Citrullinemia type 1 (CTLNI), long-chain 3-hydroxyacyl-CoA dehydrogenase
deficiency (LCHADD), and mut
0
methylmalonic acidemia (mut
0
MMA) are inborn errors of metabolism (IEMs) associated with sudden unexpected
death in infancy (SUDI). Its most common pathogenic variants are:
c.1168G>A (CTLNI,
ASS1
gene), c.1528G>C (LCHADD,
HADHA
gene), c.655A>T and c.1106G>A
(mut
0
MMA,
MUT
gene). Considering the absence of
estimates regarding the incidence of these diseases in Brazil, this study sought
to investigate the prevalence of its main pathogenic variants in a healthy
population in the southern region of the country. A total of 1,000 healthy
subjects from Rio Grande do Sul were included. Genotyping was performed by
real-time PCR. Individuals found to be heterozygous for c.1528G>C
underwent further acylcarnitine profile analysis by tandem mass
spectrophotometry. Allele and genotype frequencies were calculated considering
Hardy-Weinberg equilibrium. The c.1528G>C variant was detected in
heterozygosity in two subjects (carrier frequency = 1:500; allele frequency =
0.001; minimum prevalence of LCHADD = 1: 1,000,000), whose acylcarnitine
profiles were normal. Variants c.1168G>A, c.655A>T, and
c.1106G>A were not identified. These results denote the rarity of these
IEMs in Southern Brazil, highlighting the need to expand the investigation of
IEMs in relation to infant morbidity and mortality within the country.