“…According to Hardy–Weinberg equilibrium calculations, homozygotes for one rare allele (< 5%) will have a frequency of less than 0.3%, while heterozygotes for two rare alleles will have a frequency of less than 0.5%. The published surveys with full genotype information confirm the expected low frequencies: all homozygotes (excluding wild‐type alleles) were 0.48% and all double heterozygotes (no wild‐type alleles) were 0.43% (based on a total of almost 2600 genotypes) (Billinis et al., ; Acutis et al., ; Vaccari et al., ; Papasavva‐Stylianou et al., ; Bouzalas et al., ; Fragkiadaki et al., ; Goldmann et al., , ; Papasavva‐Stylianou et al., ; Maestrale et al., ; Acín et al., Corbière et al., ; Barillet et al., ). Despite the overall problem with assigning resistance to rare homozygotes due to their observed frequencies, a protective phenotype has been described for MM142 homozygotes similar to IM142 heterozygotes (Table ) (González et al., ; Goldmann et al., ) and also for SS146 and DD146 homozygotes compared to NS146 and ND146 heterozygotes (Georgiadou et al., ).…”