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Ashish Patel

Publications and source records attributed to Ashish Patel.

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Multivariable Mendelian randomization with weak instruments: a comparison of Bayesian and frequentist methods

Weak instruments are a well known limitation for valid causal inference in Mendelian randomization studies. In the single exposure setting, weak instrument bias can be mitigated by selecting genetic instruments which are strongly associated with the exposure according to p-value and/or F-statistic thresholds. However, in the multi-exposure setting, genetic instruments may be strongly associated with an exposure but weakly associated with it conditional on all other exposures in the analysis. It is therefore more difficult to guarantee conditionally strong instruments in multivariable Mendelian randomization. Weak instrument bias can be mitigated using modelling approaches, however there are fewer methods for doing this in the multivariable case compared with the single exposure case. In this paper, we consider a method for mitigating weak instrument bias in multivariable Mendelian randomization using a Bayesian framework: MVMR-Pony. We compare this method with existing frequentist methods. We show using simulation studies that the MVMR-Pony method outperforms the frequentist approaches with respect to bias, coverage, type I error rates, and power, across settings where weak instrument bias arises due to correlated genetic effects, measurement error, and mediation.

stat.ME

Efficient semiparametric estimation of marginal treatment effects with genetic instrumental variables

Alcohol misuse is a key target of public health strategies aimed at reducing cardiovascular risk. The effect of excessive alcohol consumption on blood pressure may vary systematically with individuals' unobserved propensity to engage in heavy drinking, complicating causal inference with observational data. The marginal treatment effects framework uses an instrumental variable for treatment choice (excessive alcohol consumption) to study how selection into treatment is linked with the treatment effect. We explore the use of a genetic instrument within this framework, which is challenging because genetic compliers (individuals for whom a change in the instrument changes their treatment choice) are likely to be a small proportion of the overall sample. This can lead to greater sampling uncertainty in the tails of the propensity score distribution, i.e., the conditional probability of choosing treatment, and in turn poor estimation of causal estimands that measure heterogeneous treatment effects. We show that the use of efficient influence functions of target estimands improves estimation in terms of robustness to sampling uncertainty in nonparametrically estimated propensity scores. We find evidence of reverse selection on gains: individuals most prone to excessive alcohol consumption experience larger adverse effects on blood pressure.

stat.ME

Stratification-based Instrumental Variable Analysis Framework for Nonlinear Effect Analysis

Nonlinear causal effects are prevalent in many research scenarios involving continuous exposures, and instrumental variables (IVs) can be employed to investigate such effects, particularly in the presence of unmeasured confounders. However, common IV methods for nonlinear effect analysis, such as IV regression or the control-function method, have inherent limitations, leading to either low statistical power or potentially misleading conclusions. In this work, we propose an alternative IV framework for nonlinear effect analysis, which has recently emerged in genetic epidemiology and addresses many of the drawbacks of existing IV methods. This framework enables study of the effect function while avoiding unnecessary model assumptions. In particular, it facilitates the identification of change points or threshold values in causal effects. Through a wide variety of simulations, we demonstrate that our framework outperforms other representative nonlinear IV methods in predicting the effect shape when the instrument is weak and can accurately estimate the effect function as well as identify the change point and predict its value under various structural model and effect shape scenarios. We further apply our framework to assess the nonlinear effect of alcohol consumption on systolic blood pressure using a genetic instrument (i.e. Mendelian randomization) with UK Biobank data. Our analysis detects a threshold beyond which alcohol intake exhibits a clear causal effect on the outcome. Our results are consistent with published medical guidelines.

stat.ME

Weak instruments in multivariable Mendelian randomization: methods and practice

The method of multivariable Mendelian randomization uses genetic variants to instrument multiple exposures, to estimate the effect that a given exposure has on an outcome conditional on all other exposures included in a linear model. Unfortunately, the inclusion of every additional exposure makes a weak instruments problem more likely, because we require conditionally strong genetic predictors of each exposure. This issue is well appreciated in practice, with different versions of F-statistics routinely reported as measures of instument strength. Less transparently, however, these F-statistics are sometimes used to guide instrument selection, and even to decide whether to report empirical results. Rather than discarding findings with low F-statistics, weak instrument-robust methods can provide valid inference under weak instruments. For multivariable Mendelian randomization with two-sample summary data, we encourage use of the inference strategy of Andrews (2018) that reports both robust and non-robust confidence sets, along with a statistic that measures how reliable the non-robust confidence set is in terms of coverage. We also propose a novel adjusted-Kleibergen statistic that corrects for overdispersion heterogeneity in genetic associations with the outcome.

stat.ME

Estimating time-varying exposure effects through continuous-time modelling in Mendelian randomization

