What does two-sample Mendelian randomization estimate when the exposure-outcome relationship is nonlinear?
暴露与结局关系非线性时,两样本孟德尔随机化估计什么?
Two-sample Mendelian randomization with summary statistics has become a popular MR design in Epidemiology. Its ratio estimate has an average causal effect interpretation only under strong untestable assumptions including linearity. We derive what the per-variant ratio, and the pooled and robust estimators built from it, estimate when a continuous exposure has a nonlinear effect, under two conditions on how genetic variation and unmeasured factors shape exposure: no…