Abstract
The primary aim of the Michigan State University Twin Registry (MSUTR) is to examine developmental differences in genetic, environmental, neural, epigenetic, and neurobiological influences on psychopathology and resilience, particularly during childhood and adolescence. The MSUTR has two broad components: a large-scale, population-based registry of child, adolescent, and adult twins and their families (current N~30,000) and a series of more focused and in-depth studies drawn from the registry (projected N~7,200). Participants in the population-based registry complete a family health and demographic questionnaire via mail. Families can then be recruited for one or more of the intensive, in-person studies from the population-based registry, using any one of several recruitment strategies (e.g., population-based, based on their answers to the registry questionnaire). These latter studies target a variety of biological, genetic, and environmental phenotypes, including multi-informant measures of psychiatric and behavioral phenotypes, functional and structural neuroimaging, comprehensive measures of the twin family environment (e.g., census and neighborhood informant reports of twin neighborhood characteristics, videotaped interactions of child twin families), buccal swab and salivary DNA samples, and/or assays of adolescent and adult steroid hormone levels. This article provides an overview of the MSUTR and describes current and future research directions.
Keywords: twins, children-of-twins, environment, genetics, epigenetics, hormones, Michigan State University Twin Registry (MSUTR)
The overall focus of the Michigan State University Twin Registry (MSUTR) is on understanding developmental changes in genetic, environmental, and neurobiological influences on internalizing and externalizing psychopathology and resilience. Several features of the MSUTR distinguish it from other twin registries. First, the registry takes a lifespan perspective by assessing twins during childhood, adolescence, and adulthood, and via intensive longitudinal designs. This lifespan perspective ensures that genetic, environmental, and biological risk factors specific to particular developmental periods are identified and examined for their relevance for psychopathology and resilience. Second, there is a focus on understanding mechanisms of etiologic effects. While standard twin biometric model fitting analyses are used to examine relative contributions of genetic and environmental factors, these analyses are extended by the direct assessment of genes (e.g., via polygenic risk scores), measured environmental factors (e.g., parent-child interactions, neighborhood characteristics), neural development (e.g., functional and structural neuroimaging), and biological risk factors (e.g., steroid hormone concentrations). These extended assessments allow for the examination of genotype-X-environment (GxE) interactions across multiple levels of analysis (i.e., neural, neurobiological, behavioral) as well as the mediation of genetic effects by neurobiological factors.
In the present paper, we describe MSUTR recruitment methods, study assessments, and individual research projects.
Recruitment Methods and Sample Representativeness
Although the MSUTR initially began as a university-based twin registry assessing undergraduate men and women, we moved to recruiting twins via birth records beginning in 2004. The Michigan Department of Health and Human Services (MDHHS; formerly known as the Michigan Department of Community Health) identifies twin pairs residing in lower Michigan who meet our study age criteria (see criteria below) and whose addresses or parents’ addresses (for twins who are minors) can be located either using driver’s license information obtained from the state of Michigan or the proprietary search engine used by police (since the MDHHS, as the state agency in charge of vital records, has direct access to individual SSNs, full names, and birth dates). Twins are identified either directly from birth records or via the Michigan Twins Project, a large-scale twin registry within the MSUTR that doubles as a recruitment resource for smaller, more intensive projects. Because birth records are confidential in Michigan, recruitment packets are mailed directly from the MDHHS to eligible twin pairs to ensure their confidentiality. Twins indicating interest in participation via pre-stamped postcards or e-mails/calls to the MSUTR project office are then contacted by study staff to determine study eligibility and to schedule their assessments.
Four recruitment mailings are used for each study to ensure optimal twin participation. Overall, response rates across studies (56–85%) are on par with or better than those of other twin registries that use similar types of anonymous recruitment mailings, and have thus far yielded largely representative samples. Families recruited into the families of the naturally-conceived twins in the large-scale Michigan Twins Project, for example, closely resemble families across the state of Michigan (Burt & Klump, 2012). The proportion of MTP families that identify as White, non-Hispanic is 81.0%, which is very similar to the 80.2% indicated in state-wide Census data. Mean family incomes are also quite comparable ($75,940 in the MTP versus $73,373 in the Census), as are the proportion of families with graduate or professional degrees (10.3% in the MTP versus 9.6% in the Census).
