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Updated: Feb 14, 2026

An Integrated Workflow of Identification and Quantification on FDR Control-Based Untargeted Metabolome
Published on: September 20, 2022
FWER and FDR control when testing multiple mediators.
Joshua N Sampson1, Simina M Boca2, Steven C Moore1
1Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, USA.
This study introduces a new statistical method to identify biological mediators linking exposures to disease risk. The method enhances the detection of true mediators, as demonstrated in a breast cancer study identifying nine potential metabolite mediators.
Area of Science:
- Biostatistics
- Genomics
- Epidemiology
Background:
- Understanding biological pathways between environmental exposures and disease risk is crucial but often challenging.
- Biomarker mediation analysis is a key approach to elucidate these complex relationships.
- Existing methods face limitations in simultaneously analyzing numerous biomarkers and controlling error rates.
Purpose of the Study:
- To develop a novel Multiple Comparison Procedure (MCP) for identifying mediating biomarkers.
- To control the Family-Wise Error Rate (FWER) or False Discovery Rate (FDR) in high-dimensional biomarker studies.
- To enhance statistical power for detecting true biological mediators.
Main Methods:
- Proposed a new Multiple Comparison Procedure (MCP) for mediation analysis.
- Simultaneously tested hypotheses for a set of 'm' biomarkers.
- Validated the method through simulations and applied it to a real-world breast cancer dataset.
Main Results:
- The proposed MCP demonstrated higher statistical power in detecting true mediators compared to existing methods.
- The method effectively controlled the Family-Wise Error Rate (FWER) or False Discovery Rate (FDR).
- Identified nine specific metabolites potentially mediating the association between BMI and breast cancer risk.
Conclusions:
- The developed MCP offers a powerful and reliable tool for biomarker mediation analysis in exposure-disease studies.
- The findings provide novel insights into the biological pathways of breast cancer.
- The R package 'MultiMed' is available for implementing this advanced statistical approach.
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