The Serbian Twin Advanced Registry (STAR), established in 2014, is a multigenerational resource for studying genetic, environmental, and epigenetic influences on behavior and development. STAR currently includes more than 9000 participants, extending the classical twin design to parents and siblings and enabling fine-grained modeling of genetic inheritance, cultural transmission, and shared environments. Methodological innovations include experimental procedures, virtual reality paradigms, and longitudinal, multi-informant assessments from childhood to adulthood, combined with molecular data collection. Published findings highlight heritable structures in executive functions, personality, and psychopathology, alongside environmentally shaped differences in behaviors such as aggression. Epigenetic studies have demonstrated associations between COMT promoter methylation and impulsivity-related traits, while ongoing genomewide analyses aim to identify environmentally mediated methylation variability. By integrating advanced methodologies with open science practices, STAR provides a sustainable platform for behavioral genetics in Serbia and contributes to international research on adaptation and psychopathology across the lifespan.
{"title":"The Serbian Twin Advanced Registry (STAR): Integrating Behavioral Genetic, Molecular Genetic, and Epigenetic Research Across the Lifespan.","authors":"Snežana Smederevac, Selka Sadiković, Bojana M Dinić, Ilija Milovanović, Dejan Pajić","doi":"10.1017/thg.2026.10045","DOIUrl":"https://doi.org/10.1017/thg.2026.10045","url":null,"abstract":"<p><p>The Serbian Twin Advanced Registry (STAR), established in 2014, is a multigenerational resource for studying genetic, environmental, and epigenetic influences on behavior and development. STAR currently includes more than 9000 participants, extending the classical twin design to parents and siblings and enabling fine-grained modeling of genetic inheritance, cultural transmission, and shared environments. Methodological innovations include experimental procedures, virtual reality paradigms, and longitudinal, multi-informant assessments from childhood to adulthood, combined with molecular data collection. Published findings highlight heritable structures in executive functions, personality, and psychopathology, alongside environmentally shaped differences in behaviors such as aggression. Epigenetic studies have demonstrated associations between <i>COMT</i> promoter methylation and impulsivity-related traits, while ongoing genomewide analyses aim to identify environmentally mediated methylation variability. By integrating advanced methodologies with open science practices, STAR provides a sustainable platform for behavioral genetics in Serbia and contributes to international research on adaptation and psychopathology across the lifespan.</p>","PeriodicalId":23446,"journal":{"name":"Twin Research and Human Genetics","volume":" ","pages":"1-10"},"PeriodicalIF":1.2,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146143751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Luis Correia, Tania Kiehl Lucci, Lucas Moura, Claudia Monteiro Peixoto, Maria de Lourdes Brizot, Mario Henrique Burlacchini de Carvalho, Vera Krebs, Mariana Azevedo Carvalho, Julia Gomes Freitas, Rafael Albuquerque, Timon Lebaron-Khérif, Isabella França Ferreira, Giovanna Arissi, Lilian C Luchesi, Ricardo Pris, Emma Otta
This study evaluated the growth trajectories of twins from birth to school age, focusing on weight and height z scores of children born in São Paulo. The longitudinal study comprised 188 healthy twins (M = 9.13 years; SD = 2.16). Weight data were obtained from birth records and reassessed at school age, and height at school age. Singleton birth weights and standard growth curves were used as reference points. Overall, the proportion of children with z scores below the median decreased significantly, from 98.3% at birth to 31.4% at school age. At birth, the dispersion of z-scores below the median was significantly greater among monochorionic compared to dichorionic twins (2.051 vs. 1.701), but this difference was no longer observed at school age (1.861 vs. 0.976). In total, 68.8% of the twins showed improved weight development, with no cases of deterioration. While monozygotic (MZ) and dizygotic (DZ) twin pairs exhibited comparable intertwin birth-weight differences, by school age MZ pairs exhibited more similar weights, whereas DZ pairs showed significantly greater weight discrepancies. For height at school age, mean height z scores were within the expected range for singletons. No significant differences were observed between monochorionic and dichorionic twins, whereas MZ pairs showed smaller within-pair height differences than DZ pairs. These findings suggest that although chorionicity plays an important role during the perinatal period - particularly due to the lower birth weights observed among monochorionic twins - its influence diminishes over time. By school age, weight and height differences are primarily determined by zygosity.
