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    MOTS-c — The Mitochondrial-Derived Peptide

    8 min read · Apr 2026

    Background

    MOTS-c (Mitochondrial Open Reading Frame of the 12S rRNA-c) is a 16-amino-acid peptide encoded within the mitochondrial 12S rRNA gene, identified by Lee and colleagues at USC in 2015. It is one of the first peptides shown to be encoded by mitochondrial DNA itself.

    Mechanism

    MOTS-c translocates to the nucleus under metabolic stress and modulates nuclear gene expression involved in metabolic adaptation. Documented effects in published work include AMPK pathway activation, enhanced glucose disposal, and protection against age-related insulin resistance.

    What is proven

    In rodents, MOTS-c administration prevents diet-induced obesity, improves glucose tolerance, and increases exercise capacity. Circulating MOTS-c levels decline with age in humans and correlate with insulin sensitivity in published observational studies.

    What is NOT proven

    No completed Phase 2 or Phase 3 human efficacy trials. Optimal dosing, route, and long-term safety in humans are unknown. Whether the rodent metabolic and exercise-capacity effects translate to humans at safe doses is unstudied.

    Open research questions

    Tissue distribution and bioavailability of injected MOTS-c in humans, whether endogenous MOTS-c restoration is achievable through lifestyle intervention versus exogenous supply, and any oncological signal given AMPK and growth-pathway involvement.

    Regulatory status

    Not approved by any major regulator.

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    References & further reading

    1. PubMed — 'MOTS-c' literature search
    2. ClinicalTrials.gov — 'MOTS-c' registered trials
    3. Lee C. et al. — Discovery of MOTS-c (Cell Metabolism)
    4. Wikipedia — MOTS-c

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