Related Experiment Video
Updated: May 8, 2026

Targeted Next-generation Sequencing and Bioinformatics Pipeline to Evaluate Genetic Determinants of Constitutional Disease
Published on: April 4, 2018
Carnitine palmitoyltransferase 2 gene polymorphism is a genetic risk factor for sudden unexpected death in infancy
Takuma Yamamoto1, Hidekazu Tanaka2, Yuko Emoto3
1Division of Forensic Pathology and Science, Unit of Social Medicine, Course of Medical and Dental Sciences, Graduate School of Biomedical Sciences, Nagasaki University School of Medicine, Japan; Department of Legal Medicine, Osaka University Graduate School of Medicine, Japan.
Insights
The CPT2 gene F352C variant may increase the risk of sudden unexpected death in infancy (SUDI). This genetic factor impacts carnitine palmitoyltransferase II enzyme activity, crucial for infant energy production.
Area of Science:
- Biochemistry
- Genetics
- Pediatrics
Background:
- Carnitine palmitoyltransferase (CPT) II is vital for mitochondrial fatty acid oxidation and energy production, especially during fasting or exercise.
- Infants rely on this pathway for energy when the glycolytic system is insufficient.
- CPT2 gene mutations are linked to sudden unexpected death in infancy (SUDI).
Purpose of the Study:
- To investigate the association between CPT2 gene single nucleotide polymorphisms (SNPs) and SUDI.
- To determine if the F352C CPT2 variant is a genetic risk factor for SUDI.
Main Methods:
- Genotyping of CPT2 gene SNPs was performed.
- The study included 54 SUDI cases and 200 healthy volunteers.
Main Results:
- The C allele frequency was significantly higher in the SUDI group (25.0%) compared to controls (16.0%).
- The F352C homozygote frequency was also significantly higher in the SUDI group (11.1%) versus controls (3.5%).
Conclusions:
- The F352C CPT2 variant is a potential genetic risk factor for SUDI.
- This polymorphism may lead to reduced CPT II enzyme activity, causing energy crises in infants.
Rationale:
Carnitine palmitoyltransferase (CPT) II is one of a pivotal enzyme in mitochondrial fatty acid oxidation, which is essential for energy production during simultaneous glucose sparing and a requirement for major energy supply, such as prolonged fasting or exercise. When infants require more energy than provided by the glycolytic system, they rely on the mitochondrial fatty acid oxidation pathway. Mutations of the CPT2 gene have been reported to cause sudden unexpected death in infancy (SUDI). A thermolabile phenotype of a CPT2 polymorphism (F352C) has been recently reported to reduce CPT II enzyme activity. The F352C variant results in energy crisis at high temperature and is suspected as a risk factor for acute encephalopathy. However, a relationship between CPT2 gene polymorphism and SUDI has not been described.
Methods:
Single nucleotide polymorphisms of the CPT2 gene were investigated among 54 SUDI cases and 200 healthy volunteers.
Results:
The frequency of the C allele was significantly higher in the SUDI group than in the control group [25.0% vs 16.0%, odds ratio (OR)=1.75, 95% confidence interval (CI)=1.05-2.92, p=0.030). The frequency of the F352C homozygote was significantly higher in the SUDI group than in control group (11.1% vs 3.5%, OR=3.45, 95% CI=1.11-10.73, p=0.036).
Conclusion:
The F352C CPT2 variant might be a genetic risk factor for SUDI.
More Related Videos
Related Concept Videos
Pharmacogenetics of Phase II Enzymes: N-acetyltransferase, Thiopurine S-methyltransferase, UDP-glucuronosyltransferase
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase
Inborn Errors of Metabolism
Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu
Pharmacogenetics of Drug Transporters: P-Glycoprotein and Solute Carrier Transporters
Pharmacogenetics of Phase I Enzymes: Cytochrome P450 Isozymes