These successes extend to our smaller, more intensive in-person studies as well. For example, the 529 population-based twin families and 502 at-risk twin families in the completed Twin Study of Behavioral and Emotional Development in Children (TBED-C) were generally representative of recruited but non-participating families. As compared to non-participating twins, participating twins reported similar levels of conduct problems, emotional symptoms, or hyperactivity (d ranged from −.08 to .01 in the population-based sample and .01 to .09 in the at-risk sample; all ns). Participating families also did not differ from non-participating families in paternal felony convictions (d = −.01 and .13 for the population-based and the at-risk samples, respectively), rate of single parent homes (d = .10 and −.01 for the population-based and the at-risk samples, respectively), paternal years of education (both d ≤ .12), or maternal and paternal alcohol problems (d ranged from .03 to .05 across the two samples). However, participating mothers in both samples reported slightly more years of education (d = .17 and .26, both p < .05) than non-participating mothers. Maternal felony convictions differed across participating and non-participating families in the population-based sample (d = −.20; p < .05) but not in the at-risk sample (d = .02). In short, our recruitment procedures thus appear to yield samples that are representative of both recruited families and the general population of the state of Michigan.
Study Assessments
Table 1 presents a summary of the assessments that comprise each of the individual MSUTR projects (projects described below). Given the relatively low base rates of internalizing and externalizing symptoms and the correspondingly large sample sizes needed for twin biometric modeling, there is an emphasis on continuous data in all of these projects (although structured diagnostic interviews are often included as well). There is also an emphasis on the use of developmentally appropriate measures. Finally, every effort is made to ensure that MSUTR projects use the same or similar measures of core phenotypes. This maximizes data collection efforts and allows for comparisons of etiologic effects across datasets and developmental periods.
Table 1.
Summary of Existing MSUTR Project Assessments.
| Measure | Study | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| MTP | TBED-C | MTwins | Mindset | TSMBHP | TSMBHP-M | HBMC | HBOC | HBMC- fMRI | |
| Zygosity determination | x | x | x | x | x | x | x | x | x |
| Internalizing symptoms (e.g. disordered eating) | x | x | x | x | x | x | x | x | |
| Externalizing symptoms (e.g., antisocial behavior) | x | x | x | x | x | x | x | x | |
| Parental personality & psychopathology | x | x | x | ||||||
| Family history of psychopathology | x | ||||||||
| Twin temperament | x | ||||||||
| Twin pubertal development | x | x | x | ||||||
| Twin steroid hormones1 | |||||||||
| Cortisol | x | ||||||||
| Finger-length ratios | |||||||||
| Neuroimaging | x | x | |||||||
| Twin birth complications | x | ||||||||
| Use of fertility medications | x | ||||||||
| Birth height & weight | x | ||||||||
| Body mass index and/or % body fat | x | x | x | x | x | x | x | x | |
| Parent-twin relationship | x | x | x | x | |||||
| Neighborhood characteristics | x | x | x | x | |||||
| Parent’s marital relationship | x | x | x | ||||||
| Peer deviance, teasing, prosociality | x | x | |||||||
| Sociocultural risk factors (e.g., media) | x | x | |||||||
| Stressful life events | x | x | |||||||
| Academic/verbal abilities | x | x | x | ||||||
| Twin DNA2 | x | x | x | x | x | x | x | ||
| Parent DNA2 | x | x | x | x | |||||
| Epigenome-wide methylation3 | x | x | |||||||
| Gene expression | x | x | x | x | |||||
Note. MTP = Michigan Twins Project; TBED-C = Twin Study of Behavioral and Emotional Development – Child; MTwins = Michigan Twin Neurogenetics Study; TSMBHP = Twin Study of Mood, Behavior, and Hormones during Puberty; TSMBHP-M = Twin Study of Mood, Behavior, and Hormones during Puberty in Males; HBMC = Twin Study of Hormones and Behavior across the Menstrual Cycle; HBOC = Twin Study of Hormones and Behavior across Oral Contraceptive Use; HBMC = Twin Study of Hormones and Behavior across the Menstrual Cycle – fMRI study.
Steroid hormones for each twin were assayed from salivary, finger prick blood spot, and/or serum samples.
