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Genetics and covid deaths
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Neanderthal gene probably caused up to a million Covid deaths
LZTFL 1 gene
The major genetic risk factor for severe COVID-19 is inherited from Neanderthals
Clinical manifestations, asymptomatic to rapid progression to respiratory failure
Co-morbidities do not fully explain variability
Region (gene cluster) on chromosome 3
Only region that is significantly associated with severity
Odds ratio for requiring hospitalization of 1.6
Death, 2.0
Genome-wide association study
N = 3,199 hospitalized with COVID-19
Population controls, 897,488
The major genetic risk factor for severe symptoms
Risk is conferred by genomic segment, 50 kilobases
Inherited from Neanderthals
Haplotype
Group of alleles (one version of a gene) in an organism that are inherited together from a single parent.
Sequence strongly associated with each other in the population
Haplotype carried by
50% of people in south Asia, at least one copy
16% of people in Europe
9% of admixed American
Bangladesh
63% heterozygous
13% homozygous
Bangladeshi origins, living in UK
Hazard ratio of death, 2.0
Almost absent in east Asia
Neanderthals or Denisovans?
Present in a homozygous form in the genome of Vindija Neanderthal,
50,000-year-old Neanderthal from Croatia
Founder of the clade
Neanderthals and modern humans split 550,000 years ago
Dr James Davies University of Oxford
We used the technique and it identified a virtually understudied gene called LZTFL1,
and at the time that this had not been linked to infection at all.
It’s a single letter difference out of three billion.
This tiny section of DNA doubles your risk of dying from Covid.
It's position 45,818,159 on chromosome three,
and it's a single change.
If you've got a G at that site, it's low risk.
And if you have an A at that site it is high risk
adenine (A)
cytosine (C)
guanine (G)
thymine (T)
Gene changes cell reaction to binding of SARS-CoV-2 virus onto the ACE2 receptor
Conformational changes
In most people, this leads to the cell then changing shape
Conformational changes reduces further binding
High risk variant, less or delayed conformational change
Deaths globally, is in the hundreds of thousands to a million
Dr Davies and Dr Simon Underdown
The Neanderthal gene first infiltrated humans 60,000 years ago
One event, one child
Neanderthal Introgression,
Gene jumped into the Homo sapien lineage
The reason that we know that is that it's inherited as this block with 28 single letter changes,
and you can track that all the way back and it has to be a single event.
It's just so unlikely that you get all 28 changes at the same time and in the same block
LZTFL 1 gene
The major genetic risk factor for severe COVID-19 is inherited from Neanderthals
Clinical manifestations, asymptomatic to rapid progression to respiratory failure
Co-morbidities do not fully explain variability
Region (gene cluster) on chromosome 3
Only region that is significantly associated with severity
Odds ratio for requiring hospitalization of 1.6
Death, 2.0
Genome-wide association study
N = 3,199 hospitalized with COVID-19
Population controls, 897,488
The major genetic risk factor for severe symptoms
Risk is conferred by genomic segment, 50 kilobases
Inherited from Neanderthals
Haplotype
Group of alleles (one version of a gene) in an organism that are inherited together from a single parent.
Sequence strongly associated with each other in the population
Haplotype carried by
50% of people in south Asia, at least one copy
16% of people in Europe
9% of admixed American
Bangladesh
63% heterozygous
13% homozygous
Bangladeshi origins, living in UK
Hazard ratio of death, 2.0
Almost absent in east Asia
Neanderthals or Denisovans?
Present in a homozygous form in the genome of Vindija Neanderthal,
50,000-year-old Neanderthal from Croatia
Founder of the clade
Neanderthals and modern humans split 550,000 years ago
Dr James Davies University of Oxford
We used the technique and it identified a virtually understudied gene called LZTFL1,
and at the time that this had not been linked to infection at all.
It’s a single letter difference out of three billion.
This tiny section of DNA doubles your risk of dying from Covid.
It's position 45,818,159 on chromosome three,
and it's a single change.
If you've got a G at that site, it's low risk.
And if you have an A at that site it is high risk
adenine (A)
cytosine (C)
guanine (G)
thymine (T)
Gene changes cell reaction to binding of SARS-CoV-2 virus onto the ACE2 receptor
Conformational changes
In most people, this leads to the cell then changing shape
Conformational changes reduces further binding
High risk variant, less or delayed conformational change
Deaths globally, is in the hundreds of thousands to a million
Dr Davies and Dr Simon Underdown
The Neanderthal gene first infiltrated humans 60,000 years ago
One event, one child
Neanderthal Introgression,
Gene jumped into the Homo sapien lineage
The reason that we know that is that it's inherited as this block with 28 single letter changes,
and you can track that all the way back and it has to be a single event.
It's just so unlikely that you get all 28 changes at the same time and in the same block
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