Joshua Chiou

Director, Genomics · Lilly · Translational Proteomics & Statistical Genetics

Joshua Chiou

I am Director, Genomics at Lilly, where I lead translational proteomics for obesity and cardiometabolic drug programs. I use blood protein measurements from large clinical trials to understand how drugs work. Most recently, I presented exploratory proteomic findings from SURMOUNT-5, the head-to-head trial of tirzepatide and semaglutide, at the European Association for the Study of Diabetes (EASD) 2026 meeting. Previously, I was a Senior Principal Computational Geneticist at Pfizer, where I led cardiovascular and renal target discovery using human genetics and contributed to the UK Biobank Pharma Proteomics Project (UKB-PPP).

I completed my PhD in Biomedical Sciences at UC San Diego, where I used statistical genetics and single-cell epigenomics to study how genetic risk for type 1 and type 2 diabetes acts in the pancreas.

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39 publications
8,655 citations
28 h-index
12 papers in Nature Cell Nature Medicine Nature Genetics Nature Immunology

selected publications

  1. Plasma proteomic associations with genetics and health in the UK Biobank
    Measured about 3,000 blood proteins in 54,000 UK Biobank participants and mapped more than 14,000 genetic variants that influence their levels, most of them previously unknown.
    Sun BB, Chiou J, Traylor M, and 62 more authors
    Nature, 2023
  2. Interpreting type 1 diabetes risk with genetics and single-cell epigenomics
    Combined a genetic study of type 1 diabetes in more than 500,000 samples with single-cell maps of the pancreas and implicated exocrine pancreas cells, not just immune cells, in disease risk.
    Chiou J, Geusz RJ, Okino M, and 13 more authors
    Nature, 2021
  3. Integrating genetics with single-cell multiomic measurements across disease states identifies mechanisms of beta cell dysfunction in type 2 diabetes
    Identified two beta cell subtypes whose abundance shifts in type 2 diabetes and whose accessible chromatin is enriched for type 2 diabetes risk variants.
    Wang G*, Chiou J*, Zeng C*, and 18 more authors
    *Equal contribution
    Nature Genetics, 2023
  4. Single-cell chromatin accessibility identifies pancreatic islet cell type- and state-specific regulatory programs of diabetes risk
    Mapped chromatin accessibility in thousands of individual islet cells to show which cell types and cell states carry type 2 diabetes genetic risk.
    Chiou J*, Zeng C*, Cheng Z, and 17 more authors
    *Equal contribution
    Nature Genetics, 2021
  5. Pancreatic islet chromatin accessibility and conformation reveals distal enhancer networks of type 2 diabetes risk
    Mapped 3D chromatin contacts in pancreatic islets to connect distal type 2 diabetes risk variants to the genes they likely regulate.
    Greenwald WW*, Chiou J*, Yan J*, and 19 more authors
    *Equal contribution
    Nature Communications, 2019

news

Oct 01, 2026 Gave an oral presentation at the European Association for the Study of Diabetes annual meeting (EASD 2026) in Milan on differential proteomic responses to tirzepatide versus semaglutide in the SURMOUNT-5 trial.
Sep 28, 2026 Promoted to Director, Genomics at Lilly.
Mar 26, 2026 Fixed a memory leak in the ha-esunpower Home Assistant integration that crashed when the PVS gateway’s serial number was an IP address.
Feb 12, 2026 Packaged r-mmrm for conda-forge, so the mixed models for repeated measures (MMRM) R package can be installed as a conda dependency in clinical trial pipelines.
Oct 20, 2025 Joined Lilly as Senior Advisor, Genomics, working on translational proteomics for obesity clinical trials.