The phrase "as the primary causative" is correct and usable in written English.
It can be used in contexts discussing causes or factors that lead to a particular outcome or effect, often in academic or analytical writing.
Example: "In this study, we identified stress as the primary causative factor contributing to employee burnout."
Alternatives: "as the main cause" or "as the chief factor".
Oxidative stress has been labelled as the primary causative factor for cardiac damage during infarction, however, the impact it may have during the process of post infarction remodeling has not been well probed.
These signs, which were expressed by coral juveniles in response to bacterial supernatants, were identical to WS disease signs observed on adult corals in the field [84] [85] and during pathogen inoculation experiments [12], and further support our previous findings, which identified Vibrio pathogens as the primary causative agents of WS's [12].
Changes in gene expression during muscle hypertrophy can be categorized as the primary causative genes, DLK1 and RTL1, which are known due to the inheritance model, the secondary effector genes that have a direct transcriptional response to DLK1 and RTL1 activities and the tertiary responses associated with hypertrophy such as protein accretion, myofiber type and metabolic changes.
Although Porcine Circovirus type 2 (PCV2) is regarded as the primary causative agent, PCVD is considered a multifactorial disease.
The results indicate that BLV has no tropism in the CNS, and it cannot be regarded as the primary causative agent of non-purulent meningoencephalitis in cattle.
The concept of viruses and bacteria as the primary causative agents of human disease impeded the consideration of novel mechanisms, namely misfolded proteins, that might be at work as agents of human disease (Prusiner, 1991).
However, findings of some other countries quote Haemophilus influenzae as still being the primary causative pathogen for meningitis [33], [34].
This suggests that apoptosis is not the primary causative mechanism governing the hematopoietic cell abnormalities caused by the TERT deficiency.
Mannheimia(Pasteurella)haemolytica serotype 1 is the primary causative agent responsible for bovine pneumonic mannheimiosis, also known as shipping fever in cattle.
The fungus Aspergillus fumigatus (A. fumigatus) is the primary causative agent of invasive aspergillosis.
Avian metapneumovirus (AMPV) is the primary causative agent of severe rhinotracheitis in turkeys.
