Todd Lencz
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toddlencz.bsky.social
Todd Lencz
@toddlencz.bsky.social
Genetics, Psychiatry, Polygenic Risk Scores, Embryo Screening... https://feinstein.northwell.edu/institutes-researchers/our-researchers/todd-lencz-phd
Client Challenge
www.nature.com
January 14, 2026 at 2:45 PM
Conclusion: PES is quite distinct from classical PGT-M for high-penetrance variants. However, PGT-M for moderate penetrance variants has recently been adopted by some clinics. This practice is more like PES, necessitating careful consideration of all factors affecting risk.
January 14, 2026 at 2:45 PM
3) Through modeling and simulation, we show that PGT-M for a moderate penetrance variant would select the "wrong" (i.e., higher risk) embryo ~5% of the time (given at least 1 carrier and 1non-carrier embryo, both female). IOW, the non-carrier embryo is at higher risk due to PRS.
January 14, 2026 at 2:45 PM
2) By contrast, carriers of moderate penetrance (OR~2) risk variants for breast cancer (ATM, CHEK2, BARD1, RAD51C/D) demonstrated risk profiles overlapping non-carriers with PRS ~1.5SD higher (black dotted line).
January 14, 2026 at 2:45 PM
1) Carriers of BRCA1 had risk distributions that were disjoint from non-carriers, regardless of polygenic risk scores (red dashed line in Figure above). Similar results were observed for BRCA2 and PALB2 carriers (blue dashed line).
January 14, 2026 at 2:45 PM
Reposted by Todd Lencz
Check out the paper for demonstrations of this effect in simulations and three datasets. We need to understand how PGS perform in clinical settings if they are ever to be useful as predictive markers, which is what we are trying to accomplish with the FEP-GEN consortium. 5/6
December 18, 2025 at 7:50 PM
Are one or more of the polygenic embryo screening companies currently active/visible in South Korea?
December 14, 2025 at 5:34 PM
See my pinned tweet for more details
October 20, 2025 at 4:43 PM
Given that we are unlikely to scale much beyond this enormous dataset anytime soon, this appears to be quite a negative result…
August 22, 2025 at 8:12 PM
Congratulations, Sunny—All the more impressive given the current environment. Your work is truly at the cutting edge!
July 24, 2025 at 7:30 PM
This looks fascinating - I can’t wait to read it in detail.

I am wondering if your approach resembles something we tried on a much smaller scale a few years ago: pubmed.ncbi.nlm.nih.gov/32956347/
Leveraging correlations between variants in polygenic risk scores to detect heterogeneity in GWAS cohorts - PubMed
Evidence from both GWAS and clinical observation has suggested that certain psychiatric, metabolic, and autoimmune diseases are heterogeneous, comprising multiple subtypes with distinct genomic etiolo...
pubmed.ncbi.nlm.nih.gov
July 24, 2025 at 5:43 PM
Need to double-check but I think it could be design / MAF cut-offs for each type of study
June 14, 2025 at 5:50 PM
More details at the link:
t.co/ThiWw7QdkU
https://www.biologicalpsychiatryjournal.com/article/S0006-3223(25)00989-8/fulltext
t.co
May 14, 2025 at 2:13 PM
Concordant SNPs (low cognition / increased SZ risk) were associated with early neurodevelopmental (prenatal) forebrain abnormalities. Discordant SNPs (high cognition / increased SZ risk) associated with adult synaptic function and hindbrain (cerebellar) development. (2/3)
May 14, 2025 at 2:13 PM
💯 always take the reader by the hand and walk them through slowly paragraph by paragraph
May 8, 2025 at 3:46 AM
We identified 113 Bonferroni-corrected putatively causal associations (46 novel) involving 91 proteins, providing support for repurposing of anti-inflammatory agents for SCZ, amantadine for BD, retinoic acid for MDD, and duloxetine for CTP.
jamanetwork.com/journals/jam...
Circulating Blood-Based Proteins in Psychopathology and Cognition
This mendelian randomization study identifies circulating proteins associated with risk for schizophrenia, bipolar disorder, major depressive disorder, and cognitive task performance.
jamanetwork.com
March 12, 2025 at 6:54 PM