Mendelian randomization is an instrumental variable method that utilizes genetic information to investigate the causal effect of a modifiable exposure on an outcome. In most cases, the exposure changes over time. Understanding the time-varying causal effect of the exposure can yield detailed insights into mechanistic effects and the potential impact of public health interventions. Recently, a growing number of Mendelian randomization studies have attempted to explore time-varying causal effects. However, the proposed approaches oversimplify temporal information and rely on overly restrictive structural assumptions, limiting their reliability in addressing time-varying causal problems. This paper considers a novel approach to estimate time-varying effects through continuous-time modelling by combining functional principal component analysis and weak-instrument-robust techniques. Our method effectively utilizes available data without making strong structural assumptions and can be applied in general settings where the exposure measurements occur at different timepoints for different individuals. We demonstrate through simulations that our proposed method performs well in estimating time-varying effects and provides reliable inference results when the time-varying effect form is correctly specified. The method could theoretically be used to estimate arbitrarily complex time-varying effects. However, there is a trade-off between model complexity and instrument strength. Estimating complex time-varying effects requires instruments that are unrealistically strong. We illustrate the application of this method in a case study examining the time-varying effects of systolic blood pressure on urea levels.

stat.ME

A frequentist test of proportional colocalization after selecting relevant genetic variants

Colocalization analyses assess whether two traits are affected by the same or distinct causal genetic variants in a single gene region. A class of Bayesian colocalization tests are now routinely used in practice; for example, for genetic analyses in drug development pipelines. In this work, we consider an alternative frequentist approach to colocalization testing that examines the proportionality of genetic associations with each trait. The proportional colocalization approach uses markedly different assumptions to Bayesian colocalization tests, and therefore can provide valuable complementary evidence in cases where Bayesian colocalization results are inconclusive or sensitive to priors. We propose a novel conditional test of proportional colocalization, prop-coloc-cond, that aims to account for the uncertainty in variant selection, in order to recover accurate type I error control. The test can be implemented straightforwardly, requiring only summary data on genetic associations. Simulation evidence and an empirical investigation into GLP1R gene expression demonstrates how tests of proportional colocalization can offer important insights in conjunction with Bayesian colocalization tests.

stat.ME

Monocular 3D Object Detection using Multi-Stage Approaches with Attention and Slicing aided hyper inference

3D object detection is vital as it would enable us to capture objects' sizes, orientation, and position in the world. As a result, we would be able to use this 3D detection in real-world applications such as Augmented Reality (AR), self-driving cars, and robotics which perceive the world the same way we do as humans. Monocular 3D Object Detection is the task to draw 3D bounding box around objects in a single 2D RGB image. It is localization task but without any extra information like depth or other sensors or multiple images. Monocular 3D object detection is an important yet challenging task. Beyond the significant progress in image-based 2D object detection, 3D understanding of real-world objects is an open challenge that has not been explored extensively thus far. In addition to the most closely related studies.

cs.CV

The security strength of Blockchain technology : A Survey Report

The advent of blockchain technology by the Nakamoto group in 2008 has created a new trend on how to deal with various security issues and vulnerabilities. Blockchain systems have gained momentum in various spheres of technology deployment in business organizations. This paper presents a critical literature survey on the security strength of blockchains and security issues associated with blockchain technology deployment. Numerous studies have experimented with the various technical features of blockchain systems across various transaction domains. Findings obtained from the literature survey and thematic content analysis of the existing research studies indicate that blockchain systems provide unique capabilities that support processes and transactions across various sectors with a high level of integrity, transparency, confidentiality, and privacy. However, some loopholes and limitations associated with the deployment and use of blockchains have been highlighted in various studies. The present study cross-examined the security issues of the underlying scientific research evidence.

cs.CR

Disentangling the effects of traits with shared clustered genetic predictors using multivariable Mendelian randomization

When genetic variants in a gene cluster are associated with a disease outcome, the causal pathway from the variants to the outcome can be difficult to disentangle. For example, the chemokine receptor gene cluster contains genetic variants associated with various cytokines. Associations between variants in this cluster and stroke risk may be driven by any of these cytokines. Multivariable Mendelian randomization is an extension of standard univariable Mendelian randomization to estimate the direct effects of related exposures with shared genetic predictors. However, when genetic variants are clustered, a Goldilocks dilemma arises: including too many highly-correlated variants in the analysis can lead to ill-conditioning, but pruning variants too aggressively can lead to imprecise estimates or even lack of identification. We propose multivariable methods that use principal component analysis to reduce many correlated genetic variants into a smaller number of orthogonal components that are used as instrumental variables. We show in simulations that these methods result in more precise estimates that are less sensitive to numerical instability due to both strong correlations and small changes in the input data. We apply the methods to demonstrate the most likely causal risk factor for stroke at the chemokine gene cluster is monocyte chemoattractant protein-1.

