I'll argue, strongly, that right now - everything regarding Social Media misinformation is an epiphenomena of those factors.
To illustrate -
Misinformation based communication travels differently than "Fact" based information https://www.pnas.org/content/113/3/554.full.
People assign truth value based on heuristics, one of which is how many times information is repeated. If you self select a network of people who believe the same things and repeat it, with slight modifications - you can ensure people will believe conspriacies.
With the ability to self select nodes/people who tend to be conspiracy inclined you will easily cross the number of people needed to make an idea seem socially valid.
The pace and size of our information networks naturally supports the evolution of highly viral content - not truthful content.
But when this happened in Italy, a large number of the conspiracy crowd just said the photos were faked.