{"title":"Catch-Up Growth in Twins: The Influence of Chorionicity and Zygosity from Birth to School Age.","authors":"Luis Correia, Tania Kiehl Lucci, Lucas Moura, Claudia Monteiro Peixoto, Maria de Lourdes Brizot, Mario Henrique Burlacchini de Carvalho, Vera Krebs, Mariana Azevedo Carvalho, Julia Gomes Freitas, Rafael Albuquerque, Timon Lebaron-Khérif, Isabella França Ferreira, Giovanna Arissi, Lilian C Luchesi, Ricardo Pris, Emma Otta","doi":"10.1017/thg.2025.10042","DOIUrl":"https://doi.org/10.1017/thg.2025.10042","url":null,"abstract":"<p><p>This study evaluated the growth trajectories of twins from birth to school age, focusing on weight and height <i>z</i> scores of children born in São Paulo. The longitudinal study comprised 188 healthy twins (<i>M</i> = 9.13 years; <i>SD</i> = 2.16). Weight data were obtained from birth records and reassessed at school age, and height at school age. Singleton birth weights and standard growth curves were used as reference points. Overall, the proportion of children with <i>z</i> scores below the median decreased significantly, from 98.3% at birth to 31.4% at school age. At birth, the dispersion of <i>z</i>-scores below the median was significantly greater among monochorionic compared to dichorionic twins (2.051 vs. 1.701), but this difference was no longer observed at school age (1.861 vs. 0.976). In total, 68.8% of the twins showed improved weight development, with no cases of deterioration. While monozygotic (MZ) and dizygotic (DZ) twin pairs exhibited comparable intertwin birth-weight differences, by school age MZ pairs exhibited more similar weights, whereas DZ pairs showed significantly greater weight discrepancies. For height at school age, mean height <i>z</i> scores were within the expected range for singletons. No significant differences were observed between monochorionic and dichorionic twins, whereas MZ pairs showed smaller within-pair height differences than DZ pairs. These findings suggest that although chorionicity plays an important role during the perinatal period - particularly due to the lower birth weights observed among monochorionic twins - its influence diminishes over time. By school age, weight and height differences are primarily determined by zygosity.</p>","PeriodicalId":23446,"journal":{"name":"Twin Research and Human Genetics","volume":" ","pages":"1-7"},"PeriodicalIF":1.2,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146126502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This article presents an overview of the life histories of reared-apart twins from the Philippines. One twin always knew he was a twin, but for the other twin the discovery at age 15 came as a shock. This essay is followed by summaries of recent twin research of interest. Topics include twin discordance for multisystem inflammatory syndrome, in vitro fertilization (IVF) twins and possible associations with impaired hearing, the writings of monozygotic (MZ) twins, and an update on MZ twins with Feingold syndrome whom I have covered in a previous issue of this journal. This essay concludes with several twin-related human interest stories, namely conjoined twin girls from Sri Lanka, conjoined twin boys from Papua, New Guinea, recent information concerning conjoined twins Abby and Brittany Hensel, a twin sentenced for criminal activities, and accurate identification of an identical twin culprit by DNA sequencing.