DNA was collected using buccal swabs or saliva collection procedures.
Salivary and blood methylomes
Zygosity was established using physical similarity questionnaires (administered to the twins and/or their parents) that show accuracies of 95% or better (Iacono, Carlson, Taylor, Elkins, & McGue, 1999; Lykken, Bouchard, McGue, & Tellegen, 1990; Peeters, Van Gestel, Vlietinck, Derom, & Derom, 1998). For several projects, a research assistant also independently evaluates the twins on physical similarity indices. Zygosities are then compared between the participant and RA reports and discrepancies are resolved through review of questionnaire data and twin photographs (when available) by one of the MSUTR principal investigators or by DNA markers.
MSUTR Projects
Parent twin registry
The Michigan Twins Project is an on-going, population-based, mail-in registry of child and adolescent twins aged 3 to 17 years and their families, and adult twins ages 18 to 55 years (~30,000 twins in 15,000+ pairs; ~80% are in the younger cohort). We have also begun to reassess the younger twins roughly 5 years after their original participation (current N ~ 800 pairs). The brief questionnaire completed as part of participation in the Michigan Twins Project can be used to immediately generate new knowledge (Burt & Klump, 2012; Racine, Culbert, Burt, & Klump, 2014), and indeed is included as part of the COllaborative project of Development of Anthropometrical (CODA), also described in this issue (Silventoinen et al., in press). That said, the primary purpose of the Michigan Twins Project is to serve as a world-class “participant bank” from which researchers can identify and recruit subsamples of twins and their families for genetically- and environmentally-informed research. The more focused, in-depth studies making use of this recruitment resource are described below.
In-depth studies at MSU
Twin Study of Emotional and Behavioral Development in Children (TBED-C).
The primary focus of the TBED-C was on understanding the role of GxE in the etiology of childhood-onset psychopathology. As noted above, the TBED-C includes both a population-based sample and an independent at-risk sample for which inclusion criteria also specified that participating twin families lived in neighborhoods with neighborhood poverty levels at or above the Census mean at study onset (10.5%). Twins in the TBED-C ranged in age from 6 to 10 years (mean = 7.7, SD = 1.51; although 27 pairs had turned 11 by the time the family participated) and were 48.7% female. The sample includes 224 monozygotic (MZ) male pairs, 211 dizygotic (DZ) male pairs, 202 MZ female pairs, 206 DZ female pairs, and 187 DZ opposite-sex pairs.
In service to our core aim, we measured multiple aspects of the twins’ environment, with a particular focus on parent-child relationships, structural and social characteristics of the twins’ neighborhoods, and the parents’ marital relationship. The TBED-C has already produced ~40 peer-reviewed publications (e.g., Burt, Donnellan, Slawinski, & Klump, 2015; Burt, Klump, Gorman-Smith, & Neiderhiser, 2016; Burt, Pearson, Rzotkiewicz, Klump, & Neiderhiser, 2019; Burt, Slawinski, & Klump, 2018), with more under way.
Michigan Twin Neurogenetics Study (MTwins).
MTwins is an on-going study that follows the at-risk twins in the TBED-C, conducting two in-person twin family assessments during adolescence (18–24 months apart), beginning 4 to 6 years after their prior TBED-C assessment. Our target sample sizes are 500 families at time 2 (early adolescence, ages 10–17) and 400 families at time 3 (mid-adolescence, ages 11 to 18). Records and dried bloodspots from the twins’ pre/neonatal stage are also available. Assessments at both time points include task and resting functional and structural neuroimaging (fMRI, DTI, and sMRI), thereby allowing to us to identify the neural regulatory control architecture (RCA) associated with neighborhood disadvantage, to evaluate whether and how the etiology of neural RCA varies with disadvantage.
Mindset Study.
The Mindset study constitutes the first randomized intervention embedded in a behavioral genetic design (to our knowledge). We are recruiting 800 adolescent twin pairs for a 1.5 hour on-line assessment conducted via Qualtrics. Twins are randomly assigned to either the experimental (growth mindset) or active control conditions, allowing us to directly evaluate whether and how a growth mindset induction alters the etiology of achievement-related phenotypes. It is hoped that this project will allow us to simultaneously consider and empirically integrate the (seemingly opposed) concepts of high heritability and malleability, and provide empirical research relevant to key philosophical discussions about the meaning of heritability and the goals of human behavioral genetics.