stat.ME

Selecting invalid instruments to improve Mendelian randomization with two-sample summary data

Mendelian randomization (MR) is a widely-used method to estimate the causal relationship between a risk factor and disease. A fundamental part of any MR analysis is to choose appropriate genetic variants as instrumental variables. Genome-wide association studies often reveal that hundreds of genetic variants may be robustly associated with a risk factor, but in some situations investigators may have greater confidence in the instrument validity of only a smaller subset of variants. Nevertheless, the use of additional instruments may be optimal from the perspective of mean squared error even if they are slightly invalid; a small bias in estimation may be a price worth paying for a larger reduction in variance. For this purpose, we consider a method for "focused" instrument selection whereby genetic variants are selected to minimise the estimated asymptotic mean squared error of causal effect estimates. In a setting of many weak and locally invalid instruments, we propose a novel strategy to construct confidence intervals for post-selection focused estimators that guards against the worst case loss in asymptotic coverage. In empirical applications to: (i) validate lipid drug targets; and (ii) investigate vitamin D effects on a wide range of outcomes, our findings suggest that the optimal selection of instruments does not involve only a small number of biologically-justified instruments, but also many potentially invalid instruments.

stat.ME

Two-Stage Penalized Regression Screening to Detect Biomarker-Treatment Interactions in Randomized Clinical Trials

High-dimensional biomarkers such as genomics are increasingly being measured in randomized clinical trials. Consequently, there is a growing interest in developing methods that improve the power to detect biomarker-treatment interactions. We adapt recently proposed two-stage interaction detecting procedures in the setting of randomized clinical trials. We also propose a new stage 1 multivariate screening strategy using ridge regression to account for correlations among biomarkers. For this multivariate screening, we prove the asymptotic between-stage independence, required for family-wise error rate control, under biomarker-treatment independence. Simulation results show that in various scenarios, the ridge regression screening procedure can provide substantially greater power than the traditional one-biomarker-at-a-time screening procedure in highly correlated data. We also exemplify our approach in two real clinical trial data applications.

stat.ME

Conditional inference in cis-Mendelian randomization using weak genetic factors

Mendelian randomization is a widely-used method to estimate the unconfounded effect of an exposure on an outcome by using genetic variants as instrumental variables. Mendelian randomization analyses which use variants from a single genetic region (cis-MR) have gained popularity for being an economical way to provide supporting evidence for drug target validation. This paper proposes methods for cis-MR inference which use the explanatory power of many correlated variants to make valid inferences even in situations where those variants only have weak effects on the exposure. In particular, we exploit the highly structured nature of genetic correlations in single gene regions to reduce the dimension of genetic variants using factor analysis. These genetic factors are then used as instrumental variables to construct tests for the causal effect of interest. Since these factors may often be weakly associated with the exposure, size distortions of standard t-tests can be severe. Therefore, we consider two approaches based on conditional testing. First, we extend results of commonly-used identification-robust tests to account for the use of estimated factors as instruments. Secondly, we propose a test which appropriately adjusts for first-stage screening of genetic factors based on their relevance. Our empirical results provide genetic evidence to validate cholesterol-lowering drug targets aimed at preventing coronary heart disease.

stat.ME

The influence of near-wall density and viscosity gradients on turbulence in channel flows

The influence of near-wall density and viscosity gradients on near-wall turbulence in a channel are studied by means of Direct Numerical Simulation (DNS) of the low-Mach number approximation of the Navier--Stokes equations. Different constitutive relations for density and viscosity as a function of temperature are used in order to mimic a wide range of fluid behaviours and to develop a generalised framework for studying turbulence modulations in variable property flows. Instead of scaling the velocity solely based on local density, as done for the van Driest transformation, we derive an extension of the scaling that is based on gradients of the semi-local Reynolds number $Re_\tau^*$. This extension of the van Driest transformation is able to collapse velocity profiles for flows with near-wall property gradients as a function of the semi-local wall coordinate. However, flow quantities like mixing length, turbulence anisotropy and turbulent vorticity fluctuations do not show a universal scaling very close to the wall. This is attributed to turbulence modulations, which play a crucial role on the evolution of turbulent structures and turbulence energy transfer. We therefore investigate the characteristics of streamwise velocity streaks and quasi-streamwise vortices and found that, similar to turbulent statistics, the turbulent structures are also strongly governed by $Re_\tau^*$ profiles and that their dependence on individual density and viscosity profiles is minor. Flows with near-wall gradients in $Re_\tau^*$ ($d {Re_\tau^*}/dy \neq 0$) showed significant changes in the inclination and tilting angles of quasi-streamwise vortices. These structural changes are responsible for the observed modulation of the Reynolds stress generation mechanism and the inter-component energy transfer in flows with strong near-wall $Re_\tau^*$ gradients.

physics.flu-dyn