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Budig S, Jung K, Hasler M, Schaarschmidt F. Simultaneous Inference of Multiple Binary Endpoints in Biomedical Research: Small Sample Properties of Multiple Marginal Models and a Resampling Approach. Biom J 2024; 66:e202300197. [PMID: 38953619 DOI: 10.1002/bimj.202300197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2023] [Revised: 03/04/2024] [Accepted: 05/08/2024] [Indexed: 07/04/2024]
Abstract
In biomedical research, the simultaneous inference of multiple binary endpoints may be of interest. In such cases, an appropriate multiplicity adjustment is required that controls the family-wise error rate, which represents the probability of making incorrect test decisions. In this paper, we investigate two approaches that perform single-step p $p$ -value adjustments that also take into account the possible correlation between endpoints. A rather novel and flexible approach known as multiple marginal models is considered, which is based on stacking of the parameter estimates of the marginal models and deriving their joint asymptotic distribution. We also investigate a nonparametric vector-based resampling approach, and we compare both approaches with the Bonferroni method by examining the family-wise error rate and power for different parameter settings, including low proportions and small sample sizes. The results show that the resampling-based approach consistently outperforms the other methods in terms of power, while still controlling the family-wise error rate. The multiple marginal models approach, on the other hand, shows a more conservative behavior. However, it offers more versatility in application, allowing for more complex models or straightforward computation of simultaneous confidence intervals. The practical application of the methods is demonstrated using a toxicological dataset from the National Toxicology Program.
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Affiliation(s)
- Sören Budig
- Department of Biostatistics, Institute of Cell Biology and Biophysics, Leibniz University Hannover, Hannover, Germany
| | - Klaus Jung
- Institute for Animal Breeding and Genetics, University of Veterinary Medicine Hannover, Hannover, Germany
| | - Mario Hasler
- Lehrfach Variationsstatistik, Christian-Albrechts-University of Kiel, Kiel, Germany
| | - Frank Schaarschmidt
- Department of Biostatistics, Institute of Cell Biology and Biophysics, Leibniz University Hannover, Hannover, Germany
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Höher N, Turja R, Brenner M, Nyholm JR, Östin A, Leffler P, Butrimavičienė L, Baršienė J, Halme M, Karjalainen M, Niemikoski H, Vanninen P, Broeg K, Lehtonen KK, Berglind R. Toxic effects of chemical warfare agent mixtures on the mussel Mytilus trossulus in the Baltic Sea: A laboratory exposure study. MARINE ENVIRONMENTAL RESEARCH 2019; 145:112-122. [PMID: 30850117 DOI: 10.1016/j.marenvres.2019.02.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/20/2018] [Revised: 01/24/2019] [Accepted: 02/01/2019] [Indexed: 06/09/2023]
Abstract
Baltic blue mussels (Mytilus trossulus) were implemented to assess potential toxicity, health impairments and bioaccumulation of dumped chemical warfare agents on marine benthic organisms. Mussels were collected from a pristine cultivation side and exposed under laboratory conditions to different mixtures of chemical warfare agents (CWAs) related phenyl arsenic compounds, Clark I and Adamsite as well as chloroacetophenone. Using a multi-biomarker approach, mussels were assessed thereafter for effects at different organisational levels ranging from geno-to cytotoxic effects, differences in enzyme kinetics and immunological responses. In an integrated approach, chemical analysis of water and tissue of the test organisms was performed in parallel. The results show clearly that exposed mussels bioaccumulate the oxidized forms of chemical warfare agents Clark I, Adamsite (DAox and DMox) and, to a certain extent, also chloroacetophenone into their tissues. Adverse effects in the test organisms at subcellular and functional level, including cytotoxic, immunotoxic and oxidative stress effects were visible. These acute effects occurred even at the lowest test concentration.