{"title":"Reared-Apart Twins From the Philippines: New Views of Lingering Questions/Twin Research Reviews: Twin Discordance for Multisystem Inflammatory Syndrome; IVF Twins and Hearing Impairment; Writing Styles of MZ Twins; Update on Twins with Feingold Syndrome/Human Interest: Conjoined Twin Girls Born in Sri Lanka, Conjoined Twin Boys Born in Papua, New Guinea, Update on Conjoined Twins Abby and Brittany Hensel, Twin Sentenced for Criminal Activities, and Correct Identification of an Identical Twin Culprit by DNA Sequencing.","authors":"Nancy L Segal","doi":"10.1017/thg.2025.10041","DOIUrl":"https://doi.org/10.1017/thg.2025.10041","url":null,"abstract":"<p><p>This article presents an overview of the life histories of reared-apart twins from the Philippines. One twin always knew he was a twin, but for the other twin the discovery at age 15 came as a shock. This essay is followed by summaries of recent twin research of interest. Topics include twin discordance for multisystem inflammatory syndrome, in vitro fertilization (IVF) twins and possible associations with impaired hearing, the writings of monozygotic (MZ) twins, and an update on MZ twins with Feingold syndrome whom I have covered in a previous issue of this journal. This essay concludes with several twin-related human interest stories, namely conjoined twin girls from Sri Lanka, conjoined twin boys from Papua, New Guinea, recent information concerning conjoined twins Abby and Brittany Hensel, a twin sentenced for criminal activities, and accurate identification of an identical twin culprit by DNA sequencing.</p>","PeriodicalId":23446,"journal":{"name":"Twin Research and Human Genetics","volume":" ","pages":"1-5"},"PeriodicalIF":1.2,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146047197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Edgard Michel Crosato, Maria de Lourdes Brizot, John Fontenele Araujo, Fraulein Vidigal de Paula, Patricia Ferreira Monticelli, Briseida Dôgo de Resende, Mario Henrique Burlacchini de Carvalho, Mariana Azevedo Carvalho, Cintia Fridman, Fausto Medeiros Mendes, Mariana Minatel Braga Fraga, Paulo Henrique Braz da Silva, Herculano da Silva Martinho, Nancy Lee Segal, Rana Esseily, Tania Kiehl Lucci, Ricardo Prist, Claudio Possani, Claudia Monteiro Peixoto, Rosana Suemi Tokumaru, Isabella França Ferreira, Lilian Cristina Luchesi, Jennifer Leão Correia, Elisangela Dos Anjos Paula Vieira, Timon Lebaron-Khérif, Julia Gomes Freitas, Adriana Sicuto de Oliveira Ueno, Sarah Maria Barneze Costa, Thaís Gomes de Oliveira Machado, Laura Regina Antunes Pontes, Liana Isler Kupferman, Emma Otta
The Painel USP de Gêmeos (University of São Paulo Twin Panel) is, based at the Instituto de Psicologia da Universidade de São Paulo. It was formally established in 2017 to advance research on fundamental psychological processes through twin study designs. Our relatively new registry comprises a volunteer sample of 8839 twin individuals, 70% of whom live in Brazil's Southeast, the region with the highest twinning birth rate (10.64‰) of the country, within a national population of 213 million. Our collaborative research group has expanded to include partners from psychology, dentistry, and medicine at USP, as well as other Brazilian institutions, such as the Universidade Federal do Rio Grande do Norte, Universidade Federal da Bahia, and Universidade Federal do Espírito Santo. We are advancing biobehavioral research in Brazil through innovative methodologies, interdisciplinary collaboration, and international partnerships. All twin participants contribute to multiple studies associated with four datasets employing the same hierarchical identification system for participants and families: the Biorepository, the Physiological and Physical Repository, the Behavioral Repository, and Fonoteca Cesar Ades (FOCA). Future directions include expanding our twin registry across the five regions of Brazil, our research partnerships, promoting genetic literacy, and fostering public engagement.
