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Lili Milani

@lilimilani

Head of Estonian Biobank & Professor of Pharmacogenomics at the Estonian Genome Centre, University of Tartu.

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05.05.2024
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Latest posts by Lili Milani @lilimilani

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A cross-population compendium of gene–environment interactions - Nature A large cross-population atlas of gene–environment interactions reveals how age, sex and lifestyle shape genetic effects, heritability, prediction accuracy and disease biology, with implications for p...

And of course we also thank and congratulate the authors of the excellent paper, Namba et al, @yuki-okada.bsky.social: www.nature.com/articles/s41... 🤩

05.03.2026 11:59 👍 0 🔁 0 💬 0 📌 0
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Huge thanks to @kauralasoo.bsky.social who stepped up with baby in his arms to lead the discussion of a complex JC paper picked and co-prepared with Maris.

Brilliant science, collaboration, real kindness, stepping up for each other, and family first. We need more role models like this. 🫶

05.03.2026 11:59 👍 11 🔁 1 💬 1 📌 0
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Interpreting artificial neural networks to detect genome-wide association signals for complex traits Abstract. Investigating the genetic architecture of complex diseases is challenging due to the multifactorial interplay of genomic and environmental influe

Our paper on detecting GWA signals from neural networks is now published. Here we propose a model- and score-agnostic post hoc framework to detect potentially associated loci from neural networks trained for phenotype prediction.
academic.oup.com/nargab/artic...

24.02.2026 13:09 👍 5 🔁 2 💬 0 📌 0
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Long-Read Sequencing Uppsala, November 2–4, 2026 #LRUA26: Empower your research with long-read sequencing technologies and connect with experts, peers, and industry leaders in Uppsala this November.

Save the date! The Long‑Read Sequencing Uppsala Meeting (#LRUA26) is happening Nov 2–4, with a great lineup of invited and selected speakers

Stay tuned — registration and abstract submission will open soon🧬🖥️

lrua.se

12.02.2026 07:35 👍 7 🔁 4 💬 0 📌 0
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✨ A new star allele was born! Excited to share our first in vivo pharmacokinetic recall study involving 114 participants from @ESTbiobank with previously uncharacterised variants in CYP2C19 and CYP2D6:
www.nature.com/articles/s41... #Pharmacogenomics @pharmvar.org @clinpgx.org

11.02.2026 09:23 👍 18 🔁 5 💬 0 📌 1

Good Q! We have just started digging into our first 5000 long-read genomes, stuck at annotation of SVs (VEP)... I’m not aware of any databases for SV associations besides clinical ones (DECIPHER, NCBI dbVar, ClinGen Dosage Sensitivity Map) and general pop freq db (gnomAD SV, IGSR, DGV, HSVC).

09.02.2026 21:00 👍 1 🔁 0 💬 0 📌 0

Could you take on structural variants next? 🙃

09.02.2026 18:55 👍 2 🔁 0 💬 1 📌 0
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🧬 New preprint alert! After years of collaborative work across 52 datasets we are presenting eQTLGen phase 2: a genome-wide eQTL meta-analysis covering 43,301 blood samples: www.medrxiv.org/content/10.6... (1/8)

06.02.2026 10:14 👍 36 🔁 21 💬 1 📌 4
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Exploring penetrance of clinically relevant variants in over 800,000 humans from the Genome Aggregation Database - Nature Communications Here the authors provide an explanation for 95% of examined predicted loss of function variants found in disease-associated haploinsufficient genes in the Genome Aggregation Database (gnomAD),…

New study of 800K+ genomes from gnomAD reveals most “pathogenic” variants in healthy people aren’t truly disease-tolerant. They are explained by annotation errors, mosaicism, or compensatory variants. 🧬
A big step for precision medicine!
www.nature.com/articles/s41...

04.11.2025 15:06 👍 23 🔁 15 💬 0 📌 1
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1/7 New BMI GWAS out! Using Estonian Biobank (n=204,747) and replication in FinnGen, we show that even in Europe you can still find region-specific biology if you zoom into population-tailored sumstats. Big thanks to co-author @kanwalbatool.bsky.social :)

16.10.2025 18:54 👍 17 🔁 9 💬 1 📌 1
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#PacBio announces major upcoming advances for #Revio and #Vega designed to lower genome costs, expand multiomic capabilities, and support regulated research.

The SPRQ-Nx chemistry, now in beta access, delivers complete genomes for under $300 at scale.

View the press release: bit.ly/4o06eyH

14.10.2025 15:33 👍 8 🔁 7 💬 0 📌 2
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Open Targets Platform 25.09 has been released! The September 25 release includes enhancer-gene data predicted by ENCODE-rE2G, molQTL credible sets for targets, new options for the variant structural viewer, and a number of data updates from GWAS C...

The Open Targets Platform autumn release is out! 🍂

We have ingested the full dataset of over 13 million enhancer-gene regulatory interactions in the human genome across 1,458 DNase-seq experiments covering 369 cell types and tissues from the ENCODE-rE2G model

blog.opentargets.org/open-targets...

18.09.2025 10:38 👍 22 🔁 9 💬 1 📌 3

Maybe! Need to look into it :)

18.09.2025 21:16 👍 0 🔁 0 💬 1 📌 0
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See you all next year for the 25th #GeneForum and some Estonian music! #plusskoor

13.09.2025 17:16 👍 2 🔁 0 💬 0 📌 0
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And so many other excellent speakers like @srubinacci.bsky.social @stevesphd.bsky.social @hilarycmartin.bsky.social & many more who made it an awesome conference - now called mini-ASHG (by Hilary Martin) and we loved it 🥰

13.09.2025 17:10 👍 7 🔁 2 💬 2 📌 0
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An ELSI for AI: Learning from genetics to govern algorithms In the United States, the summer of 2025 will be remembered as artificial intelligence’s (AI’s) cruel summer—a season when the unheeded risks and dangers of AI became undeniably clear. Recent months h...

