One of the biggest lingering questions surrounding COVID-19 is why some people with the disease get sicker than others. While many factors are likely at play, numerous studies suggest a person’s genetics can predispose them to severe disease. Indeed, a genome-wide association study and a COVID-19 Host Genetics Initiative dataset specifically point to a 50 kilobase-sized genomic segment on chromosome 3 as a major genetic risk factor for severe COVID-19—a segment that, back in 2020, paleogenomicist Svante Pääbo and his collaborator Hugo Zeberg showed was inherited from Neanderthals some 50,000 to 70,000 years ago. However, the genetic variants on this segment—all strongly linked to each other—are legion, so the precise ones that drive its association with severe COVID-19 have remained elusive.
Now, Terence Capellini, a Harvard University human evolutionary biologist, and colleagues have systematically evaluated the more than 600 genetic variants in the region. Ultimately, they homed in on three ...

