圣保罗大学双胞胎小组(University of sao Paulo Twin Panel)位于圣保罗大学心理学研究所。它于2017年正式成立,旨在通过双胞胎研究设计推进基本心理过程的研究。我们相对较新的登记处包括8839名双胞胎个体的志愿者样本,其中70%生活在巴西东南部,该地区是全国2.13亿人口中双胞胎出生率最高的地区(10.64‰)。我们的合作研究小组已经扩大到包括USP心理学,牙科和医学的合作伙伴,以及其他巴西机构,如巴西北部格兰德联邦大学,巴伊亚联邦大学和Espírito圣联邦大学。我们正在通过创新方法、跨学科合作和国际伙伴关系推进巴西的生物行为学研究。所有双胞胎参与者都参与了与四个数据集相关的多项研究,这些数据集采用相同的参与者和家庭分层识别系统:生物存储库、生理和物理存储库、行为存储库和Fonoteca Cesar Ades (FOCA)。未来的方向包括在巴西的五个地区扩大我们的孪生登记、我们的研究伙伴关系、促进遗传知识普及和促进公众参与。
{"title":"Advancing Biobehavioral Research: An Overview and Update from the University of São Paulo Twin Panel.","authors":"Edgard Michel Crosato, Maria de Lourdes Brizot, John Fontenele Araujo, Fraulein Vidigal de Paula, Patricia Ferreira Monticelli, Briseida Dôgo de Resende, Mario Henrique Burlacchini de Carvalho, Mariana Azevedo Carvalho, Cintia Fridman, Fausto Medeiros Mendes, Mariana Minatel Braga Fraga, Paulo Henrique Braz da Silva, Herculano da Silva Martinho, Nancy Lee Segal, Rana Esseily, Tania Kiehl Lucci, Ricardo Prist, Claudio Possani, Claudia Monteiro Peixoto, Rosana Suemi Tokumaru, Isabella França Ferreira, Lilian Cristina Luchesi, Jennifer Leão Correia, Elisangela Dos Anjos Paula Vieira, Timon Lebaron-Khérif, Julia Gomes Freitas, Adriana Sicuto de Oliveira Ueno, Sarah Maria Barneze Costa, Thaís Gomes de Oliveira Machado, Laura Regina Antunes Pontes, Liana Isler Kupferman, Emma Otta","doi":"10.1017/thg.2025.10040","DOIUrl":"https://doi.org/10.1017/thg.2025.10040","url":null,"abstract":"<p><p>The Painel USP de Gêmeos (University of São Paulo Twin Panel) is, based at the Instituto de Psicologia da Universidade de São Paulo. It was formally established in 2017 to advance research on fundamental psychological processes through twin study designs. Our relatively new registry comprises a volunteer sample of 8839 twin individuals, 70% of whom live in Brazil's Southeast, the region with the highest twinning birth rate (10.64‰) of the country, within a national population of 213 million. Our collaborative research group has expanded to include partners from psychology, dentistry, and medicine at USP, as well as other Brazilian institutions, such as the Universidade Federal do Rio Grande do Norte, Universidade Federal da Bahia, and Universidade Federal do Espírito Santo. We are advancing biobehavioral research in Brazil through innovative methodologies, interdisciplinary collaboration, and international partnerships. All twin participants contribute to multiple studies associated with four datasets employing the same hierarchical identification system for participants and families: the Biorepository, the Physiological and Physical Repository, the Behavioral Repository, and Fonoteca Cesar Ades (FOCA). Future directions include expanding our twin registry across the five regions of Brazil, our research partnerships, promoting genetic literacy, and fostering public engagement.</p>","PeriodicalId":23446,"journal":{"name":"Twin Research and Human Genetics","volume":" ","pages":"1-10"},"PeriodicalIF":1.2,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146030796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A simple application of urn models is useful in spelling out the way in which, in abstraction, if the parents are distributed in Hardy-Weinberg form, that form is reproduced in offspring with nonrandom mating. A measure of divergence from random mating is proposed and illustrated by numerical examples. The scope of urn models of stochastic processes in population genetics theory is set out.
