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The Neandertal Progesterone Receptor.

Hugo Zeberg1,2, Janet Kelso1, Svante Pääbo1,3

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Neandertal gene variants in the progesterone receptor (PGR) gene may enhance fertility in modern humans. These ancient alleles are linked to increased siblings and reduced pregnancy complications, explaining their prevalence.

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Area of Science:

  • Human evolution
  • Reproductive biology
  • Genetics

Background:

  • Progesterone is crucial for uterine receptivity and early pregnancy maintenance.
  • The progesterone receptor (PGR) gene contains Neandertal introgressed haplotypes.
  • These Neandertal variants are common in non-African populations and linked to preterm birth.

Purpose of the Study:

  • To investigate the origin and functional impact of Neandertal haplotypes in the human PGR gene.
  • To determine the effect of these Neandertal alleles on progesterone receptor expression and reproductive success.

Main Methods:

  • Analysis of Neandertal genomes to characterize PGR haplotypes.
  • Genotyping and expression analysis in modern human populations.
  • Association studies with reproductive outcomes in a cohort of present-day Britons.

Main Results:

  • Identified two distinct Neandertal PGR haplotypes introgressed into modern humans.
  • Neandertal haplotype carriers exhibit higher progesterone receptor expression.
  • Carriers show increased number of siblings, reduced miscarriage rates, and less early pregnancy bleeding.

Conclusions:

  • Neandertal alleles at the PGR locus appear to confer a fertility advantage.
  • This reproductive benefit likely explains the high frequency of these introgressed haplotypes in non-African populations.
  • Ancient introgression of functional genetic variants can impact modern human reproductive health.