Adolescent Twin Study of Behavioral Adjustment and Development (Adolescent-TSBAD).
The primary focus of the Adolescent-TSBAD is to identify gonadal hormone regulation of individual differences and sex differences in pubertal risk. These aims are achieved via in-depth assessments of internalizing and externalizing symptoms, pubertal development, genes (via genome-wide association analyses), and gonadal and adrenal hormone concentrations (e.g., estrogen, progesterone, testosterone, DHEA), in addition to several psychosocial risk factors (e.g., teasing, parent-child relationships). Two of the largest Adolescent TSBAD studies include the Twin Study of Mood, Behavior, and Hormones during Puberty (TSMBHP) that assessed 996 (MZ = 480 (48%); DZ = 516 (52%)) female twins ages 8 to 16 (M = 11.75, SD = 2.03), and the on-going (TSMBHP-M) that will assess 1,000 male twins ages 7–16. In combination, these projects will allow for the most in-depth, developmental examinations of gene x hormone interactions for psychopathology both within- and across-sex. To date, adolescent-TSBAD studies have generated over 20 pubs, with several more in preparation.
Adult Twin Study of Behavioral Adjustment and Development (Adult-TSBAD).
Nearly all of the Adult-TSBAD studies use intensive, daily data collections of disordered eating, mood, substance use, and salivary samples of ovarian hormones as quasi-experimental designs for identifying dynamic changes in genetic, environmental, and hormonal risk for psychopathology across extended time periods (i.e., 45–49 consecutive days). The largest Adult-TSBAD study to date is the Twin Study of Hormones and Behavior across the Menstrual Cycle (TSHBMC) that conducted daily assessments of 650 female twins (57.5% MZ, 42.5% DZ; ages 16–25 years), although another on-going study (the Twin Study of Hormones and Behavior across Oral Contraceptive Use (HBOC)) is completing daily assessments of 1,000 female twins who are concordant or discordant for oral contraceptive use. Finally, an on-going, smaller study (theTwin Study of Hormones and Behavior – fMRI study; target N = 24) is substantially extending these findings by conducting repeated fMRI scans of female twins to identify the intermediary, neural systems that may mediate ovarian hormone and genetic effects on psychopathology in women. In total, these studies have generated over 30 publications, with more underway.
External Studies
In addition to the above, several researchers external to MSU are also making use of the MSUTR as a recruitment resource for their own in-depth studies. As one example, the Twin Study of Attention (PI: Joel Nigg) aims to identify epigenetic biomarkers for ADHD, thus far enrolling 175 MZ pairs. The Epigenomics of Hypertension in Monozygotic Twins and Effect of Salt Intake aims to examine epigenetic effects on hypertension (PI: Srivdya Kidambi, MD), and has enrolled 108 adult MZ pairs in the study. Results from these projects are forthcoming.
Future Directions
We are hopeful that the developmentally informed approach of the MSUTR will continue to yield data that clarifies the role of genetic, environmental, neural, epigenetic, and neurobiological factors in the development of psychopathology across the lifespan. We welcome collaborations with other twin researchers and registries on both new and existing MSUTR projects. Please see https://msutwinstudies.com/msutr-data for more details on collaborations. Through such collaborations, we hope to further increase understanding of the etiologies of psychopathology and resilience across the lifespan.
Figure 1.

Recruitment Flow Chart for the 3–17 year-old cohort in the Michigan Twins Project (MTP)
Acknowledgements
This work was supported by the following: R01-MH081813, R01-MH0820, R01-MH 092377, R21-MH070542, R03 MH63851, UG3/UH3-MH114249, R01-MH111715, R01-MH118848 from the National Institute of Mental Health (NIMH), R01-HD066040 and R01-HD093334 from the Eunice Kennedy Shriver National Institute for Child Health and Human Development (NICHD), #11-SPG-2408 from Michigan State University, The Avielle Foundation’s Conway Family Award for Excellence in Neuroscience, and a Global Foundation for Eating Disorders Grant. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIMH, the NICHD, or the National Institutes of Health.
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