Everything about causation in biology works differently than in other sciences.
Many biological papers don't work with mechanisms at all- they just deal with statistical associations between entities- and treat them as complex black boxes.
Here's another exmaple. Why do people grow to the heights they do? Well, originally people thought there were maybe 1-2 genes, with a few specific mutations, and the results all sort of added up linearly. Nope! Instead, we've learned that about 50% of total height variation is explained by genetics, and even then, there are hundreds of different genes that contribute to height, with all sorts of different variations in and between genes causing nonlinear effects (typically ignored in genetics, but considered strongly in evo-devo) that are extremely hard to explain in a detailed causal way.
In short: biology is highly nonlinear with huge numbers of variables, along with active feedback mechanisms and other complex systems that work to maintain homeostasis against entropy and protection against constantly evolving infectious agents. The basic concepts of causality, like "entity A causes event B which leads to outcome C" really do apply, but they're fully probabilistic and massively tensorial.