PT - JOURNAL ARTICLE AU - Hugo Zeberg AU - Svante Pääbo TI - The major genetic risk factor for severe COVID-19 is inherited from Neandertals AID - 10.1101/2020.07.03.186296 DP - 2020 Jan 01 TA - bioRxiv PG - 2020.07.03.186296 4099 - http://biorxiv.org/content/early/2020/07/03/2020.07.03.186296.short 4100 - http://biorxiv.org/content/early/2020/07/03/2020.07.03.186296.full AB - A recent genetic association study (Ellinghaus et al. 2020) identified a gene cluster on chromosome 3 as a risk locus for respiratory failure in SARS-CoV-2. Recent data comprising 3,199 hospitalized COVID-19 patients and controls reproduce this and find that it is the major genetic risk factor for severe SARS-CoV-2 infection and hospitalization (COVID-19 Host Genetics Initiative). Here, we show that the risk is conferred by a genomic segment of ~50 kb that is inherited from Neandertals and occurs at a frequency of ~30% in south Asia and ~8% in Europe.Competing Interest StatementThe authors have declared no competing interest.