{"title":"Urn Models have a Place in Genetics.","authors":"Alan Stark","doi":"10.1017/thg.2025.10035","DOIUrl":"https://doi.org/10.1017/thg.2025.10035","url":null,"abstract":"<p><p>A simple application of urn models is useful in spelling out the way in which, in abstraction, if the parents are distributed in Hardy-Weinberg form, that form is reproduced in offspring with nonrandom mating. A measure of divergence from random mating is proposed and illustrated by numerical examples. The scope of urn models of stochastic processes in population genetics theory is set out.</p>","PeriodicalId":23446,"journal":{"name":"Twin Research and Human Genetics","volume":" ","pages":"1-2"},"PeriodicalIF":1.2,"publicationDate":"2026-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145990868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Obesity represents a major global public health concern. Body fat percentage (BF%) is a key indicator for assessing adiposity and provides a more precise estimation of obesity-related health risks compared to the traditional body mass index (BMI). Accumulating evidence suggests that BF% is influenced by both genetic and environmental factors. However, most genetic studies on BF% have been conducted in European and American population, with limited data available from Chinese cohorts. To address this gap, a classical twin study was conducted using data from the Qingdao Twin Registry in China to estimate the heritability of BF% adjusted for age, sex, and BMI. This study included Han Chinese twins registered in the Qingdao Twin Registry. This study included 344 middle and old-aged Chinese twin pairs (217 monozygotic and 127 dizygotic). comprising 327 males and 361 females. The median age of participants was 50 (interquartile range [IQR]:12) years, with BF% of 27.6 (11.4) %. Model fitting indicated that the best-fitting model was AE model. The additive genetic effect (A) accounted for 54% (95% CI [44, 59) of the total variance, while unique environmental effect (E) contributed 46% (95% CI [37, 56]). In conclusion, this twin-based study provides robust evidence for a moderate genetic contribution (heritability = 54%) to BF% in a middle- and old-aged Qingdao population.
{"title":"Heritability of Body Fat Percentage in Middle-aged and Older Qingdao Twins.","authors":"Fusheng Cui, Weijing Wang, Xiaocao Tian, Dongfeng Zhang","doi":"10.1017/thg.2025.10039","DOIUrl":"https://doi.org/10.1017/thg.2025.10039","url":null,"abstract":"<p><p>Obesity represents a major global public health concern. Body fat percentage (BF%) is a key indicator for assessing adiposity and provides a more precise estimation of obesity-related health risks compared to the traditional body mass index (BMI). Accumulating evidence suggests that BF% is influenced by both genetic and environmental factors. However, most genetic studies on BF% have been conducted in European and American population, with limited data available from Chinese cohorts. To address this gap, a classical twin study was conducted using data from the Qingdao Twin Registry in China to estimate the heritability of BF% adjusted for age, sex, and BMI. This study included Han Chinese twins registered in the Qingdao Twin Registry. This study included 344 middle and old-aged Chinese twin pairs (217 monozygotic and 127 dizygotic). comprising 327 males and 361 females. The median age of participants was 50 (interquartile range [IQR]:12) years, with BF% of 27.6 (11.4) %. Model fitting indicated that the best-fitting model was AE model. The additive genetic effect (A) accounted for 54% (95% CI [44, 59) of the total variance, while unique environmental effect (E) contributed 46% (95% CI [37, 56]). In conclusion, this twin-based study provides robust evidence for a moderate genetic contribution (heritability = 54%) to BF% in a middle- and old-aged Qingdao population.</p>","PeriodicalId":23446,"journal":{"name":"Twin Research and Human Genetics","volume":" ","pages":"1-4"},"PeriodicalIF":1.2,"publicationDate":"2026-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145970993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jing Lin, Yiling Zhou, Tian Xie, Jia Zhang, Zekai Chen, Zheng Chang, Yaogang Wang, Harold Snieder, Chris H L Thio, Catharina A Hartman
Attention deficit/hyperactivity disorder (ADHD) is associated with an increased risk of cardiovascular diseases (CVDs). However, whether this is a causal relation and how ADHD may predispose to a higher risk of CVD needs to be determined. We aimed to assess the causal association between ADHD and both coronary artery disease (CAD) and heart failure (HF), and to quantify the mediating effects of potential modifiable mediators. We conducted a two-step, two-sample Mendelian randomization (MR) study using SNPs as genetic instruments for exposure and potential mediators. Leveraging summary data on the latest genomewide association studies for ADHD, proposed mediators (i.e., metabolic factors, inflammatory factors, lifestyle behaviors, psychiatric disorders, and educational attainment), CAD and HF, we decomposed the total effect of ADHD on each outcome into direct and indirect effects through multiple mediators. Genetically predicted ADHD was associated with increased odds of CAD (OR 1.13; 95% CI [1.07, 1.19]), with educational attainment (EA) being the largest contributor (32.27% mediation, 95% CI [18.33%, 56.93%]). Body mass index (BMI), type 2 diabetes (T2D), EA, smoking initiation (SI), and depression jointly explained 83.59% (95% CI [63.95%, 101.49%]) of the association. Genetically predicted ADHD was associated with increased odds of HF (OR 1.11; 95% CI [1.05, 1.19]), with SI being the largest contributor (35.87% mediation, 95% CI [13.75%, 100.14%]). BMI, T2D, and SI jointly explained 82.39% (95% CI [45.90%, 131.60%]) of the association. The findings support a causal relationship between ADHD and both CAD and HF. Several modifiable risk factors substantially mediate these associations, suggesting potential targets for interventions aimed at reducing CVD risk in individuals with ADHD.
