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Bitan Sarkar

Publications and source records attributed to Bitan Sarkar.

4 recordsLinked to original sources

Multi-Objective Composite Longitudinal Biomarker Scores for Improved Cancer Risk Assessment

Repeated blood-based biomarker measurements can improve cancer risk assessment by capturing longitudinal changes missed by single-time-point analyses. Parametric Empirical Bayes (PEB) incorporates prior measurements to estimate individualized reference values, but existing implementations do not account for the time between measurements and rely on predefined panels with fixed combination rules. We developed improved Parametric Empirical Bayes (iPEB), which accounts for the intervals between serial measurements, adjusts for covariates, and performs feature selection and optimized biomarker combination. iPEB optimizes biomarker weights for specific clinical objectives, such as maximizing sensitivity at a prespecified specificity or diagnostic lead time. We evaluated iPEB through simulations and a real-world application using six protein biomarkers (pro-SFTPB, CEA, CA125, CYFRA 21-1, osteopontin, and HE4) from a case-control study nested within the Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening Trial. The analysis included 324 lung cancer cases and 1,674 controls with at least two serial measurements; six centers were used for model development and four for independent validation. Optimized for sensitivity at 99% specificity, iPEB achieved 24.2% sensitivity in the independent test set, compared with 18.2% for conventional PEB applied to the same four-marker panel. Optimized instead for lead time, iPEB added approximately 50 days of lead time at that stringent operating point. iPEB improved lung cancer risk assessment in independent PLCO data, supporting objective-driven optimization of longitudinal biomarkers for early detection.

stat.ME

MR-CCC: Bayesian Mendelian Randomization for Causal Cell--Cell Communication

Cell--cell communication (CCC) is commonly inferred from ligand--receptor co-expression, an associational paradigm that cannot distinguish causal signaling from shared regulation or confounding. We propose MR-CCC, a Bayesian Mendelian randomization framework that uses cis-eQTLs as instruments for ligand and receptor expression and explicitly models receptor-modulated ligand effects through an interaction term, so the causal effect of a ligand can vary with receptor abundance. A spike--and--slab prior yields posterior inclusion probabilities quantifying evidence for causal signaling, and an efficient Gibbs sampler provides scalable inference. Benchmarked against naive regression, MVMR, and MR-BMA, MR-CCC controls false discoveries under confounding while retaining high power, and uniquely estimates both the ligand main and receptor-modulated interaction effects. Applied to the OneK1K NK cells $\to$ monocytes axis, MR-CCC identifies eight discoveries across GABA, interferon, interleukin, and prostaglandin signaling, including a stoichiometry-dependent dissociation of the two IL-18 receptor chains and co-discovery of both obligate IFN-$\gamma$ receptor subunits.

stat.ME

Multivariable Bidirectional Mendelian Randomization via Bayesian Directed Cyclic Graphical Models with Correlated Errors

Mendelian randomization (MR) is a pivotal tool in genetics, genomics, and epidemiology, leveraging genetic variants as instrumental variables to infer causal relationships between exposures and outcomes. Traditional MR methods, while powerful, often rely on stringent assumptions such as the absence of feedback loops, which are frequently violated in complex biological networks. In addition, many popular MR approaches focus on only two variables (i.e., one exposure and one outcome), whereas our motivating applications of gene regulatory networks have many variables. In this article, we introduce a novel Bayesian framework for multivariable MR that concurrently addresses unmeasured confounding and feedback loops. Central to our approach is a sparse conditional cyclic graphical model with a sparse error variance-covariance matrix. Two structural priors are employed to enable the modeling and inference of causal relationships as well as latent confounding structures. Our method is designed to operate effectively with summary-level data, facilitating its application in contexts where individual-level data are inaccessible, e.g., due to privacy concerns. It can also account for horizontal pleiotropy, under which we establish the sufficient identifiability conditions. Through extensive simulations and applications to the GTEx and OneK1K data, we demonstrate the superior performance of our approach in recovering biologically plausible causal relationships in the presence of possible feedback loops and unmeasured confounding. Using posterior samples, we further quantify uncertainty in inferred network motifs by computing their posterior probabilities. The R package MR.RGM that implements the proposed method is available on CRAN (https://cran.r-project.org/package=MR.RGM).

stat.ME

MR.RGM: An R Package for Fitting Bayesian Multivariate Bidirectional Mendelian Randomization Networks

Motivation: Mendelian randomization (MR) infers causal relationships between exposures and outcomes using genetic variants as instrumental variables. Typically, MR considers only a pair of exposure and outcome at a time, limiting its capability of capturing the entire causal network. We overcome this limitation by developing 'MR.RGM' (Mendelian randomization via reciprocal graphical model), a fast R-package that implements the Bayesian reciprocal graphical model and enables practitioners to construct holistic causal networks with possibly cyclic/reciprocal causation and proper uncertainty quantifications, offering a comprehensive understanding of complex biological systems and their interconnections. We developed 'MR.RGM', an open-source R package that applies bidirectional MR using a network-based strategy, enabling the exploration of causal relationships among multiple variables in complex biological systems. 'MR.RGM' holds the promise of unveiling intricate interactions and advancing our understanding of genetic networks, disease risks, and phenotypic complexities.

stat.AP