36The genome of human herpesvirus 6 (HHV-6) is integrated within the nuclear genome of 37 about 1% of humans, but how this came about is not clear. HHV-6 integrates into telomeres, 38 and this has recently been associated with polymorphisms affecting MOV10L1. MOV10L1 is 39 located on the subtelomere of chromosome 22q (chr22q) and is required to make PIWI-40interacting RNAs (piRNAs). piRNAs block integration of transposons in the germline, so 41 piRNA-mediated repression of HHV-6 integration has been suspected. Whether integrated 42 HHV-6 can reactive into an infectious virus is also uncertain. In vitro, recombination of the 43 viral genome along its terminal direct repeats (DRs) leads to excision from the telomere and 44 viral reactivation, but the expected single DR "scar" has not been described in vivo. We 45 analyzed whole-genome sequencing (WGS) data from 13,040 subjects, including 7,485 from 46 Japan. We found an association between integrated HHV-6 and polymorphisms on chr22q in 47Human herpesvirus 6 (HHV-6) infects most people during childhood, usually only causing 63 fever and rash. Reactivation of HHV-6 has been linked to a number of neurological diseases 64 including encephalitis, Alzheimer's disease and multiple sclerosis. However, about 1% of 65 people are born with the HHV-6 genome present within their genome, included in the end 66"cap" of one of their 46 chromosomes. Little is known about how and when HHV-6 genomes 67 entered human genomes, whether or not they still do, and whether or not this poses risk for 68 virus reactivation. We looked for HHV-6 in genome sequences from over 13,000 people. 69