{"title":"Identification of Mediating Pathways Between Attention Deficit/Hyperactivity Disorder and Coronary Artery Disease and Heart Failure: A Two-Step Multivariable Mendelian Randomization Study.","authors":"Jing Lin, Yiling Zhou, Tian Xie, Jia Zhang, Zekai Chen, Zheng Chang, Yaogang Wang, Harold Snieder, Chris H L Thio, Catharina A Hartman","doi":"10.1017/thg.2025.10037","DOIUrl":"https://doi.org/10.1017/thg.2025.10037","url":null,"abstract":"<p><p>Attention deficit/hyperactivity disorder (ADHD) is associated with an increased risk of cardiovascular diseases (CVDs). However, whether this is a causal relation and how ADHD may predispose to a higher risk of CVD needs to be determined. We aimed to assess the causal association between ADHD and both coronary artery disease (CAD) and heart failure (HF), and to quantify the mediating effects of potential modifiable mediators. We conducted a two-step, two-sample Mendelian randomization (MR) study using SNPs as genetic instruments for exposure and potential mediators. Leveraging summary data on the latest genomewide association studies for ADHD, proposed mediators (i.e., metabolic factors, inflammatory factors, lifestyle behaviors, psychiatric disorders, and educational attainment), CAD and HF, we decomposed the total effect of ADHD on each outcome into direct and indirect effects through multiple mediators. Genetically predicted ADHD was associated with increased odds of CAD (<i>OR</i> 1.13; 95% CI [1.07, 1.19]), with educational attainment (EA) being the largest contributor (32.27% mediation, 95% CI [18.33%, 56.93%]). Body mass index (BMI), type 2 diabetes (T2D), EA, smoking initiation (SI), and depression jointly explained 83.59% (95% CI [63.95%, 101.49%]) of the association. Genetically predicted ADHD was associated with increased odds of HF (<i>OR</i> 1.11; 95% CI [1.05, 1.19]), with SI being the largest contributor (35.87% mediation, 95% CI [13.75%, 100.14%]). BMI, T2D, and SI jointly explained 82.39% (95% CI [45.90%, 131.60%]) of the association. The findings support a causal relationship between ADHD and both CAD and HF. Several modifiable risk factors substantially mediate these associations, suggesting potential targets for interventions aimed at reducing CVD risk in individuals with ADHD.</p>","PeriodicalId":23446,"journal":{"name":"Twin Research and Human Genetics","volume":" ","pages":"1-9"},"PeriodicalIF":1.2,"publicationDate":"2026-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Julia Mansour, Rebekah McWhirter, Alison McLean, Alison McIvor, Natasha Heather
This position statement provides guidelines for health professionals who are considering online or direct-to-consumer genetic testing for their patients. It presents the major issues around online and direct-to-consumer (DTC) testing including how it is accessed, motivations for accessing testing and how to return these results. Online or DTC recommendations include: (1) DTC testing should only be done by individuals/consumers who are well informed, aware of the risks, benefits and limitations of testing, and able to consent for their DNA to be collected, analyzed and potentially stored. Where possible, individuals/consumers should also be aware of the alternative option of undertaking testing through healthcare professionals in a clinical context, and the benefits of this. (2) Decisions about having a child tested should be based on peer-reviewed, published evidence. Genomics testing for children should be within a clinical context where parents are informed, have access to clinical support and professional genetic counseling about this decision, as well as support for the range of results received. (3) Parents considering direct-to-consumer testing on their newborn are counselled, or given information, to encourage them to have standard government funded newborn bloodspot screening testing on their newborn. (4) When choosing an online genomic test, preference should be given to tests undertaken in accredited laboratories offering tests accredited with the Therapeutic Goods Administration. (5) Results obtained through methods other than direct analysis from a laboratory accredited to perform genomic testing to inform human health and wellbeing should be interpreted with caution. The HGSA recommends that such results must be confirmed in an accredited diagnostic laboratory prior to relying on them to inform options for treatment, surveillance or risk reduction, or before undertaking cascade testing in family members. (6) When individuals are concerned about their health, they should consult an appropriate healthcare professional to decide whether an online genomic test is appropriate and discuss how useful test results could be to make health-related decisions.