🧵 The summer of 2025 has been AI's "cruel summer"—wrongful deaths, dangerous therapy chatbots, medical misinformation, facial recognition failures. These aren't isolated glitches but predictable harms from systems deployed without adequate oversight. www.science.org/doi/10.1126/...

11.09.2025 20:48 👍 375 🔁 154 💬 8 📌 13
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2nd day opened with a BEAUTIFUL talk by @nickywhiffin.bsky.social about ReNu variants playing such a huge role in developmental disorders despite the few bases..!

10.09.2025 07:16 👍 5 🔁 0 💬 2 📌 0
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So excited about this year’s Gene Forum in Tartu being kicked off now by our keynote speaker @eimearekenny.bsky.social 🤩

09.09.2025 06:22 👍 17 🔁 1 💬 1 📌 0

Huge congrats @klehto.bsky.social on this achievement!! Her work has already enriched the @estbiobank.bsky.social and will continue to do so! 💙🖤🤍

04.09.2025 11:44 👍 16 🔁 4 💬 0 📌 0
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🚨 Our parent-of-origin study is out in Nature! 🧬
Maternal and paternal alleles can have distinct — even opposite — effects on human traits, revealing a hidden layer of genetic architecture that standard GWAS miss.
🔗 www.nature.com/articles/s41...

Highlights below!

06.08.2025 18:27 👍 117 🔁 55 💬 2 📌 5

Huge thanks to Maris Alver for leading this important work, and for the rigorous and thoughtful data analysis together with Silva Kasela, Laura Birgit Luitva and Kristi Krebs!

03.07.2025 12:40 👍 1 🔁 0 💬 0 📌 0

3. Polygenic and pharmacogenomic predictors contributed independent and additive effects to dose variation.

This work underscores the potential of integrated genetic approaches to support more personalized and data-informed prescription of medicines.

03.07.2025 12:40 👍 0 🔁 0 💬 1 📌 0

2. GWAS picks known PGx associations independent of the underlying trait PGSs.
• Strong peaks for metoprolol (CYP2D6) and warfarin (VKORC1, CYP2C9)
• PGx genes enriched among GWAS top signals for statins.

03.07.2025 12:40 👍 0 🔁 0 💬 1 📌 0

🧬 Key insights:

1. PGSs for complex traits reveal both biological and healthcare-related influences on medication dosing
• High genetic predisposition -> higher dose
• BMI PGS linked with dose variation across several drug classes
• EA PGS linked to lower statin and higher antidepressant doses

03.07.2025 12:40 👍 0 🔁 0 💬 1 📌 0

Using prescription data from 212,000 @estbiobank.bsky.social participants, we examined how polygenic scores #PGSs and #pharmacogenomic variants relate to variation in medication dosing for metoprolol, warfarin, statins, antidepressants, and antipsychotics.

03.07.2025 12:40 👍 1 🔁 0 💬 1 📌 0
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Polygenic and pharmacogenomic contributions to medication dosing: a real-world longitudinal biobank study - Journal of Translational Medicine Background Understanding interindividual variability in medication dosing is central to precision medicine. Despite significant pharmacogenomic (PGx) insights into key biological pathways influencing ...

📢 (on more!) New study from our team in the Journal of Translational Medicine:

Polygenic and pharmacogenomic contributions to medication dosing: a real-world longitudinal biobank study

🔗 tinyurl.com/25u3a5j7

(thread below) 👇

03.07.2025 12:40 👍 7 🔁 3 💬 1 📌 0
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Genetic influences on antidepressant side effects: a CYP2C19 gene variation and polygenic risk study in the Estonian Biobank - European Journal of Human Genetics European Journal of Human Genetics - Genetic influences on antidepressant side effects: a CYP2C19 gene variation and polygenic risk study in the Estonian Biobank

🎉(1/4) Excited to share that our latest paper is now published!

We investigated genetic factors linked to antidepressant side effects in 13,000 individuals from the @estbiobank.bsky.social , leveraging data from questionnaires and clinical notes using NLP.
www.nature.com/articles/s41...

02.07.2025 08:47 👍 21 🔁 10 💬 3 📌 0
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Spatial transcriptomics and genetically implicated genes identify putative causal tissue structures for complex traits Spatially resolved transcriptomics is transforming our understanding of cellular and molecular diversity of tissues. Here, to identify tissue structures that are enriched for putatively causal disease...

New preprint! My (now former) postdoc @kvastad.bsky.social led this integration of GWAS and spatial transcriptomics (ST) data to identify tissue structures with enrichment of disease-implicated genes = likely causal drivers of disease biology.
www.biorxiv.org/content/10.1...

05.05.2025 15:39 👍 74 🔁 28 💬 4 📌 0
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Meta-prediction of coronary artery disease risk - Nature Medicine A meta-prediction framework integrating polygenic risk scores spanning multiple conditions and nongenetic factors, such as laboratory tests and baseline diagnoses, had superior performance in predicti...

Our ability to predict a person's risk of heart disease keeps getting better, even among those previously considered at low risk by traditional clinical criteria
@naturemedicine.bsky.social by my team @scripps.edu
www.nature.com/articles/s41...

16.04.2025 14:31 👍 189 🔁 46 💬 3 📌 1
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This study is a big deal. Is it going to be the one that kicks down the PRS door? Maybe. And that’s saying something.

Assessment of a Polygenic Risk Score in Screening for Prostate Cancer www.nejm.org/doi/full/10....

09.04.2025 21:09 👍 52 🔁 18 💬 4 📌 0