Simply because there aren't any stores in North America that would want to sell any such game. At least none that I know of.If that's true, then why are there almost no AO rated games? You'd think those would be even more profitable.
I wouldn't say that an "M" rating alone makes an automatic best seller; GTA and Halo sell because in the opinions of many, they're just good games. However, I do believe that M rated games do get points due to the whole forbidden fruit-ness of what comes with that rating. In other words, GTA will get someone's attention faster than say, Katamari Damacy just because of the rating and controversy surrounding it.