{"title":"Human Genetics Society of Australasia Position Statement: Online or Direct-to-Consumer Genomics Testing.","authors":"Julia Mansour, Rebekah McWhirter, Alison McLean, Alison McIvor, Natasha Heather","doi":"10.1017/thg.2025.10033","DOIUrl":"https://doi.org/10.1017/thg.2025.10033","url":null,"abstract":"<p><p>This position statement provides guidelines for health professionals who are considering online or direct-to-consumer genetic testing for their patients. It presents the major issues around online and direct-to-consumer (DTC) testing including how it is accessed, motivations for accessing testing and how to return these results. Online or DTC recommendations include: (1) DTC testing should only be done by individuals/consumers who are well informed, aware of the risks, benefits and limitations of testing, and able to consent for their DNA to be collected, analyzed and potentially stored. Where possible, individuals/consumers should also be aware of the alternative option of undertaking testing through healthcare professionals in a clinical context, and the benefits of this. (2) Decisions about having a child tested should be based on peer-reviewed, published evidence. Genomics testing for children should be within a clinical context where parents are informed, have access to clinical support and professional genetic counseling about this decision, as well as support for the range of results received. (3) Parents considering direct-to-consumer testing on their newborn are counselled, or given information, to encourage them to have standard government funded newborn bloodspot screening testing on their newborn. (4) When choosing an online genomic test, preference should be given to tests undertaken in accredited laboratories offering tests accredited with the Therapeutic Goods Administration. (5) Results obtained through methods other than direct analysis from a laboratory accredited to perform genomic testing to inform human health and wellbeing should be interpreted with caution. The HGSA recommends that such results must be confirmed in an accredited diagnostic laboratory prior to relying on them to inform options for treatment, surveillance or risk reduction, or before undertaking cascade testing in family members. (6) When individuals are concerned about their health, they should consult an appropriate healthcare professional to decide whether an online genomic test is appropriate and discuss how useful test results could be to make health-related decisions.</p>","PeriodicalId":23446,"journal":{"name":"Twin Research and Human Genetics","volume":" ","pages":"1-5"},"PeriodicalIF":1.2,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145805223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Deborah Finkel, Brian K Finch, Margaret Gatz, Kaare Christensen, Carol E Franz, Ida K Karlsson, William S Kremen, Robert F Krueger, Michelle Lupton, Nicholas Martin, Matt McGue, Miriam A Mosing, Jenae Neiderhiser, Marianne Nygaard, Elizabeth Prom-Worley, Chandra Reynolds, Perminder Sachdev, Elina Sillanpää, Eero Vuoksimaa, Keith E Whitfield, Orla Hayden, Ellen Walters, Nancy L Pedersen
The Interplay of Genes and Environment across Multiple Studies (IGEMS) is a consortium of 21 twin studies from 5 countries (Australia, Denmark, Finland, Sweden, and United States) established to explore the nature of gene-environment interplay in cognitive, physical, and emotional health across the adult lifespan. The combined data from over 145,000 participants (aged 18 to 108 years at intake) has supported multiple research projects over the three phases of development since its inception in 2010. Phases 1 and 2 focused on launching and growing the consortium and supported important developments in data harmonization, analyses of data pooled across multiple studies, incorporation of linkages to national registries and conscription data, and integration of molecular genetic and classical twin designs. IGEMS Phase 3 focuses on developing appropriate infrastructure to maximize utilization of this large twin consortium for aging research.
