A general framework for penalized mixed-effects multitask learning with applications on DNA methylation surrogate biomarkers creation

Recent evidence highlights the usefulness of DNA methylation (DNAm) biomarkers as surrogates for exposure to risk factors for noncommunicable diseases in epidemiological studies and randomized trials. DNAm variability has been demonstrated to be tightly related to lifestyle behavior and expo-sure to environmental risk factors, ultimately providing an unbiased proxy of an individual state of health. At present, the creation of DNAm surrogates relies on univariate penalized regression models, with elastic-net regularizer being the gold standard when accomplishing the task. Nonetheless, more ad-vanced modeling procedures are required in the presence of multivariate out-comes with a structured dependence pattern among the study samples. In this work we propose a general framework for mixed-effects multitask learning in presence of high-dimensional predictors to develop a multivariate DNAm biomarker from a multicenter study. A penalized estimation scheme, based on an expectation-maximization algorithm, is devised in which any penalty criteria for fixed-effects models can be conveniently incorporated in the fit-ting process. We apply the proposed methodology to create novel DNAm surrogate biomarkers for multiple correlated risk factors for cardiovascular diseases and comorbidities. We show that the proposed approach, modeling multiple outcomes together, outperforms state-of-the-art alternatives both in predictive power and biomolecular interpretation of the results.