Mediation model with a categorical exposure and a censored mediator with application to a genetic study.

Mediation analysis is a statistical method for evaluating the direct and indirect effects of an exposure on an outcome in the presence of a mediator. Mediation models have been widely used to determine direct and indirect contributions of genetic variants in clinical phenotypes. In genetic studies,...

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Main Authors: Jian Wang, Jing Ning, Sanjay Shete
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0257628&type=printable
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author Jian Wang
Jing Ning
Sanjay Shete
author_facet Jian Wang
Jing Ning
Sanjay Shete
author_sort Jian Wang
collection DOAJ
description Mediation analysis is a statistical method for evaluating the direct and indirect effects of an exposure on an outcome in the presence of a mediator. Mediation models have been widely used to determine direct and indirect contributions of genetic variants in clinical phenotypes. In genetic studies, the additive genetic model is the most commonly used model because it can detect effects from either recessive or dominant models (or any model in between). However, the existing approaches for mediation model cannot be directly applied when the genetic model is additive (e.g. the most commonly used model for SNPs) or categorical (e.g. polymorphic loci), and thus modification to measures of indirect and direct effects is warranted. In this study, we proposed overall measures of indirect, direct, and total effects for a mediation model with a categorical exposure and a censored mediator, which accounts for the frequency of different values of the categorical exposure. The proposed approach provides the overall contribution of the categorical exposure to the outcome variable. We assessed the empirical performance of the proposed overall measures via simulation studies and applied the measures to evaluate the mediating effect of a women's age at menopause on the association between genetic variants and type 2 diabetes.
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spelling doaj-art-39346fc74bda42ecb0ba425c2a140c142025-01-17T05:32:02ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-011610e025762810.1371/journal.pone.0257628Mediation model with a categorical exposure and a censored mediator with application to a genetic study.Jian WangJing NingSanjay SheteMediation analysis is a statistical method for evaluating the direct and indirect effects of an exposure on an outcome in the presence of a mediator. Mediation models have been widely used to determine direct and indirect contributions of genetic variants in clinical phenotypes. In genetic studies, the additive genetic model is the most commonly used model because it can detect effects from either recessive or dominant models (or any model in between). However, the existing approaches for mediation model cannot be directly applied when the genetic model is additive (e.g. the most commonly used model for SNPs) or categorical (e.g. polymorphic loci), and thus modification to measures of indirect and direct effects is warranted. In this study, we proposed overall measures of indirect, direct, and total effects for a mediation model with a categorical exposure and a censored mediator, which accounts for the frequency of different values of the categorical exposure. The proposed approach provides the overall contribution of the categorical exposure to the outcome variable. We assessed the empirical performance of the proposed overall measures via simulation studies and applied the measures to evaluate the mediating effect of a women's age at menopause on the association between genetic variants and type 2 diabetes.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0257628&type=printable
spellingShingle Jian Wang
Jing Ning
Sanjay Shete
Mediation model with a categorical exposure and a censored mediator with application to a genetic study.
PLoS ONE
title Mediation model with a categorical exposure and a censored mediator with application to a genetic study.
title_full Mediation model with a categorical exposure and a censored mediator with application to a genetic study.
title_fullStr Mediation model with a categorical exposure and a censored mediator with application to a genetic study.
title_full_unstemmed Mediation model with a categorical exposure and a censored mediator with application to a genetic study.
title_short Mediation model with a categorical exposure and a censored mediator with application to a genetic study.
title_sort mediation model with a categorical exposure and a censored mediator with application to a genetic study
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0257628&type=printable
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AT jingning mediationmodelwithacategoricalexposureandacensoredmediatorwithapplicationtoageneticstudy
AT sanjayshete mediationmodelwithacategoricalexposureandacensoredmediatorwithapplicationtoageneticstudy