{"title":"The Interplay of Genes and Environment Across Multiple Studies (IGEMS) Consortium After Fifteen Years.","authors":"Deborah Finkel, Brian K Finch, Margaret Gatz, Kaare Christensen, Carol E Franz, Ida K Karlsson, William S Kremen, Robert F Krueger, Michelle Lupton, Nicholas Martin, Matt McGue, Miriam A Mosing, Jenae Neiderhiser, Marianne Nygaard, Elizabeth Prom-Worley, Chandra Reynolds, Perminder Sachdev, Elina Sillanpää, Eero Vuoksimaa, Keith E Whitfield, Orla Hayden, Ellen Walters, Nancy L Pedersen","doi":"10.1017/thg.2025.10036","DOIUrl":"https://doi.org/10.1017/thg.2025.10036","url":null,"abstract":"<p><p>The Interplay of Genes and Environment across Multiple Studies (IGEMS) is a consortium of 21 twin studies from 5 countries (Australia, Denmark, Finland, Sweden, and United States) established to explore the nature of gene-environment interplay in cognitive, physical, and emotional health across the adult lifespan. The combined data from over 145,000 participants (aged 18 to 108 years at intake) has supported multiple research projects over the three phases of development since its inception in 2010. Phases 1 and 2 focused on launching and growing the consortium and supported important developments in data harmonization, analyses of data pooled across multiple studies, incorporation of linkages to national registries and conscription data, and integration of molecular genetic and classical twin designs. IGEMS Phase 3 focuses on developing appropriate infrastructure to maximize utilization of this large twin consortium for aging research.</p>","PeriodicalId":23446,"journal":{"name":"Twin Research and Human Genetics","volume":" ","pages":"1-10"},"PeriodicalIF":1.2,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145782769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A pair of dizygotic (DZ) twins discordant for Turner syndrome are discussed with reference to the biological origins of the condition and the effects of discordance on the twin relationship. There is little research on how having an atypical twin influences the life events and goals of the typical twin. Next, timely reviews of research on preventing premature twin birth, a twin gestation with hydatidiform mole, an update on Feingold syndrome twins discussed in a previous issue of this journal, and qualitative monozygotic twin difference studies are presented. The final portion of this article covers human interest stories of twins that are variously entertaining and enlightening. They include identical twins who celebrated their 100th birthday together, twins in famous families, celebration of the Yorùbá twins of Nigeria, identical artistic partners, and surgical separation of a rare, conjoined twin set.
{"title":"Turner's Syndrome in Discordant Dizygotic Twins: Biological Origins and Twin Relations/Twin Research Reviews: Prevention of Premature Twin Birth; Twin Gestation with Hydatidiform Mole; Update on Feingold Syndrome Twins; Qualitative MZ Twin Difference Studies/Media: Identical Twins Turn 100 Years of Age; Twins in Famous Families; Celebration of Yorùbá Twins of Nigeria; Identical Artistic Partners; Rare Conjoined Twins Separated.","authors":"Nancy L Segal","doi":"10.1017/thg.2025.10034","DOIUrl":"https://doi.org/10.1017/thg.2025.10034","url":null,"abstract":"<p><p>A pair of dizygotic (DZ) twins discordant for Turner syndrome are discussed with reference to the biological origins of the condition and the effects of discordance on the twin relationship. There is little research on how having an atypical twin influences the life events and goals of the typical twin. Next, timely reviews of research on preventing premature twin birth, a twin gestation with hydatidiform mole, an update on Feingold syndrome twins discussed in a previous issue of this journal, and qualitative monozygotic twin difference studies are presented. The final portion of this article covers human interest stories of twins that are variously entertaining and enlightening. They include identical twins who celebrated their 100th birthday together, twins in famous families, celebration of the Yorùbá twins of Nigeria, identical artistic partners, and surgical separation of a rare, conjoined twin set.</p>","PeriodicalId":23446,"journal":{"name":"Twin Research and Human Genetics","volume":" ","pages":"1-6"},"PeriodicalIF":1.2,"publicationDate":"2025-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145669276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}