An MVMR approach was used to dissect the total causal effect of transcript levels on phenotypes ( αTP ) into a direct ( αd ) and indirect ( αi ) effect measured through a metabolite. Through inclusion of a metabolite and its associated genetic variants (r2 <0.01, pmQTL<1 × 10–07), the direct effect of gene expression on a phenotype can be estimated using a multivariable regression model (Burgess et al., 2013 (link)) as the first element of α^=(BC1B)1(BC1γ)
where B is a matrix with two columns containing the standardized effect sizes of n IVs on transcript levels in the first column and on the metabolite levels in the second column, γ is a vector of length n containing the standardized effect size of each SNP on the phenotype, and C is the pairwise LD matrix between the n SNPs.
The proportion of direct effect (ρ) is calculated by regressing direct effects ( αd ) on total effects ( αTP ) and then correcting for regression dilution bias: ρcorrected= ρ1(SE(αTP))2αTP2
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