Robust Tests for Additive Gene-Environment Interaction in Case-Control Studies Using Gene-Environment Independence

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This paper extends the empirical Bayes approach for testing gene-environment interaction to the additive scale, improving power and type I error control compared to standard logistic regression and analyses assuming gene-environment independence.

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Abstract

There have been recent proposals advocating the use of additive gene-environment interaction instead of the widely used multiplicative scale, as a more relevant public health measure. Using gene-environment independence enhances statistical power for testing multiplicative interaction in case-control studies. However, under departure from this assumption, substantial bias in the estimates and inflated type I error in the corresponding tests can occur. In this paper, we extend the empirical Bayes (EB) approach previously developed for multiplicative interaction, which trades off between bias and efficiency in a data-adaptive way, to the additive scale. An EB estimator of the relative excess risk due to interaction is derived, and the corresponding Wald test is proposed with a general regression setting under a retrospective likelihood framework. We study the impact of gene-environment association on the resultant test with case-control data. Our simulation studies suggest that the EB approach uses the gene-environment independence assumption in a data-adaptive way and provides a gain in power compared with the standard logistic regression analysis and better control of type I error when compared with the analysis assuming gene-environment independence. We illustrate the methods with data from the Ovarian Cancer Association Consortium.

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MeSH descriptors

Case-Control Studies Epidemiologic Research Design Gene-Environment Interaction Bayes Theorem Bias Computer Simulation Humans Regression Analysis Retrospective Studies

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europepmc
last seen: 2026-10-11T09:27:45.537177+00:00
pubmed
last seen: 2026-10-08T21:20:11.545185+00:00