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Affiliation(s)
- Nicole Höher
- Alfred Wegener Institute Helmholtz Centre for Polar and Marine Research, Am Handelshafen 12, 27570, Bremerhaven, Germany
| | - Raisa Turja
- Marine Research Centre, Finnish Environment Institute, Agnes Sjöbergin Katu 2, 00790, Helsinki, Finland
| | - Matthias Brenner
- Alfred Wegener Institute Helmholtz Centre for Polar and Marine Research, Am Handelshafen 12, 27570, Bremerhaven, Germany.
| | | | - Anders Östin
- Swedish Defence Research Agency, Cementvägen 20, 90182, Umeå, Sweden
| | - Per Leffler
- Swedish Defence Research Agency, Cementvägen 20, 90182, Umeå, Sweden
| | - Laura Butrimavičienė
- Institute of Ecology of Nature Research Centre, Akademijos Str. 2, 08412, Vilnius, Lithuania
| | - Janina Baršienė
- Institute of Ecology of Nature Research Centre, Akademijos Str. 2, 08412, Vilnius, Lithuania
| | - Mia Halme
- Finnish Institute for Verification of the Chemical Weapons Convention (VERIFIN), Department of Chemistry, Faculty of Science, University of Helsinki, Yliopistonkatu 4, 00014, Helsinki, Finland
| | - Maaret Karjalainen
- Finnish Institute for Verification of the Chemical Weapons Convention (VERIFIN), Department of Chemistry, Faculty of Science, University of Helsinki, Yliopistonkatu 4, 00014, Helsinki, Finland
| | - Hanna Niemikoski
- Finnish Institute for Verification of the Chemical Weapons Convention (VERIFIN), Department of Chemistry, Faculty of Science, University of Helsinki, Yliopistonkatu 4, 00014, Helsinki, Finland
| | - Paula Vanninen
- Finnish Institute for Verification of the Chemical Weapons Convention (VERIFIN), Department of Chemistry, Faculty of Science, University of Helsinki, Yliopistonkatu 4, 00014, Helsinki, Finland
| | - Katja Broeg
- Alfred Wegener Institute Helmholtz Centre for Polar and Marine Research, Am Handelshafen 12, 27570, Bremerhaven, Germany
| | - Kari K Lehtonen
- Marine Research Centre, Finnish Environment Institute, Agnes Sjöbergin Katu 2, 00790, Helsinki, Finland
| | - Rune Berglind
- Swedish Defence Research Agency, Cementvägen 20, 90182, Umeå, Sweden
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Yamaguchi T, Gi M, Fujioka M, Doi K, Okuno T, Kakehashi A, Wanibuchi H. A carcinogenicity study of diphenylarsinic acid in F344 rats in drinking water for 104 weeks. J Toxicol Sci 2017; 42:475-483. [PMID: 28717106 DOI: 10.2131/jts.42.475] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Abstract
Diphenylarsinic acid (DPAA), a neurotoxic organic arsenical used as a chemical warfare agent, is present in the groundwater and soil in some regions of Japan due to illegal dumping after World War II. We previously demonstrated that DPAA promotes diethylnitrosamine-induced liver carcinogenesis in a medium-term rat liver bioassay. The purpose of the present study was to evaluate the potential carcinogenicity of DPAA, including investigation of whether the bile duct hyperplasia in the liver that was observed in a previous 52 week rat chronic study develops into a tumor, when administered to rats in their drinking water for 104 weeks. DPAA was administered to groups 1-4 at concentrations of 0, 5, 10, and 20 ppm in their drinking water for 104 weeks. A significant decrease in survival rate was found for females in the 20 ppm DPAA group. Body weights of males in the 20 ppm and females in the 10 and 20 ppm DPAA groups were significantly decreased compared to the controls. Overall histopathological evaluation of neoplasms in all tissues showed no significant increase of tumor incidence in any organ or tissue of the 5, 10, or 20 ppm DPAA-treated male or female F344 rats. In conclusion, the present study demonstrated that DPAA is not a complete carcinogen in male or female F344 rats.
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Affiliation(s)
- Takashi Yamaguchi
- Department of Molecular Pathology, Osaka City University Graduate School of Medicine
| | - Min Gi
- Department of Molecular Pathology, Osaka City University Graduate School of Medicine
| | - Masaki Fujioka
- Department of Molecular Pathology, Osaka City University Graduate School of Medicine
| | - Kenichiro Doi
- Department of Molecular Pathology, Osaka City University Graduate School of Medicine
| | - Takahiro Okuno
- Department of Molecular Pathology, Osaka City University Graduate School of Medicine
| | - Anna Kakehashi
- Department of Molecular Pathology, Osaka City University Graduate School of Medicine
| | - Hideki Wanibuchi
- Department of Molecular Pathology, Osaka City University Graduate School of Medicine
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