linear Mendelian randomization is an extension to standard Mendelian randomization to explore the shape of the causal relationship between an exposure and outcome using an instrumental variable. A stratification approach to non-linear Mendelian randomization divides the population into strata and calculates separate instrumental variable estimates in each stratum. However, the standard implementation of stratification, referred to as the residual method, relies on strong parametric assumptions of linearity and homogeneity between the instrument and the exposure to form the strata. If these stratification assumptions are violated, the instrumental variable assumptions may be violated in the strata even if they are satisfied in the population, resulting in misleading estimates. We propose a new stratification method, referred to as the doubly-ranked method, that does not require strict parametric assumptions to create strata with different average levels of the exposure such that the instrumental variable assumptions are satisfied within the strata. Our simulation study indicates that the doubly-ranked method can obtain unbiased stratum-specific estimates and appropriate coverage rates even when the effect of the instrument on the exposure is non-linear or heterogeneous. Moreover, it can also provide unbiased estimates when the exposure is coarsened (that is, rounded, binned into categories, or truncated), a scenario that is common in applied practice and leads to substantial bias in the residual method. We applied the proposed doubly-ranked method to investigate the effect of alcohol intake on systolic blood pressure, and found evidence of a positive effect of alcohol intake, particularly at higher levels of alcohol consumption.https://journals.plos.org/plosgenetics/article/file?id=10.1371/journal.pgen.1010823&type=printable
spellingShingle Haodong Tian
Amy M Mason
Cunhao Liu
Stephen Burgess
Relaxing parametric assumptions for non-linear Mendelian randomization using a doubly-ranked stratification method.
PLoS Genetics
title Relaxing parametric assumptions for non-linear Mendelian randomization using a doubly-ranked stratification method.
title_full Relaxing parametric assumptions for non-linear Mendelian randomization using a doubly-ranked stratification method.
title_fullStr Relaxing parametric assumptions for non-linear Mendelian randomization using a doubly-ranked stratification method.
title_full_unstemmed Relaxing parametric assumptions for non-linear Mendelian randomization using a doubly-ranked stratification method.
title_short Relaxing parametric assumptions for non-linear Mendelian randomization using a doubly-ranked stratification method.
title_sort relaxing parametric assumptions for non linear mendelian randomization using a doubly ranked stratification method
url https://journals.plos.org/plosgenetics/article/file?id=10.1371/journal.pgen.1010823&type=printable
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AT amymmason relaxingparametricassumptionsfornonlinearmendelianrandomizationusingadoublyrankedstratificationmethod
AT cunhaoliu relaxingparametricassumptionsfornonlinearmendelianrandomizationusingadoublyrankedstratificationmethod
AT stephenburgess relaxingparametricassumptionsfornonlinearmendelianrandomizationusingadoublyrankedstratificationmethod