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Spiller, W.

Publications and source records attributed to Spiller, W..

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Improving the visualisation, interpretation and analysis of two-sample summary data Mendelian randomization via the radial plot and radial regression

BackgroundSummary data furnishing a two-sample Mendelian randomization study are often visualized with the aid of a scatter plot, in which single nucleotide polymorphism (SNP)-outcome associations are plotted against the SNP-exposure associations to provide an immediate picture of the causal effect estimate for each individual variant. It is also convenient to overlay the standard inverse variance weighted (IVW) estimate of causal effect as a fitted slope, to see whether an individual SNP provides evidence that supports, or conflicts with, the overall consensus. Unfortunately, the traditional scatter plot is not the most appropriate means to achieve this aim whenever SNP-outcome associations are estimated with varying degrees of precision and this is reflected in the analysis.\n\nMethodsWe propose instead to use a small modification of the scatter plot - the Galbraith radial plot - for the presentation of data and results from an MR study, which enjoys many advantages over the original method. On a practical level it removes the need to recode the genetic data and enables a more straightforward detection of outliers and influential data points. Its use extends beyond the purely aesthetic, however, to suggest a more general modelling framework to operate within when conducting an MR study, including a new form of MR-Egger regression.\n\nResultsWe illustrate the methods using data from a two-sample Mendelian randomization study to probe the causal effect of systolic blood pressure on coronary heart disease risk, allowing for the possible effects of pleiotropy. The radial plot is shown to aid the detection of a single outlying variant which is responsible for large differences between IVW and MR-Egger regression estimates. Several additional plots are also proposed for informative data visualisation.\n\nConclusionThe radial plot should be considered in place of the scatter plot for visualising, analysing and interpreting data from a two-sample summary data MR study. Software is provided to help facilitate its use.

epidemiology

Detecting and correcting for bias in Mendelian randomization analyses using gene-by-environment interactions

BackgroundMendelian randomization has developed into an established method for strengthening causal inference and estimating causal effects, largely due to the proliferation of genome-wide association studies. However, genetic instruments remain controversial as pleiotropic effects can introduce bias into causal estimates. Recent work has highlighted the potential of gene-environment interactions in detecting and correcting for pleiotropic bias in Mendelian randomization analyses.\n\nMethodsWe introduce MR using Gene-by-Environment interactions (MRGxE) as a framework capable of identifying and correcting for pleiotropic bias, drawing upon developments in econometrics and epidemiology. If an instrument-covariate interaction induces variation in the association between a genetic instrument and exposure, it is possible to identify and correct for pleiotropic effects. The interpretation of MRGxE is similar to conventional summary Mendelian randomization approaches, with a particular advantage of MRGxE being the ability to assess the validity of an individual instrument.\n\nResultsWe investigate the effect of BMI upon systolic blood pressure (SBP) using data from the UK Biobank and the GIANT consortium using a single instrument (a weighted allelic score). We find MRGxE produces findings in agreement with MR Egger regression in a two-sample summary MR setting, however, association estimates obtained across all methods differ considerably when excluding related participants or individuals of non-European ancestry. This could be a consequence of selection bias, though there is also potential for introducing bias by using a mixed ancestry population. Further, we assess the performance of MRGxE with respect to identifying and correcting for horizontal pleiotropy in a simulation setting, highlighting the utility of the approach even when the MRGxE assumptions are violated.\n\nConclusionsBy utilising instrument-covariate interactions within a linear regression framework, it is possible to identify and correct for pleiotropic bias, provided the average magnitude of pleiotropy is constant across interaction covariate subgroups.\n\nO_TEXTBOXKey MessagesO_LIInstrument-covariate interactions can be used to identify pleiotropic bias in Mendelian randomization analyses, provided they induce sufficient variation in the association between the genetic instrument and exposure.\nC_LIO_LIBy regressing the gene-outcome association upon the gene-exposure association across interaction covariate subgroups, it is possible to obtain an estimate of the average pleiotropic effect and a causal effect estimate.\nC_LIO_LIThe interpretation of MRGxE is analogous to that of MR-Egger regression.\nC_LIO_LIThe approach serves as a valuable test for directional pleiotropy and can be used to inform instrument selection.\nC_LI\n\nC_TEXTBOX

epidemiology

Software Application Profile: mrrobust - A Tool For Performing Two-Sample Summary Mendelian Randomization Analyses

MotivationIn recent years Mendelian randomization analysis using summary data from genome-wide association studies has become a popular approach for investigating causal relationships in epidemiology. The mrrobust Stata package implements several of the recently developed methods.\n\nImplementationmrrobust is freely available as a Stata package.\n\nGeneral FeaturesThe package includes inverse variance weighted estimation, as well as a range of median and MR-Egger estimation methods. Using mrrobust, plots can be constructed visualising each estimate either individually or simultaneously. The package also provides statistics such as [Formula] which are useful in assessing attenuation bias in causal estimates.\n\nAvailabilityThe software is freely available from GitHub [https://raw.github.com/remlapmot/mrrobust/master/].

epidemiology