Functional and clinical evidence for two novel heterozygous BUB1B variants and their value in precision genetic counseling for recurrent pregnancy loss - Takeaways - MDSpire

Functional and clinical evidence for two novel heterozygous BUB1B variants and their value in precision genetic counseling for recurrent pregnancy loss

  • By

  • Tian-ying Wei

  • Ming-xian Kang

  • Ge-han Zhang

  • Jing Zhang

  • Jia-en Liu

  • Jing Ma

  • Ya-ping Tian

  • Hua-ying Hu

  • June 26, 2026

  • 0 min

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  • 1

    Two novel heterozygous BUB1B variants, c.2164T>C (p.W722R) and c.2215G>T (p.A739S), were identified in families with recurrent pregnancy loss.

  • 2

    Cytogenetic analysis showed significantly elevated premature chromatid separation rates in lymphocytes of probands compared to healthy controls.

  • 3

    The identified BUB1B variants were classified as variants of uncertain significance according to ACMG/AMP guidelines.

  • 4

    A trend toward reduced BUB1B mRNA and BUBR1 protein expression was observed in both variant carriers, suggesting a haploinsufficiency mechanism.

  • 5

    This study provides evidence linking heterozygous BUB1B variants to impaired spindle assembly checkpoint function and recurrent embryonic aneuploidy.

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